GALEN COLLEGE OF NURSING · NUR 257 EXAM
NUR 257 Exam
NUR 257 Exam - Final Review & Mock Exam
200-question mixed mock exam with the answer key and detailed explanations at the end.
200 A-D + SATA End Key
Practice Questions Exam-Style Items Answer Format
Focus: Full Exam review across chronic-condition systems, geriatric syndromes, medication
management, safety, prioritization, and teaching.
PassPoint Pro Original practice & revision material
, NUR 257 Exam · Final Review & Mock Exam
Instructions
Select the best answer for each item. Some questions use “Select all that apply.” Complete the exam first, then use the Answer Key & Detailed Explanations
section at the end for review.
Mixed Final Review - Questions 1-25
1 For safe clinical judgment, which nonpharmacologic measure can help prevent constipation in many older adults when not
contraindicated?
A Reduce all dietary fiber
B Ignore the urge to defecate
C Remain sedentary after meals
D Support adequate fluid, fiber, physical activity, and regular toileting
2 An older adult with hypothyroidism becomes hypothermic, markedly bradycardic, and difficult to arouse. What is the priority
concern?
A Normal sleepiness after a meal
B Possible myxedema coma
C Expected medication adjustment
D Mild seasonal fatigue
3 For safe clinical judgment, which intervention supports bone health and fracture prevention in an older adult with
osteoporosis?
A Smoke to reduce appetite and body weight
B Avoid all activity to protect the bones
C Remove calcium-rich foods from the diet
D Use weight-bearing or resistance activity as tolerated and reduce fall hazards
4 An older adult has profound dehydration, very high glucose, and altered mental status with minimal ketone production.
Which condition is most likely?
A Simple medication intolerance
B Mild fasting hyperglycemia
C Isolated hypoglycemia
D Hyperosmolar hyperglycemic state
5 For safe clinical judgment, why is consistent timing important for levodopa therapy in Parkinson disease?
A Extra doses should always be given without an order
B Delayed doses can contribute to wearing-off and reduced mobility
C Timing has no effect on motor symptoms
D The medication works only if doses are skipped
PassPoint Pro · NUR 257 · Exam Practice Series Page 2
, NUR 257 Exam · Final Review & Mock Exam
6 During a focused assessment, an older adult receiving long-term systemic corticosteroids should be monitored closely for
which problem?
A Guaranteed low blood glucose
B Permanent resistance to infection
C Improved bone density without exercise
D Infection risk, glucose elevation, and bone loss
7 Which findings are consistent with hyperthyroidism? Select all that apply.
A Tachycardia
B Marked cold intolerance
C Heat intolerance
D Tremor
8 During a focused assessment, which intervention helps reduce fall risk for a client with Parkinson disease and a shuffling
gait?
A Use slippery footwear to make turning easier
B Encourage rushing to overcome freezing
C Allow extra time, use assistive devices as indicated, and cue deliberate steps
D Remove all handrails
9 The nurse must decide what matters most. the nurse suspects diabetic ketoacidosis. Which laboratory pattern is expected?
A Isolated mild hyperglycemia after a meal
B Metabolic acidosis with circulating ketones
C Normal bicarbonate with no ketones
D Low glucose with respiratory alkalosis
10 A client started an ACE inhibitor and reports a persistent dry cough. What is the nurse's best response?
A Recognize the cough as a possible medication effect and notify the prescriber if troublesome
B Advise stopping all cardiac medications immediately
C Tell the client to double the dose
D Reassure the client that the cough proves the drug is working
11 Which finding most strongly suggests fluid overload in a client with chronic kidney disease?
A Dry mouth after sleeping
B Rapid weight gain, edema, and increasing shortness of breath
C Mild hunger before lunch
D Stable weight with clear lungs
PassPoint Pro · NUR 257 · Exam Practice Series Page 3
, NUR 257 Exam · Final Review & Mock Exam
12 A client with CKD develops weakness and an irregular pulse. Which laboratory value is the priority to review?
A Serum amylase
B Serum potassium
C Serum bilirubin only
D Serum lipase
13 A client uses both a short-acting bronchodilator and an inhaled corticosteroid. Which sequence is generally most
appropriate when both are due?
A Skip the bronchodilator on symptomatic days
B Use the corticosteroid first to close the airways
C Use the bronchodilator first to open the airways
D Mix both medications in a drinking cup
14 During a focused assessment, which home action is essential for a client prescribed oxygen therapy?
A Keep oxygen away from flames, smoking, and heat sources
B Use petroleum jelly inside the nostrils near the cannula
C Smoke only when the oxygen flow is turned down
D Store the tank unsecured beside a stove
15 The nurse must decide what matters most. which assessment pattern supports dehydration in an older adult?
A Stable vital signs with moist mucosa
B Dependent edema with jugular venous distention
C Rapid weight gain with crackles
D Orthostatic hypotension with dry mucous membranes and concentrated urine
16 During a focused assessment, why is consistent timing important for levodopa therapy in Parkinson disease? Which
response by the nurse is most appropriate?
A The medication works only if doses are skipped
B Delayed doses can contribute to wearing-off and reduced mobility
C Timing has no effect on motor symptoms
D Extra doses should always be given without an order
17 The nurse must decide what matters most. which breathing technique should the nurse teach an older adult with COPD to
reduce air trapping during dyspnea?
A Hold the breath for as long as possible
B Take rapid shallow breaths through the mouth
C Exhale forcefully and quickly with an open mouth
D Inhale gently through the nose and exhale slowly through pursed lips
PassPoint Pro · NUR 257 · Exam Practice Series Page 4
NUR 257 Exam
NUR 257 Exam - Final Review & Mock Exam
200-question mixed mock exam with the answer key and detailed explanations at the end.
200 A-D + SATA End Key
Practice Questions Exam-Style Items Answer Format
Focus: Full Exam review across chronic-condition systems, geriatric syndromes, medication
management, safety, prioritization, and teaching.
PassPoint Pro Original practice & revision material
, NUR 257 Exam · Final Review & Mock Exam
Instructions
Select the best answer for each item. Some questions use “Select all that apply.” Complete the exam first, then use the Answer Key & Detailed Explanations
section at the end for review.
Mixed Final Review - Questions 1-25
1 For safe clinical judgment, which nonpharmacologic measure can help prevent constipation in many older adults when not
contraindicated?
A Reduce all dietary fiber
B Ignore the urge to defecate
C Remain sedentary after meals
D Support adequate fluid, fiber, physical activity, and regular toileting
2 An older adult with hypothyroidism becomes hypothermic, markedly bradycardic, and difficult to arouse. What is the priority
concern?
A Normal sleepiness after a meal
B Possible myxedema coma
C Expected medication adjustment
D Mild seasonal fatigue
3 For safe clinical judgment, which intervention supports bone health and fracture prevention in an older adult with
osteoporosis?
A Smoke to reduce appetite and body weight
B Avoid all activity to protect the bones
C Remove calcium-rich foods from the diet
D Use weight-bearing or resistance activity as tolerated and reduce fall hazards
4 An older adult has profound dehydration, very high glucose, and altered mental status with minimal ketone production.
Which condition is most likely?
A Simple medication intolerance
B Mild fasting hyperglycemia
C Isolated hypoglycemia
D Hyperosmolar hyperglycemic state
5 For safe clinical judgment, why is consistent timing important for levodopa therapy in Parkinson disease?
A Extra doses should always be given without an order
B Delayed doses can contribute to wearing-off and reduced mobility
C Timing has no effect on motor symptoms
D The medication works only if doses are skipped
PassPoint Pro · NUR 257 · Exam Practice Series Page 2
, NUR 257 Exam · Final Review & Mock Exam
6 During a focused assessment, an older adult receiving long-term systemic corticosteroids should be monitored closely for
which problem?
A Guaranteed low blood glucose
B Permanent resistance to infection
C Improved bone density without exercise
D Infection risk, glucose elevation, and bone loss
7 Which findings are consistent with hyperthyroidism? Select all that apply.
A Tachycardia
B Marked cold intolerance
C Heat intolerance
D Tremor
8 During a focused assessment, which intervention helps reduce fall risk for a client with Parkinson disease and a shuffling
gait?
A Use slippery footwear to make turning easier
B Encourage rushing to overcome freezing
C Allow extra time, use assistive devices as indicated, and cue deliberate steps
D Remove all handrails
9 The nurse must decide what matters most. the nurse suspects diabetic ketoacidosis. Which laboratory pattern is expected?
A Isolated mild hyperglycemia after a meal
B Metabolic acidosis with circulating ketones
C Normal bicarbonate with no ketones
D Low glucose with respiratory alkalosis
10 A client started an ACE inhibitor and reports a persistent dry cough. What is the nurse's best response?
A Recognize the cough as a possible medication effect and notify the prescriber if troublesome
B Advise stopping all cardiac medications immediately
C Tell the client to double the dose
D Reassure the client that the cough proves the drug is working
11 Which finding most strongly suggests fluid overload in a client with chronic kidney disease?
A Dry mouth after sleeping
B Rapid weight gain, edema, and increasing shortness of breath
C Mild hunger before lunch
D Stable weight with clear lungs
PassPoint Pro · NUR 257 · Exam Practice Series Page 3
, NUR 257 Exam · Final Review & Mock Exam
12 A client with CKD develops weakness and an irregular pulse. Which laboratory value is the priority to review?
A Serum amylase
B Serum potassium
C Serum bilirubin only
D Serum lipase
13 A client uses both a short-acting bronchodilator and an inhaled corticosteroid. Which sequence is generally most
appropriate when both are due?
A Skip the bronchodilator on symptomatic days
B Use the corticosteroid first to close the airways
C Use the bronchodilator first to open the airways
D Mix both medications in a drinking cup
14 During a focused assessment, which home action is essential for a client prescribed oxygen therapy?
A Keep oxygen away from flames, smoking, and heat sources
B Use petroleum jelly inside the nostrils near the cannula
C Smoke only when the oxygen flow is turned down
D Store the tank unsecured beside a stove
15 The nurse must decide what matters most. which assessment pattern supports dehydration in an older adult?
A Stable vital signs with moist mucosa
B Dependent edema with jugular venous distention
C Rapid weight gain with crackles
D Orthostatic hypotension with dry mucous membranes and concentrated urine
16 During a focused assessment, why is consistent timing important for levodopa therapy in Parkinson disease? Which
response by the nurse is most appropriate?
A The medication works only if doses are skipped
B Delayed doses can contribute to wearing-off and reduced mobility
C Timing has no effect on motor symptoms
D Extra doses should always be given without an order
17 The nurse must decide what matters most. which breathing technique should the nurse teach an older adult with COPD to
reduce air trapping during dyspnea?
A Hold the breath for as long as possible
B Take rapid shallow breaths through the mouth
C Exhale forcefully and quickly with an open mouth
D Inhale gently through the nose and exhale slowly through pursed lips
PassPoint Pro · NUR 257 · Exam Practice Series Page 4
