NUR 400 Final Exam UPDATED
QUESTIONS AND CORRECT ANSWERS
A nurse is teaching a patient with newly diagnosed Type 2 Diabetes Mellitus about self-management
of their condition. Which statement by the patient indicates a need for further teaching?
A. "I will check my blood sugar before meals and at bedtime as instructed."
B. "I should inspect my feet daily for cuts, blisters, or redness."
C. "If I feel dizzy or shaky, I should eat a Snickers candy bar immediately."
D. "I will keep a log of my blood sugar readings to share with my healthcare provider." - CORRECT
ANSWER C. "If I feel dizzy or shaky, I should eat a Snickers candy bar immediately."
A nurse is caring for a 45-year-old patient who was admitted for respiratory distress. The patient's
vital signs are as follows:
Temperature: 99.0°F (37.2°C)
Heart rate: 120 beats per minute
Respiratory rate: 30 breaths per minute
Blood pressure: 138/88 mmHg
What is the most appropriate nursing action based on these findings?
A) Administer an antipyretic for the slightly elevated temperature.
B) Monitor the patient for signs of dehydration and continue to assess vital signs.
C) Administer oxygen via nasal cannula to address the elevated heart rate.
D) Notify the healthcare provider immediately about the abnormal vital signs. - CORRECT
ANSWER B) Monitor the patient for signs of dehydration and continue to assess vital signs.
A 70-year-old patient is recovering from a hip replacement surgery. The nurse notes the following
vital signs:
Temperature: 99.1°F (37.3°C)
Heart rate: 52 beats per minute
,Respiratory rate: 16 breaths per minute
Blood pressure: 120/72 mmHg
Which of the following is the most appropriate action for the nurse?
A) Notify the healthcare provider immediately about the bradycardia.
B) Document the findings and continue routine post-operative monitoring.
C) Administer IV fluids to address the patient's bradycardia.
D) Increase the oxygen flow rate to 4L/min via nasal cannula. - CORRECT ANSWER
Document the findings and continue routine post-operative monitoring.
: A nurse is assessing a 60-year-old male patient who is post-cardiac surgery. The following vital signs
are recorded:
Temperature: 100.2°F (37.9°C)
Heart rate: 88 beats per minute
Respiratory rate: 18 breaths per minute
Blood pressure: 110/68 mmHg
What is the most appropriate next action by the nurse?
A) Administer antipyretics for the elevated temperature.
B) Continue to monitor vital signs and assess for signs of infection.
C) Notify the healthcare provider immediately about the elevated temperature.
D) Increase the oxygen flow rate to 4L/min via nasal cannula to support the patient's condition. -
CORRECT ANSWER Continue to monitor vital signs and assess for signs of infection.
A nurse is educating a pregnant patient on how to increase folate intake to prevent neural tube defects.
Which of the following foods should the nurse recommend as the best sources of folate during
pregnancy?
A) Fortified breakfast cereals
B) Fresh orange juice
C) Lean meats
,D) Dark leafy greens
E) Whole grain breads - CORRECT ANSWER A) Fortified breakfast cereals, D) Dark leafy
greens
A nurse is providing dietary teaching to a patient with chronic kidney disease (CKD) who is on
hemodialysis. The nurse explains that certain nutrients need to be restricted. Which of the following
foods should the nurse instruct the patient to limit?
A) Grilled salmon with a side of roasted asparagus
B) Whole grain cereal with low-fat milk
C) Fresh orange juice with a side of scrambled eggs
D) Baked potato with a dollop of sour cream and a green salad - CORRECT ANSWER C)
Fresh orange juice with a side of scrambled eggs
Match the following nutrition-related conditions with the appropriate dietary recommendation:
Iron-deficiency anemia
Chronic kidney disease (CKD)
Celiac disease
Type 2 diabetes
A) Follow a gluten-free diet
B) Increase iron-rich foods, such as red meat, beans, and fortified cereals
C) Limit protein intake to reduce kidney strain
D) Focus on complex carbohydrates, such as whole grains and vegetables, and limit sugar intake -
CORRECT ANSWER Iron-deficiency anemia → B) Increase iron-rich foods, such as red meat,
beans, and fortified cereals
Chronic kidney disease (CKD) → C) Limit protein intake to reduce kidney strain
Celiac disease → A) Follow a gluten-free diet
Type 2 diabetes → D) Focus on complex carbohydrates, such as whole grains and vegetables, and
limit sugar intake
A nurse is assessing a 30-year-old patient's cardiovascular system. Which of the following findings
would the nurse identify as abnormal and requiring further investigation?
, A. Capillary refill time of 2 seconds.
B. Apical pulse rate of 60 beats per minute.
C. S1 and S2 heart sounds audible without murmurs.
D. Bulging and bounding jugular vein on one side of the neck - CORRECT ANSWER D.
Bulging and bounding jugular vein on one side of the neck
A nurse is assessing a 65-year-old client during a routine examination and detects an irregular radial
pulse. Which of the following actions should the nurse prioritize?
A. Perform a full set of vital signs, including apical pulse assessment for one full minute.
B. Notify the healthcare provider immediately about the irregular pulse findings.
C. Document the findings and continue with the assessment.
D. Encourage the client to increase their fluid intake to stabilize the pulse. - CORRECT ANSWER
A
A nurse is assessing a client and notes an irregular pulse of 120 beats per minute. Which of the
following should be the priority nursing intervention?
Administer prescribed beta-blocker medication.
Obtain a 12-lead electrocardiogram (ECG).
Notify the healthcare provider immediately.
Assess for associated symptoms such as dizziness or chest pain. - CORRECT ANSWER 4
A nurse is assessing a client who was admitted with a head injury sustained in a motor vehicle
accident. The client is lethargic, responds to verbal stimuli but falls asleep quickly, and is disoriented
to time and place. Which of the following is the nurse's priority intervention?
A. Notify the healthcare provider and prepare the client for a head CT scan.
B. Administer prescribed IV fluids to maintain hydration and perfusion.
C. Perform a full neurological assessment, including Glasgow Coma Scale (GCS) scoring.
D. Document the findings and reassess the client's LOC in one hour. - CORRECT ANSWER C
QUESTIONS AND CORRECT ANSWERS
A nurse is teaching a patient with newly diagnosed Type 2 Diabetes Mellitus about self-management
of their condition. Which statement by the patient indicates a need for further teaching?
A. "I will check my blood sugar before meals and at bedtime as instructed."
B. "I should inspect my feet daily for cuts, blisters, or redness."
C. "If I feel dizzy or shaky, I should eat a Snickers candy bar immediately."
D. "I will keep a log of my blood sugar readings to share with my healthcare provider." - CORRECT
ANSWER C. "If I feel dizzy or shaky, I should eat a Snickers candy bar immediately."
A nurse is caring for a 45-year-old patient who was admitted for respiratory distress. The patient's
vital signs are as follows:
Temperature: 99.0°F (37.2°C)
Heart rate: 120 beats per minute
Respiratory rate: 30 breaths per minute
Blood pressure: 138/88 mmHg
What is the most appropriate nursing action based on these findings?
A) Administer an antipyretic for the slightly elevated temperature.
B) Monitor the patient for signs of dehydration and continue to assess vital signs.
C) Administer oxygen via nasal cannula to address the elevated heart rate.
D) Notify the healthcare provider immediately about the abnormal vital signs. - CORRECT
ANSWER B) Monitor the patient for signs of dehydration and continue to assess vital signs.
A 70-year-old patient is recovering from a hip replacement surgery. The nurse notes the following
vital signs:
Temperature: 99.1°F (37.3°C)
Heart rate: 52 beats per minute
,Respiratory rate: 16 breaths per minute
Blood pressure: 120/72 mmHg
Which of the following is the most appropriate action for the nurse?
A) Notify the healthcare provider immediately about the bradycardia.
B) Document the findings and continue routine post-operative monitoring.
C) Administer IV fluids to address the patient's bradycardia.
D) Increase the oxygen flow rate to 4L/min via nasal cannula. - CORRECT ANSWER
Document the findings and continue routine post-operative monitoring.
: A nurse is assessing a 60-year-old male patient who is post-cardiac surgery. The following vital signs
are recorded:
Temperature: 100.2°F (37.9°C)
Heart rate: 88 beats per minute
Respiratory rate: 18 breaths per minute
Blood pressure: 110/68 mmHg
What is the most appropriate next action by the nurse?
A) Administer antipyretics for the elevated temperature.
B) Continue to monitor vital signs and assess for signs of infection.
C) Notify the healthcare provider immediately about the elevated temperature.
D) Increase the oxygen flow rate to 4L/min via nasal cannula to support the patient's condition. -
CORRECT ANSWER Continue to monitor vital signs and assess for signs of infection.
A nurse is educating a pregnant patient on how to increase folate intake to prevent neural tube defects.
Which of the following foods should the nurse recommend as the best sources of folate during
pregnancy?
A) Fortified breakfast cereals
B) Fresh orange juice
C) Lean meats
,D) Dark leafy greens
E) Whole grain breads - CORRECT ANSWER A) Fortified breakfast cereals, D) Dark leafy
greens
A nurse is providing dietary teaching to a patient with chronic kidney disease (CKD) who is on
hemodialysis. The nurse explains that certain nutrients need to be restricted. Which of the following
foods should the nurse instruct the patient to limit?
A) Grilled salmon with a side of roasted asparagus
B) Whole grain cereal with low-fat milk
C) Fresh orange juice with a side of scrambled eggs
D) Baked potato with a dollop of sour cream and a green salad - CORRECT ANSWER C)
Fresh orange juice with a side of scrambled eggs
Match the following nutrition-related conditions with the appropriate dietary recommendation:
Iron-deficiency anemia
Chronic kidney disease (CKD)
Celiac disease
Type 2 diabetes
A) Follow a gluten-free diet
B) Increase iron-rich foods, such as red meat, beans, and fortified cereals
C) Limit protein intake to reduce kidney strain
D) Focus on complex carbohydrates, such as whole grains and vegetables, and limit sugar intake -
CORRECT ANSWER Iron-deficiency anemia → B) Increase iron-rich foods, such as red meat,
beans, and fortified cereals
Chronic kidney disease (CKD) → C) Limit protein intake to reduce kidney strain
Celiac disease → A) Follow a gluten-free diet
Type 2 diabetes → D) Focus on complex carbohydrates, such as whole grains and vegetables, and
limit sugar intake
A nurse is assessing a 30-year-old patient's cardiovascular system. Which of the following findings
would the nurse identify as abnormal and requiring further investigation?
, A. Capillary refill time of 2 seconds.
B. Apical pulse rate of 60 beats per minute.
C. S1 and S2 heart sounds audible without murmurs.
D. Bulging and bounding jugular vein on one side of the neck - CORRECT ANSWER D.
Bulging and bounding jugular vein on one side of the neck
A nurse is assessing a 65-year-old client during a routine examination and detects an irregular radial
pulse. Which of the following actions should the nurse prioritize?
A. Perform a full set of vital signs, including apical pulse assessment for one full minute.
B. Notify the healthcare provider immediately about the irregular pulse findings.
C. Document the findings and continue with the assessment.
D. Encourage the client to increase their fluid intake to stabilize the pulse. - CORRECT ANSWER
A
A nurse is assessing a client and notes an irregular pulse of 120 beats per minute. Which of the
following should be the priority nursing intervention?
Administer prescribed beta-blocker medication.
Obtain a 12-lead electrocardiogram (ECG).
Notify the healthcare provider immediately.
Assess for associated symptoms such as dizziness or chest pain. - CORRECT ANSWER 4
A nurse is assessing a client who was admitted with a head injury sustained in a motor vehicle
accident. The client is lethargic, responds to verbal stimuli but falls asleep quickly, and is disoriented
to time and place. Which of the following is the nurse's priority intervention?
A. Notify the healthcare provider and prepare the client for a head CT scan.
B. Administer prescribed IV fluids to maintain hydration and perfusion.
C. Perform a full neurological assessment, including Glasgow Coma Scale (GCS) scoring.
D. Document the findings and reassess the client's LOC in one hour. - CORRECT ANSWER C
