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Exam (elaborations)

NUR 253 Final Exam Review

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This study material is designed to support students preparing for the NUR 253 Final Exam. It provides review materials, practice questions, and assessment-focused content to help learners strengthen their understanding of adult health nursing concepts, clinical reasoning, and evidence-based patient care. The material covers key topics including comprehensive patient assessment, cardiovascular disorders, respiratory conditions, endocrine disorders, renal and gastrointestinal diseases, neurological conditions, fluid and electrolyte balance, medication administration, diagnostic testing, perioperative nursing care, pain management, patient safety, clinical judgment, prioritization, interdisciplinary collaboration, and patient education. Emphasis is placed on integrating nursing knowledge with clinical decision-making to deliver safe, effective, and patient-centered care. This material is suitable for nursing students preparing for NUR 253 coursework, adult health nursing examinations, competency assessments, NCLEX-style preparation, and professional nursing education.

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Institution
Adult Health Nursing
Course
Adult Health Nursing

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NUR 253



NUR 253 Final Exam Review
Graded A+
1
A nurse is providing education about breast self exams to a perimenopausal
client. The nurse knows that teaching has been successful when the client makes
which of the following statements? SATA
1. I will do my exam about 5 days after the start of each period
2. I will call my doctor if I notice dimpling, nipple retraction, or nipple discharge.
3. I will use my middle three fingers to palpate my breast tissue 4. I
do not need to palpate any tissue that is not part of my breast 5. I
should report any unusual lumps to my doctor
1, 2, 3, 5


2
A client is discussing birth control pills with her nurse and asks whether she will
still be able to breastfeed. The nurse correctly responds:
1. Oral contraceptives don't contain any hormones, so you will be able to
continue to breastfeed
2. If you want to continue breastfeeding, the best choice is a combination birth
control pill
3. we usually recommend the mini pill for breastfeeding mothers
4. the best method for breastfeeding mothers is actually the depo-provera
injection
3


3
A 74 year old male was just given a prescription for tadalafil from his urologist to
treat ED. Which medication would have contraindicated the addition of this
prescription?
1. anticholinergics
2. antihistamines


NUR 253

,NUR 253


3. nitrates
4. anticoagulants
3


4
Which client should the nurse see first?
1. 23 year old who states he has a lump in his scrotum
2. 42 year old who complains of frequent urination and a burning feeling in his
penis.
3. 83 year old who says his scrotum looks like a bag of worms
4. 32 year old who says he has had an erection for 5 hours 4


5
Match the syphilis stage: Primary, Secondary, Latent, Tertiary
1. highly infectious, chancres form
2. occurs 2-6 weeks following infection, includes fever and swollen lymph nodes
3. bacteria causes irreversible organ damage
4. begins 2 years after infection, asymptomatic, may last 50 years
1 primary
2 secondary
3 tertiary
4 latent


6
A 35 year old male presents to the clinic with complaints of poor sleep, some
erection problems, and having less energy than usual. The doctor prescribes
testosterone supplementation. Which additional assessment information would
make the nurse question this order? SATA
1. history of family prostate problems
2. personal history of sleep apnea
3. BMI of 24
4. family history of heart attack

NUR 253

, NUR 253


5. family history of stroke
2, 4, 5


7
The nurse is performing a blood draw for PSA levels. She knows that the blood
draw should occur:
1. after palpation of the patient's abdomen
2. before the digital rectal exam
3. after fasting for at least 12 hours
4. only if there is a diagnosis of prostatitis
2


8
A 55 year old client is having his yearly physical and mentions that he thinks he
might have an enlarged prostate. Which of the following symptoms might he
mention? SATA
1. burning with urination
2. weak, dribbling urine stream
3. feeling unable to empty his bladder
4. waking in the night to urinate
5. frequently needing to urinate
2, 3, 4, 5


9
A client has just been admitted to the medsurg floor following a TURP. The nurse
notices that his foley bag contains three small clots and the liquid inside is red.
What should her next action be?
1. increase the CBI rate
2. document the normal finding
3. request an H/H from the doctor
4. replace the foley
2



NUR 253

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Institution
Adult Health Nursing
Course
Adult Health Nursing

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Uploaded on
June 29, 2026
Number of pages
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Written in
2025/2026
Type
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