NU 578 Exam 3 Practice Questions and
Answers
A client with heart failure is prescribed furosemide. Which finding requires
immediate intervention?
A. Weight loss of 2 lbs in 24 hours
B. Serum potassium of 2.9 mEq/L Correct Answer
C. Mild dizziness after standing
D. Urine output of 1500 mL/day
A nurse is caring for a client with COPD. Which oxygen delivery device is most
appropriate?
A. Non-rebreather mask
B. Nasal cannula at 6 L/min
C. Venturi mask Correct Answer
D. Simple face mask at 10 L/min
A client receiving digoxin reports nausea and blurred vision. What is the nurse’s
priority action?
A. Administer antiemetic
B. Hold the medication and notify provider Correct Answer
C. Encourage oral fluids
D. Document findings
A postpartum client has heavy lochia and a boggy uterus. What is the first nursing
action?
A. Call the provider
B. Massage the fundus Correct Answer
C. Administer oxytocin
D. Check vital signs
A child with sickle cell crisis is admitted. Which intervention is priority?
A. Encourage ambulation
B. Administer IV fluids Correct Answer
C. Provide cold compresses
D. Restrict oral intake
A client with pneumonia is receiving IV antibiotics. Which finding indicates
effectiveness?
A. Increased sputum production
B. Decreased temperature Correct Answer
C. Persistent crackles
D. Elevated WBC count
,A nurse is caring for a client with DKA. Which intervention is priority?
A. Administer IV insulin Correct Answer
B. Provide oral fluids
C. Encourage ambulation
D. Restrict potassium intake
A client with cirrhosis has ascites. Which nursing intervention is most appropriate?
A. Encourage high-sodium diet
B. Measure abdominal girth daily Correct Answer
C. Restrict fluid intake to 3 L/day
D. Encourage weight lifting
A client with a tracheostomy suddenly develops respiratory distress. What is the
nurse’s first action?
A. Call respiratory therapy
B. Suction the airway Correct Answer
C. Administer oxygen via nasal cannula
D. Notify the provider
A client with hypothyroidism is prescribed levothyroxine. Which statement indicates
understanding?
A. “I will take this medication with food.”
B. “I will take this medication in the morning.” Correct Answer
C. “I can stop the medication if I feel better.”
D. “I will take this medication at bedtime.”
A nurse is caring for a client with a chest tube. Which finding requires immediate
intervention?
A. Continuous bubbling in the water seal chamber Correct Answer
B. Fluctuation in the water seal chamber
C. Drainage of 50 mL/hr
D. Dressing intact
A client with hypertension is prescribed lisinopril. Which adverse effect should be
reported?
A. Dry cough Correct Answer
B. Constipation
C. Bradycardia
D. Weight gain
A nurse is teaching a client with asthma about inhaler use. Which instruction is
correct?
A. “Exhale before activating the inhaler.” Correct Answer
B. “Hold your breath for 2 seconds after inhalation.”
C. “Shake the inhaler after use.”
D. “Use the inhaler only at bedtime.”
, A client with a urinary tract infection is prescribed ciprofloxacin. Which teaching is
essential?
A. Avoid dairy products Correct Answer
B. Increase caffeine intake
C. Restrict fluid intake
D. Take medication with antacids
A nurse is caring for a client with pancreatitis. Which diet is most appropriate?
A. High-fat diet
B. Low-protein diet
C. NPO with IV fluids Correct Answer
D. High-carbohydrate diet
A client with a spinal cord injury is at risk for autonomic dysreflexia. Which finding
is most concerning?
A. Bradycardia
B. Severe hypertension Correct Answer
C. Flushed skin below injury
D. Headache
A nurse is caring for a client with tuberculosis. Which precaution is required?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions Correct Answer
D. Standard precautions only
A client with diabetes is prescribed metformin. Which teaching is essential?
A. Avoid alcohol Correct Answer
B. Take medication at bedtime
C. Restrict fluid intake
D. Monitor potassium levels
A nurse is caring for a client with a PEG tube. Which action is most appropriate?
A. Flush with 30 mL water before and after feeding Correct Answer
B. Administer feeding while client is supine
C. Mix medication with formula
D. Clamp tube during feeding
A client with rheumatoid arthritis is prescribed methotrexate. Which teaching is
essential?
A. Avoid folic acid
B. Report signs of infection Correct Answer
C. Increase dairy intake
D. Take medication with grapefruit juice
A client with a history of seizures is prescribed phenytoin. Which teaching is
Answers
A client with heart failure is prescribed furosemide. Which finding requires
immediate intervention?
A. Weight loss of 2 lbs in 24 hours
B. Serum potassium of 2.9 mEq/L Correct Answer
C. Mild dizziness after standing
D. Urine output of 1500 mL/day
A nurse is caring for a client with COPD. Which oxygen delivery device is most
appropriate?
A. Non-rebreather mask
B. Nasal cannula at 6 L/min
C. Venturi mask Correct Answer
D. Simple face mask at 10 L/min
A client receiving digoxin reports nausea and blurred vision. What is the nurse’s
priority action?
A. Administer antiemetic
B. Hold the medication and notify provider Correct Answer
C. Encourage oral fluids
D. Document findings
A postpartum client has heavy lochia and a boggy uterus. What is the first nursing
action?
A. Call the provider
B. Massage the fundus Correct Answer
C. Administer oxytocin
D. Check vital signs
A child with sickle cell crisis is admitted. Which intervention is priority?
A. Encourage ambulation
B. Administer IV fluids Correct Answer
C. Provide cold compresses
D. Restrict oral intake
A client with pneumonia is receiving IV antibiotics. Which finding indicates
effectiveness?
A. Increased sputum production
B. Decreased temperature Correct Answer
C. Persistent crackles
D. Elevated WBC count
,A nurse is caring for a client with DKA. Which intervention is priority?
A. Administer IV insulin Correct Answer
B. Provide oral fluids
C. Encourage ambulation
D. Restrict potassium intake
A client with cirrhosis has ascites. Which nursing intervention is most appropriate?
A. Encourage high-sodium diet
B. Measure abdominal girth daily Correct Answer
C. Restrict fluid intake to 3 L/day
D. Encourage weight lifting
A client with a tracheostomy suddenly develops respiratory distress. What is the
nurse’s first action?
A. Call respiratory therapy
B. Suction the airway Correct Answer
C. Administer oxygen via nasal cannula
D. Notify the provider
A client with hypothyroidism is prescribed levothyroxine. Which statement indicates
understanding?
A. “I will take this medication with food.”
B. “I will take this medication in the morning.” Correct Answer
C. “I can stop the medication if I feel better.”
D. “I will take this medication at bedtime.”
A nurse is caring for a client with a chest tube. Which finding requires immediate
intervention?
A. Continuous bubbling in the water seal chamber Correct Answer
B. Fluctuation in the water seal chamber
C. Drainage of 50 mL/hr
D. Dressing intact
A client with hypertension is prescribed lisinopril. Which adverse effect should be
reported?
A. Dry cough Correct Answer
B. Constipation
C. Bradycardia
D. Weight gain
A nurse is teaching a client with asthma about inhaler use. Which instruction is
correct?
A. “Exhale before activating the inhaler.” Correct Answer
B. “Hold your breath for 2 seconds after inhalation.”
C. “Shake the inhaler after use.”
D. “Use the inhaler only at bedtime.”
, A client with a urinary tract infection is prescribed ciprofloxacin. Which teaching is
essential?
A. Avoid dairy products Correct Answer
B. Increase caffeine intake
C. Restrict fluid intake
D. Take medication with antacids
A nurse is caring for a client with pancreatitis. Which diet is most appropriate?
A. High-fat diet
B. Low-protein diet
C. NPO with IV fluids Correct Answer
D. High-carbohydrate diet
A client with a spinal cord injury is at risk for autonomic dysreflexia. Which finding
is most concerning?
A. Bradycardia
B. Severe hypertension Correct Answer
C. Flushed skin below injury
D. Headache
A nurse is caring for a client with tuberculosis. Which precaution is required?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions Correct Answer
D. Standard precautions only
A client with diabetes is prescribed metformin. Which teaching is essential?
A. Avoid alcohol Correct Answer
B. Take medication at bedtime
C. Restrict fluid intake
D. Monitor potassium levels
A nurse is caring for a client with a PEG tube. Which action is most appropriate?
A. Flush with 30 mL water before and after feeding Correct Answer
B. Administer feeding while client is supine
C. Mix medication with formula
D. Clamp tube during feeding
A client with rheumatoid arthritis is prescribed methotrexate. Which teaching is
essential?
A. Avoid folic acid
B. Report signs of infection Correct Answer
C. Increase dairy intake
D. Take medication with grapefruit juice
A client with a history of seizures is prescribed phenytoin. Which teaching is
