NUR155 Exam 3 Practice Questions
1. The nurse is planning discharge for several clients. Which client would benefit most
from a home health referral?
A. A 30-year-old with pneumonia who is independent and lives with family
B. A 72-year-old with heart failure, new diuretic changes, and a 10-lb weight gain this week
C. A 45-year-old with a healed fracture and no mobility issues
D. A 25-year-old with appendectomy and no complications
2. Which findings indicate the need for a home health referral? (Select all that apply.)
A. New insulin therapy
B. Independent ambulation and medication management
C. Complex wound requiring daily dressing changes
D. Lives alone with limited transportation
E. Stable vital signs and no new diagnoses
3. Which action by the nurse best supports continuity of care at discharge?
A. Providing verbal instructions only
B. Scheduling follow-up appointments before discharge
C. Giving the patient a list of diagnoses
D. Telling the patient to call if problems occur
4. A client is being discharged after hospitalization with multiple medication changes.
Which nursing action is priority?
A. Provide diet instructions
B. Perform medication reconciliation and teach-back
C. Discuss activity restrictions
D. Provide written discharge summary only
5. Which patient is at highest risk for readmission?
A. Postoperative patient with stable vitals and caregiver support
B. Young adult with asthma and good health literacy
C. Older adult with CHF, multiple medications, and recent hospitalization
D. Client discharged after minor procedure
6. Which statement about cardiac function is correct?
A. The ventricles receive blood from circulation
B. The atria eject blood to the lungs and body
C. The atria receive blood and the ventricles pump blood out
D. Blood flow begins in the AV node
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, 7. Which finding requires immediate follow-up for a client with heart failure?
A. Weight gain of 2 lbs in one day
B. Heart rate of 99 bpm
C. Blood pressure of 138/76
D. Oxygen saturation of 96%
8. A client with COPD has shallow respirations, SpO₂ of G0% on 2 L NC, and thick green
sputum. Which nursing diagnosis is most appropriate?
A. Impaired Cardiac Output
B. Impaired Gas Exchange
C. Activity Intolerance
D. Risk for Infection
G. Which oxygen device is classified as a reservoir system?
A. Nasal cannula
B. Venturi mask
C. Non-rebreather mask
D. High-flow nasal cannula
10. A client with pneumonia has an SpO₂ of 88% on room air and is dyspneic. What is
the nurse’s priority action?
A. Encourage coughing and deep breathing
B. Apply oxygen via nasal cannula
C. Obtain a sputum culture
D. Notify the provider
11. Which findings are consistent with heart failure? (Select all that apply.)
A. Shortness of breath when lying flat
B. Weight gain of 5 lbs in one week
C. Pink-tinged sputum
D. Bradycardia
E. Ankle swelling
12. Which device delivers the most precise oxygen concentration?
A. Nasal cannula
B. Simple mask
C. Venturi mask
D. Non-rebreather
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1. The nurse is planning discharge for several clients. Which client would benefit most
from a home health referral?
A. A 30-year-old with pneumonia who is independent and lives with family
B. A 72-year-old with heart failure, new diuretic changes, and a 10-lb weight gain this week
C. A 45-year-old with a healed fracture and no mobility issues
D. A 25-year-old with appendectomy and no complications
2. Which findings indicate the need for a home health referral? (Select all that apply.)
A. New insulin therapy
B. Independent ambulation and medication management
C. Complex wound requiring daily dressing changes
D. Lives alone with limited transportation
E. Stable vital signs and no new diagnoses
3. Which action by the nurse best supports continuity of care at discharge?
A. Providing verbal instructions only
B. Scheduling follow-up appointments before discharge
C. Giving the patient a list of diagnoses
D. Telling the patient to call if problems occur
4. A client is being discharged after hospitalization with multiple medication changes.
Which nursing action is priority?
A. Provide diet instructions
B. Perform medication reconciliation and teach-back
C. Discuss activity restrictions
D. Provide written discharge summary only
5. Which patient is at highest risk for readmission?
A. Postoperative patient with stable vitals and caregiver support
B. Young adult with asthma and good health literacy
C. Older adult with CHF, multiple medications, and recent hospitalization
D. Client discharged after minor procedure
6. Which statement about cardiac function is correct?
A. The ventricles receive blood from circulation
B. The atria eject blood to the lungs and body
C. The atria receive blood and the ventricles pump blood out
D. Blood flow begins in the AV node
Downloaded by Great Mind ()
, 7. Which finding requires immediate follow-up for a client with heart failure?
A. Weight gain of 2 lbs in one day
B. Heart rate of 99 bpm
C. Blood pressure of 138/76
D. Oxygen saturation of 96%
8. A client with COPD has shallow respirations, SpO₂ of G0% on 2 L NC, and thick green
sputum. Which nursing diagnosis is most appropriate?
A. Impaired Cardiac Output
B. Impaired Gas Exchange
C. Activity Intolerance
D. Risk for Infection
G. Which oxygen device is classified as a reservoir system?
A. Nasal cannula
B. Venturi mask
C. Non-rebreather mask
D. High-flow nasal cannula
10. A client with pneumonia has an SpO₂ of 88% on room air and is dyspneic. What is
the nurse’s priority action?
A. Encourage coughing and deep breathing
B. Apply oxygen via nasal cannula
C. Obtain a sputum culture
D. Notify the provider
11. Which findings are consistent with heart failure? (Select all that apply.)
A. Shortness of breath when lying flat
B. Weight gain of 5 lbs in one week
C. Pink-tinged sputum
D. Bradycardia
E. Ankle swelling
12. Which device delivers the most precise oxygen concentration?
A. Nasal cannula
B. Simple mask
C. Venturi mask
D. Non-rebreather
Downloaded by Great Mind ()
