N321 Final Exam Practice Questions With Complete
Solutions
A 76-year-old patient was recently diagnosed with primary
open-angle glaucoma. What part of the past medical history
places the patient at risk for developing glaucoma?
A. History of a recent facial trauma
B. Prolonged antibiotic therapy
C. Prolonged corticosteroid usage
D. History of angina Correct Answers C. Prolonged
corticosteroid usage
A client who has a clinical diagnosis of lupus has an increased
chance of acquiring which complication?
A. Chronic obstructive pulmonary disease
B. Renal damage
C. Pulmonary edema
D. Migraine headaches Correct Answers B. Renal damage
A client with lupus is receiving hydroxychloroquine as part of
her therapeutic regimen. Based on this finding, the nurse would
anticipate assessing:
A. Body mass index
B. Blood pressure
C. Baseline eye exam
D. Mental status Correct Answers C. Baseline eye exam
,A hospitalized patient with a history of cluster headaches
awakens during the night with a severe stabbing headache.
Which action should the nurse take first?
A. Give the ordered PRN acetaminophen (Tylenol).
B. Notify the patient's health care provider immediately.
C. Apply a moist hot pack on the patient's neck
D. Start the prescribed PRN O2 via NC or NRB Correct
Answers D. Start the prescribed PRN O2 via NC or NRB
A nurse in a clinic is caring for a client who has been
experiencing mild to moderate vertigo due to benign paroxysmal
vertigo for several weeks. Which of the following actions should
the nurse recommend to help control the vertigo? (Select all that
apply.)
A. Reduce exposure to bright lighting
B. Move head slowly when changing positions
C. Do not eat fruit high in potassium
D. Plan evenly-spaced daily fluid intake
E. Avoid fluids containing caffeine Correct Answers A.
Reduce exposure to bright lighting
B. Move head slowly when changing positions
D. Plan evenly-spaced daily fluid intake
A nurse in a clinic is caring for a client who has frequent
migraine headaches. The client asks about foods that can cause
headaches. The nurse should recommend that the client avoid
which of the following foods?
A. Baked salmon
,B. Salted cashews
C. Frozen strawberries
D. Fresh asparagus Correct Answers B. Salted cashews
A nurse in a clinic is teaching a client who has a history of
migraine headaches about a new prescription for zolmitriptan.
Which of the following statements by the client indicates
understanding of the teaching?
A. "This medication will relieve my symptoms by causing my
blood vessels to dilate."
B. "I should take this medication daily to prevent the headache
from occurring."
C. "I should expect facial flushing when I take this medication."
D. "This medication will lower my sensitivity to food triggers."
Correct Answers C. "I should expect facial flushing when I take
this medication."
A nurse in a provider's office is obtaining a health history from a
client who has cluster headaches. Which of the following are
expected findings? (Select all that apply.)
A. Pain is bilateral across the posterior occipital area
B. Client experiences altered sleep-wake cycle
C. Headache occurs approximately 1-8 times daily
D. Client describes headache pain as dull and throbbing
E. Nasal congestion and drainage occur Correct Answers B.
Client experiences altered sleep-wake cycle
C. Headache occurs approximately 1-8 times daily
E. Nasal congestion and drainage occur
, A nurse in an ED is assessing a client who reports sudden,
severe eye pain with blurry vision. The provider determines that
the client has primary angle-closure glaucoma. Which of the
following medications should the nurse expect to administer?
A. Osmotic diuretics via IV bolus
B. Mydriatic ophthalmic drops
C. Corticosteroid ophthalmic drops
D. Epinephrine via IV bolus Correct Answers A. Osmotic
diuretics via IV bolus
A nurse in an ED is caring for a client who suddenly lost
consciousness and fell while at home. The provider determines
that the client had an embolic stroke. Which of the following
medications should the nurse expect to administer?
A. Tissue plasminogen activator
B. Recombinant factor VIII
C. Nitroglycerin
D. Lidocaine Correct Answers A. Tissue plasminogen activator
A nurse in the critical care unit is completing an admission
assessment of a client who has a gunshot wound to the head.
Which of the following assessment findings are indicative of
increased ICP? (Select all that apply.)
A. Headache
B. Dilated pupils
C. Tachycardia
D. Decorticate posturing
E. Hypotension Correct Answers A. Headache
Solutions
A 76-year-old patient was recently diagnosed with primary
open-angle glaucoma. What part of the past medical history
places the patient at risk for developing glaucoma?
A. History of a recent facial trauma
B. Prolonged antibiotic therapy
C. Prolonged corticosteroid usage
D. History of angina Correct Answers C. Prolonged
corticosteroid usage
A client who has a clinical diagnosis of lupus has an increased
chance of acquiring which complication?
A. Chronic obstructive pulmonary disease
B. Renal damage
C. Pulmonary edema
D. Migraine headaches Correct Answers B. Renal damage
A client with lupus is receiving hydroxychloroquine as part of
her therapeutic regimen. Based on this finding, the nurse would
anticipate assessing:
A. Body mass index
B. Blood pressure
C. Baseline eye exam
D. Mental status Correct Answers C. Baseline eye exam
,A hospitalized patient with a history of cluster headaches
awakens during the night with a severe stabbing headache.
Which action should the nurse take first?
A. Give the ordered PRN acetaminophen (Tylenol).
B. Notify the patient's health care provider immediately.
C. Apply a moist hot pack on the patient's neck
D. Start the prescribed PRN O2 via NC or NRB Correct
Answers D. Start the prescribed PRN O2 via NC or NRB
A nurse in a clinic is caring for a client who has been
experiencing mild to moderate vertigo due to benign paroxysmal
vertigo for several weeks. Which of the following actions should
the nurse recommend to help control the vertigo? (Select all that
apply.)
A. Reduce exposure to bright lighting
B. Move head slowly when changing positions
C. Do not eat fruit high in potassium
D. Plan evenly-spaced daily fluid intake
E. Avoid fluids containing caffeine Correct Answers A.
Reduce exposure to bright lighting
B. Move head slowly when changing positions
D. Plan evenly-spaced daily fluid intake
A nurse in a clinic is caring for a client who has frequent
migraine headaches. The client asks about foods that can cause
headaches. The nurse should recommend that the client avoid
which of the following foods?
A. Baked salmon
,B. Salted cashews
C. Frozen strawberries
D. Fresh asparagus Correct Answers B. Salted cashews
A nurse in a clinic is teaching a client who has a history of
migraine headaches about a new prescription for zolmitriptan.
Which of the following statements by the client indicates
understanding of the teaching?
A. "This medication will relieve my symptoms by causing my
blood vessels to dilate."
B. "I should take this medication daily to prevent the headache
from occurring."
C. "I should expect facial flushing when I take this medication."
D. "This medication will lower my sensitivity to food triggers."
Correct Answers C. "I should expect facial flushing when I take
this medication."
A nurse in a provider's office is obtaining a health history from a
client who has cluster headaches. Which of the following are
expected findings? (Select all that apply.)
A. Pain is bilateral across the posterior occipital area
B. Client experiences altered sleep-wake cycle
C. Headache occurs approximately 1-8 times daily
D. Client describes headache pain as dull and throbbing
E. Nasal congestion and drainage occur Correct Answers B.
Client experiences altered sleep-wake cycle
C. Headache occurs approximately 1-8 times daily
E. Nasal congestion and drainage occur
, A nurse in an ED is assessing a client who reports sudden,
severe eye pain with blurry vision. The provider determines that
the client has primary angle-closure glaucoma. Which of the
following medications should the nurse expect to administer?
A. Osmotic diuretics via IV bolus
B. Mydriatic ophthalmic drops
C. Corticosteroid ophthalmic drops
D. Epinephrine via IV bolus Correct Answers A. Osmotic
diuretics via IV bolus
A nurse in an ED is caring for a client who suddenly lost
consciousness and fell while at home. The provider determines
that the client had an embolic stroke. Which of the following
medications should the nurse expect to administer?
A. Tissue plasminogen activator
B. Recombinant factor VIII
C. Nitroglycerin
D. Lidocaine Correct Answers A. Tissue plasminogen activator
A nurse in the critical care unit is completing an admission
assessment of a client who has a gunshot wound to the head.
Which of the following assessment findings are indicative of
increased ICP? (Select all that apply.)
A. Headache
B. Dilated pupils
C. Tachycardia
D. Decorticate posturing
E. Hypotension Correct Answers A. Headache
