NRS 3025 EXAM 2 LATEST 2026/2027
OAKLAND UNIVERSITY 100% ACCURATE
FALL-WINTER (SOLVED) |UPDATED
A nurse is caring for a client who starts to experience a seizure while sitting in a chair.
Which of the following actions should the nurse take?
a. Place a padded tongue blade in the client's mouth
b. Lower the client to the floor and place a pad under the client's head
c. Seek the help of a coworker and lift the client back into bed
d. Use an oropharyngeal airway to keep the upper airway passages open
b
A nurse is caring for a client who experienced a traumatic brain injury. Which of the
following findings indicates the client is experiencing increased intracranial pressure?
a. Battle's sign
b. Periorbital edema
c. Dilated pupils
d. Halo sign
c
A nurse is assessing a client who has a high-thoracic spinal cord injury. The nurse should
identify which of the following findings as a manifestation of autonomic dysreflexia?
a. Flushing of the lower extremities
b. Hypotension
c. Tachycardia
d. Report of a headache
d
,A nurse is teaching a client who has a spinal cord injury to perform intermittent urinary
self-catheterization at home after discharge. Which of the following statements indicates
that the client understands the procedure?
a. "I'll drink less water so I don't have to catheterize myself too often."
b. "I must use sterile technique for each of the catheterizations."
c. "I should stop the catheterization when I have removed 150 mL of urine."
d. "I will perform intermittent self-catheterization every 2 to 3 hr."
d
A nurse is caring for a client who is experiencing autonomic dysreflexia due to a C5 spinal
cord injury. After checking the client's vital signs, which of the following actions should
the nurse perform next?
a. Administer nifedipine
b. Place the client in a high-Fowler's position
c. Check for urinary retention
d. Check for a fecal impaction
b
A nurse is caring for a client who has a suspected brain tumor and is scheduled for a
computerized axial tomography (CAT) scan. After the procedure is explained, the client
expresses fear about entering the enclosed space of the scanner. Which of the following
statements should the nurse offer?
a. "I think you should request a magnetic resonance image instead."
b. "Let me review some breathing exercises with you."
c. "It is scary to go into an enclosed space."
d. "This is a routine test, so there is no reason to worry."
b
A nurse is caring for a client who begins having a tonic-clonic seizure while sitting in a
chair at the bedside. Which of the following actions should the nurse take first?
a. Provide oxygen
b. Place the client in a side-lying position
c. Provide privacy
d. Lower the client to the floor
,d
A nurse is assessing a client who has a bleeding duodenal ulcer. Which of the following
findings should the nurse expect?
a. Emesis with a coffee-ground appearance
b. Increased blood pressure
c. Decreased heart rate
d. Bright grene stools
a
A nurse is assisting a provider with performing a paracentesis on a client. Which of the
following actions should the nurse take?
a. Ask the client to empty his bladder before the procedure
b. Place the client leaning forward over the bedside table for the procedure
c. Inform the client he will be sedated during the procedure
d. Instruct the client to fast for 6 hr prior to the procedure
a
A nurse in the emergency department is caring for a client who has bleeding esophageal
varices. The nurse should anticipate a prescription for which of the following medicaitons?
a. Famotidine
b. Esomeprazole
c. Vasopressin
d. Omeprazole
c
A nurse is providing dietary teaching to a client who has ulcerative colitis. Which of the
following food selections by the client indicates an understanding of the teaching?
a. Raw vegetable salad with low-fat dressing
b. Roast chicken and white rice
c. Fresh fruit salad and milk
d. Peanut butter on whole wheat bread
b
, A nurse is performing discharge teaching about ostomy care while at home for a client
who has a newly placed ileostomy. Which of the following instructions should the nurse
include in the teaching?
a. "Empty your ostomy pouch when it becomes half full."
b. "Place an aspirin in the ostomy pouch to eliminate odor."
c. "Change the ostomy appliance every week."
d. "Cleanse the site around the stoma with hydrogen peroxide and water."
a
A nurse is planning discharge teaching who is postoperative following a traditional open
cholecystectomy. Which of the following learning needs of the client is the nurse's
priority?
a. Dietary recommendations
b. Incision care
c. Coughing and deep-breathing exercises
d. Pain management
c
A nurse is teaching a group of clients about the functions of the liver and gallbladder.
Which of the following should the nurse include in the teaching as the purpose of bile?
a. Digesting fats
b. Producing chyme
c. Stimulating gastric acid secretion
a
A nurse is monitoring the laboratory results of a client who has end-stage liver failure.
Which of the following results should the nurse expect?
a. Decreased lactate dehydrogenase
b. Increased serum albumin
c. Decreased serum ammonia
d. Increased prothrombin time
d
OAKLAND UNIVERSITY 100% ACCURATE
FALL-WINTER (SOLVED) |UPDATED
A nurse is caring for a client who starts to experience a seizure while sitting in a chair.
Which of the following actions should the nurse take?
a. Place a padded tongue blade in the client's mouth
b. Lower the client to the floor and place a pad under the client's head
c. Seek the help of a coworker and lift the client back into bed
d. Use an oropharyngeal airway to keep the upper airway passages open
b
A nurse is caring for a client who experienced a traumatic brain injury. Which of the
following findings indicates the client is experiencing increased intracranial pressure?
a. Battle's sign
b. Periorbital edema
c. Dilated pupils
d. Halo sign
c
A nurse is assessing a client who has a high-thoracic spinal cord injury. The nurse should
identify which of the following findings as a manifestation of autonomic dysreflexia?
a. Flushing of the lower extremities
b. Hypotension
c. Tachycardia
d. Report of a headache
d
,A nurse is teaching a client who has a spinal cord injury to perform intermittent urinary
self-catheterization at home after discharge. Which of the following statements indicates
that the client understands the procedure?
a. "I'll drink less water so I don't have to catheterize myself too often."
b. "I must use sterile technique for each of the catheterizations."
c. "I should stop the catheterization when I have removed 150 mL of urine."
d. "I will perform intermittent self-catheterization every 2 to 3 hr."
d
A nurse is caring for a client who is experiencing autonomic dysreflexia due to a C5 spinal
cord injury. After checking the client's vital signs, which of the following actions should
the nurse perform next?
a. Administer nifedipine
b. Place the client in a high-Fowler's position
c. Check for urinary retention
d. Check for a fecal impaction
b
A nurse is caring for a client who has a suspected brain tumor and is scheduled for a
computerized axial tomography (CAT) scan. After the procedure is explained, the client
expresses fear about entering the enclosed space of the scanner. Which of the following
statements should the nurse offer?
a. "I think you should request a magnetic resonance image instead."
b. "Let me review some breathing exercises with you."
c. "It is scary to go into an enclosed space."
d. "This is a routine test, so there is no reason to worry."
b
A nurse is caring for a client who begins having a tonic-clonic seizure while sitting in a
chair at the bedside. Which of the following actions should the nurse take first?
a. Provide oxygen
b. Place the client in a side-lying position
c. Provide privacy
d. Lower the client to the floor
,d
A nurse is assessing a client who has a bleeding duodenal ulcer. Which of the following
findings should the nurse expect?
a. Emesis with a coffee-ground appearance
b. Increased blood pressure
c. Decreased heart rate
d. Bright grene stools
a
A nurse is assisting a provider with performing a paracentesis on a client. Which of the
following actions should the nurse take?
a. Ask the client to empty his bladder before the procedure
b. Place the client leaning forward over the bedside table for the procedure
c. Inform the client he will be sedated during the procedure
d. Instruct the client to fast for 6 hr prior to the procedure
a
A nurse in the emergency department is caring for a client who has bleeding esophageal
varices. The nurse should anticipate a prescription for which of the following medicaitons?
a. Famotidine
b. Esomeprazole
c. Vasopressin
d. Omeprazole
c
A nurse is providing dietary teaching to a client who has ulcerative colitis. Which of the
following food selections by the client indicates an understanding of the teaching?
a. Raw vegetable salad with low-fat dressing
b. Roast chicken and white rice
c. Fresh fruit salad and milk
d. Peanut butter on whole wheat bread
b
, A nurse is performing discharge teaching about ostomy care while at home for a client
who has a newly placed ileostomy. Which of the following instructions should the nurse
include in the teaching?
a. "Empty your ostomy pouch when it becomes half full."
b. "Place an aspirin in the ostomy pouch to eliminate odor."
c. "Change the ostomy appliance every week."
d. "Cleanse the site around the stoma with hydrogen peroxide and water."
a
A nurse is planning discharge teaching who is postoperative following a traditional open
cholecystectomy. Which of the following learning needs of the client is the nurse's
priority?
a. Dietary recommendations
b. Incision care
c. Coughing and deep-breathing exercises
d. Pain management
c
A nurse is teaching a group of clients about the functions of the liver and gallbladder.
Which of the following should the nurse include in the teaching as the purpose of bile?
a. Digesting fats
b. Producing chyme
c. Stimulating gastric acid secretion
a
A nurse is monitoring the laboratory results of a client who has end-stage liver failure.
Which of the following results should the nurse expect?
a. Decreased lactate dehydrogenase
b. Increased serum albumin
c. Decreased serum ammonia
d. Increased prothrombin time
d
