NURS 356 PRACTICE EXAMS TEST 2025/2026 QUESTIONS
WITH ANSWERS TAGGED A+
✔✔A nurse is caring for a client who has hypertension and is afraid to take his blood
pressure medication. Which of the following nursing statements is an example of
therapeutic communication response of reflection?
A. You seem upset about taking your BP medication
B. Why do you feel afraid to take your medication
C. You won't get better until you take your medication.
D. Did your symptoms occur before or after you took the medication? - ✔✔A. You seem
upset about taking your BP medication
✔✔A nurse is monitoring a client who is on telemetry. Which of the following findings on
the ECG strip should the nurse recognize as normal sinus rhythm?
A. The P wave falls before the QRS complex.
B. The T wave is in the inverted position
C. The P-R interval measures 0.22 seconds
D. The QRS duration is 0.20 seconds. - ✔✔A. The P wave falls before the QRS
complex.
Rationale: The nurse should recognize that in normal sinus rhythm the P wave,
representing atrial depolarization, falls before the QRS wave.
✔✔A nurse is caring for a client who has HF and is receiving IV furosemide. The nurse
should monitor the client for which of the following electrolyte imbalances?
A. Hypernatremia
B. Hyperuricemia
C. Hypercalcemia
D. Hyperchloremia - ✔✔B. Hyperuricemia
Rationale: The nurse should instruct the client to notify the provider for any tenderness
or swelling of the joints.
✔✔A nurse is caring for an older adult client who has left-sided HF. Which of the
following assessment findings should the nurse expect?
A. Frothy sputum
B. Dependent edema
C. Nocturnal polyuria
D. Jugular distention - ✔✔A. Frothy Sputum
, Rationale: Left-sided HF reduces cardiac output and raises pulmonary venous pressure.
Manifestations include hacking cough, frothy sputum, wheezing, fatigue, and weakness.
✔✔A nurse is establishing health promotion goals for a female client who smokes
cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should
the nurse include?
A. The client will list foods that are high in calcium, which should be avoided.
B. The client will walk for 30 min 5 days a week.
C. The client will increase calorie intake by 200 cal per day.
D. The client will replace cigarettes with smokeless tobacco products. - ✔✔B. The client
will walk for 30 min 5 days a week
✔✔A nurse is providing teaching about the Mediterranean diet to a client newly who has
a new diagnosis of hypertension. Which of the following statements by the client
indicates a need for further teaching?
A. I will limit my intake of red meat to twice weekly.
B. I can have dairy in moderate portions daily.
C. I can have fish two times a week.
D. I can drink wine in moderation. - ✔✔A. I will limit my intake of red meat to twice
weekly.
Rationale: Following the mediterranean diet, red meat should be limited to two times
monthly.
✔✔A nurse is caring for a client who has congestive HF and is taking digoxin daily. The
client refused breakfast and is complaining of nausea and weakness. Which of the
following actions should the nurse take first?
A. Check the client's vital signs.
B. Request a dietitian consult.
C. Suggest that the client rests before eating the meal.
D. Request an order for an antiemetic. - ✔✔A. Check the client's vital signs.
Rationale: Possible that the client's nausea is secondary to digoxin toxicity. By obtaining
vital signs, the nurse can assess for brachycardia, which is a symptom of digoxin
toxicity. The nurse should withhold the medication and call the provider if the client's HR
is less than 60 bpm.
✔✔A nurse is providing teaching to a client who has hypertension and a new
prescription for hydrochlorothiazide. Which of the following instructions should the nurse
provide?
A. Weigh weekly to monitor therapeutic effect
WITH ANSWERS TAGGED A+
✔✔A nurse is caring for a client who has hypertension and is afraid to take his blood
pressure medication. Which of the following nursing statements is an example of
therapeutic communication response of reflection?
A. You seem upset about taking your BP medication
B. Why do you feel afraid to take your medication
C. You won't get better until you take your medication.
D. Did your symptoms occur before or after you took the medication? - ✔✔A. You seem
upset about taking your BP medication
✔✔A nurse is monitoring a client who is on telemetry. Which of the following findings on
the ECG strip should the nurse recognize as normal sinus rhythm?
A. The P wave falls before the QRS complex.
B. The T wave is in the inverted position
C. The P-R interval measures 0.22 seconds
D. The QRS duration is 0.20 seconds. - ✔✔A. The P wave falls before the QRS
complex.
Rationale: The nurse should recognize that in normal sinus rhythm the P wave,
representing atrial depolarization, falls before the QRS wave.
✔✔A nurse is caring for a client who has HF and is receiving IV furosemide. The nurse
should monitor the client for which of the following electrolyte imbalances?
A. Hypernatremia
B. Hyperuricemia
C. Hypercalcemia
D. Hyperchloremia - ✔✔B. Hyperuricemia
Rationale: The nurse should instruct the client to notify the provider for any tenderness
or swelling of the joints.
✔✔A nurse is caring for an older adult client who has left-sided HF. Which of the
following assessment findings should the nurse expect?
A. Frothy sputum
B. Dependent edema
C. Nocturnal polyuria
D. Jugular distention - ✔✔A. Frothy Sputum
, Rationale: Left-sided HF reduces cardiac output and raises pulmonary venous pressure.
Manifestations include hacking cough, frothy sputum, wheezing, fatigue, and weakness.
✔✔A nurse is establishing health promotion goals for a female client who smokes
cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should
the nurse include?
A. The client will list foods that are high in calcium, which should be avoided.
B. The client will walk for 30 min 5 days a week.
C. The client will increase calorie intake by 200 cal per day.
D. The client will replace cigarettes with smokeless tobacco products. - ✔✔B. The client
will walk for 30 min 5 days a week
✔✔A nurse is providing teaching about the Mediterranean diet to a client newly who has
a new diagnosis of hypertension. Which of the following statements by the client
indicates a need for further teaching?
A. I will limit my intake of red meat to twice weekly.
B. I can have dairy in moderate portions daily.
C. I can have fish two times a week.
D. I can drink wine in moderation. - ✔✔A. I will limit my intake of red meat to twice
weekly.
Rationale: Following the mediterranean diet, red meat should be limited to two times
monthly.
✔✔A nurse is caring for a client who has congestive HF and is taking digoxin daily. The
client refused breakfast and is complaining of nausea and weakness. Which of the
following actions should the nurse take first?
A. Check the client's vital signs.
B. Request a dietitian consult.
C. Suggest that the client rests before eating the meal.
D. Request an order for an antiemetic. - ✔✔A. Check the client's vital signs.
Rationale: Possible that the client's nausea is secondary to digoxin toxicity. By obtaining
vital signs, the nurse can assess for brachycardia, which is a symptom of digoxin
toxicity. The nurse should withhold the medication and call the provider if the client's HR
is less than 60 bpm.
✔✔A nurse is providing teaching to a client who has hypertension and a new
prescription for hydrochlorothiazide. Which of the following instructions should the nurse
provide?
A. Weigh weekly to monitor therapeutic effect
