NU 673 Exam 4 Actual Exam 2026/2027 –
Complete Exam-Style Questions with
Detailed Rationales | 100% Verified | Pass
Guaranteed – A+ Graded
1. Which assessment finding should the nurse prioritize?
A. Mild fatigue after activity
B. Sudden change in mental status
C. Occasional difficulty sleeping
D. Decreased appetite for one day
CORRECT ANSWER: B. Sudden change in mental status
Rationale:
An acute change in mental status can indicate a serious underlying condition and requires
prompt assessment and intervention.
2. Which nursing intervention best promotes patient safety?
A. Leaving frequently used items out of reach
B. Keeping the environment free of hazards
C. Encouraging the patient to ambulate without assistance
D. Raising all four side rails routinely
, CORRECT ANSWER: B. Keeping the environment free of hazards
Rationale:
A safe environment reduces preventable injuries and supports patient independence.
3. A patient reports severe chest pressure with shortness of breath. What should the nurse do
FIRST?
A. Ask the patient to walk around
B. Assess the patient and initiate appropriate emergency measures
C. Offer a meal
D. Document the complaint and reassess tomorrow
CORRECT ANSWER: B
Rationale:
Chest pressure accompanied by dyspnea may indicate an acute cardiovascular emergency.
Immediate assessment and appropriate emergency intervention are priorities.
4. Which finding is most concerning for infection?
A. Stable temperature
B. New fever with worsening weakness
C. Normal appetite
D. Clear urine
, CORRECT ANSWER: B
Rationale:
A new fever accompanied by clinical deterioration can indicate infection and requires further
assessment.
5. Which intervention is most appropriate when teaching a patient about a new medication?
A. Tell the patient only the medication's name
B. Explain its purpose, administration, important adverse effects, and when to seek help
C. Tell the patient to stop it whenever symptoms improve
D. Avoid discussing adverse effects
CORRECT ANSWER: B
Rationale:
Medication education should help the patient understand why and how the medication is used
and recognize important adverse effects.
6. Which statement demonstrates effective patient education?
A. "Do exactly what I tell you."
B. "Can you explain how you will take this medication when you get home?"
C. "You don't need to ask questions."
D. "Read the instructions later."
, CORRECT ANSWER: B
Rationale:
Teach-back allows the nurse to determine whether the patient understands the instructions.
7. A patient becomes dizzy when standing. Which intervention is appropriate?
A. Encourage rapid position changes
B. Assist the patient and implement fall precautions
C. Tell the patient to continue walking
D. Leave the patient alone
CORRECT ANSWER: B
Rationale:
Dizziness with position changes increases fall risk. The patient should be assisted and assessed
appropriately.
8. Which assessment finding requires prompt follow-up?
A. Chronic mild joint stiffness
B. New onset of confusion
C. Stable appetite
D. Sleeping eight hours
CORRECT ANSWER: B
Complete Exam-Style Questions with
Detailed Rationales | 100% Verified | Pass
Guaranteed – A+ Graded
1. Which assessment finding should the nurse prioritize?
A. Mild fatigue after activity
B. Sudden change in mental status
C. Occasional difficulty sleeping
D. Decreased appetite for one day
CORRECT ANSWER: B. Sudden change in mental status
Rationale:
An acute change in mental status can indicate a serious underlying condition and requires
prompt assessment and intervention.
2. Which nursing intervention best promotes patient safety?
A. Leaving frequently used items out of reach
B. Keeping the environment free of hazards
C. Encouraging the patient to ambulate without assistance
D. Raising all four side rails routinely
, CORRECT ANSWER: B. Keeping the environment free of hazards
Rationale:
A safe environment reduces preventable injuries and supports patient independence.
3. A patient reports severe chest pressure with shortness of breath. What should the nurse do
FIRST?
A. Ask the patient to walk around
B. Assess the patient and initiate appropriate emergency measures
C. Offer a meal
D. Document the complaint and reassess tomorrow
CORRECT ANSWER: B
Rationale:
Chest pressure accompanied by dyspnea may indicate an acute cardiovascular emergency.
Immediate assessment and appropriate emergency intervention are priorities.
4. Which finding is most concerning for infection?
A. Stable temperature
B. New fever with worsening weakness
C. Normal appetite
D. Clear urine
, CORRECT ANSWER: B
Rationale:
A new fever accompanied by clinical deterioration can indicate infection and requires further
assessment.
5. Which intervention is most appropriate when teaching a patient about a new medication?
A. Tell the patient only the medication's name
B. Explain its purpose, administration, important adverse effects, and when to seek help
C. Tell the patient to stop it whenever symptoms improve
D. Avoid discussing adverse effects
CORRECT ANSWER: B
Rationale:
Medication education should help the patient understand why and how the medication is used
and recognize important adverse effects.
6. Which statement demonstrates effective patient education?
A. "Do exactly what I tell you."
B. "Can you explain how you will take this medication when you get home?"
C. "You don't need to ask questions."
D. "Read the instructions later."
, CORRECT ANSWER: B
Rationale:
Teach-back allows the nurse to determine whether the patient understands the instructions.
7. A patient becomes dizzy when standing. Which intervention is appropriate?
A. Encourage rapid position changes
B. Assist the patient and implement fall precautions
C. Tell the patient to continue walking
D. Leave the patient alone
CORRECT ANSWER: B
Rationale:
Dizziness with position changes increases fall risk. The patient should be assisted and assessed
appropriately.
8. Which assessment finding requires prompt follow-up?
A. Chronic mild joint stiffness
B. New onset of confusion
C. Stable appetite
D. Sleeping eight hours
CORRECT ANSWER: B
