NUR 520 PRACTICE EXAM STUDY GUIDE 2026/2027 | PRACTICE QUESTIONS, VERIFIED
ANSWERS & COMPREHENSIVE NURSING REVIEW
The nurse is instructing a client on ostomy care. What should be included in this teaching? - ANS
✔✔Secure the faceplate to the drainage appliance so no skin around the stoma is exposed
The skin around a stoma is very susceptible to irritation and breakdown. To avoid skin irritation,
the faceplate to the drainage pouch needs to fit close enough to the stoma so as not to expose
any other skin.
A nurse is feeding a client. Which of the following statements would help a person maintain
dignity while being fed? - ANS ✔✔"What part of your dinner would you like to eat first?"
"What part of your dinner would you like to eat first?", allows the client to feel in control of
their meal choices.
When assessing a client's intake and output (I and O), the nurse notes that the client has voided
120 mL of urine in the past 2 hours. What is the next nursing action? - ANS ✔✔Document the
client's urinary output in the chart
Normally, the kidneys produce urine at a rate of approximately 60 ml/hour or about 1500
ml/day.
The nurse is concerned that an older client is at risk for aspiration. What feeding techniques
should the nurse instruct the family to use once the client is discharged?
Select all that apply - ANS ✔✔Thicken all fluids.
Place the client in a seated position
Select food the client prefers.
, Safety should always be a priority concern, with attention paid to preventing aspiration.
Techniques to reduce this risk include thickening fluids. Many older adults can swallow foods
with thicker consistency more easily than thin liquids. Techniques to reduce this risk include
eating in a seated position. Techniques to reduce this risk include focusing on food preferences.
Keeping the head of the bed at a 15-degree angle would encourage aspiration.
You have an order for Heparin 5,000 units subcutaneous q8h. A multi-dose vial of 20,000
units/mL is available. How many milliliter(s) will you give? Provide the numerical answer only;
do not write the units. - ANS ✔✔0.25 mL
What is the route of administration for TPN? - ANS ✔✔Intravenous
Total Parenteral Nutrition (TPN)
is high glucose (up to 70% glucose), therefore should be given in a central vein because glucose
is caustic to vessels.
Many individuals have difficulty voiding in a bedpan or urinal while lying in bed because they -
ANS ✔✔Would feel more comfortable assuming a normal voiding position.
Assuming a normal voiding position helps patients relax and be able to void; lying in bed is not
the typical position in which people void. Men usually are most comfortable when standing;
women are more comfortable when sitting and squatting. Embarrassment at using the bedpan
and worrying about a urinary tract infection are not related to the lying-in-bed position. Fear of
loss of independence is not related to use of the bedpan or urinal.
Which term describes a condition in which 24-hour urine output is 0 mL? - ANS ✔✔Anuria
Anuria is synonymous with kidney shutdown or renal failure. Dysuria is painful or difficult
urination. Glycosuria is the presence of sugar in the urine. Pyuria is pus in the urine.
ANSWERS & COMPREHENSIVE NURSING REVIEW
The nurse is instructing a client on ostomy care. What should be included in this teaching? - ANS
✔✔Secure the faceplate to the drainage appliance so no skin around the stoma is exposed
The skin around a stoma is very susceptible to irritation and breakdown. To avoid skin irritation,
the faceplate to the drainage pouch needs to fit close enough to the stoma so as not to expose
any other skin.
A nurse is feeding a client. Which of the following statements would help a person maintain
dignity while being fed? - ANS ✔✔"What part of your dinner would you like to eat first?"
"What part of your dinner would you like to eat first?", allows the client to feel in control of
their meal choices.
When assessing a client's intake and output (I and O), the nurse notes that the client has voided
120 mL of urine in the past 2 hours. What is the next nursing action? - ANS ✔✔Document the
client's urinary output in the chart
Normally, the kidneys produce urine at a rate of approximately 60 ml/hour or about 1500
ml/day.
The nurse is concerned that an older client is at risk for aspiration. What feeding techniques
should the nurse instruct the family to use once the client is discharged?
Select all that apply - ANS ✔✔Thicken all fluids.
Place the client in a seated position
Select food the client prefers.
, Safety should always be a priority concern, with attention paid to preventing aspiration.
Techniques to reduce this risk include thickening fluids. Many older adults can swallow foods
with thicker consistency more easily than thin liquids. Techniques to reduce this risk include
eating in a seated position. Techniques to reduce this risk include focusing on food preferences.
Keeping the head of the bed at a 15-degree angle would encourage aspiration.
You have an order for Heparin 5,000 units subcutaneous q8h. A multi-dose vial of 20,000
units/mL is available. How many milliliter(s) will you give? Provide the numerical answer only;
do not write the units. - ANS ✔✔0.25 mL
What is the route of administration for TPN? - ANS ✔✔Intravenous
Total Parenteral Nutrition (TPN)
is high glucose (up to 70% glucose), therefore should be given in a central vein because glucose
is caustic to vessels.
Many individuals have difficulty voiding in a bedpan or urinal while lying in bed because they -
ANS ✔✔Would feel more comfortable assuming a normal voiding position.
Assuming a normal voiding position helps patients relax and be able to void; lying in bed is not
the typical position in which people void. Men usually are most comfortable when standing;
women are more comfortable when sitting and squatting. Embarrassment at using the bedpan
and worrying about a urinary tract infection are not related to the lying-in-bed position. Fear of
loss of independence is not related to use of the bedpan or urinal.
Which term describes a condition in which 24-hour urine output is 0 mL? - ANS ✔✔Anuria
Anuria is synonymous with kidney shutdown or renal failure. Dysuria is painful or difficult
urination. Glycosuria is the presence of sugar in the urine. Pyuria is pus in the urine.
