NURS 3700 TEST PAPER 2026 EXAM QUESTIONS AND
ANSWERS RATED A+
✔✔An older patient with chronic atrial fibrillation develops sudden severe pain,
pulselessness, pallor, and coolness in the right leg. After the nurse notifies the health
care provider, what should the nurse do next?
A. Apply a compression stocking to the leg.
B. Elevate the leg above the level of the heart.
C. Assist the patient in gently exercising the leg.
D. Keep the patient in bed in the supine position. - ✔✔D. Keep the patient in bed in the
supine position.
Patient's signs and symptoms are consistent with arterial occlusion. Resting the leg will
decrease the oxygen demand of the tissues and minimized ischemic damage until
circulation can be restored. Elevation or elastic wrap will further compromise blood flow
and exercise will increase oxygen demand.
✔✔A patient at the clinic says, "I always walk after dinner, but lately my leg cramps and
hurts after just a few minutes. The pain goes away after I stop walking, though." What
focused assessment should the nurse make?
A. Look for the presence of tortuous veins bilaterally on the legs.
B. Ask about any skin color changes that occur in response to cold.
C. Assess for unilateral swelling, redness, and tenderness of either leg.
D. Palpate for the presence of dorsalis pedis and posterior tibial pulses. - ✔✔D. Palpate
for the presence of dorsalis pedis and posterior tibial pulses.
This question suggests the patient has PAD, look for the answer that has signs and
symptoms of PAD. A is signs of venous insufficiency, B is signs of Raynaud's and C is
signs of DVT.
✔✔A young adult patient tells the health care provider about experiencing cold, numb
fingers and Raynaud's phenomenon is suspected. What type of testing should the nurse
anticipate explaining to the patient?
A. Hyperglycemia
B. Hyperlipidemia
C. Autoimmune disorders
D. Coronary artery disease - ✔✔C. Autoimmune disorders
Patients with Raynaud's disease should have routine follow-up to monitor for the
development of connective tissue or auto-immune disorders. Secondary Raynaud's has
underlying disease.
✔✔The nurse is caring for a patient with critical limb ischemia who has just arrived on
the nursing unit after having percutaneous transluminal balloon angioplasty. Which
action should the nurse perform first?
A. Obtain vital signs.
B. Teach wound care.
,C. Assess pedal pulses.
D. Check the wound site - ✔✔A. Obtain vital signs
Bleeding is a possible complication. First action is to assess for changes to vital signs
that may indicate hemorrhage Other options are correct but need to assess vital signs
first.
✔✔A patient who is 2 days post femoral popliteal bypass graft to the right leg is being
cared for on the vascular unit. Which action by a licensed practical/vocational nurse
(LPN/VN) caring for the patient requires the registered nurse (RN) to intervene?
A. The LPN/VN tells the patient sit in a chair for 2 hours.
B. The LPN/VN gives the prescribed aspirin after breakfast.
C. The LPN/VN assists the patient to walk 40 ft in the hallway.
D. The LPN/VN places the patient in Fowler's position for meals. - ✔✔A. The LPN/VN
tells the patient sit in a chair for 2 hours.
Patient should not sit for prolonged periods of time because of increase stress on the
suture line caused by edema and because of risk of DVT.
✔✔Which instructions should the nurse include in a teaching plan for an older adult
patient newly diagnosed with peripheral artery disease (PAD)?
A. "Exercise only if you do not experience any pain."
B. "It is very important that you stop smoking cigarettes."
C. "Try to keep your legs elevated whenever you are sitting."
D. "Put elastic compression stockings on early in the morning." - ✔✔B. "It is very
important that you stop smoking cigarettes."
A- you would exercise to the point of pain, rest then resume walking
C-elevation will decrease blood flow
D-No compression or TED hose for PAD, it further decreases blood flow
✔✔The health care provider prescribes an infusion of heparin and daily partial
thromboplastin time (PTT) testing for a patient with venous thromboembolism (VTE).
Which action should the nurse include in the plan of care?
A. Obtain a Doppler for monitoring bilateral pedal pulses.
B. Decrease the infusion when the PTT value is 65 seconds.
C. Avoid giving IM medications to prevent localized bleeding. Co
D. Have vitamin K available in case reversal of the heparin is needed. - ✔✔D. Have
vitamin K available in case reversal of the heparin is needed.
You are looking for the correct statement. Heparin is an anti coagulant which thins the
blood. Patient is at risk of bleeding and IM injections should be avoided.
A- Pulse is not affected by VTE
B- PTT is in therapeutic range
D- Vitamin K is used for warfarin, protamine is used for heparin.
✔✔1.The nurse is preparing to insert a NG tube into a patient with a suspected small
intestinal obstruction that is vomiting. The patient asks the nurse why this procedure is
necessary. What response by the nurse is the most appropriate?
, A. "The tube will help to drain the stomach contents and prevent further vomiting."
B. "The tube will push past the area that is blocked and help stop the vomiting."
C. The tube is just a standard procedure before many types of surgery to the abdomen."
D. The tube will let us measure your stomach contents so we can give you the right IV
fluid replacement." - ✔✔A. "The tube will help to drain the stomach contents and
prevent further vomiting."
NG tube allows for drainage and decompression of stomach contents, allowing for
symptom reduction.
✔✔The nurse is monitoring a female client with a diagnosis of peptic ulcer. Which
assessment findings would most likely indicate perforation of the ulcer?
A. Bradycardia
B. Numbness in the legs
C. Nausea and vomiting
D. A rigid, board-like abdomen - ✔✔D. A rigid, board-like abdomen
✔✔The nurse is providing discharge instructions to a male client following gastrectomy
and instructs the client to take which measure to assist in preventing dumping
syndrome?
A. Ambulate following a meal
B. Eat high carbohydrate foods
C. Limit the fluid taken with meal
D. Have three larger meals instead of multiple smaller meals - ✔✔C. Limit the fluid
taken with meal
✔✔The nurse is monitoring a female client for the early signs and symptoms of dumping
syndrome. Which of the following indicate this occurrence?
A. Sweating and pallor
B. Bradycardia and indigestion
C. Double vision and chest pain
D. Abdominal cramping and pain - ✔✔D. Abdominal cramping and pain
Dumping syndrome: Large bolus of hypertonic fluids enter the intestine; s/s -weakness,
sweating, palpitations, dizziness, loud abdominal sounds and cramping within 30 min of
eating - last less than 1 hour
✔✔The nurse is caring for a hospitalized female client with a diagnosis of ulcerative
colitis. Which finding, if noted on assessment of the client, would the nurse report to the
physician?
A. Hypotension
B. Bloody diarrhea
C. Rebound tenderness
ANSWERS RATED A+
✔✔An older patient with chronic atrial fibrillation develops sudden severe pain,
pulselessness, pallor, and coolness in the right leg. After the nurse notifies the health
care provider, what should the nurse do next?
A. Apply a compression stocking to the leg.
B. Elevate the leg above the level of the heart.
C. Assist the patient in gently exercising the leg.
D. Keep the patient in bed in the supine position. - ✔✔D. Keep the patient in bed in the
supine position.
Patient's signs and symptoms are consistent with arterial occlusion. Resting the leg will
decrease the oxygen demand of the tissues and minimized ischemic damage until
circulation can be restored. Elevation or elastic wrap will further compromise blood flow
and exercise will increase oxygen demand.
✔✔A patient at the clinic says, "I always walk after dinner, but lately my leg cramps and
hurts after just a few minutes. The pain goes away after I stop walking, though." What
focused assessment should the nurse make?
A. Look for the presence of tortuous veins bilaterally on the legs.
B. Ask about any skin color changes that occur in response to cold.
C. Assess for unilateral swelling, redness, and tenderness of either leg.
D. Palpate for the presence of dorsalis pedis and posterior tibial pulses. - ✔✔D. Palpate
for the presence of dorsalis pedis and posterior tibial pulses.
This question suggests the patient has PAD, look for the answer that has signs and
symptoms of PAD. A is signs of venous insufficiency, B is signs of Raynaud's and C is
signs of DVT.
✔✔A young adult patient tells the health care provider about experiencing cold, numb
fingers and Raynaud's phenomenon is suspected. What type of testing should the nurse
anticipate explaining to the patient?
A. Hyperglycemia
B. Hyperlipidemia
C. Autoimmune disorders
D. Coronary artery disease - ✔✔C. Autoimmune disorders
Patients with Raynaud's disease should have routine follow-up to monitor for the
development of connective tissue or auto-immune disorders. Secondary Raynaud's has
underlying disease.
✔✔The nurse is caring for a patient with critical limb ischemia who has just arrived on
the nursing unit after having percutaneous transluminal balloon angioplasty. Which
action should the nurse perform first?
A. Obtain vital signs.
B. Teach wound care.
,C. Assess pedal pulses.
D. Check the wound site - ✔✔A. Obtain vital signs
Bleeding is a possible complication. First action is to assess for changes to vital signs
that may indicate hemorrhage Other options are correct but need to assess vital signs
first.
✔✔A patient who is 2 days post femoral popliteal bypass graft to the right leg is being
cared for on the vascular unit. Which action by a licensed practical/vocational nurse
(LPN/VN) caring for the patient requires the registered nurse (RN) to intervene?
A. The LPN/VN tells the patient sit in a chair for 2 hours.
B. The LPN/VN gives the prescribed aspirin after breakfast.
C. The LPN/VN assists the patient to walk 40 ft in the hallway.
D. The LPN/VN places the patient in Fowler's position for meals. - ✔✔A. The LPN/VN
tells the patient sit in a chair for 2 hours.
Patient should not sit for prolonged periods of time because of increase stress on the
suture line caused by edema and because of risk of DVT.
✔✔Which instructions should the nurse include in a teaching plan for an older adult
patient newly diagnosed with peripheral artery disease (PAD)?
A. "Exercise only if you do not experience any pain."
B. "It is very important that you stop smoking cigarettes."
C. "Try to keep your legs elevated whenever you are sitting."
D. "Put elastic compression stockings on early in the morning." - ✔✔B. "It is very
important that you stop smoking cigarettes."
A- you would exercise to the point of pain, rest then resume walking
C-elevation will decrease blood flow
D-No compression or TED hose for PAD, it further decreases blood flow
✔✔The health care provider prescribes an infusion of heparin and daily partial
thromboplastin time (PTT) testing for a patient with venous thromboembolism (VTE).
Which action should the nurse include in the plan of care?
A. Obtain a Doppler for monitoring bilateral pedal pulses.
B. Decrease the infusion when the PTT value is 65 seconds.
C. Avoid giving IM medications to prevent localized bleeding. Co
D. Have vitamin K available in case reversal of the heparin is needed. - ✔✔D. Have
vitamin K available in case reversal of the heparin is needed.
You are looking for the correct statement. Heparin is an anti coagulant which thins the
blood. Patient is at risk of bleeding and IM injections should be avoided.
A- Pulse is not affected by VTE
B- PTT is in therapeutic range
D- Vitamin K is used for warfarin, protamine is used for heparin.
✔✔1.The nurse is preparing to insert a NG tube into a patient with a suspected small
intestinal obstruction that is vomiting. The patient asks the nurse why this procedure is
necessary. What response by the nurse is the most appropriate?
, A. "The tube will help to drain the stomach contents and prevent further vomiting."
B. "The tube will push past the area that is blocked and help stop the vomiting."
C. The tube is just a standard procedure before many types of surgery to the abdomen."
D. The tube will let us measure your stomach contents so we can give you the right IV
fluid replacement." - ✔✔A. "The tube will help to drain the stomach contents and
prevent further vomiting."
NG tube allows for drainage and decompression of stomach contents, allowing for
symptom reduction.
✔✔The nurse is monitoring a female client with a diagnosis of peptic ulcer. Which
assessment findings would most likely indicate perforation of the ulcer?
A. Bradycardia
B. Numbness in the legs
C. Nausea and vomiting
D. A rigid, board-like abdomen - ✔✔D. A rigid, board-like abdomen
✔✔The nurse is providing discharge instructions to a male client following gastrectomy
and instructs the client to take which measure to assist in preventing dumping
syndrome?
A. Ambulate following a meal
B. Eat high carbohydrate foods
C. Limit the fluid taken with meal
D. Have three larger meals instead of multiple smaller meals - ✔✔C. Limit the fluid
taken with meal
✔✔The nurse is monitoring a female client for the early signs and symptoms of dumping
syndrome. Which of the following indicate this occurrence?
A. Sweating and pallor
B. Bradycardia and indigestion
C. Double vision and chest pain
D. Abdominal cramping and pain - ✔✔D. Abdominal cramping and pain
Dumping syndrome: Large bolus of hypertonic fluids enter the intestine; s/s -weakness,
sweating, palpitations, dizziness, loud abdominal sounds and cramping within 30 min of
eating - last less than 1 hour
✔✔The nurse is caring for a hospitalized female client with a diagnosis of ulcerative
colitis. Which finding, if noted on assessment of the client, would the nurse report to the
physician?
A. Hypotension
B. Bloody diarrhea
C. Rebound tenderness
