NUR 1212C FINAL EXAM QUESTIONS with
CORRECT ANSWERS/ALREADY GRADED A+
2025
1. A client with Crohn's disease develops a fever and symptoms of a urinary tract infection (UTI) with
tan, fecal-smelling urine. What information will the nurse add to a general teaching plan about UTI's
in order to individualize the teaching for this patient?
a. Bacteria in the perianal area can enter the urethra.
b. Fistulas can form between the bowel and bladder.
c. Drink adequate fluids to maintain normal hydration.
d. Empty the bladder before and after sexual intercourse.
b. Fistulas can form between the bowel and bladder.
2. A patient is in the recovery phase of acute kidney injury as a result of acute post- streptococcal
glomerulonephritis. Which of the following orders should be questioned?
A. Preparation for a Renal CT scan with contrast
B. Monitor strict intake and output
C. Weigh patient daily
D. Penicillin 250mg every 6 hours for 10 days
A. Preparation for a Renal CT scan with contrast
3. The client is ordered Heparin 4,000 units subcutaneous twice a day. It is available in 5,000 units/ml.
How much will the nurse administer for the morning dose? ______mL (round to the nearest tenth)
ANS: 0.8
4. The adult children of an actively dying woman calls the on-call nurse very upset because their
mother's respirations are irregular, wet and she sounds like she is drowning. She is unresponsive but
seems to be comfortable. Which of the following instructions would be appropriate at this time?
A. transfer her out of bed to a reclining chair
B. administer an acetaminophen (Tylenol) suppository
C. teach the family to deep suction her as needed
D. apply a scopolamine patch
C. teach the family to deep suction her as needed
5. A client is newly admitted to hospice and will continue to use morphine for pain management.
Which of the following need to be included in the patient's education? A. "Take your stool softener
everyday as ordered."
B. "Avoid activities that can cause breaks in the skin."
C. "Always use sunscreen when going outside."
D. "Make sure you have good oral hygiene."
B. "Avoid activities that can cause breaks in the skin."
6. A client with glaucoma is being seen for routine evaluation of intraocular pressure (IOP). The IOP
has increased from 15 to 23 since the last visit. What action by the nurse is best?
,A. Assess adherence to the eye drop regimen.
B. Schedule the client for eye drainage surgery.
C. Schedule for re-evaluation in 1 year
D. Chart the intraocular pressure as within normal limits
A. Assess adherence to the eye drop regimen.
7.A patient's care plan includes monitoring for paranoid delusions. Which assessment findings suggest
the patient may be experiencing active delusions?
A. Elevated mood, hyperactivity, distractibility
B. Darting eyes, tilted head, mumbling to self
C. Aloofness, haughtiness, suspicion
D. Performing rituals, avoiding open places
B. Darting eyes, tilted head, mumbling to self
8. The physician orders furosemide (Lasix) 30 mg bid IV . The furosemide (Lasix) is available in 40
mg/2ml vials. How much Lasix should the nurse administer per dose? ______ mL
ANS: 1.5
9. Zosyn 4.5 g IV every 6 hours is ordered for a patient. The Zosyn is dissolved in 50 mL of NS and
should infuse over 1 hour. Using tubing with a drop factor of 60 gtt/mL, how many drops per minute
should the Zosyn be infused?
ANS: 50
10. The physician orders digoxin (Lanoxin) 125mcg daily. The nurse has digoxin (Lanoxin) 0.25 mg
tablets on hand. How many tablet(s) should the nurse administer? ______tablet(s)
ANS: 0.5
11. A 62-year-old patient presents to her provider for a yearly physical. The provider notes a family
history of prostate cancer in the patient's father. The provider schedules the patient for a PSA testing.
The nurse recognizes this as what level of prevention?
A. Holistic
B. Tertiary
C. Secondary
D. Primary
C. Secondary
12. A patient on a ventilator has an order for a continuous Versed drip at 4 mg/h. The Versed
concentration is 50 mg/50 mL of NS. Using an IV controller, how many milliliters per hour should the
Versed be infused?
ANS: 4
13. A patient is admitted with bulimia nervosa. Which findings would the nurse expect? (Select all that
apply.)
A. hyperkalemia
B. Russell's sign
C. enlarged parotid glands
,D. eroded teeth enamel
E. cachexia
B. Russell's sign
C. enlarged parotid glands
D. eroded teeth enamel
14. A nurse is caring for a patient with an exacerbation of irritable bowel disease. Which medications
can be used for the treatment of Crohn's disease and/or Ulcerative colitis? (Select all that apply.)
A. acetominophen (Tylenol)
B. Sulfasalazine (Azulfidine)
C. Furosemide (Lasix)
D. Prednisone (methylprednisone)
E. Infliximab (Remicade)
A. acetominophen (Tylenol)
B. Sulfasalazine (Azulfidine)
E. Infliximab (Remicade)
15. Which medication should the nurse anticipate administrating for a client diagnosed with acute
exacerbation of inflammatory bowel disease?
A. methylprednisone (Solumedrol)
B. phenytoin (Dilantin)
C. ibuprofen (Motrin)
D. Furosemide (lasix)
A. methylprednisone (Solumedrol)
16. The nurse is caring for a client with Type I diabetes. It is 0630 and the client's blood glucose is 300
mg/dl. The physician has ordered 25 units of NPH to be given at 0630 and sliding scale coverage if
needed. According to the sliding scale provided, how much total insulin should be administered? ____
units
Blood Glucose Below 150
150 - 200
201 - 250
251 - 300
Regular Insulin 0 units2 units4 units
6 units
ANS: 31
17. Sulfasalazine (Azulfidine) has been ordered for a client admitted with an exacerbation of
ulcerative colitis. Which question by the admitting nurse takes priority?
A. "Are you a diabetic?"
B. "Do you primarily work indoors or outdoors?"
C. "When is the last time that you had something to eat?"
D. "Are you allergic to sulfa drugs?"
D. "Are you allergic to sulfa drugs?"
, 18 You are caring for a patient who has been brought to the emergency department by concerned
family. The patient has been exhibiting signs of extreme sadness and verbalizing feeling of despair.
What is a nursing priority action?
A. Assess for depression and ask directly about suicide thoughts.
B. Focus on the presenting problems and refer the patient for a mental health evaluation.
C. Interview the patient's family to identify their concerns about the patient's behaviors.
D. Ask the care provider to prescribe blood lab work to assess for depression.
A. Assess for depression and ask directly about suicide thoughts.
19. A nurse is assessing the severity of bowel mucosa changes for a client with Crohn's disease. Which
of the following labs would indicate that the disease progression shows malabsorption issues.
A. Increased white blood cells
B. Decreased serum albumin
C. Decreased red blood cells
D. Decreased erythrocyte sedimentation rate
B. Decreased serum albumin
20. A client is being prepared for emergency surgery. The client's medication list includes warfarin
(Coumadin) 5 mg once a day. Which of the following test would the nurse anticipate to be ordered
before surgery?
A. Protime and INR
B. Protamine level
C. Partial thromboplastin time
D. Vitamin K level (This is the antidote for warfarin overdose)
A. Protime and INR
21. A client is undergoing hemodialysis treatments three times per week. The client is to receive 2500
units of Epoetin (Procrit) following each treatment. The medication vial states epoetin (Procrit) 5000
units/1 mL. The client should receive ____mL for one dose.
ANS: 0.5
22 A patient is being discharged with a T-tube following an open cholecystectomy. After receiving care
instruction, which of the following statements by the patient indicates the need for clarification?
A. The tube will remain in place until the duct inflammation subsides
B. The bag should be emptied when 1/2 full
C. The area around the insertion site needs to be gently cleaned with water
D. The drainage will be clear blood tinged watery stool
D. The drainage will be clear blood tinged watery stool
23. The physician orders Ampicillin 150 mg IM for a systemic infection. After reconstitution, the
medication is available as 125 mg/mL. How many milliliters will the nurse administer?
ANS: 1.2
24. The nurse is caring for a client preparing to have a laparoscopic cholecystectomy in the morning.
Which statement by the client indicates a need for further teaching?A. I will have three or four small
incisions on the abdomen.
CORRECT ANSWERS/ALREADY GRADED A+
2025
1. A client with Crohn's disease develops a fever and symptoms of a urinary tract infection (UTI) with
tan, fecal-smelling urine. What information will the nurse add to a general teaching plan about UTI's
in order to individualize the teaching for this patient?
a. Bacteria in the perianal area can enter the urethra.
b. Fistulas can form between the bowel and bladder.
c. Drink adequate fluids to maintain normal hydration.
d. Empty the bladder before and after sexual intercourse.
b. Fistulas can form between the bowel and bladder.
2. A patient is in the recovery phase of acute kidney injury as a result of acute post- streptococcal
glomerulonephritis. Which of the following orders should be questioned?
A. Preparation for a Renal CT scan with contrast
B. Monitor strict intake and output
C. Weigh patient daily
D. Penicillin 250mg every 6 hours for 10 days
A. Preparation for a Renal CT scan with contrast
3. The client is ordered Heparin 4,000 units subcutaneous twice a day. It is available in 5,000 units/ml.
How much will the nurse administer for the morning dose? ______mL (round to the nearest tenth)
ANS: 0.8
4. The adult children of an actively dying woman calls the on-call nurse very upset because their
mother's respirations are irregular, wet and she sounds like she is drowning. She is unresponsive but
seems to be comfortable. Which of the following instructions would be appropriate at this time?
A. transfer her out of bed to a reclining chair
B. administer an acetaminophen (Tylenol) suppository
C. teach the family to deep suction her as needed
D. apply a scopolamine patch
C. teach the family to deep suction her as needed
5. A client is newly admitted to hospice and will continue to use morphine for pain management.
Which of the following need to be included in the patient's education? A. "Take your stool softener
everyday as ordered."
B. "Avoid activities that can cause breaks in the skin."
C. "Always use sunscreen when going outside."
D. "Make sure you have good oral hygiene."
B. "Avoid activities that can cause breaks in the skin."
6. A client with glaucoma is being seen for routine evaluation of intraocular pressure (IOP). The IOP
has increased from 15 to 23 since the last visit. What action by the nurse is best?
,A. Assess adherence to the eye drop regimen.
B. Schedule the client for eye drainage surgery.
C. Schedule for re-evaluation in 1 year
D. Chart the intraocular pressure as within normal limits
A. Assess adherence to the eye drop regimen.
7.A patient's care plan includes monitoring for paranoid delusions. Which assessment findings suggest
the patient may be experiencing active delusions?
A. Elevated mood, hyperactivity, distractibility
B. Darting eyes, tilted head, mumbling to self
C. Aloofness, haughtiness, suspicion
D. Performing rituals, avoiding open places
B. Darting eyes, tilted head, mumbling to self
8. The physician orders furosemide (Lasix) 30 mg bid IV . The furosemide (Lasix) is available in 40
mg/2ml vials. How much Lasix should the nurse administer per dose? ______ mL
ANS: 1.5
9. Zosyn 4.5 g IV every 6 hours is ordered for a patient. The Zosyn is dissolved in 50 mL of NS and
should infuse over 1 hour. Using tubing with a drop factor of 60 gtt/mL, how many drops per minute
should the Zosyn be infused?
ANS: 50
10. The physician orders digoxin (Lanoxin) 125mcg daily. The nurse has digoxin (Lanoxin) 0.25 mg
tablets on hand. How many tablet(s) should the nurse administer? ______tablet(s)
ANS: 0.5
11. A 62-year-old patient presents to her provider for a yearly physical. The provider notes a family
history of prostate cancer in the patient's father. The provider schedules the patient for a PSA testing.
The nurse recognizes this as what level of prevention?
A. Holistic
B. Tertiary
C. Secondary
D. Primary
C. Secondary
12. A patient on a ventilator has an order for a continuous Versed drip at 4 mg/h. The Versed
concentration is 50 mg/50 mL of NS. Using an IV controller, how many milliliters per hour should the
Versed be infused?
ANS: 4
13. A patient is admitted with bulimia nervosa. Which findings would the nurse expect? (Select all that
apply.)
A. hyperkalemia
B. Russell's sign
C. enlarged parotid glands
,D. eroded teeth enamel
E. cachexia
B. Russell's sign
C. enlarged parotid glands
D. eroded teeth enamel
14. A nurse is caring for a patient with an exacerbation of irritable bowel disease. Which medications
can be used for the treatment of Crohn's disease and/or Ulcerative colitis? (Select all that apply.)
A. acetominophen (Tylenol)
B. Sulfasalazine (Azulfidine)
C. Furosemide (Lasix)
D. Prednisone (methylprednisone)
E. Infliximab (Remicade)
A. acetominophen (Tylenol)
B. Sulfasalazine (Azulfidine)
E. Infliximab (Remicade)
15. Which medication should the nurse anticipate administrating for a client diagnosed with acute
exacerbation of inflammatory bowel disease?
A. methylprednisone (Solumedrol)
B. phenytoin (Dilantin)
C. ibuprofen (Motrin)
D. Furosemide (lasix)
A. methylprednisone (Solumedrol)
16. The nurse is caring for a client with Type I diabetes. It is 0630 and the client's blood glucose is 300
mg/dl. The physician has ordered 25 units of NPH to be given at 0630 and sliding scale coverage if
needed. According to the sliding scale provided, how much total insulin should be administered? ____
units
Blood Glucose Below 150
150 - 200
201 - 250
251 - 300
Regular Insulin 0 units2 units4 units
6 units
ANS: 31
17. Sulfasalazine (Azulfidine) has been ordered for a client admitted with an exacerbation of
ulcerative colitis. Which question by the admitting nurse takes priority?
A. "Are you a diabetic?"
B. "Do you primarily work indoors or outdoors?"
C. "When is the last time that you had something to eat?"
D. "Are you allergic to sulfa drugs?"
D. "Are you allergic to sulfa drugs?"
, 18 You are caring for a patient who has been brought to the emergency department by concerned
family. The patient has been exhibiting signs of extreme sadness and verbalizing feeling of despair.
What is a nursing priority action?
A. Assess for depression and ask directly about suicide thoughts.
B. Focus on the presenting problems and refer the patient for a mental health evaluation.
C. Interview the patient's family to identify their concerns about the patient's behaviors.
D. Ask the care provider to prescribe blood lab work to assess for depression.
A. Assess for depression and ask directly about suicide thoughts.
19. A nurse is assessing the severity of bowel mucosa changes for a client with Crohn's disease. Which
of the following labs would indicate that the disease progression shows malabsorption issues.
A. Increased white blood cells
B. Decreased serum albumin
C. Decreased red blood cells
D. Decreased erythrocyte sedimentation rate
B. Decreased serum albumin
20. A client is being prepared for emergency surgery. The client's medication list includes warfarin
(Coumadin) 5 mg once a day. Which of the following test would the nurse anticipate to be ordered
before surgery?
A. Protime and INR
B. Protamine level
C. Partial thromboplastin time
D. Vitamin K level (This is the antidote for warfarin overdose)
A. Protime and INR
21. A client is undergoing hemodialysis treatments three times per week. The client is to receive 2500
units of Epoetin (Procrit) following each treatment. The medication vial states epoetin (Procrit) 5000
units/1 mL. The client should receive ____mL for one dose.
ANS: 0.5
22 A patient is being discharged with a T-tube following an open cholecystectomy. After receiving care
instruction, which of the following statements by the patient indicates the need for clarification?
A. The tube will remain in place until the duct inflammation subsides
B. The bag should be emptied when 1/2 full
C. The area around the insertion site needs to be gently cleaned with water
D. The drainage will be clear blood tinged watery stool
D. The drainage will be clear blood tinged watery stool
23. The physician orders Ampicillin 150 mg IM for a systemic infection. After reconstitution, the
medication is available as 125 mg/mL. How many milliliters will the nurse administer?
ANS: 1.2
24. The nurse is caring for a client preparing to have a laparoscopic cholecystectomy in the morning.
Which statement by the client indicates a need for further teaching?A. I will have three or four small
incisions on the abdomen.
