HONDROS NUR 200 ACTUAL EXAM
QUESTIONS AND COMPLETE STUDY GUIDE
2026
⏺ A client presents with a pressure ulcer on the ankle. Which is the first
intervention that the nurse implements?
A) Place the client in bed and instruct him or her to elevate the foot.
B) Prepare for and assist with obtaining a wound culture.
C) Assess the affected leg for pulses, skin color, and temperature.
D) Draw blood for albumin, prealbumin, and total protein.? Answer:C
A client with an ulcer on the foot should be assessed for interruption in
arterial flow to the area. This begins with assessment of pulses and color
and temperature of the skin. The nurse can also assess for pulses
noninvasively with a Doppler if unable to palpate with his or her fingers.
Elevation of the foot would impair the ability of arterial blood to flow to the
area. Wound cultures are done after it has been determined drainage,
odor, and other risks for infection are present. Tests to determine nutritional
status and risk assessment would be completed after the initial assessment
is done.
⏺ During assessment of a client with a 15-year history of diabetes, the
nurse notes that the client has decreased tactile sensation in both feet.
Which action does the nurse take first?
A) Notify the health care provider.
B) Document the finding in the client's chart.
C) Examine the client's feet for signs of injury.
D) Test sensory perception in the client's hands.? Answer:C
Diabetic neuropathy is common when the disease is of long duration. The
client is at great risk for injury in any area with decreased sensation
because he or she is less able to feel injurious events. Feet are common
locations for neuropathy and injury, so the nurse should inspect them for
any signs of injury. After assessing, the nurse should document findings in
,the client's chart. Testing sensory perception in the hands may or may not
be needed. The health care provider can be notified after assessment and
documentation have been completed.
⏺ Which nursing intervention best assists a bedridden client to keep skin
intact?
A) Use a lift sheet to move the client in bed.
B) Turn the client every 2 to 4 hours.
C) Use a foam mattress pad.
D) Apply talcum powder to the perineal area.? Answer:A
Friction forces are generated when the client is dragged or pulled across
bed linen; this often leads to altered skin integrity. Using a lift sheet will
prevent friction. Keeping the skin clean and dry is an important intervention,
but powders should not be used in the perineal area. To minimize
vasoconstriction and possible pressure ulcer development from
dependency, the client should be turned at a minimum of every 2 hours. A
foam mattress will not significantly decrease pressure to an area.
⏺ A client presents with an acute exacerbation of multiple sclerosis. Which
prescribed medication does the nurse prepare to administer?
A) Interferon beta-1b (Betaseron)
B) Baclofen (Lioresal)
C) Methylprednisolone (Medrol)
D) Dantrolene sodium (Dantrium)? Answer:C
Methylprednisolone is the drug of choice for acute exacerbations of the
disease. The other medications are not appropriate.
⏺ The nurse is assessing a client's understanding of his hypertension
therapy. What client statement indicates a need for further teaching?
A) "When my blood pressure is normal, I will no longer need to take
medication."
B) "If my blood pressure stays under control, I will reduce my risk for a
heart attack."
C) "If I lose weight, I might be able to reduce my blood pressure
medication."
, D) "When getting out of bed in the morning, I will sit for a few moments then
stand."? Answer:A
Compliance with antihypertensive therapy is difficult for two reasons. First,
often clients have no distressing symptoms associated with hypertension
and may not believe that they have a problem. Second, many clients
believe that once blood pressure is brought back into the normal range,
they are "cured" and no longer need to take medication. Losing weight
might allow the client to reduce medications. Lowering blood pressure does
lower risk for heart attack. Because blood pressure medications often lead
to orthostatic hypotension, clients should be taught to change position
slowly, sitting first before standing after lying flat.
⏺ Which of the following would be included in the assessment of a patient
with diabetes mellitus who is experiencing a hypoglycemic reaction?
(Select all that apply.)
A) Constricted pupils
B) Flushed skin
C) Tremors
D) Nervousness
E) Extreme thirst
F) Profuse perspiration? Answer:C,D,F
When hypoglycemia occurs, blood glucose levels fall, resulting in
sympathetic nervous system responses such as tremors, nervousness, and
profuse perspiration. Dilated pupils would also occur, not constricted pupils.
Extreme thirst, flushed skin, and constricted pupils are consistent with
hyperglycemia.
⏺ A client who has had a stroke with left-sided hemiparesis has been
referred to a rehabilitation center. The client asks, "Why do I need
rehabilitation?" How does the nurse respond?
A) "Rehabilitation will reverse any physical deficits caused by the stroke."
B) "Rehabilitation will help you function at the highest level possible."
C) "If you do not have rehabilitation, you may never walk again."
D) "Your doctor knows best and has ordered this treatment for you."?
Answer:B
QUESTIONS AND COMPLETE STUDY GUIDE
2026
⏺ A client presents with a pressure ulcer on the ankle. Which is the first
intervention that the nurse implements?
A) Place the client in bed and instruct him or her to elevate the foot.
B) Prepare for and assist with obtaining a wound culture.
C) Assess the affected leg for pulses, skin color, and temperature.
D) Draw blood for albumin, prealbumin, and total protein.? Answer:C
A client with an ulcer on the foot should be assessed for interruption in
arterial flow to the area. This begins with assessment of pulses and color
and temperature of the skin. The nurse can also assess for pulses
noninvasively with a Doppler if unable to palpate with his or her fingers.
Elevation of the foot would impair the ability of arterial blood to flow to the
area. Wound cultures are done after it has been determined drainage,
odor, and other risks for infection are present. Tests to determine nutritional
status and risk assessment would be completed after the initial assessment
is done.
⏺ During assessment of a client with a 15-year history of diabetes, the
nurse notes that the client has decreased tactile sensation in both feet.
Which action does the nurse take first?
A) Notify the health care provider.
B) Document the finding in the client's chart.
C) Examine the client's feet for signs of injury.
D) Test sensory perception in the client's hands.? Answer:C
Diabetic neuropathy is common when the disease is of long duration. The
client is at great risk for injury in any area with decreased sensation
because he or she is less able to feel injurious events. Feet are common
locations for neuropathy and injury, so the nurse should inspect them for
any signs of injury. After assessing, the nurse should document findings in
,the client's chart. Testing sensory perception in the hands may or may not
be needed. The health care provider can be notified after assessment and
documentation have been completed.
⏺ Which nursing intervention best assists a bedridden client to keep skin
intact?
A) Use a lift sheet to move the client in bed.
B) Turn the client every 2 to 4 hours.
C) Use a foam mattress pad.
D) Apply talcum powder to the perineal area.? Answer:A
Friction forces are generated when the client is dragged or pulled across
bed linen; this often leads to altered skin integrity. Using a lift sheet will
prevent friction. Keeping the skin clean and dry is an important intervention,
but powders should not be used in the perineal area. To minimize
vasoconstriction and possible pressure ulcer development from
dependency, the client should be turned at a minimum of every 2 hours. A
foam mattress will not significantly decrease pressure to an area.
⏺ A client presents with an acute exacerbation of multiple sclerosis. Which
prescribed medication does the nurse prepare to administer?
A) Interferon beta-1b (Betaseron)
B) Baclofen (Lioresal)
C) Methylprednisolone (Medrol)
D) Dantrolene sodium (Dantrium)? Answer:C
Methylprednisolone is the drug of choice for acute exacerbations of the
disease. The other medications are not appropriate.
⏺ The nurse is assessing a client's understanding of his hypertension
therapy. What client statement indicates a need for further teaching?
A) "When my blood pressure is normal, I will no longer need to take
medication."
B) "If my blood pressure stays under control, I will reduce my risk for a
heart attack."
C) "If I lose weight, I might be able to reduce my blood pressure
medication."
, D) "When getting out of bed in the morning, I will sit for a few moments then
stand."? Answer:A
Compliance with antihypertensive therapy is difficult for two reasons. First,
often clients have no distressing symptoms associated with hypertension
and may not believe that they have a problem. Second, many clients
believe that once blood pressure is brought back into the normal range,
they are "cured" and no longer need to take medication. Losing weight
might allow the client to reduce medications. Lowering blood pressure does
lower risk for heart attack. Because blood pressure medications often lead
to orthostatic hypotension, clients should be taught to change position
slowly, sitting first before standing after lying flat.
⏺ Which of the following would be included in the assessment of a patient
with diabetes mellitus who is experiencing a hypoglycemic reaction?
(Select all that apply.)
A) Constricted pupils
B) Flushed skin
C) Tremors
D) Nervousness
E) Extreme thirst
F) Profuse perspiration? Answer:C,D,F
When hypoglycemia occurs, blood glucose levels fall, resulting in
sympathetic nervous system responses such as tremors, nervousness, and
profuse perspiration. Dilated pupils would also occur, not constricted pupils.
Extreme thirst, flushed skin, and constricted pupils are consistent with
hyperglycemia.
⏺ A client who has had a stroke with left-sided hemiparesis has been
referred to a rehabilitation center. The client asks, "Why do I need
rehabilitation?" How does the nurse respond?
A) "Rehabilitation will reverse any physical deficits caused by the stroke."
B) "Rehabilitation will help you function at the highest level possible."
C) "If you do not have rehabilitation, you may never walk again."
D) "Your doctor knows best and has ordered this treatment for you."?
Answer:B
