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Solved- NURS 5366 test 5 Questions and Correct Answers 2025_2026.pdf

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[Solved] NURS 5366 test 5 Questions and
Correct Answers 2025_2026
All questions and correct answers and come + brief rationales.




1. A client with heart failure reports waking at night with shortness of breath. This
symptom is known as:​
A. Orthostatic hypotension​
B. Paroxysmal nocturnal dyspnea​
C. Cheyne–Stokes respiration​
D. Bradypnea​
Correct Answer: B​
Rationale: Classic symptom of worsening HF due to fluid redistribution.



2. The nurse evaluates teaching for a patient starting warfarin. Which statement shows
correct understanding?​
A. “I can eat unlimited green vegetables.”​
B. “I should notify my provider before starting new medications.”​
C. “I don’t need regular blood tests.”​
D. “This drug works immediately.”​
Correct Answer: B



3. A patient with COPD is receiving oxygen at 6 L/min via nasal cannula. The nurse’s
priority is:​
A. Decrease flow rate​
B. Increase flow rate​
C. Switch to a Venturi mask​
D. Remove oxygen temporarily​
Correct Answer: C​
Venturi provides precise FiO₂ for COPD patients.

,4. A client with DKA is improving when which lab value moves toward normal?​
A. pH 7.21​
B. K+ 2.8​
C. HCO₃⁻ 22​
D. Glucose 450​
Correct Answer: C



5. A patient with Parkinson’s disease displays a shuffling gait. The nurse recommends:​
A. Walk quickly​
B. Swing arms widely​
C. Take long, purposeful steps​
D. Bend at the waist​
Correct Answer: C



6. Before administering digoxin, the nurse should:​
A. Check respiratory rate​
B. Check potassium level​
C. Check capillary refill​
D. Check temperature​
Correct Answer: B



7. A patient with hyponatremia is most at risk for:​
A. Seizures​
B. Hyperreflexia​
C. Tetany​
D. Hypertension​
Correct Answer: A



8. Which diet is appropriate for chronic kidney disease?​
A. High-protein​
B. Low-protein​
C. High-potassium​
D. High-phosphate​
Correct Answer: B

,9. A patient receiving furosemide becomes dizzy. Priority action:​
A. Stop the diuretic​
B. Obtain orthostatic vitals​
C. Give potassium​
D. Increase IV fluids​
Correct Answer: B



10. A postoperative client with an indwelling catheter presents with fever and cloudy
urine. The nurse suspects:​
A. Pyelonephritis​
B. Urethritis​
C. Catheter-associated UTI​
D. Dehydration​
Correct Answer: C



11. A patient with chronic anemia has pale conjunctiva. This finding indicates:​
A. Dehydration​
B. Hypoxia​
C. Thrombocytopenia​
D. Polycythemia​
Correct Answer: B



12. Priority in a patient with suspected stroke (FAST positive):​
A. Check glucose​
B. Start IV fluids​
C. Give oxygen​
D. Perform chest x-ray​
Correct Answer: A



13. A client with TB states they stopped taking medication 2 weeks ago. First action:​
A. Restart dose at home​
B. Notify provider immediately​
C. Perform sputum culture​
D. Reassure the client​
Correct Answer: B

, 14. A client on opioids develops respiratory rate of 8/min. Priority:​
A. Call rapid response​
B. Administer naloxone​
C. Increase IV fluids​
D. Place in high Fowler’s​
Correct Answer: B



15. Which food is avoided with MAOI therapy?​
A. Cottage cheese​
B. Yogurt​
C. Cheddar cheese​
D. Milk​
Correct Answer: C



16. Best indicator of fluid status in heart failure:​
A. Heart rate​
B. Daily weight​
C. Pulse ox​
D. Edema​
Correct Answer: B



17. A pediatric client with croup needs immediate care when:​
A. Barking cough​
B. Noisy inspiration​
C. Drooling​
D. Hoarse voice​
Correct Answer: C​
Drooling suggests possible epiglottitis.



18. A client on heparin has aPTT of 150 seconds. First action:​
A. Continue dose​
B. Stop infusion​
C. Increase dose​
D. Give warfarin​
Correct Answer: B
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