LIBERTY UNIVERSITY NURS 104
FINAL EXAM WITH 100%
VERIFIED SOLUTIONS 2026-2027!! |
Verified Questions
LIBERTY UNIVERSITY NURS 104 FINAL EXAM WITH |
Comprehensive Examination
LIBERTY UNIVERSITY NURS 104 FINAL EXAM WITH
100% VERIFIED SOLUTIONS 2026-2027!! actual exam
preparation document with verified questions, complete
INTRODUCTION
This document is an important and very helpful preparation
resource for LIBERTY UNIVERSITY NURS 104 FINAL
EXAM WITH 100% VERIFIED SOLUTIONS 2026-2027!!.
Every item uses a focused exam stem, four response options, a
keyed response, and a clear rationale, making it easier to
understand the subject, spot distractors, and build real exam
confidence.
Page 1
, Question 1
A nurse is reviewing a provider's orders for a patient with a new colostomy.
Which order should the nurse question first?
A. Irrigate colostomy with 500 mL lukewarm tap water daily.
B. Apply skin barrier paste to peristomal skin before pouch application.
C. Administer loperamide 4 mg PO after each loose stool.
D. Measure stoma diameter weekly using a measuring guide.
Correct Answer: C - Administer loperamide 4 mg PO after each
loose stool.
RATIONALE
Loperamide is an antimotility agent that can cause toxic megacolon or
obstruction in a new ostomy and is contraindicated; the other orders
are standard ostomy care. Irrigating with lukewarm water, using skin
barrier, and measuring stoma are appropriate.
Question 2
Which statement by a new nurse indicates a correct understanding of the
principle of 'duty to warn'?
A. I must report any suspicion of child abuse to the authorities, even
without proof.
B. I can disclose a patient's HIV status to their spouse without consent.
C. I should warn the intended victim if a patient makes a specific credible
threat.
D. I am required to report all gunshot wounds to law enforcement.
Correct Answer: C - I should warn the intended victim if a
patient makes a specific credible threat.
Page 2
, RATIONALE
Duty to warn (Tarasoff) obligates the nurse to warn identifiable
victims when a patient makes a serious threat; it does not permit broad
disclosure of HIV status without consent. Reporting abuse and
gunshot wounds are separate legal mandates.
Question 3
A nurse is assessing a patient with suspected fluid volume deficit. Which
finding is most specific to this condition?
A. Bounding pulse
B. Decreased skin turgor
C. Postural hypotension
D. Crackles in lung bases
Correct Answer: C - Postural hypotension
RATIONALE
Postural hypotension is a hallmark of intravascular volume deficit due
to reduced venous return. Decreased skin turgor is less specific in
older adults, bounding pulse and crackles indicate fluid overload.
Question 4
A nurse is preparing to administer digoxin. Which assessment finding should
the nurse report before giving the dose?
A. Heart rate 58 beats/min
B. Serum potassium 4.2 mEq/L
C. Blood pressure 118/76 mm Hg
D. Digoxin level 1.2 ng/mL
Correct Answer: A - Heart rate 58 beats/min
Page 3
, RATIONALE
Bradycardia (HR <60) is a sign of digoxin toxicity; the nurse should
hold the dose and notify the provider. Potassium and digoxin levels
are within therapeutic range, and BP is normal.
Question 5
Which action by the nurse best demonstrates the principle of surgical asepsis?
A. Wearing clean gloves to change a dressing.
B. Using sterile gloves to insert a urinary catheter.
C. Cleaning the stethoscope with alcohol between patients.
D. Placing a mask on a patient with tuberculosis.
Correct Answer: B - Using sterile gloves to insert a urinary
catheter.
RATIONALE
Surgical asepsis eliminates all microorganisms; sterile glove use for
catheter insertion is a sterile procedure. The other options are
examples of medical asepsis or isolation precautions.
Question 6
A nurse is evaluating a patient's understanding of a low-sodium diet. Which
statement indicates a need for further teaching?
A. I will avoid canned soups and processed meats.
B. I can use salt substitutes containing potassium.
C. I will read food labels for sodium content.
D. I will limit my intake of fresh fruits and vegetables.
Correct Answer: D - I will limit my intake of fresh fruits and
vegetables.
Page 4
FINAL EXAM WITH 100%
VERIFIED SOLUTIONS 2026-2027!! |
Verified Questions
LIBERTY UNIVERSITY NURS 104 FINAL EXAM WITH |
Comprehensive Examination
LIBERTY UNIVERSITY NURS 104 FINAL EXAM WITH
100% VERIFIED SOLUTIONS 2026-2027!! actual exam
preparation document with verified questions, complete
INTRODUCTION
This document is an important and very helpful preparation
resource for LIBERTY UNIVERSITY NURS 104 FINAL
EXAM WITH 100% VERIFIED SOLUTIONS 2026-2027!!.
Every item uses a focused exam stem, four response options, a
keyed response, and a clear rationale, making it easier to
understand the subject, spot distractors, and build real exam
confidence.
Page 1
, Question 1
A nurse is reviewing a provider's orders for a patient with a new colostomy.
Which order should the nurse question first?
A. Irrigate colostomy with 500 mL lukewarm tap water daily.
B. Apply skin barrier paste to peristomal skin before pouch application.
C. Administer loperamide 4 mg PO after each loose stool.
D. Measure stoma diameter weekly using a measuring guide.
Correct Answer: C - Administer loperamide 4 mg PO after each
loose stool.
RATIONALE
Loperamide is an antimotility agent that can cause toxic megacolon or
obstruction in a new ostomy and is contraindicated; the other orders
are standard ostomy care. Irrigating with lukewarm water, using skin
barrier, and measuring stoma are appropriate.
Question 2
Which statement by a new nurse indicates a correct understanding of the
principle of 'duty to warn'?
A. I must report any suspicion of child abuse to the authorities, even
without proof.
B. I can disclose a patient's HIV status to their spouse without consent.
C. I should warn the intended victim if a patient makes a specific credible
threat.
D. I am required to report all gunshot wounds to law enforcement.
Correct Answer: C - I should warn the intended victim if a
patient makes a specific credible threat.
Page 2
, RATIONALE
Duty to warn (Tarasoff) obligates the nurse to warn identifiable
victims when a patient makes a serious threat; it does not permit broad
disclosure of HIV status without consent. Reporting abuse and
gunshot wounds are separate legal mandates.
Question 3
A nurse is assessing a patient with suspected fluid volume deficit. Which
finding is most specific to this condition?
A. Bounding pulse
B. Decreased skin turgor
C. Postural hypotension
D. Crackles in lung bases
Correct Answer: C - Postural hypotension
RATIONALE
Postural hypotension is a hallmark of intravascular volume deficit due
to reduced venous return. Decreased skin turgor is less specific in
older adults, bounding pulse and crackles indicate fluid overload.
Question 4
A nurse is preparing to administer digoxin. Which assessment finding should
the nurse report before giving the dose?
A. Heart rate 58 beats/min
B. Serum potassium 4.2 mEq/L
C. Blood pressure 118/76 mm Hg
D. Digoxin level 1.2 ng/mL
Correct Answer: A - Heart rate 58 beats/min
Page 3
, RATIONALE
Bradycardia (HR <60) is a sign of digoxin toxicity; the nurse should
hold the dose and notify the provider. Potassium and digoxin levels
are within therapeutic range, and BP is normal.
Question 5
Which action by the nurse best demonstrates the principle of surgical asepsis?
A. Wearing clean gloves to change a dressing.
B. Using sterile gloves to insert a urinary catheter.
C. Cleaning the stethoscope with alcohol between patients.
D. Placing a mask on a patient with tuberculosis.
Correct Answer: B - Using sterile gloves to insert a urinary
catheter.
RATIONALE
Surgical asepsis eliminates all microorganisms; sterile glove use for
catheter insertion is a sterile procedure. The other options are
examples of medical asepsis or isolation precautions.
Question 6
A nurse is evaluating a patient's understanding of a low-sodium diet. Which
statement indicates a need for further teaching?
A. I will avoid canned soups and processed meats.
B. I can use salt substitutes containing potassium.
C. I will read food labels for sodium content.
D. I will limit my intake of fresh fruits and vegetables.
Correct Answer: D - I will limit my intake of fresh fruits and
vegetables.
Page 4
