NUR 534: Fundamentals of
Professional Nursing Practice
Practice Final Examination
The University of Alabama • College of Nursing
Spring 2026
Student Name: ________________________________________________
Date: ________________________________________________
Examination Instructions
Total Questions: 100 | Time Allowed: 2 hours 30 minutes
Format Overview:
• Questions 1–85: Multiple Choice and Select All That Apply (SATA).
For multiple-choice questions, select the ONE best answer (A–D). For
SATA questions (clearly labeled), select ALL options that apply from
the choices provided (A–E or A–F).
• Questions 86–95: Matching — Diagnostic Lab Tests. Each question
provides a clinical scenario with a word bank of 8–10 answer choices.
Match 6 items to the correct answer from the bank.
• Questions 96–100: Matching — Medical Terminology and
Abbreviations. Each question provides a word bank of 8–10 terms.
Match 6 items to their correct definitions.
Important: Read each question carefully. For priority and safety
, questions, identify the MOST important or FIRST action. There is no
penalty for guessing. An answer key with rationales is provided at the
end of this document for self-study.
Section 1: Nutrition and Complementary &
Alternative Medicine (CAM)
Questions 1–5 • Faculty: Glass
1. A 68-year-old client with a stage III pressure injury has a serum pre-
albumin level of 10 mg/dL and an albumin of 2.8 g/dL. The client's caloric
intake has been poor for the past two weeks. Which laboratory value is
MOST useful for evaluating the client's recent nutritional status?
● A. Serum albumin level
● B. Serum pre-albumin level
● C. Total lymphocyte count
● D. Body mass index (BMI)
2. A nurse is performing an admission assessment on a client who reports
taking St. John's Wort daily for mild depression. The client also takes
warfarin (Coumadin) for atrial fibrillation. Which is the PRIORITY nursing
action?
● A. Document the herbal supplement in the medication list and
continue the admission
● B. Notify the health care provider about the potential drug-herb
interaction
, ● C. Educate the client that herbal supplements are generally safe to
take with prescription drugs
● D. Instruct the client to stop taking the St. John's Wort immediately
3. A nurse is caring for a postoperative client whose surgical wound is
healing slowly. The client's BMI is 17.5. Which nutrients are MOST
important for the nurse to ensure are included in this client's diet to
promote wound healing? (Select all that apply.)
● A. Vitamin C
● B. Vitamin K
● C. Protein
● D. Zinc
● E. Iron
● F. Sodium
4. A client scheduled for surgery in three days tells the nurse, "I take
ginkgo biloba every day for my memory." Which response by the nurse is
MOST appropriate?
● A. "That's a great supplement. You can continue taking it right
through surgery."
● B. "You will need to let your surgeon know, because ginkgo can
increase bleeding risk."
● C. "Ginkgo biloba is not an approved medication, so it won't affect
your surgery."
● D. "I will need to get a provider order before you can continue taking
that supplement."
5. A nurse is assessing a client's use of complementary and alternative
medicine (CAM). Which statement by the nurse reflects the BEST
understanding of the nurse's role regarding CAM therapies?
, ● A. "I need to advise my clients to stop all herbal supplements because
they are not regulated."
● B. "My role is to ask about all therapies, including CAM, to assess for
potential interactions and ensure safety."
● C. "CAM therapies are outside the scope of nursing practice, so I
should refer all questions to the pharmacist."
● D. "I should recommend specific CAM therapies that I have personally
found effective."
Section 2: Mobility
Questions 6–15 • Faculty: Glass • NEW CONTENT
6. A nurse is assessing a 72-year-old client who has been on bedrest for five
days following hip replacement surgery. The client reports calf pain, and
the nurse notes unilateral swelling and warmth in the left lower leg. Which
action should the nurse take FIRST?
● A. Elevate the affected leg and notify the health care provider
● B. Apply warm compresses to the calf to relieve pain
● C. Encourage the client to ambulate to improve circulation
● D. Massage the affected calf to reduce swelling
7. A nurse is planning care for an immobilized client to prevent
contractures. Which intervention is MOST appropriate?
● A. Maintain the joints in a flexed position at all times for comfort
● B. Perform range-of-motion (ROM) exercises at least twice daily
● C. Apply elastic bandages to all extremities
● D. Limit repositioning to once per shift to reduce pain
Professional Nursing Practice
Practice Final Examination
The University of Alabama • College of Nursing
Spring 2026
Student Name: ________________________________________________
Date: ________________________________________________
Examination Instructions
Total Questions: 100 | Time Allowed: 2 hours 30 minutes
Format Overview:
• Questions 1–85: Multiple Choice and Select All That Apply (SATA).
For multiple-choice questions, select the ONE best answer (A–D). For
SATA questions (clearly labeled), select ALL options that apply from
the choices provided (A–E or A–F).
• Questions 86–95: Matching — Diagnostic Lab Tests. Each question
provides a clinical scenario with a word bank of 8–10 answer choices.
Match 6 items to the correct answer from the bank.
• Questions 96–100: Matching — Medical Terminology and
Abbreviations. Each question provides a word bank of 8–10 terms.
Match 6 items to their correct definitions.
Important: Read each question carefully. For priority and safety
, questions, identify the MOST important or FIRST action. There is no
penalty for guessing. An answer key with rationales is provided at the
end of this document for self-study.
Section 1: Nutrition and Complementary &
Alternative Medicine (CAM)
Questions 1–5 • Faculty: Glass
1. A 68-year-old client with a stage III pressure injury has a serum pre-
albumin level of 10 mg/dL and an albumin of 2.8 g/dL. The client's caloric
intake has been poor for the past two weeks. Which laboratory value is
MOST useful for evaluating the client's recent nutritional status?
● A. Serum albumin level
● B. Serum pre-albumin level
● C. Total lymphocyte count
● D. Body mass index (BMI)
2. A nurse is performing an admission assessment on a client who reports
taking St. John's Wort daily for mild depression. The client also takes
warfarin (Coumadin) for atrial fibrillation. Which is the PRIORITY nursing
action?
● A. Document the herbal supplement in the medication list and
continue the admission
● B. Notify the health care provider about the potential drug-herb
interaction
, ● C. Educate the client that herbal supplements are generally safe to
take with prescription drugs
● D. Instruct the client to stop taking the St. John's Wort immediately
3. A nurse is caring for a postoperative client whose surgical wound is
healing slowly. The client's BMI is 17.5. Which nutrients are MOST
important for the nurse to ensure are included in this client's diet to
promote wound healing? (Select all that apply.)
● A. Vitamin C
● B. Vitamin K
● C. Protein
● D. Zinc
● E. Iron
● F. Sodium
4. A client scheduled for surgery in three days tells the nurse, "I take
ginkgo biloba every day for my memory." Which response by the nurse is
MOST appropriate?
● A. "That's a great supplement. You can continue taking it right
through surgery."
● B. "You will need to let your surgeon know, because ginkgo can
increase bleeding risk."
● C. "Ginkgo biloba is not an approved medication, so it won't affect
your surgery."
● D. "I will need to get a provider order before you can continue taking
that supplement."
5. A nurse is assessing a client's use of complementary and alternative
medicine (CAM). Which statement by the nurse reflects the BEST
understanding of the nurse's role regarding CAM therapies?
, ● A. "I need to advise my clients to stop all herbal supplements because
they are not regulated."
● B. "My role is to ask about all therapies, including CAM, to assess for
potential interactions and ensure safety."
● C. "CAM therapies are outside the scope of nursing practice, so I
should refer all questions to the pharmacist."
● D. "I should recommend specific CAM therapies that I have personally
found effective."
Section 2: Mobility
Questions 6–15 • Faculty: Glass • NEW CONTENT
6. A nurse is assessing a 72-year-old client who has been on bedrest for five
days following hip replacement surgery. The client reports calf pain, and
the nurse notes unilateral swelling and warmth in the left lower leg. Which
action should the nurse take FIRST?
● A. Elevate the affected leg and notify the health care provider
● B. Apply warm compresses to the calf to relieve pain
● C. Encourage the client to ambulate to improve circulation
● D. Massage the affected calf to reduce swelling
7. A nurse is planning care for an immobilized client to prevent
contractures. Which intervention is MOST appropriate?
● A. Maintain the joints in a flexed position at all times for comfort
● B. Perform range-of-motion (ROM) exercises at least twice daily
● C. Apply elastic bandages to all extremities
● D. Limit repositioning to once per shift to reduce pain
