Hondros NUR 205 exam 3
ACTUAL EXAM TEST
1. A client with COPD is receiving oxygen at 4 L/min by nasal cannula. Which action
should the nurse take?
A. Lower the oxygen to 1–2 L/min unless otherwise ordered
B. Increase the oxygen to maintain SpO₂ above 98%
C. Place the client in Trendelenburg
D. Encourage the client to use an incentive spirometer every 2 hours
Correct Answer: A
COPD clients retain CO₂; high oxygen flow can suppress respiratory drive. Keep at 1–
2 L/min unless physician orders otherwise.
2. A patient post-stroke is having difficulty swallowing. What is the priority?
A. Allow the patient to drink water with a straw
B. Assess gag reflex and keep NPO
C. Place food on the affected side
D. Encourage rapid eating
Correct Answer: B
Assessing gag reflex and keeping NPO prevents aspiration.
,3. A diabetic patient presents with fruity breath, Kussmaul respirations, and blood
glucose of 460 mg/dL. What condition is suspected?
A. HHNKS
B. Hypoglycemia
C. DKA
D. Hyperthyroidism
Correct Answer: C
Classic signs of diabetic ketoacidosis.
4. A patient with myxedema coma requires which immediate intervention?
A. Calcium replacement
B. IV thyroid hormone replacement
C. High-dose insulin
D. Beta-blockers
Correct Answer: B
Myxedema coma = severe hypothyroidism, treat with IV levothyroxine.
5. Which finding indicates a positive Trousseau’s sign?
A. Facial spasm when tapping the cheek
B. Carpal spasm with BP cuff inflation
C. Dropping objects due to weakness
D. Pain in the legs when walking
Correct Answer: B
Trousseau’s = carpal spasm → hypocalcemia.
,6. A nurse caring for a patient with multiple sclerosis (MS) should expect which
symptom?
A. Progressive muscle rigidity
B. Exacerbations and remissions
C. Loss of dopamine production
D. Ascending paralysis
Correct Answer: B
MS is characterized by periods of relapse and remission.
7. A key sign of right-sided heart failure is:
A. Pulmonary crackles
B. Jugular vein distention
C. Pink frothy sputum
D. Orthopnea
Correct Answer: B
Right-sided failure = systemic congestion → JVD, edema, ascites.
8. A patient with Addison’s disease is admitted with severe hypotension,
dehydration, and hyperkalemia. What is the priority?
A. Administer IV hydrocortisone
B. Offer salty snacks
C. Administer beta-blockers
D. Restrict fluids
Correct Answer: A
Addisonian crisis → IV steroids immediately.
, 9. A nurse suspects increased intracranial pressure (ICP). Which early sign should be
reported?
A. Fixed, dilated pupils
B. Widened pulse pressure
C. Change in level of consciousness
D. Cushing’s triad
Correct Answer: C
Early sign = LOC change. Other signs are late.
10. Which teaching is appropriate for a patient taking phenytoin?
A. “You can stop this medication abruptly if side effects occur.”
B. “Use good oral hygiene to prevent gum overgrowth.”
C. “Take with antacids for stomach upset.”
D. “Double the dose if a seizure occurs.”
Correct Answer: B
Phenytoin causes gingival hyperplasia.
11. A client with pneumonia has ineffective airway clearance. What is the priority
nursing action?
A. Limit oral fluids
B. Encourage coughing and deep breathing
C. Give antidiarrheals
D. Keep the patient flat
Correct Answer: B
Promotes mobilization of secretions.
ACTUAL EXAM TEST
1. A client with COPD is receiving oxygen at 4 L/min by nasal cannula. Which action
should the nurse take?
A. Lower the oxygen to 1–2 L/min unless otherwise ordered
B. Increase the oxygen to maintain SpO₂ above 98%
C. Place the client in Trendelenburg
D. Encourage the client to use an incentive spirometer every 2 hours
Correct Answer: A
COPD clients retain CO₂; high oxygen flow can suppress respiratory drive. Keep at 1–
2 L/min unless physician orders otherwise.
2. A patient post-stroke is having difficulty swallowing. What is the priority?
A. Allow the patient to drink water with a straw
B. Assess gag reflex and keep NPO
C. Place food on the affected side
D. Encourage rapid eating
Correct Answer: B
Assessing gag reflex and keeping NPO prevents aspiration.
,3. A diabetic patient presents with fruity breath, Kussmaul respirations, and blood
glucose of 460 mg/dL. What condition is suspected?
A. HHNKS
B. Hypoglycemia
C. DKA
D. Hyperthyroidism
Correct Answer: C
Classic signs of diabetic ketoacidosis.
4. A patient with myxedema coma requires which immediate intervention?
A. Calcium replacement
B. IV thyroid hormone replacement
C. High-dose insulin
D. Beta-blockers
Correct Answer: B
Myxedema coma = severe hypothyroidism, treat with IV levothyroxine.
5. Which finding indicates a positive Trousseau’s sign?
A. Facial spasm when tapping the cheek
B. Carpal spasm with BP cuff inflation
C. Dropping objects due to weakness
D. Pain in the legs when walking
Correct Answer: B
Trousseau’s = carpal spasm → hypocalcemia.
,6. A nurse caring for a patient with multiple sclerosis (MS) should expect which
symptom?
A. Progressive muscle rigidity
B. Exacerbations and remissions
C. Loss of dopamine production
D. Ascending paralysis
Correct Answer: B
MS is characterized by periods of relapse and remission.
7. A key sign of right-sided heart failure is:
A. Pulmonary crackles
B. Jugular vein distention
C. Pink frothy sputum
D. Orthopnea
Correct Answer: B
Right-sided failure = systemic congestion → JVD, edema, ascites.
8. A patient with Addison’s disease is admitted with severe hypotension,
dehydration, and hyperkalemia. What is the priority?
A. Administer IV hydrocortisone
B. Offer salty snacks
C. Administer beta-blockers
D. Restrict fluids
Correct Answer: A
Addisonian crisis → IV steroids immediately.
, 9. A nurse suspects increased intracranial pressure (ICP). Which early sign should be
reported?
A. Fixed, dilated pupils
B. Widened pulse pressure
C. Change in level of consciousness
D. Cushing’s triad
Correct Answer: C
Early sign = LOC change. Other signs are late.
10. Which teaching is appropriate for a patient taking phenytoin?
A. “You can stop this medication abruptly if side effects occur.”
B. “Use good oral hygiene to prevent gum overgrowth.”
C. “Take with antacids for stomach upset.”
D. “Double the dose if a seizure occurs.”
Correct Answer: B
Phenytoin causes gingival hyperplasia.
11. A client with pneumonia has ineffective airway clearance. What is the priority
nursing action?
A. Limit oral fluids
B. Encourage coughing and deep breathing
C. Give antidiarrheals
D. Keep the patient flat
Correct Answer: B
Promotes mobilization of secretions.
