NURS 321 HEALTH ASSESSMENT 2025/2026
FINAL EXAM I QUESTIONS WITH ELABORATED
ANSWERS REAL EXAM A+ GRADED CSU
FULLERTON
The nurse is teaching about lifestyle changes and safety measures during discharge of a
patient diagnosed with gout. Which statement made by the patient indicates a need for
correction?
a. "I should avoid drinking alcohol."
b. "I should increase seafood in my diet."
c. "I should splint the affected joint frequently."
d. "I should lose weight to eliminate obesity as a risk factor."
b. "I should increase seafood in my diet."
Which clinical manifestations are seen in patients with fibromyalgia?
a. Nonrestorative sleep
b. Pain that improves with rest
c. Pain that increases with activity
d. Unsteady gait
a. Nonrestorative sleep
The nurse is caring for a patient who has recurrent tension headaches. Which is the most
appropriate instruction for the nurse to give the patient about a headache diary?
a. "Document activities performed throughout the day."
b. "Document lifestyle and food habits."
c. "Record the date and time when the headache occurs."
d. "Record the medications taken for pain relief."
c. "Record the date and time when the headache occurs."
Which lifestyle changes are most appropriate for the nurse to teach to the patient in order to
prevent headaches? Select all that apply.
a. Drink an adequate amount of fluids.
b. Perform gentle exercises of the neck.
,c. Eliminate triggers from the diet.
d. Establish consistent sleep habits.
e. Eat as little as possible on the days you have headaches.
a, b, c, and d
Which nursing actions should a nurse take for a patient who has undergone amputation?
Select all that apply.
a. Place a pillow under the remaining portion of the lower extremity.
b. Administer analgesics as per the order.
c. Apply ice for at least an hour on the site.
d. Apply a rigid cast or splint.
e. Encourage intake of additional protein- and carbohydrate-rich foods.
b, d, and e
The nurse is teaching a community group about carpal tunnel syndrome (CTS). What should
be included in teaching?
a. It is the most frequent compression neuropathy of the legs.
b. This syndrome usually occurs in children.
c. Men are four to five times more likely to get CTS than are women.
d. Higher occurrences are seen in computer operators and construction workers.
d. Higher occurrences are seen in computer operators and construction workers.
Which is a likely cause of recurrent headaches? Select all that apply.
a. Taking ibuprofen on a near-daily basis
b. Maintaining an incorrect posture
c. Maintaining irregular eating habits
d. Using ill-fitting dentures
e. Sleeping in a dark, quiet room
a, b, c, and d
A patient comes to the emergency department and is being ruled out for meningitis. What
symptoms would cause the provider to question this? Select all that apply.
a. Fever and headache
b. Flashing lights
c. Nuchal rigidity
d. Opisthotonos
e. Uncontrolled yawning
,a, c, and d
Which interventions should the nurse implement when caring for the patient with bacterial
meningitis? Select all that apply.
a. Ensure the patient is in a supine position except during meals.
b. Ensure the room is brightly lit and pleasant.
c. Implement droplet precautions.
d. Keep the patient warm at all times.
e. Teach the patient to take full course of antibiotics.
c and e
The clinical manifestations of encephalitis are the same as those of meningitis. Which
characteristic feature helps identify encephalitis?
a. It involves pathogens that invade the central nervous system.
b. It involves the cerebrum, brainstem, and cerebellum.
c. It can be a life-threatening emergency leading to increased cranial pressure, coma, and
death.
d. It is diagnosed by examining the cerebrospinal fluid.
b. It involves the cerebrum, brainstem, and cerebellum.
A patient taking a daily dose of ibuprofen reports a severe headache every day. Which
intervention is most likely to help in relieving the patient's condition?
a. Increasing the dose of ibuprofen
b. Replacing ibuprofen with acetaminophen
c. Providing IV hydration treatment
d. Encouraging the patient to discontinue use of ibuprofen
d. Encouraging the patient to discontinue use of ibuprofen
A patient with inflamed meningitis due to herpes simplex virus infection shows a white blood
cell count of 15,000 cells per mm3. Which other manifestations are likely to be observed in
the patient? Select all that apply.
a. Photophobia
b. Opisthotonos
c. Hemiparesis
d. Vasogenic edema
e. Personality changes
a and b
, The nurse is teaching a patient about seizure management. Which statement made by the
patient indicates effective teaching? Select all that apply.
a. "I should wear a medic alert bracelet."
b. "I should refrain from driving."
c. "I should monitor my blood glucose levels daily."
d. "I should take short and deliberate steps while walking."
e. "I should apply sunscreen and skin emollients while going out in sunlight."
a and b
Which medication would the nurse anticipate to be ordered for a client who was admitted
with synovitis from an exacerbation of lupus?
a. Antibiotics to treat infection
b. Acetaminophen for pain relief
c. Immunosuppressive agents to modify immune response
d. Total parenteral nutrition for nutritional support
c. Immunosuppressive agents to modify immune response
The registered nurse is teaching about systemic lupus erythematosus (SLE). Which statement
by the nurse is incorrect?
a. "It is important to avoid prolonged exposure to sun."
b. "It is important to avoid immunizations with live vaccines."
c. "It is important to perform vigorous exercises regularly."
d. "If you have a history of phlebitis it is important to avoid the use of oral contraceptives."
c. "It is important to perform vigorous exercises regularly."
The patient with systemic lupus erythematosus (SLE) is experiencing pancytopenia. What
would be the cause of this?
a. Immunosuppression
b. Medications used for treatment
c. Failing kidney function
d. Bone marrow failure
a. Immunosuppression
Which of the following vital signs would alert the nurse that a patient could be experiencing
Cushing's Triad? Select all that apply.
a. Blood pressure of 160/62 mm HG
FINAL EXAM I QUESTIONS WITH ELABORATED
ANSWERS REAL EXAM A+ GRADED CSU
FULLERTON
The nurse is teaching about lifestyle changes and safety measures during discharge of a
patient diagnosed with gout. Which statement made by the patient indicates a need for
correction?
a. "I should avoid drinking alcohol."
b. "I should increase seafood in my diet."
c. "I should splint the affected joint frequently."
d. "I should lose weight to eliminate obesity as a risk factor."
b. "I should increase seafood in my diet."
Which clinical manifestations are seen in patients with fibromyalgia?
a. Nonrestorative sleep
b. Pain that improves with rest
c. Pain that increases with activity
d. Unsteady gait
a. Nonrestorative sleep
The nurse is caring for a patient who has recurrent tension headaches. Which is the most
appropriate instruction for the nurse to give the patient about a headache diary?
a. "Document activities performed throughout the day."
b. "Document lifestyle and food habits."
c. "Record the date and time when the headache occurs."
d. "Record the medications taken for pain relief."
c. "Record the date and time when the headache occurs."
Which lifestyle changes are most appropriate for the nurse to teach to the patient in order to
prevent headaches? Select all that apply.
a. Drink an adequate amount of fluids.
b. Perform gentle exercises of the neck.
,c. Eliminate triggers from the diet.
d. Establish consistent sleep habits.
e. Eat as little as possible on the days you have headaches.
a, b, c, and d
Which nursing actions should a nurse take for a patient who has undergone amputation?
Select all that apply.
a. Place a pillow under the remaining portion of the lower extremity.
b. Administer analgesics as per the order.
c. Apply ice for at least an hour on the site.
d. Apply a rigid cast or splint.
e. Encourage intake of additional protein- and carbohydrate-rich foods.
b, d, and e
The nurse is teaching a community group about carpal tunnel syndrome (CTS). What should
be included in teaching?
a. It is the most frequent compression neuropathy of the legs.
b. This syndrome usually occurs in children.
c. Men are four to five times more likely to get CTS than are women.
d. Higher occurrences are seen in computer operators and construction workers.
d. Higher occurrences are seen in computer operators and construction workers.
Which is a likely cause of recurrent headaches? Select all that apply.
a. Taking ibuprofen on a near-daily basis
b. Maintaining an incorrect posture
c. Maintaining irregular eating habits
d. Using ill-fitting dentures
e. Sleeping in a dark, quiet room
a, b, c, and d
A patient comes to the emergency department and is being ruled out for meningitis. What
symptoms would cause the provider to question this? Select all that apply.
a. Fever and headache
b. Flashing lights
c. Nuchal rigidity
d. Opisthotonos
e. Uncontrolled yawning
,a, c, and d
Which interventions should the nurse implement when caring for the patient with bacterial
meningitis? Select all that apply.
a. Ensure the patient is in a supine position except during meals.
b. Ensure the room is brightly lit and pleasant.
c. Implement droplet precautions.
d. Keep the patient warm at all times.
e. Teach the patient to take full course of antibiotics.
c and e
The clinical manifestations of encephalitis are the same as those of meningitis. Which
characteristic feature helps identify encephalitis?
a. It involves pathogens that invade the central nervous system.
b. It involves the cerebrum, brainstem, and cerebellum.
c. It can be a life-threatening emergency leading to increased cranial pressure, coma, and
death.
d. It is diagnosed by examining the cerebrospinal fluid.
b. It involves the cerebrum, brainstem, and cerebellum.
A patient taking a daily dose of ibuprofen reports a severe headache every day. Which
intervention is most likely to help in relieving the patient's condition?
a. Increasing the dose of ibuprofen
b. Replacing ibuprofen with acetaminophen
c. Providing IV hydration treatment
d. Encouraging the patient to discontinue use of ibuprofen
d. Encouraging the patient to discontinue use of ibuprofen
A patient with inflamed meningitis due to herpes simplex virus infection shows a white blood
cell count of 15,000 cells per mm3. Which other manifestations are likely to be observed in
the patient? Select all that apply.
a. Photophobia
b. Opisthotonos
c. Hemiparesis
d. Vasogenic edema
e. Personality changes
a and b
, The nurse is teaching a patient about seizure management. Which statement made by the
patient indicates effective teaching? Select all that apply.
a. "I should wear a medic alert bracelet."
b. "I should refrain from driving."
c. "I should monitor my blood glucose levels daily."
d. "I should take short and deliberate steps while walking."
e. "I should apply sunscreen and skin emollients while going out in sunlight."
a and b
Which medication would the nurse anticipate to be ordered for a client who was admitted
with synovitis from an exacerbation of lupus?
a. Antibiotics to treat infection
b. Acetaminophen for pain relief
c. Immunosuppressive agents to modify immune response
d. Total parenteral nutrition for nutritional support
c. Immunosuppressive agents to modify immune response
The registered nurse is teaching about systemic lupus erythematosus (SLE). Which statement
by the nurse is incorrect?
a. "It is important to avoid prolonged exposure to sun."
b. "It is important to avoid immunizations with live vaccines."
c. "It is important to perform vigorous exercises regularly."
d. "If you have a history of phlebitis it is important to avoid the use of oral contraceptives."
c. "It is important to perform vigorous exercises regularly."
The patient with systemic lupus erythematosus (SLE) is experiencing pancytopenia. What
would be the cause of this?
a. Immunosuppression
b. Medications used for treatment
c. Failing kidney function
d. Bone marrow failure
a. Immunosuppression
Which of the following vital signs would alert the nurse that a patient could be experiencing
Cushing's Triad? Select all that apply.
a. Blood pressure of 160/62 mm HG
