NUR 390 FINAL EXAM | COMPREHENSIVE STUDY GUIDE, NCLEX-STYLE PRACTICE
QUESTIONS AND ANSWERS 2026/2027
Caring for a pt who has in indwelling cath, which action should you take to prevent infection? -
correct answer ✔✔check for kinks as urine backflow will remain stasis and can cause infection
cleaning once per shift is good with soap and water NOT antiseptic solutions
Reviewing a cbc of a female client who is receiving chemo for breast cancer. Which of the
following findings should you report to the providers? - correct answer ✔✔WBC of 2,300
Anything less than 5000 is leukopenia and can lead to increase risk of infection
Caring for a pt who is 5 hr post op following a turp (for prostates), the nurse notes that the pt
indwelling cath has not drained in the past hour?
Call doctor
Increase rate of irrigation
Directly irrigate
Check for kinks - correct answer ✔✔Check for kinks
Least invasive, easiest solution. Won't be able to irrigate if there is a kink
Which is non-modifiable?
Smoking
Obesity
Hypertension
Cholesterol
Race - correct answer ✔✔Race
,You walk into the room and pt is having a tonic clonic seizure.. What should you do first? -
correct answer ✔✔Turn patient to side because they are at risk for aspiration
If they are too heavy to turn body, then make sure to turn their head
You can also loosen their clothing but turning head is priority
You're a nurse and you are teaching a pt who has acute kidney disease about fluid restrictions,
which statement should the nurse say as understand treatment?
Drink most fluids in the evening
Beverages in large container to make it appear like a lot
Will not add ice cream to amount of fluid intake
I will make a list of my favorite beverages - correct answer ✔✔I will make a list of my favorite
beverages
If you are on a fluid restriction, pt should have some say as to what they get to drink
you're admitting a pt and you note on assessment, they have varicose veins, ulceration and
lower leg edema and report heaviness in their legs, what should be the priority nursing
diagnosis?
Alteration in activity tolerance
Impaired tissue perfusion
Impaired skin integrity - correct answer ✔✔Impaired tissue perfusion
You are a nurse and you are caring for a pt who is receiving cisplatin to treat bladder cancer,
after several treatments the client reports fatigue, which of the following actions should the
nurse take?
Assess the client for hypersensitivity reaction
Evaluate the patient for hypercalcemia
Eval for hepatomegaly
Check results for patients most recent CBC - correct answer ✔✔Check results for patients most
recent CBC
, want to look at H&H, WBC
Caring for a pt who has expressive aphasia following a cerebrovascular accident, which of the
following parameters should the nurse use first to assess the client's pain level?
Schedule treatments and client illnesses disregarding assessment
Behavioral indicators and affect
Pulse and blood pressure findings
Self reporting pain scale - correct answer ✔✔Self reporting pain scale
With expressive, they understand everything you are saying but they cant get it verbally out
We have other scales that they can point to
Always use self scale first
Interpret these values:
pH 7.22
PACO2: 68
BIcarb (HCO3):26 - correct answer ✔✔respiratory acidosis; occurs when there is too much CO2
like in COPD where lungs cant blow off all the CO2
normal pH range - correct answer ✔✔7.35-7.45
below 7.35 is acidosis
above 7.45 is alkalosis
normal PaCO2 (respiratory) range - correct answer ✔✔35-45
below 35 is alkalosis
above 45 is acidosis
normal HCO3 (metabolic) range - correct answer ✔✔22-26
QUESTIONS AND ANSWERS 2026/2027
Caring for a pt who has in indwelling cath, which action should you take to prevent infection? -
correct answer ✔✔check for kinks as urine backflow will remain stasis and can cause infection
cleaning once per shift is good with soap and water NOT antiseptic solutions
Reviewing a cbc of a female client who is receiving chemo for breast cancer. Which of the
following findings should you report to the providers? - correct answer ✔✔WBC of 2,300
Anything less than 5000 is leukopenia and can lead to increase risk of infection
Caring for a pt who is 5 hr post op following a turp (for prostates), the nurse notes that the pt
indwelling cath has not drained in the past hour?
Call doctor
Increase rate of irrigation
Directly irrigate
Check for kinks - correct answer ✔✔Check for kinks
Least invasive, easiest solution. Won't be able to irrigate if there is a kink
Which is non-modifiable?
Smoking
Obesity
Hypertension
Cholesterol
Race - correct answer ✔✔Race
,You walk into the room and pt is having a tonic clonic seizure.. What should you do first? -
correct answer ✔✔Turn patient to side because they are at risk for aspiration
If they are too heavy to turn body, then make sure to turn their head
You can also loosen their clothing but turning head is priority
You're a nurse and you are teaching a pt who has acute kidney disease about fluid restrictions,
which statement should the nurse say as understand treatment?
Drink most fluids in the evening
Beverages in large container to make it appear like a lot
Will not add ice cream to amount of fluid intake
I will make a list of my favorite beverages - correct answer ✔✔I will make a list of my favorite
beverages
If you are on a fluid restriction, pt should have some say as to what they get to drink
you're admitting a pt and you note on assessment, they have varicose veins, ulceration and
lower leg edema and report heaviness in their legs, what should be the priority nursing
diagnosis?
Alteration in activity tolerance
Impaired tissue perfusion
Impaired skin integrity - correct answer ✔✔Impaired tissue perfusion
You are a nurse and you are caring for a pt who is receiving cisplatin to treat bladder cancer,
after several treatments the client reports fatigue, which of the following actions should the
nurse take?
Assess the client for hypersensitivity reaction
Evaluate the patient for hypercalcemia
Eval for hepatomegaly
Check results for patients most recent CBC - correct answer ✔✔Check results for patients most
recent CBC
, want to look at H&H, WBC
Caring for a pt who has expressive aphasia following a cerebrovascular accident, which of the
following parameters should the nurse use first to assess the client's pain level?
Schedule treatments and client illnesses disregarding assessment
Behavioral indicators and affect
Pulse and blood pressure findings
Self reporting pain scale - correct answer ✔✔Self reporting pain scale
With expressive, they understand everything you are saying but they cant get it verbally out
We have other scales that they can point to
Always use self scale first
Interpret these values:
pH 7.22
PACO2: 68
BIcarb (HCO3):26 - correct answer ✔✔respiratory acidosis; occurs when there is too much CO2
like in COPD where lungs cant blow off all the CO2
normal pH range - correct answer ✔✔7.35-7.45
below 7.35 is acidosis
above 7.45 is alkalosis
normal PaCO2 (respiratory) range - correct answer ✔✔35-45
below 35 is alkalosis
above 45 is acidosis
normal HCO3 (metabolic) range - correct answer ✔✔22-26
