NUR 400 FINAL EXAM 2026/2027 | NUR 400 FINAL
EXAM STUDY GUIDE, REVIEW QUESTIONS &
PRACTICE TEST
C. "If I feel dizzy or shaky, I should eat a Snickers candy bar immediately."
- correct answer✔✔ A nurse is teaching a patient with newly diagnosed
Type 2 Diabetes Mellitus about self-management of their condition. Which
statement by the patient indicates a need for further teaching?
A. "I will check my blood sugar before meals and at bedtime as
instructed."
B. "I should inspect my feet daily for cuts, blisters, or redness."
C. "If I feel dizzy or shaky, I should eat a Snickers candy bar immediately."
D. "I will keep a log of my blood sugar readings to share with my
healthcare provider."
B) Monitor the patient for signs of dehydration and continue to assess vital
signs. - correct answer✔✔ A nurse is caring for a 45-year-old patient who
was admitted for respiratory distress. The patient's vital signs are as
follows:
Temperature: 99.0°F (37.2°C)
Heart rate: 120 beats per minute
Respiratory rate: 30 breaths per minute
Blood pressure: 138/88 mmHg
What is the most appropriate nursing action based on these findings?
A) Administer an antipyretic for the slightly elevated temperature.
B) Monitor the patient for signs of dehydration and continue to assess vital
signs.
C) Administer oxygen via nasal cannula to address the elevated heart
rate.
,D) Notify the healthcare provider immediately about the abnormal vital
signs.
Document the findings and continue routine post-operative monitoring. -
correct answer✔✔ A 70-year-old patient is recovering from a hip
replacement surgery. The nurse notes the following vital signs:
Temperature: 99.1°F (37.3°C)
Heart rate: 52 beats per minute
Respiratory rate: 16 breaths per minute
Blood pressure: 120/72 mmHg
Which of the following is the most appropriate action for the nurse?
A) Notify the healthcare provider immediately about the bradycardia.
B) Document the findings and continue routine post-operative monitoring.
C) Administer IV fluids to address the patient's bradycardia.
D) Increase the oxygen flow rate to 4L/min via nasal cannula.
Continue to monitor vital signs and assess for signs of infection. - correct
answer✔✔ : A nurse is assessing a 60-year-old male patient who is post-
cardiac surgery. The following vital signs are recorded:
Temperature: 100.2°F (37.9°C)
Heart rate: 88 beats per minute
Respiratory rate: 18 breaths per minute
Blood pressure: 110/68 mmHg
What is the most appropriate next action by the nurse?
A) Administer antipyretics for the elevated temperature.
B) Continue to monitor vital signs and assess for signs of infection.
,C) Notify the healthcare provider immediately about the elevated
temperature.
D) Increase the oxygen flow rate to 4L/min via nasal cannula to support
the patient's condition.
A) Fortified breakfast cereals, D) Dark leafy greens - correct answer✔✔ A
nurse is educating a pregnant patient on how to increase folate intake to
prevent neural tube defects. Which of the following foods should the nurse
recommend as the best sources of folate during pregnancy?
A) Fortified breakfast cereals
B) Fresh orange juice
C) Lean meats
D) Dark leafy greens
E) Whole grain breads
C) Fresh orange juice with a side of scrambled eggs - correct answer✔✔ A
nurse is providing dietary teaching to a patient with chronic kidney
disease (CKD) who is on hemodialysis. The nurse explains that certain
nutrients need to be restricted. Which of the following foods should the
nurse instruct the patient to limit?
A) Grilled salmon with a side of roasted asparagus
B) Whole grain cereal with low-fat milk
C) Fresh orange juice with a side of scrambled eggs
D) Baked potato with a dollop of sour cream and a green salad
Iron-deficiency anemia → B) Increase iron-rich foods, such as red meat,
beans, and fortified cereals
Chronic kidney disease (CKD) → C) Limit protein intake to reduce kidney
strain
Celiac disease → A) Follow a gluten-free diet
, Type 2 diabetes → D) Focus on complex carbohydrates, such as whole
grains and vegetables, and limit sugar intake - correct answer✔✔ Match
the following nutrition-related conditions with the appropriate dietary
recommendation:
Iron-deficiency anemia
Chronic kidney disease (CKD)
Celiac disease
Type 2 diabetes
A) Follow a gluten-free diet
B) Increase iron-rich foods, such as red meat, beans, and fortified cereals
C) Limit protein intake to reduce kidney strain
D) Focus on complex carbohydrates, such as whole grains and vegetables,
and limit sugar intake
D. Bulging and bounding jugular vein on one side of the neck - correct
answer✔✔ A nurse is assessing a 30-year-old patient's cardiovascular
system. Which of the following findings would the nurse identify as
abnormal and requiring further investigation?
A. Capillary refill time of 2 seconds.
B. Apical pulse rate of 60 beats per minute.
C. S1 and S2 heart sounds audible without murmurs.
D. Bulging and bounding jugular vein on one side of the neck
A - correct answer✔✔ A nurse is assessing a 65-year-old client during a
routine examination and detects an irregular radial pulse. Which of the
following actions should the nurse prioritize?
A. Perform a full set of vital signs, including apical pulse assessment for
one full minute.
B. Notify the healthcare provider immediately about the irregular pulse
findings.
EXAM STUDY GUIDE, REVIEW QUESTIONS &
PRACTICE TEST
C. "If I feel dizzy or shaky, I should eat a Snickers candy bar immediately."
- correct answer✔✔ A nurse is teaching a patient with newly diagnosed
Type 2 Diabetes Mellitus about self-management of their condition. Which
statement by the patient indicates a need for further teaching?
A. "I will check my blood sugar before meals and at bedtime as
instructed."
B. "I should inspect my feet daily for cuts, blisters, or redness."
C. "If I feel dizzy or shaky, I should eat a Snickers candy bar immediately."
D. "I will keep a log of my blood sugar readings to share with my
healthcare provider."
B) Monitor the patient for signs of dehydration and continue to assess vital
signs. - correct answer✔✔ A nurse is caring for a 45-year-old patient who
was admitted for respiratory distress. The patient's vital signs are as
follows:
Temperature: 99.0°F (37.2°C)
Heart rate: 120 beats per minute
Respiratory rate: 30 breaths per minute
Blood pressure: 138/88 mmHg
What is the most appropriate nursing action based on these findings?
A) Administer an antipyretic for the slightly elevated temperature.
B) Monitor the patient for signs of dehydration and continue to assess vital
signs.
C) Administer oxygen via nasal cannula to address the elevated heart
rate.
,D) Notify the healthcare provider immediately about the abnormal vital
signs.
Document the findings and continue routine post-operative monitoring. -
correct answer✔✔ A 70-year-old patient is recovering from a hip
replacement surgery. The nurse notes the following vital signs:
Temperature: 99.1°F (37.3°C)
Heart rate: 52 beats per minute
Respiratory rate: 16 breaths per minute
Blood pressure: 120/72 mmHg
Which of the following is the most appropriate action for the nurse?
A) Notify the healthcare provider immediately about the bradycardia.
B) Document the findings and continue routine post-operative monitoring.
C) Administer IV fluids to address the patient's bradycardia.
D) Increase the oxygen flow rate to 4L/min via nasal cannula.
Continue to monitor vital signs and assess for signs of infection. - correct
answer✔✔ : A nurse is assessing a 60-year-old male patient who is post-
cardiac surgery. The following vital signs are recorded:
Temperature: 100.2°F (37.9°C)
Heart rate: 88 beats per minute
Respiratory rate: 18 breaths per minute
Blood pressure: 110/68 mmHg
What is the most appropriate next action by the nurse?
A) Administer antipyretics for the elevated temperature.
B) Continue to monitor vital signs and assess for signs of infection.
,C) Notify the healthcare provider immediately about the elevated
temperature.
D) Increase the oxygen flow rate to 4L/min via nasal cannula to support
the patient's condition.
A) Fortified breakfast cereals, D) Dark leafy greens - correct answer✔✔ A
nurse is educating a pregnant patient on how to increase folate intake to
prevent neural tube defects. Which of the following foods should the nurse
recommend as the best sources of folate during pregnancy?
A) Fortified breakfast cereals
B) Fresh orange juice
C) Lean meats
D) Dark leafy greens
E) Whole grain breads
C) Fresh orange juice with a side of scrambled eggs - correct answer✔✔ A
nurse is providing dietary teaching to a patient with chronic kidney
disease (CKD) who is on hemodialysis. The nurse explains that certain
nutrients need to be restricted. Which of the following foods should the
nurse instruct the patient to limit?
A) Grilled salmon with a side of roasted asparagus
B) Whole grain cereal with low-fat milk
C) Fresh orange juice with a side of scrambled eggs
D) Baked potato with a dollop of sour cream and a green salad
Iron-deficiency anemia → B) Increase iron-rich foods, such as red meat,
beans, and fortified cereals
Chronic kidney disease (CKD) → C) Limit protein intake to reduce kidney
strain
Celiac disease → A) Follow a gluten-free diet
, Type 2 diabetes → D) Focus on complex carbohydrates, such as whole
grains and vegetables, and limit sugar intake - correct answer✔✔ Match
the following nutrition-related conditions with the appropriate dietary
recommendation:
Iron-deficiency anemia
Chronic kidney disease (CKD)
Celiac disease
Type 2 diabetes
A) Follow a gluten-free diet
B) Increase iron-rich foods, such as red meat, beans, and fortified cereals
C) Limit protein intake to reduce kidney strain
D) Focus on complex carbohydrates, such as whole grains and vegetables,
and limit sugar intake
D. Bulging and bounding jugular vein on one side of the neck - correct
answer✔✔ A nurse is assessing a 30-year-old patient's cardiovascular
system. Which of the following findings would the nurse identify as
abnormal and requiring further investigation?
A. Capillary refill time of 2 seconds.
B. Apical pulse rate of 60 beats per minute.
C. S1 and S2 heart sounds audible without murmurs.
D. Bulging and bounding jugular vein on one side of the neck
A - correct answer✔✔ A nurse is assessing a 65-year-old client during a
routine examination and detects an irregular radial pulse. Which of the
following actions should the nurse prioritize?
A. Perform a full set of vital signs, including apical pulse assessment for
one full minute.
B. Notify the healthcare provider immediately about the irregular pulse
findings.
