NR 324 Final Exam Review Practice Questions
NEWEST 2026-2027 ACTUAL EXAM COMPLETE
100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ BRAND NEW!!
A 62-year-old woman who lives alone tripped on a rug in her home and fractured her hip. Which
predisposing factor most likely contributed to the fracture in the proximal end of her femur?
A. Failing eyesight resulting in an unsafe environment
B. Renal osteodystrophy resulting from chronic kidney disease (CKD)
C. Osteoporosis resulting from declining hormone levels
D. Cerebral vessel changes causing transient ischemic attacks - CORRECT ANSWER: C.
Osteoporosis resulting from declining hormone levels
The most common cause of a fractured hip in older women is osteoporosis, resulting from
reduced calcium in the bones as a result of hormonal changes in the perimenopausal years
A client asks a nurse, "Why am I taking nitroglycerin?" Which of the following is the best
response by the nurse?
a. "Nitroglycerin relieves nausea and prevents vomiting which could lead to aspiration."
b. "Nitroglycerin decreases chest pain by dissolving blood clots that are occluding the arteries."
c. "Nitroglycerin acts as a bronchodilator to open small airways and decrease shortness of
breath."
,d. "Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart." - CORRECT
ANSWER: "Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart."
A client comes to the emergency department via ambulance to report severe radiating chest pain
and shortness of breath. The client appears restless, frightened, and slightly cyanotic. The
provider prescribes oxygen by nasal cannula at 4 L/min stat, cardiac enzyme levels, IV fluids,
and a 12-lead ECG. Which of the following actions should the nurse assisting with this client's
care take first?
a. Attach the leads for a 12-lead ECG.
b. Obtain the blood sample.
c. Initiate oxygen therapy.
d. Insert the IV catheter. - CORRECT ANSWER: c. Initiate oxygen therapy.
A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid ventricular
response. Based on this finding, the nurse anticipates assisting the physician with which
treatment?
A. Administer lidocaine,75 mg intravenous push.
B. Perform synchronized cardioversion.
C. Defibrillate the client as soon as possible.
D. Administer atropine, 0.4 mg intravenous push. - CORRECT ANSWER: B. Perform
synchronized cardioversion.
With uncontrolled atrial fibrillation, the treatment of choice is synchronized cardioversion
A hospitalized client is receiving nasogastric tube feedings via a small-bore tube and a
continuous pump infusion. He begins to cough and produces a moderate amount of white
sputum. Which action should the nurse take FIRST?
, A. Auscultate the client's breath sounds.
B. Turn off the continuous feeding pump.
C. Check placement of the nasogastric tube.
D. Measure the amount of residual feeding - CORRECT ANSWER: B. Turn off the continuous
feeding pump.
A productive cough may indicate that the feeding has been aspirated. The nurse should first stop
the feeding to prevent further aspiration.
A nurse educator is reviewing expected findings in a client who has right-sided valvular heart
disease with a group of nurses. Which of the following should be included in the discussion? -
CORRECT ANSWER: -Dyspnea
-Client report of fatigue
-Peripheral edema
A nurse in a clinic is caring for a client who has suspected anemia. The nurse should anticipate a
prescription from the provider for which of the following tests? - CORRECT ANSWER: Hgb
A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile
dysfunction. Which of the following statements should the nurse make? - CORRECT ANSWER:
You will not be able to use sildenafil if you are taking nitroglycerin.
The client should not use sildenafil when taking nitroglycerin because both medications can
cause vasodilation and lead to significant hypotension
A nurse in an emergency department is admitting a client who reports dyspnea and shortness of
breath. Which of the following actions is the priority for the nurse to perform prior to
administering oxygen? - CORRECT ANSWER: Determine if the client has a history of COPD.
According to evidence based practice the nurse should first assess if the client has COPD.
Administering oxygen can worsen chronic hypercarbia in a client who has COPD
NEWEST 2026-2027 ACTUAL EXAM COMPLETE
100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ BRAND NEW!!
A 62-year-old woman who lives alone tripped on a rug in her home and fractured her hip. Which
predisposing factor most likely contributed to the fracture in the proximal end of her femur?
A. Failing eyesight resulting in an unsafe environment
B. Renal osteodystrophy resulting from chronic kidney disease (CKD)
C. Osteoporosis resulting from declining hormone levels
D. Cerebral vessel changes causing transient ischemic attacks - CORRECT ANSWER: C.
Osteoporosis resulting from declining hormone levels
The most common cause of a fractured hip in older women is osteoporosis, resulting from
reduced calcium in the bones as a result of hormonal changes in the perimenopausal years
A client asks a nurse, "Why am I taking nitroglycerin?" Which of the following is the best
response by the nurse?
a. "Nitroglycerin relieves nausea and prevents vomiting which could lead to aspiration."
b. "Nitroglycerin decreases chest pain by dissolving blood clots that are occluding the arteries."
c. "Nitroglycerin acts as a bronchodilator to open small airways and decrease shortness of
breath."
,d. "Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart." - CORRECT
ANSWER: "Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart."
A client comes to the emergency department via ambulance to report severe radiating chest pain
and shortness of breath. The client appears restless, frightened, and slightly cyanotic. The
provider prescribes oxygen by nasal cannula at 4 L/min stat, cardiac enzyme levels, IV fluids,
and a 12-lead ECG. Which of the following actions should the nurse assisting with this client's
care take first?
a. Attach the leads for a 12-lead ECG.
b. Obtain the blood sample.
c. Initiate oxygen therapy.
d. Insert the IV catheter. - CORRECT ANSWER: c. Initiate oxygen therapy.
A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid ventricular
response. Based on this finding, the nurse anticipates assisting the physician with which
treatment?
A. Administer lidocaine,75 mg intravenous push.
B. Perform synchronized cardioversion.
C. Defibrillate the client as soon as possible.
D. Administer atropine, 0.4 mg intravenous push. - CORRECT ANSWER: B. Perform
synchronized cardioversion.
With uncontrolled atrial fibrillation, the treatment of choice is synchronized cardioversion
A hospitalized client is receiving nasogastric tube feedings via a small-bore tube and a
continuous pump infusion. He begins to cough and produces a moderate amount of white
sputum. Which action should the nurse take FIRST?
, A. Auscultate the client's breath sounds.
B. Turn off the continuous feeding pump.
C. Check placement of the nasogastric tube.
D. Measure the amount of residual feeding - CORRECT ANSWER: B. Turn off the continuous
feeding pump.
A productive cough may indicate that the feeding has been aspirated. The nurse should first stop
the feeding to prevent further aspiration.
A nurse educator is reviewing expected findings in a client who has right-sided valvular heart
disease with a group of nurses. Which of the following should be included in the discussion? -
CORRECT ANSWER: -Dyspnea
-Client report of fatigue
-Peripheral edema
A nurse in a clinic is caring for a client who has suspected anemia. The nurse should anticipate a
prescription from the provider for which of the following tests? - CORRECT ANSWER: Hgb
A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile
dysfunction. Which of the following statements should the nurse make? - CORRECT ANSWER:
You will not be able to use sildenafil if you are taking nitroglycerin.
The client should not use sildenafil when taking nitroglycerin because both medications can
cause vasodilation and lead to significant hypotension
A nurse in an emergency department is admitting a client who reports dyspnea and shortness of
breath. Which of the following actions is the priority for the nurse to perform prior to
administering oxygen? - CORRECT ANSWER: Determine if the client has a history of COPD.
According to evidence based practice the nurse should first assess if the client has COPD.
Administering oxygen can worsen chronic hypercarbia in a client who has COPD
