NUR 355 - Exam Study Guide –
Practice Questions with
Answers. GRADED A+. Latest
2026/2027 Update.
A nurse assesses a client 2 hours after total knee arthroplasty who reports
severe pain (8/10) despite IV opioids. Which action is the nurse's priority?
A. Notify the surgeon about uncontrolled pain
B. Assess the affected extremity for neurovascular compromise
C. Offer nonpharmacologic distraction techniques
D. Document the pain score and reassess in 30 minutes
B. Assess the affected extremity for neurovascular compromise
A client with rheumatoid arthritis is prescribed methotrexate. Which statement
by the client requires immediate follow-up?
A. "I take folic acid daily with this medication."
B. "I drink wine socially on weekends."
C. "I will report signs of infection right away."
D. "I know to keep up with my lab tests."
B. "I drink wine socially on weekends."
,A nurse prepares to administer IV morphine to a post-operative client. Which
pre-administration assessment is most important?
A. Pain rating on a 0-10 scale
B. Respiratory rate and depth
C. Bowel sounds
D. Capillary refill time
B. Respiratory rate and depth
The nurse is caring for a client receiving long-term corticosteroid therapy for
lupus. Which finding is most concerning?
A. Weight gain and moon face
B. Blood glucose 180 mg/dL
C. New fever of 101.8°F (38.8°C)
D. Thin fragile skin on arms
C. New fever of 101.8°F (38.8°C)
Which interventions support infection prevention for a client with HIV and a
CD4 count of 150/mm³? (Select all that apply)
A. Avoid raw or undercooked meats
B. Receive annual inactivated influenza vaccine
C. Avoid large crowds and sick contacts
D. Discontinue all vaccines
E. Wash fruits and vegetables thoroughly
A. Avoid raw or undercooked meats
B. Receive annual inactivated influenza vaccine
C. Avoid large crowds and sick contacts
E. Wash fruits and vegetables thoroughly
A nurse is caring for a client with fibromyalgia who reports poor sleep and
diffuse pain. Which provider order should the nurse question?
A. Low-impact aerobic exercise program
, B. Amitriptyline at bedtime
C. Nonsteroidal anti-inflammatory drugs (NSAIDs)
D. Long-term opioid therapy
D. Long-term opioid therapy
The nurse is providing discharge education to a client with gout. Which food
should the client avoid?
A. Skim milk
B. Salmon
C. Organ meats
D. Whole grain bread
C. Organ meats
A client with chronic osteoarthritis asks about nonpharmacologic ways to
manage joint pain. Which response is best?
A. "Regular rest is most important—avoid exercise."
B. "Use cold packs before activity and avoid heat."
C. "Low-impact exercise like swimming can help maintain function."
D. "Strict bed rest will prevent further joint damage."
C. "Low-impact exercise like swimming can help maintain function."
A client receiving IV vancomycin for MRSA infection develops flushing, itching,
and hypotension. What is the nurse's priority action?
A. Stop the infusion immediately
B. Slow the infusion rate
C. Notify the provider
D. Give diphenhydramine
A. Stop the infusion immediately
The nurse is planning care for a client with an acute migraine. Which
complementary/alternative therapy may help reduce headache severity?
A. Guided imagery
Practice Questions with
Answers. GRADED A+. Latest
2026/2027 Update.
A nurse assesses a client 2 hours after total knee arthroplasty who reports
severe pain (8/10) despite IV opioids. Which action is the nurse's priority?
A. Notify the surgeon about uncontrolled pain
B. Assess the affected extremity for neurovascular compromise
C. Offer nonpharmacologic distraction techniques
D. Document the pain score and reassess in 30 minutes
B. Assess the affected extremity for neurovascular compromise
A client with rheumatoid arthritis is prescribed methotrexate. Which statement
by the client requires immediate follow-up?
A. "I take folic acid daily with this medication."
B. "I drink wine socially on weekends."
C. "I will report signs of infection right away."
D. "I know to keep up with my lab tests."
B. "I drink wine socially on weekends."
,A nurse prepares to administer IV morphine to a post-operative client. Which
pre-administration assessment is most important?
A. Pain rating on a 0-10 scale
B. Respiratory rate and depth
C. Bowel sounds
D. Capillary refill time
B. Respiratory rate and depth
The nurse is caring for a client receiving long-term corticosteroid therapy for
lupus. Which finding is most concerning?
A. Weight gain and moon face
B. Blood glucose 180 mg/dL
C. New fever of 101.8°F (38.8°C)
D. Thin fragile skin on arms
C. New fever of 101.8°F (38.8°C)
Which interventions support infection prevention for a client with HIV and a
CD4 count of 150/mm³? (Select all that apply)
A. Avoid raw or undercooked meats
B. Receive annual inactivated influenza vaccine
C. Avoid large crowds and sick contacts
D. Discontinue all vaccines
E. Wash fruits and vegetables thoroughly
A. Avoid raw or undercooked meats
B. Receive annual inactivated influenza vaccine
C. Avoid large crowds and sick contacts
E. Wash fruits and vegetables thoroughly
A nurse is caring for a client with fibromyalgia who reports poor sleep and
diffuse pain. Which provider order should the nurse question?
A. Low-impact aerobic exercise program
, B. Amitriptyline at bedtime
C. Nonsteroidal anti-inflammatory drugs (NSAIDs)
D. Long-term opioid therapy
D. Long-term opioid therapy
The nurse is providing discharge education to a client with gout. Which food
should the client avoid?
A. Skim milk
B. Salmon
C. Organ meats
D. Whole grain bread
C. Organ meats
A client with chronic osteoarthritis asks about nonpharmacologic ways to
manage joint pain. Which response is best?
A. "Regular rest is most important—avoid exercise."
B. "Use cold packs before activity and avoid heat."
C. "Low-impact exercise like swimming can help maintain function."
D. "Strict bed rest will prevent further joint damage."
C. "Low-impact exercise like swimming can help maintain function."
A client receiving IV vancomycin for MRSA infection develops flushing, itching,
and hypotension. What is the nurse's priority action?
A. Stop the infusion immediately
B. Slow the infusion rate
C. Notify the provider
D. Give diphenhydramine
A. Stop the infusion immediately
The nurse is planning care for a client with an acute migraine. Which
complementary/alternative therapy may help reduce headache severity?
A. Guided imagery
