NSG320 Finals Questions solved 100% Correct
1. What is the most important question to ask a client when obtaining pre-op information?
a) Do you have any allergies to medications or anesthesia?
b) When was the last time you ate or drank anything?
c) Are you allergic to latex or any other substances?
d) Have you experienced any complications from previous surgeries?
b) When was the last time you ate or drank anything?
2. Nurse assessing a client with right-sided heart failure. Which assessment finding would the
nurse expect to observe? (SELECT ALL):
a) Dependent edema
b) Jugular venous distension (JVD)
c) Hepatomegaly
d) Hypertension
e) Crackles in the lung bases
a) Dependent edema
b) Jugular venous distension (JVD)
c) Hepatomegaly
3. A nurse is taking initial vital signs for a client with fatigue and notices an irregular apical
pulse of 130. What are contributing factors for fatigue? (SELECT ALL):
a) Anemia
b) Hypovolemia
c) Fever
,d) Stress
a) Anemia
c) Fever
4. Which interventions are affected for a client with a potential for pulmonary edema caused
by HF? (SELECT ALL):
a) Loop diuretics
b) Semi-fowlers position to high fowlers
c) Slow infusion for hypotonic saline
d) Salt and fluid restrictions
a) Loop diuretics
b) Semi-fowlers position to high fowlers
d) Salt and fluid restrictions
5. A school nurse is giving a presentation to high school seniors about skin cancers. What is
the best recommendation to prevent skin cancer?
a) Apply sunscreen only when going to the beach
b) Perform skin assessments monthly
c) Use tanning beds in moderation
d) Avoid protective clothing on sunny days
b) Perform skin assessments monthly
6. Which condition contributes to abdominal ascites?
a) Cirrhosis
b) Diabetes
c) Hypertension
,d) Hyperthyroidism
a) Cirrhosis
7. A client has lymphedema, what would be a priority?
a) Elevate the affected extremity
b) Apply a heating pad to reduce swelling
c) Protect from injury (keep extremity injury-free)
d) Encourage vigorous exercise
c) Protect from injury (keep extremity injury-free)
8. Instructions to a UAP for a client with an arterial venous fistula:
a) Avoid taking blood pressure on the arm with the fistula
b) Apply a tight tourniquet above the fistula during care
c) Encourage the client to sleep on the side with the fistula
d) Administer heparin injections directly into the fistula
a) Avoid taking blood pressure on the arm with the fistula
9. What assessment data would be a priority to tell the HCP when providing care for a patient
who had a paracentesis?
a) Blood glucose level
b) Urine output
c) Respiratory rate
d) O2 saturation (88% on room air)
d) O2 saturation (88% on room air)
, 10. What is the priority action for a patient who is in ventricular fibrillation (cardiac
monitoring)?
a) Call a code, then start chest compressions (CPR)
b) Go into the room and assess pulse
c) Administer IV fluids rapidly
d) Administer a beta-blocker
a) Call a code, then start chest compressions (CPR)
11. A nurse is caring for a client with HIV who has a CBC count of 400. What is the most
important action to perform before giving medication?
a) Assess the client's ability to comply with medication (ARTS)
b) Administer a dose of antiretroviral medication immediately
c) Monitor the client for signs of opportunistic infections
d) Administer a dose of pain medication to manage discomfort
a) Assess the client's ability to comply with medication (ARTS)
12. A nurse is caring for a patient with chronic kidney disease (CKD). What would the nurse
anticipate the doctor to order?
a) Increased fluid intake
b) High-sodium diet
c) Diuretics to promote fluid excretion
d) Fluid and sodium restrictions
d) Fluid and sodium restrictions
13. What are the signs and symptoms of an infusion reaction within the first 15 minutes when
giving blood to an anemic patient?
1. What is the most important question to ask a client when obtaining pre-op information?
a) Do you have any allergies to medications or anesthesia?
b) When was the last time you ate or drank anything?
c) Are you allergic to latex or any other substances?
d) Have you experienced any complications from previous surgeries?
b) When was the last time you ate or drank anything?
2. Nurse assessing a client with right-sided heart failure. Which assessment finding would the
nurse expect to observe? (SELECT ALL):
a) Dependent edema
b) Jugular venous distension (JVD)
c) Hepatomegaly
d) Hypertension
e) Crackles in the lung bases
a) Dependent edema
b) Jugular venous distension (JVD)
c) Hepatomegaly
3. A nurse is taking initial vital signs for a client with fatigue and notices an irregular apical
pulse of 130. What are contributing factors for fatigue? (SELECT ALL):
a) Anemia
b) Hypovolemia
c) Fever
,d) Stress
a) Anemia
c) Fever
4. Which interventions are affected for a client with a potential for pulmonary edema caused
by HF? (SELECT ALL):
a) Loop diuretics
b) Semi-fowlers position to high fowlers
c) Slow infusion for hypotonic saline
d) Salt and fluid restrictions
a) Loop diuretics
b) Semi-fowlers position to high fowlers
d) Salt and fluid restrictions
5. A school nurse is giving a presentation to high school seniors about skin cancers. What is
the best recommendation to prevent skin cancer?
a) Apply sunscreen only when going to the beach
b) Perform skin assessments monthly
c) Use tanning beds in moderation
d) Avoid protective clothing on sunny days
b) Perform skin assessments monthly
6. Which condition contributes to abdominal ascites?
a) Cirrhosis
b) Diabetes
c) Hypertension
,d) Hyperthyroidism
a) Cirrhosis
7. A client has lymphedema, what would be a priority?
a) Elevate the affected extremity
b) Apply a heating pad to reduce swelling
c) Protect from injury (keep extremity injury-free)
d) Encourage vigorous exercise
c) Protect from injury (keep extremity injury-free)
8. Instructions to a UAP for a client with an arterial venous fistula:
a) Avoid taking blood pressure on the arm with the fistula
b) Apply a tight tourniquet above the fistula during care
c) Encourage the client to sleep on the side with the fistula
d) Administer heparin injections directly into the fistula
a) Avoid taking blood pressure on the arm with the fistula
9. What assessment data would be a priority to tell the HCP when providing care for a patient
who had a paracentesis?
a) Blood glucose level
b) Urine output
c) Respiratory rate
d) O2 saturation (88% on room air)
d) O2 saturation (88% on room air)
, 10. What is the priority action for a patient who is in ventricular fibrillation (cardiac
monitoring)?
a) Call a code, then start chest compressions (CPR)
b) Go into the room and assess pulse
c) Administer IV fluids rapidly
d) Administer a beta-blocker
a) Call a code, then start chest compressions (CPR)
11. A nurse is caring for a client with HIV who has a CBC count of 400. What is the most
important action to perform before giving medication?
a) Assess the client's ability to comply with medication (ARTS)
b) Administer a dose of antiretroviral medication immediately
c) Monitor the client for signs of opportunistic infections
d) Administer a dose of pain medication to manage discomfort
a) Assess the client's ability to comply with medication (ARTS)
12. A nurse is caring for a patient with chronic kidney disease (CKD). What would the nurse
anticipate the doctor to order?
a) Increased fluid intake
b) High-sodium diet
c) Diuretics to promote fluid excretion
d) Fluid and sodium restrictions
d) Fluid and sodium restrictions
13. What are the signs and symptoms of an infusion reaction within the first 15 minutes when
giving blood to an anemic patient?
