NUR 211 – Nursing Care of Adults II, Nursing
Program, Final Exam Practice Questions with
Verified Answers and Rationales
Introduction:
This document contains 550 comprehensive final exam
practice questions for NUR 211: Nursing Care of Adults II,
focused on adult health nursing concepts. It includes verified
correct answers with detailed rationales covering neurologic
disorders, traumatic brain injury, oncology, cancer prevention,
diagnostics, nursing interventions, pharmacology, and patient
education. The material is designed as a thorough study
resource for final exam preparation and in-depth concept
review within the nursing program.
Exam Questions and Answers with Rationales:
A client who had a severe traumatic brain injury is being
discharge home, where the spouse will be a full-time
caregiver. What statement by the spouse would lead to the
nurse to provide further education on home care?
A. I know I can take care of all these needs by myself
B. I need to seek counseling because I am very angry
,C. Hopefully things will improve gradually over time
D. With respite care and support, I think I can do this. ---
Correct Answer---A. I know I can take care of all these needs
by myself
This caregiver has unrealistic expectations about being able to
do everything without help. Acknowledging anger and seeking
counseling show a realistic outlook and plans for
accomplishing goals. Hoping for improvement over time is also
realistic, especially with the inclusion of the word hopefully.
Realizing the importance of respite care and support also is a
realistic outlook.
After a craniotomy, the nurse assesses the client and finds dry,
sticky mucous membranes and restlessness. The client has IV
fluids running at 75 mL/hr. What action by the nurse is best?
A. Assess the clients magnesium level
B. Assess the client sodium level
C. Increase the rate of IV infusion
D. Provide oral care every hour ---Correct Answer---B. Assess
the clients sodium level
,This client has manifestations of hypernatremia, which is a
possible complication after craniotomy. The nurse should
assess the client's serum sodium level. Magnesium level is not
related. The nurse does not independently increase the rate IV
infusion. Providing oral care is also a good option but does not
take priority over assessing laboratory results.
A client has a brain abscess and is receiving phenytoin. The
spouse questions the use of the drug, saying the client does not
have a seizure disorder. What response by the nurse is best?
A. Increased pressure from the abscess can cause seizures
B. Preventing febrile seizures with an abscess is important
C. Seizures always occur in client with Brian abscesses
D. This drug is used to sedate the client with an abscess ---
Correct Answer---A. Increase pressure from the abscess can
cause seizures
Brain abscesses can lead to seizures as a complication. The
nurse should explain this to the spouse. Phenytoin is not used
to prevent febrile seizures. Seizures are possible but do not
always occur in clients with brain abscesses. This rug is not
used for sedation.
, The nurse assesses a client's GCS and determines it to be a 12
(4 in each category). What care should the nurse anticipate fo
this client?
A. Can ambulate independently
B. May have trouble swallowing
C. Needs frequent re-orientation
D. Will need near-total care ---Correct Answer---C. Needs
frequent re-orientation
This client will most likely be confused and need frequent re-
orientation. The client may not be able to ambulate at all but
should do so independently, not because of mental status
Swallowing is not assessed by GCS. The client will not need
near-total care.
A client has a traumatic brain injury and a positive halo sign.
Th client is in the Icu, sedated and on a ventilator, and is in a
critical but stable condition. What collaborative problem takes
priority at this time?
A. Inability to communicate
B. Nutritional deficit
C. Risk for acquiring an infection
Program, Final Exam Practice Questions with
Verified Answers and Rationales
Introduction:
This document contains 550 comprehensive final exam
practice questions for NUR 211: Nursing Care of Adults II,
focused on adult health nursing concepts. It includes verified
correct answers with detailed rationales covering neurologic
disorders, traumatic brain injury, oncology, cancer prevention,
diagnostics, nursing interventions, pharmacology, and patient
education. The material is designed as a thorough study
resource for final exam preparation and in-depth concept
review within the nursing program.
Exam Questions and Answers with Rationales:
A client who had a severe traumatic brain injury is being
discharge home, where the spouse will be a full-time
caregiver. What statement by the spouse would lead to the
nurse to provide further education on home care?
A. I know I can take care of all these needs by myself
B. I need to seek counseling because I am very angry
,C. Hopefully things will improve gradually over time
D. With respite care and support, I think I can do this. ---
Correct Answer---A. I know I can take care of all these needs
by myself
This caregiver has unrealistic expectations about being able to
do everything without help. Acknowledging anger and seeking
counseling show a realistic outlook and plans for
accomplishing goals. Hoping for improvement over time is also
realistic, especially with the inclusion of the word hopefully.
Realizing the importance of respite care and support also is a
realistic outlook.
After a craniotomy, the nurse assesses the client and finds dry,
sticky mucous membranes and restlessness. The client has IV
fluids running at 75 mL/hr. What action by the nurse is best?
A. Assess the clients magnesium level
B. Assess the client sodium level
C. Increase the rate of IV infusion
D. Provide oral care every hour ---Correct Answer---B. Assess
the clients sodium level
,This client has manifestations of hypernatremia, which is a
possible complication after craniotomy. The nurse should
assess the client's serum sodium level. Magnesium level is not
related. The nurse does not independently increase the rate IV
infusion. Providing oral care is also a good option but does not
take priority over assessing laboratory results.
A client has a brain abscess and is receiving phenytoin. The
spouse questions the use of the drug, saying the client does not
have a seizure disorder. What response by the nurse is best?
A. Increased pressure from the abscess can cause seizures
B. Preventing febrile seizures with an abscess is important
C. Seizures always occur in client with Brian abscesses
D. This drug is used to sedate the client with an abscess ---
Correct Answer---A. Increase pressure from the abscess can
cause seizures
Brain abscesses can lead to seizures as a complication. The
nurse should explain this to the spouse. Phenytoin is not used
to prevent febrile seizures. Seizures are possible but do not
always occur in clients with brain abscesses. This rug is not
used for sedation.
, The nurse assesses a client's GCS and determines it to be a 12
(4 in each category). What care should the nurse anticipate fo
this client?
A. Can ambulate independently
B. May have trouble swallowing
C. Needs frequent re-orientation
D. Will need near-total care ---Correct Answer---C. Needs
frequent re-orientation
This client will most likely be confused and need frequent re-
orientation. The client may not be able to ambulate at all but
should do so independently, not because of mental status
Swallowing is not assessed by GCS. The client will not need
near-total care.
A client has a traumatic brain injury and a positive halo sign.
Th client is in the Icu, sedated and on a ventilator, and is in a
critical but stable condition. What collaborative problem takes
priority at this time?
A. Inability to communicate
B. Nutritional deficit
C. Risk for acquiring an infection
