N322 Final Exam Questions and Answers Already Passed Latest Update 2025-2026
A client had a retinal detachment and has undergone surgical correction. What discharge health
teaching is most important for the nurse to include?
a. "Avoid reading, writing, or close work such as sewing."
b. "Report immediate loss of vision of pain in the affected eye."
c. "Keep the follow-up appointment with the ophthalmologist."
d. "Remove your eye patch every hour for eyedrops." - Answers ANS: B
After surgery for retinal detachment, the client is advised to avoid reading, writing, and close
work because these activities cause rapid eye movements. However, more importantly is the
need for the client or family to report loss of vision or pain in the surgical eye. Keeping a
postoperative appointment is important for any surgical patient. The eye patch is not removed
for eyedrops after retinal detachment repair.
A client has a foreign body in one eye. What action by the nurse is appropriate for the client's
care?
a. Administering ordered antibiotics
b. Assessing the patient's visual acuity
c. Obtaining consent for enucleation
d. Removing the object immediately - Answers ANS: A
To prevent infection, antibiotics are provided. Visual acuity in the affected eye cannot be
assessed. The client may or may not need enucleation. The object is only removed by the
ophthalmologist.
A client is brought to the emergency department after a car crash. The client has a large piece
of glass in the left eye. What action by the nurse takes priority?
a. Administer a tetanus booster shot.
b. Ensure that the client has a patent airway.
c. Prepare to irrigate the client's eye.
d. Turn the client on the unaffected side. - Answers ANS: B
,Airway always comes first. After ensuring a patent airway and providing cervical spine
precautions (do not turn the client to the side), the nurse provides other care that may include
administering a tetanus shot. The client's eye may or may not be irrigated.
A client has mastoiditis and is prescribed antibiotics. What health teaching by the nurse is most
important for this client?
a. "Immediately report headache or stiff neck."
b. "Keep all follow-up appointments."
c. "Take the antibiotics with a full glass of water."
d. "Take the antibiotic on an empty stomach." - Answers ANS: A
Meningitis is a complication of mastoiditis. The client should be taught to take all antibiotics as
prescribed and to report manifestations of meningitis such as fever, headache, or stiff neck.
Keeping follow-up appointments is important for all Patients. Without knowing what antibiotic
was prescribed, the nurse cannot instruct the client on how to take it.
The nurse is teaching a client about cataract surgery. Which statement would the nurse include
as part of preoperative preparation?
a. "You will receive general anesthesia for the surgical procedure."
b. "You will be in the hospital for only 1 to 2 days if everything goes as expected."
c. "You will need to put several types of eyedrops in your eyes before and after surgery."
d. "You will be on bedrest for about a week after the surgical procedure." - Answers ANS: C
Cataract surgery is done as an ambulatory care procedure and the client is not hospitalized,
does not receive general anesthesia, and does not need to be on bedrest postoperatively.
A nurse is working with a client who takes clopidogrel. The client's recent laboratory results
include a blood urea nitrogen (BUN) of 33 mg/dL and creatinine of 2.8 mg/dL. What action by
the nurse is best?
a. Ask if the client eats grapefruit.
b. Assess the client for dehydration.
,c. Facilitate admission to the hospital.
d. Obtain a random urinalysis. - Answers ANS: A
There is a drug-food interaction between clopidogrel and grapefruit that can lead to acute
kidney failure. This client has elevated renal laboratory results, indicating some degree of kidney
involvement. The nurse would assess if the client eats grapefruit or drinks grapefruit juice.
Dehydration can cause the BUN to be elevated, but the elevation in creatinine is more specific
for a kidney injury. The client does not necessarily need to be admitted. A urinalysis may or may
not be ordered.
A client is starting hormonal therapy with tamoxifen to lower the risk for breast cancer. What
information needs to be explained by the nurse regarding the action of this drug?
a. It blocks the release of luteinizing hormone.
b. It interferes with cancer cell division.
c. It selectively blocks estrogen in the breast.
d. It inhibits DNA synthesis in rapidly dividing cells. - Answers ANS: C
Tamoxifen reduces the estrogen available to breast tumors to stop or prevent growth. This drug
does not block the release of luteinizing hormone to prevent the ovaries from producing
estrogen; leuprolide does this. Chemotherapy agents interfere with cancer cell division. Newer
research supports treatment with tamoxifen for 10 years to prevent recurrence.
A client has a platelet count of 9800/mm^3 (9800 x 10^9/L). What action by the nurse is most
appropriate?
a. Assess the client for calf pain, warmth, and redness.
b. Instruct the client to call for help to get out of bed.
c. Obtain cultures as per the facility's standing policy.
d. Place the client on protective Isolation Precautions. - Answers ANS: B
A client with a platelet count this low is at high risk for serious bleeding episodes. To prevent
injury, the client would be instructed to call for help prior to getting out of bed. Calf pain, warmth,
and redness might indicate a deep vein thrombosis, not associated with low platelets.
, Cultures and isolation relate to low white cell counts.
The nurse has educated a client on precautions to take with thrombocytopenia. What statement
by the client indicates a need to review the information?
a. "I will be careful if I need enemas for constipation."
b. "I will use an electric shaver instead of a razor."
c. "I should only eat soft food that is either cool or warm."
d. "I won't be able to play sports with my grandkids." - Answers ANS: A
The thrombocytopenic client is at high risk for bleeding even from minor trauma. Due to the risk
of injuring rectal and anal tissue, the client should not use enemas or rectal thermometers.
This statement would indicate the client needs more information. The other statements are
appropriate for the thrombocytopenic client.
The nurse is teaching an older adult how to prevent buildup of ear wax. Which statement by the
nurse is most appropriate?
a. "Visit your primary health care provider each month for wax removal."
b. "Drink plenty of water and other liquids to prevent hardening of the ear wax."
c. "Irrigate each ear once a month to remove wax and prevent was buildup."
d. "Put one drop of mineral oil in each ear once a week at bedtime." - Answers ANS: D
Mineral oil provides lubrication to soften cerumen so that it flows out of the ears to prevent
buildup. It is a safer method than irrigating the ears. If needed, the client would need to go to a
primary health care provider for removal of impaction. Drinking water helps prevent hardening
of wax but does not necessarily prevent wax buildup.
A nurse assesses a client who has a history of heart failure. Which question would the nurse
ask to assess the extent of the client's heart failure?
a. "Do you have trouble breathing or chest pain?"
A client had a retinal detachment and has undergone surgical correction. What discharge health
teaching is most important for the nurse to include?
a. "Avoid reading, writing, or close work such as sewing."
b. "Report immediate loss of vision of pain in the affected eye."
c. "Keep the follow-up appointment with the ophthalmologist."
d. "Remove your eye patch every hour for eyedrops." - Answers ANS: B
After surgery for retinal detachment, the client is advised to avoid reading, writing, and close
work because these activities cause rapid eye movements. However, more importantly is the
need for the client or family to report loss of vision or pain in the surgical eye. Keeping a
postoperative appointment is important for any surgical patient. The eye patch is not removed
for eyedrops after retinal detachment repair.
A client has a foreign body in one eye. What action by the nurse is appropriate for the client's
care?
a. Administering ordered antibiotics
b. Assessing the patient's visual acuity
c. Obtaining consent for enucleation
d. Removing the object immediately - Answers ANS: A
To prevent infection, antibiotics are provided. Visual acuity in the affected eye cannot be
assessed. The client may or may not need enucleation. The object is only removed by the
ophthalmologist.
A client is brought to the emergency department after a car crash. The client has a large piece
of glass in the left eye. What action by the nurse takes priority?
a. Administer a tetanus booster shot.
b. Ensure that the client has a patent airway.
c. Prepare to irrigate the client's eye.
d. Turn the client on the unaffected side. - Answers ANS: B
,Airway always comes first. After ensuring a patent airway and providing cervical spine
precautions (do not turn the client to the side), the nurse provides other care that may include
administering a tetanus shot. The client's eye may or may not be irrigated.
A client has mastoiditis and is prescribed antibiotics. What health teaching by the nurse is most
important for this client?
a. "Immediately report headache or stiff neck."
b. "Keep all follow-up appointments."
c. "Take the antibiotics with a full glass of water."
d. "Take the antibiotic on an empty stomach." - Answers ANS: A
Meningitis is a complication of mastoiditis. The client should be taught to take all antibiotics as
prescribed and to report manifestations of meningitis such as fever, headache, or stiff neck.
Keeping follow-up appointments is important for all Patients. Without knowing what antibiotic
was prescribed, the nurse cannot instruct the client on how to take it.
The nurse is teaching a client about cataract surgery. Which statement would the nurse include
as part of preoperative preparation?
a. "You will receive general anesthesia for the surgical procedure."
b. "You will be in the hospital for only 1 to 2 days if everything goes as expected."
c. "You will need to put several types of eyedrops in your eyes before and after surgery."
d. "You will be on bedrest for about a week after the surgical procedure." - Answers ANS: C
Cataract surgery is done as an ambulatory care procedure and the client is not hospitalized,
does not receive general anesthesia, and does not need to be on bedrest postoperatively.
A nurse is working with a client who takes clopidogrel. The client's recent laboratory results
include a blood urea nitrogen (BUN) of 33 mg/dL and creatinine of 2.8 mg/dL. What action by
the nurse is best?
a. Ask if the client eats grapefruit.
b. Assess the client for dehydration.
,c. Facilitate admission to the hospital.
d. Obtain a random urinalysis. - Answers ANS: A
There is a drug-food interaction between clopidogrel and grapefruit that can lead to acute
kidney failure. This client has elevated renal laboratory results, indicating some degree of kidney
involvement. The nurse would assess if the client eats grapefruit or drinks grapefruit juice.
Dehydration can cause the BUN to be elevated, but the elevation in creatinine is more specific
for a kidney injury. The client does not necessarily need to be admitted. A urinalysis may or may
not be ordered.
A client is starting hormonal therapy with tamoxifen to lower the risk for breast cancer. What
information needs to be explained by the nurse regarding the action of this drug?
a. It blocks the release of luteinizing hormone.
b. It interferes with cancer cell division.
c. It selectively blocks estrogen in the breast.
d. It inhibits DNA synthesis in rapidly dividing cells. - Answers ANS: C
Tamoxifen reduces the estrogen available to breast tumors to stop or prevent growth. This drug
does not block the release of luteinizing hormone to prevent the ovaries from producing
estrogen; leuprolide does this. Chemotherapy agents interfere with cancer cell division. Newer
research supports treatment with tamoxifen for 10 years to prevent recurrence.
A client has a platelet count of 9800/mm^3 (9800 x 10^9/L). What action by the nurse is most
appropriate?
a. Assess the client for calf pain, warmth, and redness.
b. Instruct the client to call for help to get out of bed.
c. Obtain cultures as per the facility's standing policy.
d. Place the client on protective Isolation Precautions. - Answers ANS: B
A client with a platelet count this low is at high risk for serious bleeding episodes. To prevent
injury, the client would be instructed to call for help prior to getting out of bed. Calf pain, warmth,
and redness might indicate a deep vein thrombosis, not associated with low platelets.
, Cultures and isolation relate to low white cell counts.
The nurse has educated a client on precautions to take with thrombocytopenia. What statement
by the client indicates a need to review the information?
a. "I will be careful if I need enemas for constipation."
b. "I will use an electric shaver instead of a razor."
c. "I should only eat soft food that is either cool or warm."
d. "I won't be able to play sports with my grandkids." - Answers ANS: A
The thrombocytopenic client is at high risk for bleeding even from minor trauma. Due to the risk
of injuring rectal and anal tissue, the client should not use enemas or rectal thermometers.
This statement would indicate the client needs more information. The other statements are
appropriate for the thrombocytopenic client.
The nurse is teaching an older adult how to prevent buildup of ear wax. Which statement by the
nurse is most appropriate?
a. "Visit your primary health care provider each month for wax removal."
b. "Drink plenty of water and other liquids to prevent hardening of the ear wax."
c. "Irrigate each ear once a month to remove wax and prevent was buildup."
d. "Put one drop of mineral oil in each ear once a week at bedtime." - Answers ANS: D
Mineral oil provides lubrication to soften cerumen so that it flows out of the ears to prevent
buildup. It is a safer method than irrigating the ears. If needed, the client would need to go to a
primary health care provider for removal of impaction. Drinking water helps prevent hardening
of wax but does not necessarily prevent wax buildup.
A nurse assesses a client who has a history of heart failure. Which question would the nurse
ask to assess the extent of the client's heart failure?
a. "Do you have trouble breathing or chest pain?"
