1
NURS 684 FINAL EXAM VERSION 2
WCU 2025: 50 QUESTIONS WITH
CORRECT ANSWERS
Section 1: Client Care and Safety (Questions 1–15)
Question 1
A nurse is assessing a client with suspected dehydration. Which finding requires immediate
intervention?
A. Dry mucous membranes
B. Heart rate of 120 beats/min
C. Decreased urine output
D. Skin tenting
Correct Answer: B. Heart rate of 120 beats/min
Rationale: Tachycardia (heart rate >100 beats/min) indicates significant dehydration and
potential hypovolemia, requiring urgent fluid resuscitation per 2025 primary care guidelines.
Question 2
A client with a new colostomy asks about dietary modifications. Which recommendation should
the nurse provide?
A. Increase intake of carbonated beverages.
B. Consume high-fiber foods gradually.
C. Avoid all fruits and vegetables.
D. Eat large meals to promote stoma output.
Correct Answer: B. Consume high-fiber foods gradually.
Rationale: Gradual introduction of high-fiber foods prevents blockages and promotes healthy
stoma function, per WCU primary care curriculum.
Question 3
, 2
A nurse is preparing a client for a colonoscopy. Which instruction is most appropriate?
A. Follow a clear liquid diet for 24 hours before the procedure.
B. Continue all medications on the morning of the procedure.
C. Drink milk to maintain nutrition.
D. Avoid drinking water after midnight.
Correct Answer: A. Follow a clear liquid diet for 24 hours before the procedure.
Rationale: A clear liquid diet ensures the colon is clear for accurate visualization, aligning with
2025 gastroenterology standards.
Question 4
A client with a history of falls is being discharged. Which safety intervention should the nurse
prioritize?
A. Ensure the client’s home has adequate lighting and clear walkways.
B. Recommend keeping the bed in the highest position.
C. Advise using throw rugs for traction.
D. Suggest walking barefoot to improve balance.
Correct Answer: A. Ensure the client’s home has adequate lighting and clear walkways.
Rationale: Adequate lighting and clear walkways reduce fall risk, a key safety focus in primary
care nursing.
Question 5
A nurse is teaching a client about proper inhaler use for asthma. Which statement indicates
understanding?
A. “I should rinse my mouth after using my bronchodilator.”
B. “I should shake the inhaler well before each use.”
C. “I should inhale quickly and shallowly.”
D. “I should use my rescue inhaler daily.”
Correct Answer: B. I should shake the inhaler well before each use.”
Rationale: Shaking the inhaler ensures proper medication dispersion, per 2025 asthma
management guidelines.
Section 2: Pharmacology (Questions 6–20)
Question 6
NURS 684 FINAL EXAM VERSION 2
WCU 2025: 50 QUESTIONS WITH
CORRECT ANSWERS
Section 1: Client Care and Safety (Questions 1–15)
Question 1
A nurse is assessing a client with suspected dehydration. Which finding requires immediate
intervention?
A. Dry mucous membranes
B. Heart rate of 120 beats/min
C. Decreased urine output
D. Skin tenting
Correct Answer: B. Heart rate of 120 beats/min
Rationale: Tachycardia (heart rate >100 beats/min) indicates significant dehydration and
potential hypovolemia, requiring urgent fluid resuscitation per 2025 primary care guidelines.
Question 2
A client with a new colostomy asks about dietary modifications. Which recommendation should
the nurse provide?
A. Increase intake of carbonated beverages.
B. Consume high-fiber foods gradually.
C. Avoid all fruits and vegetables.
D. Eat large meals to promote stoma output.
Correct Answer: B. Consume high-fiber foods gradually.
Rationale: Gradual introduction of high-fiber foods prevents blockages and promotes healthy
stoma function, per WCU primary care curriculum.
Question 3
, 2
A nurse is preparing a client for a colonoscopy. Which instruction is most appropriate?
A. Follow a clear liquid diet for 24 hours before the procedure.
B. Continue all medications on the morning of the procedure.
C. Drink milk to maintain nutrition.
D. Avoid drinking water after midnight.
Correct Answer: A. Follow a clear liquid diet for 24 hours before the procedure.
Rationale: A clear liquid diet ensures the colon is clear for accurate visualization, aligning with
2025 gastroenterology standards.
Question 4
A client with a history of falls is being discharged. Which safety intervention should the nurse
prioritize?
A. Ensure the client’s home has adequate lighting and clear walkways.
B. Recommend keeping the bed in the highest position.
C. Advise using throw rugs for traction.
D. Suggest walking barefoot to improve balance.
Correct Answer: A. Ensure the client’s home has adequate lighting and clear walkways.
Rationale: Adequate lighting and clear walkways reduce fall risk, a key safety focus in primary
care nursing.
Question 5
A nurse is teaching a client about proper inhaler use for asthma. Which statement indicates
understanding?
A. “I should rinse my mouth after using my bronchodilator.”
B. “I should shake the inhaler well before each use.”
C. “I should inhale quickly and shallowly.”
D. “I should use my rescue inhaler daily.”
Correct Answer: B. I should shake the inhaler well before each use.”
Rationale: Shaking the inhaler ensures proper medication dispersion, per 2025 asthma
management guidelines.
Section 2: Pharmacology (Questions 6–20)
Question 6
