EXAM 4 - NURS 313R QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2026/2027
A patient with hyperkalemia is being monitored on telemetry. Which finding requires the nurse's
immediate intervention?
A. ST depression
B. Peaked T waves
C. U waves
D. Bradycardia with regular rhythm - Answers B. Peaked T waves
A patient with sodium level of 128 mEq/L presents with headache and confusion. What is the
priority nursing intervention?
A. Encourage oral water intake
B. Administer hypertonic saline rapidly
C. Implement fluid restriction
D. Start hypotonic IV fluids - Answers C. Implement fluid restriction
During assessment of a patient with left-sided heart failure, where should the nurse focus?
A. Lower extremities
B. Liver span
C. Lung auscultation
D. Carotid arteries - Answers C. Lung auscultation
A patient with coronary artery disease is reviewing lifestyle modifications. Which statement
indicates correct understanding?
A. "I should increase salt intake."
B. "Quitting smoking will slow disease progression."
C. "I don't need to check my cholesterol."
D. "I should avoid all exercise." - Answers B. "Quitting smoking will slow disease progression."
A patient taking nitroglycerin sublingual tablets states, "My pain didn't go away after one pill."
What should the nurse instruct?
A. Take another pill immediately
, B. chew the next tablet
C. Take another after 5 minutes
D. Wait 30 minutes for full effect - Answers C. Take another after 5 minutes
A patient with atrial fibrillation RVR is admitted with a HR of 160 bpm. What is the priority?
A. Obtain troponin levels
B. Reduce ventricular rate
C. Start chest compressions
D. Administer sodium bicarbonate - Answers B. Reduce ventricular rate
A patient on warfarin asks why blood tests are needed. What is the appropriate response?
A. "To make sure your blood pressure stays normal.
"B. "To ensure your INR stays between 2.0-3.0."
C. "To detect potassium imbalances."
D. "To monitor sodium levels." - Answers "B. "To ensure your INR stays between 2.0-3.0."
A patient newly diagnosed with Crohn's disease asks about diet during exacerbations. Which
advice is appropriate?
A. "Take antidiarrheals regularly."
B. "Increase fiber intake."
C. "Avoid eating during flare-ups."
D. "Eat small, frequent meals." - Answers D. "Eat small, frequent meals."
A patient with a duodenal ulcer reports pain 3 hours after meals. What should the nurse expect
about the pain?
A. It worsens with food
B. It is relieved by food
C. It is unaffected by eating
D. It radiates to the shoulder - Answers B. It is relieved by food
Which patient teaching is appropriate for liver failure with low fibrinogen and elevated PT?
A patient with hyperkalemia is being monitored on telemetry. Which finding requires the nurse's
immediate intervention?
A. ST depression
B. Peaked T waves
C. U waves
D. Bradycardia with regular rhythm - Answers B. Peaked T waves
A patient with sodium level of 128 mEq/L presents with headache and confusion. What is the
priority nursing intervention?
A. Encourage oral water intake
B. Administer hypertonic saline rapidly
C. Implement fluid restriction
D. Start hypotonic IV fluids - Answers C. Implement fluid restriction
During assessment of a patient with left-sided heart failure, where should the nurse focus?
A. Lower extremities
B. Liver span
C. Lung auscultation
D. Carotid arteries - Answers C. Lung auscultation
A patient with coronary artery disease is reviewing lifestyle modifications. Which statement
indicates correct understanding?
A. "I should increase salt intake."
B. "Quitting smoking will slow disease progression."
C. "I don't need to check my cholesterol."
D. "I should avoid all exercise." - Answers B. "Quitting smoking will slow disease progression."
A patient taking nitroglycerin sublingual tablets states, "My pain didn't go away after one pill."
What should the nurse instruct?
A. Take another pill immediately
, B. chew the next tablet
C. Take another after 5 minutes
D. Wait 30 minutes for full effect - Answers C. Take another after 5 minutes
A patient with atrial fibrillation RVR is admitted with a HR of 160 bpm. What is the priority?
A. Obtain troponin levels
B. Reduce ventricular rate
C. Start chest compressions
D. Administer sodium bicarbonate - Answers B. Reduce ventricular rate
A patient on warfarin asks why blood tests are needed. What is the appropriate response?
A. "To make sure your blood pressure stays normal.
"B. "To ensure your INR stays between 2.0-3.0."
C. "To detect potassium imbalances."
D. "To monitor sodium levels." - Answers "B. "To ensure your INR stays between 2.0-3.0."
A patient newly diagnosed with Crohn's disease asks about diet during exacerbations. Which
advice is appropriate?
A. "Take antidiarrheals regularly."
B. "Increase fiber intake."
C. "Avoid eating during flare-ups."
D. "Eat small, frequent meals." - Answers D. "Eat small, frequent meals."
A patient with a duodenal ulcer reports pain 3 hours after meals. What should the nurse expect
about the pain?
A. It worsens with food
B. It is relieved by food
C. It is unaffected by eating
D. It radiates to the shoulder - Answers B. It is relieved by food
Which patient teaching is appropriate for liver failure with low fibrinogen and elevated PT?
