FINAL EXAMS PRN
1562 2026
EXAMPREP
PRACTICE SET
SOLUTION
QUESTIONS WITH
FULL ANSWERS
,What is the most important reason for starting intravenous infusions in the upper extremities rather
than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles.
B. A decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg or foot is used.
D. Veins are located deep in the feet and ankles, resulting in a more painful procedure. - ANSWER -B.
A decreased flow rate could result in the formation of a thrombosis.
(Venous return is usually better in the upper extremities. Cannulation of the veins in the lower
extremities increases the risk of thrombus formation (B) which, if dislodged, could be life-
threatening. Superficial veins are often very easy (A) to find in the feet and legs. Handing a leg or
foot with an IV (C) is probably not anymore difficult than handling an arm or hand. Even if the nurse
did believe moving a cannulated leg was more difficult, that is not the most important reason for
using the upper extremities. Pain (D) is not a consideration. )
The nurse is administering medications through a nasogastric tube (NGT) which is connected to
suction. After ensuring correct tube placement, what action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water. - ANSWER -B. Flush the tube with water.
(The NGT should be flushed before, after, and in between each medication administered (B). Once
all medications are administered, the NGT should be clamped for 20 minutes (A). (C and D) may be
implemented only after the tubing has been flushed.)
A client is in the radiology department at 0900 when the prescription levofloxacin (Levaquin) 500 mg
IV q24h is scheduled to be administered. The client returns to the unit at 1300. What is the best
intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication variance form.
, B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
C. Notify the charge nurse and complete an incident report to explain the missed dose.
D. Give the missed dose at 1300 and change the schedule to administer daily at 1300. - ANSWER -D.
Give the missed dose at 1300 and change the schedule to administer daily at 1300.
(To ensure that a therapeutic level of medication is maintained, the nurse should administer dose as
soon as possible, and revise the administration schedule accordingly to prevent dangerously
increasing the level of medication in the bloodstream (D). The nurse should document the reason for
the late dose, but (A and C) are not warranted. (B) could result in increased blood levels of the drug.)
While instructing a male client's wife in the performance of passive range-of-motion exercises to his
contracted shoulder, the nurse observes that she is holding his arm above and below the elbow.
What nursing action should the nurse implement?
A. Acknowledge that she is supporting the arm correctly.
B. Encourage her to keep the joint covered to maintain warmth.
C. Reinforce the need to grip directly under the joint for better support.
D. Instruct her to grip directly over the joint for better motion. - ANSWER -A. Acknowledge that she
is supporting the arm correctly. (The wife is performing the passive ROM correctly, therefore the
nurse should acknowledge this fact (A). The joint that is being exercised should be uncovered (B)
while the best of the body should remain covered for warmth and privacy. (C and D) do not provide
adequate support for the joint while still allowing for joint movement.)
An adult male client with a history of hypertension tells the nurse that he is tired of taking
antihypertensive medications and is going to try spiritual meditation instead. What should be the
nurse's first response?
A. It is important that you continue your medication while learning to meditate.
B. Spiritual meditation requires a time commitment of 15 to 20 minutes daily.
C. Obtain your healthcare provider's permission before starting meditation.
D. Complementary therapy and western medicine can be effective for you. - ANSWER -A. "It is
important that you continue your medication while learning to meditate."
(The prolonged practice of meditation may lead to reduced need for antihypertensive medications.
However, the medications must be continued (A) while the physiologic response to meditation is
monitored. (B) is not as important as continuing the medication. The HCP should be informed, but
permission is not required to mediate (C). Although, it is true that the complimentary therapy might
be effective (D), it is essential that the client continue with antihypertensive mediations until the
effect of mediation can be measured.)
The nurse is assessing the nutritional status of several clients. Which client has the greatest
nutritional need for additional intake of protein?
1562 2026
EXAMPREP
PRACTICE SET
SOLUTION
QUESTIONS WITH
FULL ANSWERS
,What is the most important reason for starting intravenous infusions in the upper extremities rather
than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles.
B. A decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg or foot is used.
D. Veins are located deep in the feet and ankles, resulting in a more painful procedure. - ANSWER -B.
A decreased flow rate could result in the formation of a thrombosis.
(Venous return is usually better in the upper extremities. Cannulation of the veins in the lower
extremities increases the risk of thrombus formation (B) which, if dislodged, could be life-
threatening. Superficial veins are often very easy (A) to find in the feet and legs. Handing a leg or
foot with an IV (C) is probably not anymore difficult than handling an arm or hand. Even if the nurse
did believe moving a cannulated leg was more difficult, that is not the most important reason for
using the upper extremities. Pain (D) is not a consideration. )
The nurse is administering medications through a nasogastric tube (NGT) which is connected to
suction. After ensuring correct tube placement, what action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water. - ANSWER -B. Flush the tube with water.
(The NGT should be flushed before, after, and in between each medication administered (B). Once
all medications are administered, the NGT should be clamped for 20 minutes (A). (C and D) may be
implemented only after the tubing has been flushed.)
A client is in the radiology department at 0900 when the prescription levofloxacin (Levaquin) 500 mg
IV q24h is scheduled to be administered. The client returns to the unit at 1300. What is the best
intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication variance form.
, B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
C. Notify the charge nurse and complete an incident report to explain the missed dose.
D. Give the missed dose at 1300 and change the schedule to administer daily at 1300. - ANSWER -D.
Give the missed dose at 1300 and change the schedule to administer daily at 1300.
(To ensure that a therapeutic level of medication is maintained, the nurse should administer dose as
soon as possible, and revise the administration schedule accordingly to prevent dangerously
increasing the level of medication in the bloodstream (D). The nurse should document the reason for
the late dose, but (A and C) are not warranted. (B) could result in increased blood levels of the drug.)
While instructing a male client's wife in the performance of passive range-of-motion exercises to his
contracted shoulder, the nurse observes that she is holding his arm above and below the elbow.
What nursing action should the nurse implement?
A. Acknowledge that she is supporting the arm correctly.
B. Encourage her to keep the joint covered to maintain warmth.
C. Reinforce the need to grip directly under the joint for better support.
D. Instruct her to grip directly over the joint for better motion. - ANSWER -A. Acknowledge that she
is supporting the arm correctly. (The wife is performing the passive ROM correctly, therefore the
nurse should acknowledge this fact (A). The joint that is being exercised should be uncovered (B)
while the best of the body should remain covered for warmth and privacy. (C and D) do not provide
adequate support for the joint while still allowing for joint movement.)
An adult male client with a history of hypertension tells the nurse that he is tired of taking
antihypertensive medications and is going to try spiritual meditation instead. What should be the
nurse's first response?
A. It is important that you continue your medication while learning to meditate.
B. Spiritual meditation requires a time commitment of 15 to 20 minutes daily.
C. Obtain your healthcare provider's permission before starting meditation.
D. Complementary therapy and western medicine can be effective for you. - ANSWER -A. "It is
important that you continue your medication while learning to meditate."
(The prolonged practice of meditation may lead to reduced need for antihypertensive medications.
However, the medications must be continued (A) while the physiologic response to meditation is
monitored. (B) is not as important as continuing the medication. The HCP should be informed, but
permission is not required to mediate (C). Although, it is true that the complimentary therapy might
be effective (D), it is essential that the client continue with antihypertensive mediations until the
effect of mediation can be measured.)
The nurse is assessing the nutritional status of several clients. Which client has the greatest
nutritional need for additional intake of protein?
