NUR204 / NUR 204 Exam 4 (Latest 2025/
2026 Update) Leadership and
Management Guide | Questions &
Answers| Grade A | 100% Correct | A
Grade – Fortis
Exam Description
This NUR 204 Exam 4 Contains 156 Q&A. It typically covers advanced medical-surgical
nursing, focusing on sensory/neurological issues (like vision/hearing), immune
disorders, reproductive health, malignancies, and critical thinking in complex patient
scenarios (e.g., post-op care, skin integrity, emergencies) using the nursing process,
integrating concepts like pharmacology, patient safety, and ethical considerations for
diverse clients, with many practice questions found on sites like Quizlet and Nursing
Hero
Key Topics Covered:
Sensory & Neurological: Eye exams, cataracts, glaucoma, visual field impairments, fall
prevention.
Surgical & Post-Op Care: Skin integrity, pressure ulcers, reducing thrombus risk
(elastic stockings, repositioning).
Pharmacology: Drug interactions, safe medication administration, MDI use.
Patient Safety & Critical Thinking: Risk for falls, managing secretions, child abuse,
recognizing concerning patient statements.
Ethical & Legal: Applying the nursing process, ethical dilemmas, legal aspects.
Health Promotion: Preventive care, client education.
1
, Common Question Formats:
Scenario-based: Applying critical thinking to patient situations (e.g., a nurse noticing
a rash).
Prioritization: Deciding on the most important nursing intervention (e.g., promoting
incentive spirometry).
Sequencing: Putting steps of a procedure in order (e.g., MDI use, post-mortem care).
Quiz_________________?
where should the RN look for the number of drops per mL of fluid
the tubing delivers?
a. on the package of tubing
b. in the drug reference book
c. in the charting from the nurse who started the infusion
d. on the roller clamp of the tubing -
Answer☑️
a. on the package of tubing
Quiz_________________?
which is first intervention when RN observes the IV solution is not
infusing?
a. inspect the tubing for kinks
b. discontinue the IV
c. lower the height of the IV solution container
d. notify the MD -
Answer☑️
a. inspect the tubing for kinks
2
, Quiz_________________?
how should the nurse plan for a 1200 mL fluid restriction?
a. remove fluid from diet trays and offer them only between meals
b. offer the client soft foods such as sherbert and custard
c. allow 600 mL from 7-3, 400 mL from 3-11, and 20 mL from 11-7
d. tell the pt that fluid placed @ bedside must last until tomorrow -
Answer☑️
c. allow 600 mL from 7-3, 400 mL from 3-11, and 20 mL from 11-7
Quiz_________________?
what action by RN would be appropriate for pt on fluid restriction
of 800 mL a day?
a. check pt bedside table for hoarded cups of fluid/juice
b. allow the pt to order her own meals from the kitchen
c. obtain a urinalysis to check for output
d. do not give the pt any fluid after 5:00 pm -
Answer☑️
b. allow the pt to order her own meals from the kitchen
Quiz_________________?
which intervention should be included in the plan of care for pt
with fluid volume excess?
a. restrict the clients sodium in their diet
b. prepare the patient for hemodialysis
c. do not give the patient intravenous fluids
d. monitor blood glucose levels -
Answer☑️
a. restrict the clients sodium in their diet
Quiz_________________?
3
, crackles, SOB, and distended neck veins indicate which
complication of IV fluid therapy?
a. impending cardiovascular collapse/ shock
b. pulmonary embolism
c. an allergic reaction to IV fluids
d. fluid volume excess -
Answer☑️
d. fluid volume excess
Quiz_________________?
what is the priority assessment for a pt refusing to eat or drink for
several days?
a. increased blood pressure
b. weak, rapid pulse
c. jugular vein distention
d. moist mucous membranes -
Answer☑️
b. weak, rapid pulse
Quiz_________________?
which statement indicates a need for further teaching regarding
treatment of hypokalemia?
a. i will use avocado in my salads
b. i will stop using my salt substitute
c. i will take potassium in the morning after eating breakfast
d. i will be sure to check my heart rate before i take digoxin -
Answer☑️
b. i will stop using my salt substitute
Quiz_________________?
4
2026 Update) Leadership and
Management Guide | Questions &
Answers| Grade A | 100% Correct | A
Grade – Fortis
Exam Description
This NUR 204 Exam 4 Contains 156 Q&A. It typically covers advanced medical-surgical
nursing, focusing on sensory/neurological issues (like vision/hearing), immune
disorders, reproductive health, malignancies, and critical thinking in complex patient
scenarios (e.g., post-op care, skin integrity, emergencies) using the nursing process,
integrating concepts like pharmacology, patient safety, and ethical considerations for
diverse clients, with many practice questions found on sites like Quizlet and Nursing
Hero
Key Topics Covered:
Sensory & Neurological: Eye exams, cataracts, glaucoma, visual field impairments, fall
prevention.
Surgical & Post-Op Care: Skin integrity, pressure ulcers, reducing thrombus risk
(elastic stockings, repositioning).
Pharmacology: Drug interactions, safe medication administration, MDI use.
Patient Safety & Critical Thinking: Risk for falls, managing secretions, child abuse,
recognizing concerning patient statements.
Ethical & Legal: Applying the nursing process, ethical dilemmas, legal aspects.
Health Promotion: Preventive care, client education.
1
, Common Question Formats:
Scenario-based: Applying critical thinking to patient situations (e.g., a nurse noticing
a rash).
Prioritization: Deciding on the most important nursing intervention (e.g., promoting
incentive spirometry).
Sequencing: Putting steps of a procedure in order (e.g., MDI use, post-mortem care).
Quiz_________________?
where should the RN look for the number of drops per mL of fluid
the tubing delivers?
a. on the package of tubing
b. in the drug reference book
c. in the charting from the nurse who started the infusion
d. on the roller clamp of the tubing -
Answer☑️
a. on the package of tubing
Quiz_________________?
which is first intervention when RN observes the IV solution is not
infusing?
a. inspect the tubing for kinks
b. discontinue the IV
c. lower the height of the IV solution container
d. notify the MD -
Answer☑️
a. inspect the tubing for kinks
2
, Quiz_________________?
how should the nurse plan for a 1200 mL fluid restriction?
a. remove fluid from diet trays and offer them only between meals
b. offer the client soft foods such as sherbert and custard
c. allow 600 mL from 7-3, 400 mL from 3-11, and 20 mL from 11-7
d. tell the pt that fluid placed @ bedside must last until tomorrow -
Answer☑️
c. allow 600 mL from 7-3, 400 mL from 3-11, and 20 mL from 11-7
Quiz_________________?
what action by RN would be appropriate for pt on fluid restriction
of 800 mL a day?
a. check pt bedside table for hoarded cups of fluid/juice
b. allow the pt to order her own meals from the kitchen
c. obtain a urinalysis to check for output
d. do not give the pt any fluid after 5:00 pm -
Answer☑️
b. allow the pt to order her own meals from the kitchen
Quiz_________________?
which intervention should be included in the plan of care for pt
with fluid volume excess?
a. restrict the clients sodium in their diet
b. prepare the patient for hemodialysis
c. do not give the patient intravenous fluids
d. monitor blood glucose levels -
Answer☑️
a. restrict the clients sodium in their diet
Quiz_________________?
3
, crackles, SOB, and distended neck veins indicate which
complication of IV fluid therapy?
a. impending cardiovascular collapse/ shock
b. pulmonary embolism
c. an allergic reaction to IV fluids
d. fluid volume excess -
Answer☑️
d. fluid volume excess
Quiz_________________?
what is the priority assessment for a pt refusing to eat or drink for
several days?
a. increased blood pressure
b. weak, rapid pulse
c. jugular vein distention
d. moist mucous membranes -
Answer☑️
b. weak, rapid pulse
Quiz_________________?
which statement indicates a need for further teaching regarding
treatment of hypokalemia?
a. i will use avocado in my salads
b. i will stop using my salt substitute
c. i will take potassium in the morning after eating breakfast
d. i will be sure to check my heart rate before i take digoxin -
Answer☑️
b. i will stop using my salt substitute
Quiz_________________?
4
