N120 FINAL EXAM REVIEW questions and
answers 2026\2027 A+ Grade
A nurse is developing a plan of care for a client who is postoperative. Which of the following
interventions should the nurse include in the plan to prevent pulmonary complications?
A. Perform range-of-motion exercises
B. Place suction equipment at the bedside
pulmonary complications.
C. Encourage the use of an incentive spirometer
D. Administer an expectorant
- correct answer C. Encourage the use of an incentive spirometer
Rationale: Incentive spirometry expands the lungs and promotes gas exchange after surgery which can
help prevent pulmonary complications.
A nurse has administered midazolam (Versed) IV bolus to a client before a procedure. The client's blood
pressure is 86/40 mm Hg and pulse is 134/min. Which of the following should the nurse administer?
a. naloxone
b. morphine
c. flumazenil
d. atropine
- correct answer C. flumazenil
flumazenil is the reversal agent for midazolam
,A nurse is providing information to a group of surgical nurses for a treatment of malignant
hyperthermia. Which of the following should the nurse include in the information? (select all that apply)
a. infuse iced IV fluids
b. provide 100% oxygen
c. place on a cooling blanket
d. treat the condition while continuing surgery
e. administer IV dantrolene
- correct answer A,B,C,E
the first thing you need to do is to terminate surgery and administer dantrolene. Some s/s of malignant
hyperthermia are tachycardia, tachypnea, and muscle rigidity
A nurse is caring for a client who is receiving TPN solution. The current bag of soln was hung 24h ago,
and 400 mL remains to infuse. Which of the following is the appropriate action for the nurse to take?
a. remove the current bag and hang a new bag
b. infuse the remaining soln at the current rate and then hang a new bag
c. increase the infusion rate so the remaining soln is administered within the hour and hang a new bag
d. remove the current bag and hang a bag of LR
- correct answer a. remove the current bag and hang a new bag
rationale: TPN solution bags must be changed every 24h. If our new bag isn't ready yet, you would put
D10W.
enteral feeding --> GI is still functional
parenteral feeding --> GI is not functional and needs IV nutrition
A nurse is completing an assessment of a client who has GERD. Which of the following is an expected
finding?
, a. absence of saliva
b. painful swallowing
c. sweet taste in mouth
d. absence of eructation
- correct answer b. painful swallowing
Rationale: GERD will have painful swallowing because they have an inflammation. Some other s/s of
GERD are pain that worsens w/ position so bending if they strain when they lay down typically they'll
have more pain, heartburn, indigestion, and burning sensation in esophagus, bitter taste in mouth,
increase in flakiness and burping, irritation
a nurse is caring for an older adult client who has had surgery for an intestinal obstruction and has an
NG tube to wall suction. Which of the following interventions should the nurse include in the pt's post-
op plan of care? (SATA)
a. discontinue suction when assessing for peristalsis
b. irrigate the NG tube w/ 0.9% NS irrigation soln
c. place sequential compression devices on the bilateral lower extremities
d. reposition the pt from side to side every 2 hr
e. encourage the use of an IS every 3 hr while the pt is awake
- correct answer A,B,C,D
a charge nurse is supervising a newly licensed nurse provide care for a pt who has a PCA pump. Which of
the following statement made by the nurse requires further action by the charge nurse?
a. "I discarded the remaining 2 mg of morphine from the PCA pump. Please document that you
witnessed it"
b. "I noted that my pt pushed the button 6 times during the last hour, and the PCA lockout is set for 10
mins"
c. "I gave my pt a bolus dose of morphine when I initiated the PCA pump"
answers 2026\2027 A+ Grade
A nurse is developing a plan of care for a client who is postoperative. Which of the following
interventions should the nurse include in the plan to prevent pulmonary complications?
A. Perform range-of-motion exercises
B. Place suction equipment at the bedside
pulmonary complications.
C. Encourage the use of an incentive spirometer
D. Administer an expectorant
- correct answer C. Encourage the use of an incentive spirometer
Rationale: Incentive spirometry expands the lungs and promotes gas exchange after surgery which can
help prevent pulmonary complications.
A nurse has administered midazolam (Versed) IV bolus to a client before a procedure. The client's blood
pressure is 86/40 mm Hg and pulse is 134/min. Which of the following should the nurse administer?
a. naloxone
b. morphine
c. flumazenil
d. atropine
- correct answer C. flumazenil
flumazenil is the reversal agent for midazolam
,A nurse is providing information to a group of surgical nurses for a treatment of malignant
hyperthermia. Which of the following should the nurse include in the information? (select all that apply)
a. infuse iced IV fluids
b. provide 100% oxygen
c. place on a cooling blanket
d. treat the condition while continuing surgery
e. administer IV dantrolene
- correct answer A,B,C,E
the first thing you need to do is to terminate surgery and administer dantrolene. Some s/s of malignant
hyperthermia are tachycardia, tachypnea, and muscle rigidity
A nurse is caring for a client who is receiving TPN solution. The current bag of soln was hung 24h ago,
and 400 mL remains to infuse. Which of the following is the appropriate action for the nurse to take?
a. remove the current bag and hang a new bag
b. infuse the remaining soln at the current rate and then hang a new bag
c. increase the infusion rate so the remaining soln is administered within the hour and hang a new bag
d. remove the current bag and hang a bag of LR
- correct answer a. remove the current bag and hang a new bag
rationale: TPN solution bags must be changed every 24h. If our new bag isn't ready yet, you would put
D10W.
enteral feeding --> GI is still functional
parenteral feeding --> GI is not functional and needs IV nutrition
A nurse is completing an assessment of a client who has GERD. Which of the following is an expected
finding?
, a. absence of saliva
b. painful swallowing
c. sweet taste in mouth
d. absence of eructation
- correct answer b. painful swallowing
Rationale: GERD will have painful swallowing because they have an inflammation. Some other s/s of
GERD are pain that worsens w/ position so bending if they strain when they lay down typically they'll
have more pain, heartburn, indigestion, and burning sensation in esophagus, bitter taste in mouth,
increase in flakiness and burping, irritation
a nurse is caring for an older adult client who has had surgery for an intestinal obstruction and has an
NG tube to wall suction. Which of the following interventions should the nurse include in the pt's post-
op plan of care? (SATA)
a. discontinue suction when assessing for peristalsis
b. irrigate the NG tube w/ 0.9% NS irrigation soln
c. place sequential compression devices on the bilateral lower extremities
d. reposition the pt from side to side every 2 hr
e. encourage the use of an IS every 3 hr while the pt is awake
- correct answer A,B,C,D
a charge nurse is supervising a newly licensed nurse provide care for a pt who has a PCA pump. Which of
the following statement made by the nurse requires further action by the charge nurse?
a. "I discarded the remaining 2 mg of morphine from the PCA pump. Please document that you
witnessed it"
b. "I noted that my pt pushed the button 6 times during the last hour, and the PCA lockout is set for 10
mins"
c. "I gave my pt a bolus dose of morphine when I initiated the PCA pump"
