NUR 400 FINAL EXAM | 118 QUESTIONS AND
ANSWERS | 2025 UPDATE | 100% CORRECT.
A nurse is teaching a patient with newly diagnosed Type 2 Diabetes Mellitus
about self-management of their condition. Which statement by the patient
indicates a need for further teaching?
A. "I will check my blood sugar before meals and at bedtime as instructed."
B. "I should inspect my feet daily for cuts, blisters, or redness."
C. "If I feel dizzy or shaky, I should eat a Snickers candy bar immediately."
D. "I will keep a log of my blood sugar readings to share with my healthcare
provider." Answer - C. "If I feel dizzy or shaky, I should eat a Snickers candy bar
immediately."
A nurse is caring for a 45-year-old patient who was admitted for respiratory
distress. The patient's vital signs are as follows:
Temperature: 99.0°F (37.2°C)
Heart rate: 120 beats per minute
Respiratory rate: 30 breaths per minute
Blood pressure: 138/88 mmHg
What is the most appropriate nursing action based on these findings?
A) Administer an antipyretic for the slightly elevated temperature.
,B) Monitor the patient for signs of dehydration and continue to assess vital
signs.
C) Administer oxygen via nasal cannula to address the elevated heart rate.
D) Notify the healthcare provider immediately about the abnormal vital signs.
Answer - B) Monitor the patient for signs of dehydration and continue to assess
vital signs.
A 70-year-old patient is recovering from a hip replacement surgery. The nurse
notes the following vital signs:
Temperature: 99.1°F (37.3°C)
Heart rate: 52 beats per minute
Respiratory rate: 16 breaths per minute
Blood pressure: 120/72 mmHg
Which of the following is the most appropriate action for the nurse?
A) Notify the healthcare provider immediately about the bradycardia.
B) Document the findings and continue routine post-operative monitoring.
C) Administer IV fluids to address the patient's bradycardia.
D) Increase the oxygen flow rate to 4L/min via nasal cannula. Answer -
Document the findings and continue routine post-operative monitoring.
: A nurse is assessing a 60-year-old male patient who is post-cardiac surgery.
The following vital signs are recorded:
Temperature: 100.2°F (37.9°C)
Heart rate: 88 beats per minute
Respiratory rate: 18 breaths per minute
,Blood pressure: 110/68 mmHg
What is the most appropriate next action by the nurse?
A) Administer antipyretics for the elevated temperature.
B) Continue to monitor vital signs and assess for signs of infection.
C) Notify the healthcare provider immediately about the elevated temperature.
D) Increase the oxygen flow rate to 4L/min via nasal cannula to support the
patient's condition. Answer - Continue to monitor vital signs and assess for
signs of infection.
A nurse is educating a pregnant patient on how to increase folate intake to
prevent neural tube defects. Which of the following foods should the nurse
recommend as the best sources of folate during pregnancy?
A) Fortified breakfast cereals
B) Fresh orange juice
C) Lean meats
D) Dark leafy greens
E) Whole grain breads Answer - A) Fortified breakfast cereals, D) Dark leafy
greens
A nurse is providing dietary teaching to a patient with chronic kidney disease
(CKD) who is on hemodialysis. The nurse explains that certain nutrients need to
be restricted. Which of the following foods should the nurse instruct the
patient to limit?
A) Grilled salmon with a side of roasted asparagus
B) Whole grain cereal with low-fat milk
C) Fresh orange juice with a side of scrambled eggs
, D) Baked potato with a dollop of sour cream and a green salad Answer - C)
Fresh orange juice with a side of scrambled eggs
Match the following nutrition-related conditions with the appropriate dietary
recommendation:
Iron-deficiency anemia
Chronic kidney disease (CKD)
Celiac disease
Type 2 diabetes
A) Follow a gluten-free diet
B) Increase iron-rich foods, such as red meat, beans, and fortified cereals
C) Limit protein intake to reduce kidney strain
D) Focus on complex carbohydrates, such as whole grains and vegetables, and
limit sugar intake Answer - Iron-deficiency anemia → B) Increase iron-rich
foods, such as red meat, beans, and fortified cereals
Chronic kidney disease (CKD) → C) Limit protein intake to reduce kidney strain
Celiac disease → A) Follow a gluten-free diet
Type 2 diabetes → D) Focus on complex carbohydrates, such as whole grains
and vegetables, and limit sugar intake
A nurse is assessing a 30-year-old patient's cardiovascular system. Which of the
following findings would the nurse identify as abnormal and requiring further
investigation?
A. Capillary refill time of 2 seconds.
B. Apical pulse rate of 60 beats per minute.
C. S1 and S2 heart sounds audible without murmurs.
ANSWERS | 2025 UPDATE | 100% CORRECT.
A nurse is teaching a patient with newly diagnosed Type 2 Diabetes Mellitus
about self-management of their condition. Which statement by the patient
indicates a need for further teaching?
A. "I will check my blood sugar before meals and at bedtime as instructed."
B. "I should inspect my feet daily for cuts, blisters, or redness."
C. "If I feel dizzy or shaky, I should eat a Snickers candy bar immediately."
D. "I will keep a log of my blood sugar readings to share with my healthcare
provider." Answer - C. "If I feel dizzy or shaky, I should eat a Snickers candy bar
immediately."
A nurse is caring for a 45-year-old patient who was admitted for respiratory
distress. The patient's vital signs are as follows:
Temperature: 99.0°F (37.2°C)
Heart rate: 120 beats per minute
Respiratory rate: 30 breaths per minute
Blood pressure: 138/88 mmHg
What is the most appropriate nursing action based on these findings?
A) Administer an antipyretic for the slightly elevated temperature.
,B) Monitor the patient for signs of dehydration and continue to assess vital
signs.
C) Administer oxygen via nasal cannula to address the elevated heart rate.
D) Notify the healthcare provider immediately about the abnormal vital signs.
Answer - B) Monitor the patient for signs of dehydration and continue to assess
vital signs.
A 70-year-old patient is recovering from a hip replacement surgery. The nurse
notes the following vital signs:
Temperature: 99.1°F (37.3°C)
Heart rate: 52 beats per minute
Respiratory rate: 16 breaths per minute
Blood pressure: 120/72 mmHg
Which of the following is the most appropriate action for the nurse?
A) Notify the healthcare provider immediately about the bradycardia.
B) Document the findings and continue routine post-operative monitoring.
C) Administer IV fluids to address the patient's bradycardia.
D) Increase the oxygen flow rate to 4L/min via nasal cannula. Answer -
Document the findings and continue routine post-operative monitoring.
: A nurse is assessing a 60-year-old male patient who is post-cardiac surgery.
The following vital signs are recorded:
Temperature: 100.2°F (37.9°C)
Heart rate: 88 beats per minute
Respiratory rate: 18 breaths per minute
,Blood pressure: 110/68 mmHg
What is the most appropriate next action by the nurse?
A) Administer antipyretics for the elevated temperature.
B) Continue to monitor vital signs and assess for signs of infection.
C) Notify the healthcare provider immediately about the elevated temperature.
D) Increase the oxygen flow rate to 4L/min via nasal cannula to support the
patient's condition. Answer - Continue to monitor vital signs and assess for
signs of infection.
A nurse is educating a pregnant patient on how to increase folate intake to
prevent neural tube defects. Which of the following foods should the nurse
recommend as the best sources of folate during pregnancy?
A) Fortified breakfast cereals
B) Fresh orange juice
C) Lean meats
D) Dark leafy greens
E) Whole grain breads Answer - A) Fortified breakfast cereals, D) Dark leafy
greens
A nurse is providing dietary teaching to a patient with chronic kidney disease
(CKD) who is on hemodialysis. The nurse explains that certain nutrients need to
be restricted. Which of the following foods should the nurse instruct the
patient to limit?
A) Grilled salmon with a side of roasted asparagus
B) Whole grain cereal with low-fat milk
C) Fresh orange juice with a side of scrambled eggs
, D) Baked potato with a dollop of sour cream and a green salad Answer - C)
Fresh orange juice with a side of scrambled eggs
Match the following nutrition-related conditions with the appropriate dietary
recommendation:
Iron-deficiency anemia
Chronic kidney disease (CKD)
Celiac disease
Type 2 diabetes
A) Follow a gluten-free diet
B) Increase iron-rich foods, such as red meat, beans, and fortified cereals
C) Limit protein intake to reduce kidney strain
D) Focus on complex carbohydrates, such as whole grains and vegetables, and
limit sugar intake Answer - Iron-deficiency anemia → B) Increase iron-rich
foods, such as red meat, beans, and fortified cereals
Chronic kidney disease (CKD) → C) Limit protein intake to reduce kidney strain
Celiac disease → A) Follow a gluten-free diet
Type 2 diabetes → D) Focus on complex carbohydrates, such as whole grains
and vegetables, and limit sugar intake
A nurse is assessing a 30-year-old patient's cardiovascular system. Which of the
following findings would the nurse identify as abnormal and requiring further
investigation?
A. Capillary refill time of 2 seconds.
B. Apical pulse rate of 60 beats per minute.
C. S1 and S2 heart sounds audible without murmurs.
