NUR 390 FINAL EXAM BLUEPRINT | COMPREHENSIVE STUDY GUIDE, NCLEX-STYLE PRACTICE
QUESTIONS AND ANSWERS 2026/2027
Priority problem for clients with diabetes insipidus - correct answer ✔✔-Polyuria
-Polydipsia
-Nocturia
-S/S dehydration
-Potential for fluid overload
Excess fluid volume priority interventions - correct answer ✔✔-Limit sodium
-Monitor I/O
-Daily weight
-Assess breath sounds
-Monitor edema
-Fluid restrictions
-Monitor sodium (135-145) and potassium levels (3.5-5)
Post-operative interventions - correct answer ✔✔-Airway & Breathing
-Circulation
-Vital signs
-Positioning
-Sedation
-nausea, vomiting
-I/O
-Surgical Site/dressing
-Pain
,-LOC
Priority findings to report to provider in post-operative client - correct answer ✔✔-Respirations
-Oxygen sat
-Temp
-BP
-Pulse
-LOC
Priority intervention to prevent pneumonia postoperatively - correct answer ✔✔-Deep
breathing
-Coughing
-Positioning
-Early mobilization/ambulation
-Pain management
Priority postoperative assessment - correct answer ✔✔Airway/Breathing
-O2 sat, deep breathing, incentive spirometer
Positioning
-reposition every 2 hours, do not elevate knees, early ambulation
Fluid Status
-hydration/electrolyte, provide ice chips, frequent oral care
Pain
, -assess pain, preventative approach, assess for manifestations (increased pulse, respirations, BP,
restlessness), monitor adverse effects of opioids, provide analgesia before ambulation or
procedures, prepare naloxone, assess effectiveness, nonpharm approaches
Kidney Function
-i/o, output less than 30mL/hr
Bowel Function
-NPO until return of gag reflex, monitor for bowel sounds, advance diet as prescribed/tolerated
Thromboembolism
-apply SCDs, reposition, admin anticoagulants, monitor extremeities for pain, warmth,
erythema, edema
Incision/Drains
-monitor drainage and site, monitor drains with vitals, encourage splinting with position
changes/coughing/deepbrathing, admin antibiotics
Priority action for post-surgical complication - correct answer ✔✔Airway Obstruction
-monitor for choking, irregular respirations, cyanosis, decreased sat,
-head tilt/chin lift
-elevate HOB
Hypoxia
-monitor O2 sat
-encourage coughiing/deep breathing
-elevate HOB
QUESTIONS AND ANSWERS 2026/2027
Priority problem for clients with diabetes insipidus - correct answer ✔✔-Polyuria
-Polydipsia
-Nocturia
-S/S dehydration
-Potential for fluid overload
Excess fluid volume priority interventions - correct answer ✔✔-Limit sodium
-Monitor I/O
-Daily weight
-Assess breath sounds
-Monitor edema
-Fluid restrictions
-Monitor sodium (135-145) and potassium levels (3.5-5)
Post-operative interventions - correct answer ✔✔-Airway & Breathing
-Circulation
-Vital signs
-Positioning
-Sedation
-nausea, vomiting
-I/O
-Surgical Site/dressing
-Pain
,-LOC
Priority findings to report to provider in post-operative client - correct answer ✔✔-Respirations
-Oxygen sat
-Temp
-BP
-Pulse
-LOC
Priority intervention to prevent pneumonia postoperatively - correct answer ✔✔-Deep
breathing
-Coughing
-Positioning
-Early mobilization/ambulation
-Pain management
Priority postoperative assessment - correct answer ✔✔Airway/Breathing
-O2 sat, deep breathing, incentive spirometer
Positioning
-reposition every 2 hours, do not elevate knees, early ambulation
Fluid Status
-hydration/electrolyte, provide ice chips, frequent oral care
Pain
, -assess pain, preventative approach, assess for manifestations (increased pulse, respirations, BP,
restlessness), monitor adverse effects of opioids, provide analgesia before ambulation or
procedures, prepare naloxone, assess effectiveness, nonpharm approaches
Kidney Function
-i/o, output less than 30mL/hr
Bowel Function
-NPO until return of gag reflex, monitor for bowel sounds, advance diet as prescribed/tolerated
Thromboembolism
-apply SCDs, reposition, admin anticoagulants, monitor extremeities for pain, warmth,
erythema, edema
Incision/Drains
-monitor drainage and site, monitor drains with vitals, encourage splinting with position
changes/coughing/deepbrathing, admin antibiotics
Priority action for post-surgical complication - correct answer ✔✔Airway Obstruction
-monitor for choking, irregular respirations, cyanosis, decreased sat,
-head tilt/chin lift
-elevate HOB
Hypoxia
-monitor O2 sat
-encourage coughiing/deep breathing
-elevate HOB
