NSG 2400 ACTUAL EXAM 4 QUESTIONS AND
VERIFIED SOLUTIONS LATEST UPDATE
2026/2027 GRADED A+
NSG 2400 EXAM 4
Practice Questions & Verified Clinical Rationales
2026/2027 Study Edition
Question 1
A client with endometriosis is prescribed leuprolide. Which adverse effect should the nurse
anticipate?
A. Hot flashes
B. Severe hypoglycemia
C. Increased menstrual bleeding
D. Bradycardia
Answer: A. Hot flashes
Rationale: Leuprolide suppresses ovarian hormone production and can produce menopausal-
type effects such as hot flashes.
Question 2
Which symptom is commonly associated with endometriosis?
A. Painless hematuria
B. Pelvic pain
C. Productive cough
D. Peripheral edema
Answer: B. Pelvic pain
Rationale: Endometriosis commonly produces pelvic pain, dysmenorrhea and pain associated
with intercourse or bowel movements.
,Question 3
A client with endometriosis asks about possible long-term consequences. Which issue should
the nurse discuss?
A. Impaired fertility
B. Permanent hypertension
C. Renal failure
D. Hearing loss
Answer: A. Impaired fertility
Rationale: Endometriosis can be associated with infertility or difficulty conceiving.
Question 4
Which finding should the nurse associate most closely with endometriosis?
A. Rectal pressure during menstruation
B. Painless jaundice
C. Persistent productive cough
D. Sudden hearing loss
Answer: A. Rectal pressure during menstruation
Rationale: Endometrial tissue involving pelvic structures can cause rectal pressure and painful
bowel movements, particularly around menstruation.
Question 5
A nurse is teaching a client with cystic fibrosis about complications. Which condition should the
nurse include?
A. Diabetes mellitus
B. Hyperthyroidism
C. Osteoarthritis only
D. Cataracts
Answer: A. Diabetes mellitus
Rationale: Cystic fibrosis can affect pancreatic function and is associated with cystic-fibrosis-
related diabetes.
,Question 6
Which respiratory complication is particularly important for a client with cystic fibrosis?
A. Recurrent pulmonary infections
B. Acute appendicitis
C. Cataracts
D. Otitis externa
Answer: A. Recurrent pulmonary infections
Rationale: Thick respiratory secretions impair airway clearance and contribute to recurrent
respiratory infections.
Question 7
A child with cystic fibrosis has thick pulmonary secretions. Which intervention is important?
A. Promote airway clearance
B. Restrict all fluids
C. Avoid respiratory therapy
D. Encourage prolonged bed rest
Answer: A. Promote airway clearance
Rationale: Airway-clearance strategies help mobilize and remove thick respiratory secretions.
Question 8
Which finding would the nurse expect in a child with cystic fibrosis?
A. Thick, tenacious respiratory secretions
B. Excessively thin respiratory secretions
C. Complete absence of respiratory infections
D. Consistently low sweat chloride concentration
Answer: A. Thick, tenacious respiratory secretions
Rationale: Abnormally thick secretions are a major characteristic of cystic fibrosis and
contribute to airway obstruction and infection.
, Question 9
Parents of a child with cystic fibrosis ask why pancreatic enzymes may be prescribed. What is
the best explanation?
A. They improve digestion and nutrient absorption
B. They prevent all respiratory infections
C. They decrease heart rate
D. They eliminate airway mucus
Answer: A. They improve digestion and nutrient absorption
Rationale: Pancreatic insufficiency can impair digestion and absorption of nutrients, making
pancreatic enzyme replacement important.
Question 10
Which finding may indicate a complication of cystic fibrosis?
A. Nasal polyps
B. Improved lung function
C. Increased exercise tolerance
D. Normal pancreatic function
Answer: A. Nasal polyps
Rationale: Chronic upper-airway disease, including nasal polyps, can occur in individuals with
cystic fibrosis.
Question 11
A client has a chest tube connected to a water-seal drainage system. What is the primary
purpose of the water seal?
A. Prevent air from returning to the pleural space
B. Measure the client's blood pressure
C. Administer antibiotics
D. Increase pulmonary secretions
Answer: A. Prevent air from returning to the pleural space
VERIFIED SOLUTIONS LATEST UPDATE
2026/2027 GRADED A+
NSG 2400 EXAM 4
Practice Questions & Verified Clinical Rationales
2026/2027 Study Edition
Question 1
A client with endometriosis is prescribed leuprolide. Which adverse effect should the nurse
anticipate?
A. Hot flashes
B. Severe hypoglycemia
C. Increased menstrual bleeding
D. Bradycardia
Answer: A. Hot flashes
Rationale: Leuprolide suppresses ovarian hormone production and can produce menopausal-
type effects such as hot flashes.
Question 2
Which symptom is commonly associated with endometriosis?
A. Painless hematuria
B. Pelvic pain
C. Productive cough
D. Peripheral edema
Answer: B. Pelvic pain
Rationale: Endometriosis commonly produces pelvic pain, dysmenorrhea and pain associated
with intercourse or bowel movements.
,Question 3
A client with endometriosis asks about possible long-term consequences. Which issue should
the nurse discuss?
A. Impaired fertility
B. Permanent hypertension
C. Renal failure
D. Hearing loss
Answer: A. Impaired fertility
Rationale: Endometriosis can be associated with infertility or difficulty conceiving.
Question 4
Which finding should the nurse associate most closely with endometriosis?
A. Rectal pressure during menstruation
B. Painless jaundice
C. Persistent productive cough
D. Sudden hearing loss
Answer: A. Rectal pressure during menstruation
Rationale: Endometrial tissue involving pelvic structures can cause rectal pressure and painful
bowel movements, particularly around menstruation.
Question 5
A nurse is teaching a client with cystic fibrosis about complications. Which condition should the
nurse include?
A. Diabetes mellitus
B. Hyperthyroidism
C. Osteoarthritis only
D. Cataracts
Answer: A. Diabetes mellitus
Rationale: Cystic fibrosis can affect pancreatic function and is associated with cystic-fibrosis-
related diabetes.
,Question 6
Which respiratory complication is particularly important for a client with cystic fibrosis?
A. Recurrent pulmonary infections
B. Acute appendicitis
C. Cataracts
D. Otitis externa
Answer: A. Recurrent pulmonary infections
Rationale: Thick respiratory secretions impair airway clearance and contribute to recurrent
respiratory infections.
Question 7
A child with cystic fibrosis has thick pulmonary secretions. Which intervention is important?
A. Promote airway clearance
B. Restrict all fluids
C. Avoid respiratory therapy
D. Encourage prolonged bed rest
Answer: A. Promote airway clearance
Rationale: Airway-clearance strategies help mobilize and remove thick respiratory secretions.
Question 8
Which finding would the nurse expect in a child with cystic fibrosis?
A. Thick, tenacious respiratory secretions
B. Excessively thin respiratory secretions
C. Complete absence of respiratory infections
D. Consistently low sweat chloride concentration
Answer: A. Thick, tenacious respiratory secretions
Rationale: Abnormally thick secretions are a major characteristic of cystic fibrosis and
contribute to airway obstruction and infection.
, Question 9
Parents of a child with cystic fibrosis ask why pancreatic enzymes may be prescribed. What is
the best explanation?
A. They improve digestion and nutrient absorption
B. They prevent all respiratory infections
C. They decrease heart rate
D. They eliminate airway mucus
Answer: A. They improve digestion and nutrient absorption
Rationale: Pancreatic insufficiency can impair digestion and absorption of nutrients, making
pancreatic enzyme replacement important.
Question 10
Which finding may indicate a complication of cystic fibrosis?
A. Nasal polyps
B. Improved lung function
C. Increased exercise tolerance
D. Normal pancreatic function
Answer: A. Nasal polyps
Rationale: Chronic upper-airway disease, including nasal polyps, can occur in individuals with
cystic fibrosis.
Question 11
A client has a chest tube connected to a water-seal drainage system. What is the primary
purpose of the water seal?
A. Prevent air from returning to the pleural space
B. Measure the client's blood pressure
C. Administer antibiotics
D. Increase pulmonary secretions
Answer: A. Prevent air from returning to the pleural space
