NCLEX-RN EXAM 3 NUR 2960 2026 UPDATED
EXAM BUNDLE PRACTICE QUESTIONS
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A 73-year-old man with dementia has a venous ulcer related to chronic venous insufficiency. The nurse
should provide education on which type of diet for this patient and his caregiver?
A) Low-fat diet
B) High-protein diet
C) Calorie-restricted diet
D) High-carbohydrate diet –
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Correct Answer :B) High-protein diet
A patient with a venous ulcer should have a balanced diet with adequate protein, calories, and
micronutrients; this type of diet is essential for healing. Nutrients most important for healing include
protein, vitamins A and C, and zinc. Foods high in protein (e.g., meat, beans, cheese, tofu), vitamin A
(green leafy vegetables), vitamin C (citrus fruits, tomatoes, cantaloupe), and zinc (meat, seafood)
must be provided. Restricting fat or calories is not helpful for wound healing or in patients of normal
weight. For overweight individuals with no active venous ulcer, a weight-loss diet should be
considered.
Which assessment question is most appropriate when the nurse is assessing a patient who is receiving
care for suspected obstructive sleep apnea (OSA)?
A) "Do you smoke?"
B) "Do you tend to awaken early in the morning?"
C) "Are you under a lot of stress at work or at home right now?"
D) "Do you have a history of chronic obstructive pulmonary disease?" –
Correct Answer :A) "Do you smoke?"
Smoking is a major etiologic factor in OSA. Early wakening and stress are associated with insomnia, not
OSA in particular. COPD exacerbates the hypoxemia associated with OSA but does not precipitate the
onset of OSA itself.
An obese male patient is scheduled to begin treatment with continuous positive airway pressure
(CPAP). How will this treatment method alleviate obstructive sleep apnea (OSA)?
A) Calming the patient
B) Preventing airway collapse
C) Increasing the efficiency of gas exchange across alveolar walls
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D) Requiring the patient to breathe through his nose rather than his mouth –
Correct Answer :B) Preventing airway collapse
CPAP maintains sufficient positive pressure (5-25 cm H2O) in the airway during inspiration and
expiration to prevent airway collapse. CPAP does not require the patient to breathe through his or her
nose exclusively.
What principle should guide nursing practice when providing care for older patients?
A) Drug therapy should be used conservatively.
B) Older adults require less sleep than younger adults.
C) Cognitive-behavioral interventions are less effective than among younger adults.
D) Patient teaching should focus on older adults accepting age-related changes in their sleep cycles.
- Correct Answer :A) Drug therapy should be used conservatively.
Drug therapy for sleep difficulties should be used conservatively in older adults. They do not
necessarily need less sleep, and cognitive-behavioral therapies should still be used. Changes in sleep
cycles do accompany aging, but teaching should not simply focus on accepting, rather than
addressing, these changes.
The patient will schedule a test to see if he has mild sleep apnea. What should the nurse teach the
patient to do until the test can be completed?
A) Take sleep medications.
B) Use his wife's CPAP mask.
C) Sleep in a side-lying position.
D) Do not use pillows when sleeping. –
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Correct Answer :C) Sleep in a side-lying position.
Conservative treatment for mild obstructive sleep apnea (OSA) begins with sleeping on one's side.
Sleep medication often makes OSA worse. CPAP is adjusted for the patient and used with more severe
symptoms after diagnosis. Elevating the head of the bed may eliminate OSA
.
Which patient is at highest risk for obstructive sleep apnea?
A) 82-year-old male with Parkinson's disease who has dysphagia
B) 68-year-old obese male who smokes one pack of cigarettes per day
C) 18-year-old female with cystic fibrosis who has recurrent pneumonia
D) 35-year-old female with a BMI of 22 kg/m2 who has seasonal allergies to pollen –
Correct Answer :B) 68-year-old obese male who smokes one pack of cigarettes per day
Risk of obstructive sleep apnea increases with obesity (BMI > 28 kg/m2), age more than 65 years, neck
circumference > 17 inches, craniofacial abnormalities, and acromegaly. Smokers are more at risk for
OSA, and OSA is more common in men than women (until menopause).
During admission of a patient diagnosed with metastatic lung cancer, what should the nurse assess for
as a key indicator of clinical depression related to terminal illness?
A) Frustration with pain
B) Anorexia and nausea
C) Feelings of hopelessness
D) Inability to carry out activities of daily living –
Correct Answer :C) Feelings of hopelessness
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