NUR 3600 Final Exam – Actual Questions
and Verified Answers|Latest 2026/2027
**1.** A nurse is assessing a client with a new onset of
confusion. Which finding requires the **most immediate**
attention?
A. Temperature of 37.4°C
B. Oxygen saturation of 88%
C. Pulse of 92/min
D. Blood pressure of 138/84 mmHg
**Answer: B**
**2.** Which nursing action best demonstrates therapeutic
communication?
A. “You shouldn't worry about that.”
B. “Everything will be fine.”
C. “Tell me more about what concerns you.”
D. “Why are you feeling this way?”
**Answer: C**
**3.** A client is at increased risk for falls. Which intervention
is most appropriate?
A. Keep the bed in the lowest position
B. Keep all four side rails raised
C. Encourage the client to walk independently
,D. Place frequently used items out of reach
**Answer: A**
**4.** Which assessment finding is most consistent with
dehydration?
A. Bounding pulse
B. Peripheral edema
C. Crackles in both lungs
D. Dry mucous membranes
**Answer: D**
**5.** A nurse prepares to administer a medication. Which
action is part of safe medication administration?
A. Using the client's room number as identification
B. Comparing the medication with the prescription
C. Giving medication prepared by another nurse without
checking it
D. Documenting administration before giving the medication
**Answer: B**
**6.** Which client should the nurse assess first?
A. Client reporting mild incisional pain
B. Client requesting assistance with bathing
C. Client with sudden difficulty breathing
D. Client awaiting discharge instructions
,**Answer: C**
**7.** Which finding is characteristic of hypoglycemia?
A. Sweating and tremors
B. Warm, dry skin
C. Deep respirations
D. Increased thirst only
**Answer: A**
**8.** A nurse is teaching a client about incentive spirometry.
What instruction is appropriate?
A. Exhale forcefully into the device
B. Use the device only when short of breath
C. Take rapid shallow breaths through it
D. Inhale slowly and deeply through the mouthpiece
**Answer: D**
**9.** Which laboratory value should the nurse recognize as
abnormal?
A. Sodium 140 mEq/L
B. Potassium 4.2 mEq/L
C. Hemoglobin 14 g/dL
D. Potassium 2.8 mEq/L
**Answer: D**
, **10.** Which action reduces the risk of infection during a
sterile procedure?
A. Keeping sterile objects below waist level
B. Reaching across the sterile field
C. Maintaining the sterility of supplies
D. Turning away from the sterile field
**Answer: C**
**11.** A client reports chest pressure radiating to the left
arm. What should the nurse do first?
A. Assess the client's vital signs and overall status
B. Offer a meal
C. Encourage ambulation
D. Schedule a routine follow-up
**Answer: A**
**12.** Which finding is most concerning in a postoperative
client?
A. Incisional discomfort
B. Mild fatigue
C. Temperature of 37.2°C
D. Sudden unilateral calf swelling and pain
**Answer: D**
and Verified Answers|Latest 2026/2027
**1.** A nurse is assessing a client with a new onset of
confusion. Which finding requires the **most immediate**
attention?
A. Temperature of 37.4°C
B. Oxygen saturation of 88%
C. Pulse of 92/min
D. Blood pressure of 138/84 mmHg
**Answer: B**
**2.** Which nursing action best demonstrates therapeutic
communication?
A. “You shouldn't worry about that.”
B. “Everything will be fine.”
C. “Tell me more about what concerns you.”
D. “Why are you feeling this way?”
**Answer: C**
**3.** A client is at increased risk for falls. Which intervention
is most appropriate?
A. Keep the bed in the lowest position
B. Keep all four side rails raised
C. Encourage the client to walk independently
,D. Place frequently used items out of reach
**Answer: A**
**4.** Which assessment finding is most consistent with
dehydration?
A. Bounding pulse
B. Peripheral edema
C. Crackles in both lungs
D. Dry mucous membranes
**Answer: D**
**5.** A nurse prepares to administer a medication. Which
action is part of safe medication administration?
A. Using the client's room number as identification
B. Comparing the medication with the prescription
C. Giving medication prepared by another nurse without
checking it
D. Documenting administration before giving the medication
**Answer: B**
**6.** Which client should the nurse assess first?
A. Client reporting mild incisional pain
B. Client requesting assistance with bathing
C. Client with sudden difficulty breathing
D. Client awaiting discharge instructions
,**Answer: C**
**7.** Which finding is characteristic of hypoglycemia?
A. Sweating and tremors
B. Warm, dry skin
C. Deep respirations
D. Increased thirst only
**Answer: A**
**8.** A nurse is teaching a client about incentive spirometry.
What instruction is appropriate?
A. Exhale forcefully into the device
B. Use the device only when short of breath
C. Take rapid shallow breaths through it
D. Inhale slowly and deeply through the mouthpiece
**Answer: D**
**9.** Which laboratory value should the nurse recognize as
abnormal?
A. Sodium 140 mEq/L
B. Potassium 4.2 mEq/L
C. Hemoglobin 14 g/dL
D. Potassium 2.8 mEq/L
**Answer: D**
, **10.** Which action reduces the risk of infection during a
sterile procedure?
A. Keeping sterile objects below waist level
B. Reaching across the sterile field
C. Maintaining the sterility of supplies
D. Turning away from the sterile field
**Answer: C**
**11.** A client reports chest pressure radiating to the left
arm. What should the nurse do first?
A. Assess the client's vital signs and overall status
B. Offer a meal
C. Encourage ambulation
D. Schedule a routine follow-up
**Answer: A**
**12.** Which finding is most concerning in a postoperative
client?
A. Incisional discomfort
B. Mild fatigue
C. Temperature of 37.2°C
D. Sudden unilateral calf swelling and pain
**Answer: D**