NRs509 FINAL EXAM STUDY SET QUESTIONS WITH
COMPLETE SOLUTIONS 2025/2026 Q&A |INSTANT
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1. Which of the following is the primary purpose of a nursing care plan?
A. To document physician orders
B. To provide a guide for individualized patient care
C. To record patient’s billing information
D. To meet hospital administrative requirement
Answer: B. To provide a guide for individualized patient care – It ensures that care
is tailored to the patient’s needs and goals.
2. When administering a high-risk medication, the nurse should:
A. Verify the order with another nurse
B. Administer without double-checking
C. Rely on memory for dosage calculations
D. Delegate the task to a nursing assistant
Answer: A. Verify the order with another nurse – High-risk medications require
double-checking to prevent medication errors.
3. Which of the following lab values indicates possible kidney dysfunction?
A. Elevated BUN
B. Low WBC
C. High hemoglobin
D. Normal electrolytes
Answer: A. Elevated BUN – Blood urea nitrogen (BUN) rises when kidneys are not
functioning properly.
4. A patient receiving IV antibiotics develops shortness of breath and rash. The
nurse should:
,A. Slow the infusion
B. Stop the infusion and notify the provider
C. Administer the next dose immediately
D. Document and continue treatment
Answer: B. Stop the infusion and notify the provider – These are signs of an allergic
reaction, requiring immediate intervention.
5. What is the most accurate method for assessing a patient’s fluid status?
A. Checking blood pressure only
B. Measuring daily weight
C. Asking the patient about thirst
D. Observing skin color
Answer: B. Measuring daily weight – Daily weights reflect fluid gain or loss
accurately.
6. A patient with type 1 diabetes presents with fruity breath and rapid
breathing. The nurse suspects:
A. Hypoglycemia
B. Diabetic ketoacidosis (DKA)
C. Hyperosmolar hyperglycemic state
D. Insulin shock
Answer: B. Diabetic ketoacidosis (DKA) – Fruity breath and Kussmaul respirations
are hallmark signs of DKA.
7. Which intervention is most appropriate for a patient experiencing acute pain?
A. Administer prescribed analgesics
B. Encourage the patient to ignore the pain
C. Document pain only if it persists
D. Offer water and wait
Answer: A. Administer prescribed analgesics – Effective pain management
improves patient comfort and recovery.
8. What is the priority nursing action for a patient with suspected sepsis?
A. Start broad-spectrum antibiotics immediately
B. Monitor vital signs once per shift
, C. Encourage oral fluids only
D. Apply warm compresses
Answer: A. Start broad-spectrum antibiotics immediately – Early antibiotic therapy
is critical in sepsis management.
9. When educating a patient about warfarin therapy, the nurse should
emphasize:
A. Avoiding foods high in vitamin K
B. Taking the drug only when symptomatic
C. Increasing intake of leafy greens
D. Stopping the drug if minor bruising occurs
Answer: A. Avoiding foods high in vitamin K – Vitamin K can reduce warfarin’s
anticoagulant effect.
10. Which action demonstrates proper infection control?
A. Wearing gloves only when hands are visibly dirty
B. Performing hand hygiene before and after patient contact
C. Sharing gowns between patients
D. Using a single syringe for multiple patients
Answer: B. Performing hand hygiene before and after patient contact – Hand
hygiene prevents the spread of infection.
11. A patient’s oxygen saturation drops to 85%. The first nursing action should
be:
A. Reposition the patient and provide supplemental oxygen
B. Call family members
C. Document the finding only
D. Administer oral fluids
Answer: A. Reposition the patient and provide supplemental oxygen – Immediate
intervention is required to prevent hypoxia.
12. Which of the following indicates ineffective airway clearance?
A. Clear breath sounds
B. Productive cough with thick sputum
C. Respiratory rate of 18/min
COMPLETE SOLUTIONS 2025/2026 Q&A |INSTANT
DOWNLOAD PDF
1. Which of the following is the primary purpose of a nursing care plan?
A. To document physician orders
B. To provide a guide for individualized patient care
C. To record patient’s billing information
D. To meet hospital administrative requirement
Answer: B. To provide a guide for individualized patient care – It ensures that care
is tailored to the patient’s needs and goals.
2. When administering a high-risk medication, the nurse should:
A. Verify the order with another nurse
B. Administer without double-checking
C. Rely on memory for dosage calculations
D. Delegate the task to a nursing assistant
Answer: A. Verify the order with another nurse – High-risk medications require
double-checking to prevent medication errors.
3. Which of the following lab values indicates possible kidney dysfunction?
A. Elevated BUN
B. Low WBC
C. High hemoglobin
D. Normal electrolytes
Answer: A. Elevated BUN – Blood urea nitrogen (BUN) rises when kidneys are not
functioning properly.
4. A patient receiving IV antibiotics develops shortness of breath and rash. The
nurse should:
,A. Slow the infusion
B. Stop the infusion and notify the provider
C. Administer the next dose immediately
D. Document and continue treatment
Answer: B. Stop the infusion and notify the provider – These are signs of an allergic
reaction, requiring immediate intervention.
5. What is the most accurate method for assessing a patient’s fluid status?
A. Checking blood pressure only
B. Measuring daily weight
C. Asking the patient about thirst
D. Observing skin color
Answer: B. Measuring daily weight – Daily weights reflect fluid gain or loss
accurately.
6. A patient with type 1 diabetes presents with fruity breath and rapid
breathing. The nurse suspects:
A. Hypoglycemia
B. Diabetic ketoacidosis (DKA)
C. Hyperosmolar hyperglycemic state
D. Insulin shock
Answer: B. Diabetic ketoacidosis (DKA) – Fruity breath and Kussmaul respirations
are hallmark signs of DKA.
7. Which intervention is most appropriate for a patient experiencing acute pain?
A. Administer prescribed analgesics
B. Encourage the patient to ignore the pain
C. Document pain only if it persists
D. Offer water and wait
Answer: A. Administer prescribed analgesics – Effective pain management
improves patient comfort and recovery.
8. What is the priority nursing action for a patient with suspected sepsis?
A. Start broad-spectrum antibiotics immediately
B. Monitor vital signs once per shift
, C. Encourage oral fluids only
D. Apply warm compresses
Answer: A. Start broad-spectrum antibiotics immediately – Early antibiotic therapy
is critical in sepsis management.
9. When educating a patient about warfarin therapy, the nurse should
emphasize:
A. Avoiding foods high in vitamin K
B. Taking the drug only when symptomatic
C. Increasing intake of leafy greens
D. Stopping the drug if minor bruising occurs
Answer: A. Avoiding foods high in vitamin K – Vitamin K can reduce warfarin’s
anticoagulant effect.
10. Which action demonstrates proper infection control?
A. Wearing gloves only when hands are visibly dirty
B. Performing hand hygiene before and after patient contact
C. Sharing gowns between patients
D. Using a single syringe for multiple patients
Answer: B. Performing hand hygiene before and after patient contact – Hand
hygiene prevents the spread of infection.
11. A patient’s oxygen saturation drops to 85%. The first nursing action should
be:
A. Reposition the patient and provide supplemental oxygen
B. Call family members
C. Document the finding only
D. Administer oral fluids
Answer: A. Reposition the patient and provide supplemental oxygen – Immediate
intervention is required to prevent hypoxia.
12. Which of the following indicates ineffective airway clearance?
A. Clear breath sounds
B. Productive cough with thick sputum
C. Respiratory rate of 18/min
