NSG 526 FINAL EXAM 2026/2027 | ADVANCED NURSING
PRACTICUM COMPREHENSIVE – WILKES UNIVERSITY |
EXPERT VERIFIED | 125 VERIFIED Q&A | DETAILED
RATIONALES | PASS GUARANTEED – A+ GRADED
Question 1
A nurse practitioner is reviewing the principles of evidence-based practice. Which of the following is
a component?
A. Best research evidence
B. Clinical expertise
C. Patient values and preferences
D. All of the above
Correct Answer: D
Rationale: Evidence-based practice integrates research evidence, clinical expertise, and patient
values.
Question 2
A nurse practitioner is reviewing the concept of health promotion. Which of the following is an
example of primary prevention?
A. Mammogram
B. Immunization
C. Colonoscopy
D. Blood pressure screening
Correct Answer: B
Rationale: Immunization is primary prevention.
Question 3
A nurse practitioner is reviewing the concept of secondary prevention. Which of the following is an
example?
A. Immunization
B. Mammogram
C. Cardiac rehabilitation
D. Health education
Correct Answer: B
Rationale: Mammogram is secondary prevention (screening).
,2
Question 4
A nurse practitioner is reviewing the concept of tertiary prevention. Which of the following is an
example?
A. Immunization
B. Mammogram
C. Cardiac rehabilitation after MI
D. Health education
Correct Answer: C
Rationale: Cardiac rehabilitation is tertiary prevention.
Question 5
A nurse practitioner is reviewing the concept of cultural competence. Which of the following is a
component?
A. Cultural awareness
B. Cultural knowledge
C. Cultural skills
D. All of the above
Correct Answer: D
Rationale: All are components of cultural competence.
Question 6
A nurse practitioner is reviewing the concept of health literacy. Which of the following is a strategy
to improve health literacy?
A. Use medical jargon
B. Use plain language and teach-back
C. Limit education
D. Written materials only
Correct Answer: B
Rationale: Plain language and teach-back improve health literacy.
Question 7
A nurse practitioner is reviewing the concept of a wound infection. Which of the following indicates
a systemic infection?
A. Localized redness
B. Fever and chills
,3
C. Purulent drainage
D. Warmth
Correct Answer: B
Rationale: Fever and chills indicate systemic infection.
Question 8
A nurse practitioner is caring for a client who has a wound with a drain. Which of the following is the
correct care?
A. Leave unsecured
B. Empty when half full
C. Remove without order
D. Milk frequently
Correct Answer: B
Rationale: Empty and compress when half full.
Question 9
A nurse practitioner is assessing a client who has a wound with a wound vac. Which of the following
requires immediate intervention?
A. Pink wound bed
B. Alarm sounding
C. Granulation tissue
D. Minimal drainage
Correct Answer: B
Rationale: Alarm indicates a problem.
Question 10
A nurse practitioner is caring for a client who has a new prescription for vancomycin. Which of the
following should be monitored?
A. Serum potassium
B. Renal function and trough levels
C. Serum calcium
D. Serum magnesium
Correct Answer: B
Rationale: Monitor renal function and vancomycin trough levels.
Question 11
, 4
A nurse practitioner is assessing a client who has a wound infection. Which of the following is the
most appropriate dressing?
A. Dry sterile dressing
B. Moist sterile dressing (as prescribed)
C. No dressing
D. Non-sterile dressing
Correct Answer: B
Rationale: Infected wounds require moist sterile dressings.
Question 12
A nurse practitioner is caring for a client who has a new prescription for insulin glargine. Which of
the following is a characteristic?
A. Rapid-acting with peak
B. Long-acting with no pronounced peak
C. Intermediate-acting
D. Short-acting
Correct Answer: B
Rationale: Insulin glargine is long-acting.
Question 13
A nurse practitioner is assessing a client who has a urinary catheter. Which of the following indicates
a catheter-associated UTI?
A. Clear urine
B. Cloudy urine with foul odor
C. Output of 30 mL/hour
D. No sediment
Correct Answer: B
Rationale: Cloudy urine indicates UTI.
Question 14
A nurse practitioner is caring for a client who has a new prescription for furosemide. Which of the
following is a sign of hypokalemia?
A. Tall, peaked T waves
B. Flattened T waves and U waves
C. Constipation
D. Bradycardia
Correct Answer: B