NURS 504 ADVANCED NURSING PRACTICE
LATEST EXAM PREP QUESTIONS AND
ANSWERS PDF 2026
⏺ The nurse assesses the patient and notes all of the following. Select all
of the findings that indicate the systemic manifestations of inflammation.
A) Oral temperature 38.6 F
B) WBC 20
C) Thick, green nasal discharge
D) Patient reports, "I'm tired all the time. I haven't felt like myself in days"
E) Patient complaint of pain at 6 on a 0 to 10 scale on palpation of frontal
and maxillary sinuses? Answer:A,B,D
Systemic manifestations of inflammatory response include elevated
temperature, leukocytosis, and malaise and fatigue. Purulent exudates and
pain are both considered local manifestations of inflammation.
⏺ A client with chronic obstructive pulmonary disease (COPD) reports
social isolation. What does the nurse encourage the client to do?
A) Participate in community activities.
B) Verbalize his or her thoughts and feelings.
C) Ask the client's physician for an antianxiety agent.
D) Join a support group for people with COPD.? Answer:B
Many clients with moderate to severe COPD become socially isolated
because they are embarrassed by frequent coughing and mucus
production. They also can experience fatigue, which limits their activities.
The nurse needs to encourage the client to verbalize thoughts and feelings
so that appropriate interventions can be selected. Joining a support group
would not decrease feelings of social isolation if the client does not
verbalize feelings. Antianxiety agents will not help the client with social
isolation. Encouraging a client to participate in activities without verbalizing
concerns also would not be an effective strategy for decreasing social
isolation.
, ⏺ The nurse is assessing a client with lung disease. Which symptom does
the nurse intervene for first?
A) The client's anterior-posterior chest diameter is 2:2.
B) Clubbing of the finger tips is noted.
C) The client is pale.
D) The client has bilateral dependent leg edema.? Answer:D
The client with bilateral dependent edema may be developing right-sided
heart failure in response to respiratory disease. This symptom should be
investigated right away and reported to the health care provider. Further
assessment is needed. The client with chronic lung disease may develop
increased anterior-posterior diameter and clubbing as responses to chronic
hypoxia. These symptoms do not require immediate intervention. The client
is often pale or has a dusky appearance; this also would not warrant
immediate intervention.
⏺ A patient is diagnosed with a sprain to her right ankle after a fall. The
patient asks the nurse about using ice on her injured ankle. The nurse
should tell the patient that:
A) ice is not recommended for use on the sprain because it would inhibit
the inflammatory response.
B) ice should be applied for 15 to 20 minutes every 2 to 3 hours over the
next 1 to 2 days.
C) she should use ice only when the ankle hurts.
D) she should wrap an ice pack around the injured ankle for the next 24 to
48 hours.? Answer:B
Ice is used on areas of injury during the first 24 to 48 hours after the injury
occurs to prevent damage to surrounding tissues from excessive
inflammation. Ice should be used for a maximum of 20 minutes at a time
every 2 to 3 hours. Ice must be used according to a schedule for it to be
effective and not be overused. Using ice more often or for longer periods of
time can cause additional tissue damage. Ice is recommended to inhibit the
inflammatory process from damaging surrounding tissue.
LATEST EXAM PREP QUESTIONS AND
ANSWERS PDF 2026
⏺ The nurse assesses the patient and notes all of the following. Select all
of the findings that indicate the systemic manifestations of inflammation.
A) Oral temperature 38.6 F
B) WBC 20
C) Thick, green nasal discharge
D) Patient reports, "I'm tired all the time. I haven't felt like myself in days"
E) Patient complaint of pain at 6 on a 0 to 10 scale on palpation of frontal
and maxillary sinuses? Answer:A,B,D
Systemic manifestations of inflammatory response include elevated
temperature, leukocytosis, and malaise and fatigue. Purulent exudates and
pain are both considered local manifestations of inflammation.
⏺ A client with chronic obstructive pulmonary disease (COPD) reports
social isolation. What does the nurse encourage the client to do?
A) Participate in community activities.
B) Verbalize his or her thoughts and feelings.
C) Ask the client's physician for an antianxiety agent.
D) Join a support group for people with COPD.? Answer:B
Many clients with moderate to severe COPD become socially isolated
because they are embarrassed by frequent coughing and mucus
production. They also can experience fatigue, which limits their activities.
The nurse needs to encourage the client to verbalize thoughts and feelings
so that appropriate interventions can be selected. Joining a support group
would not decrease feelings of social isolation if the client does not
verbalize feelings. Antianxiety agents will not help the client with social
isolation. Encouraging a client to participate in activities without verbalizing
concerns also would not be an effective strategy for decreasing social
isolation.
, ⏺ The nurse is assessing a client with lung disease. Which symptom does
the nurse intervene for first?
A) The client's anterior-posterior chest diameter is 2:2.
B) Clubbing of the finger tips is noted.
C) The client is pale.
D) The client has bilateral dependent leg edema.? Answer:D
The client with bilateral dependent edema may be developing right-sided
heart failure in response to respiratory disease. This symptom should be
investigated right away and reported to the health care provider. Further
assessment is needed. The client with chronic lung disease may develop
increased anterior-posterior diameter and clubbing as responses to chronic
hypoxia. These symptoms do not require immediate intervention. The client
is often pale or has a dusky appearance; this also would not warrant
immediate intervention.
⏺ A patient is diagnosed with a sprain to her right ankle after a fall. The
patient asks the nurse about using ice on her injured ankle. The nurse
should tell the patient that:
A) ice is not recommended for use on the sprain because it would inhibit
the inflammatory response.
B) ice should be applied for 15 to 20 minutes every 2 to 3 hours over the
next 1 to 2 days.
C) she should use ice only when the ankle hurts.
D) she should wrap an ice pack around the injured ankle for the next 24 to
48 hours.? Answer:B
Ice is used on areas of injury during the first 24 to 48 hours after the injury
occurs to prevent damage to surrounding tissues from excessive
inflammation. Ice should be used for a maximum of 20 minutes at a time
every 2 to 3 hours. Ice must be used according to a schedule for it to be
effective and not be overused. Using ice more often or for longer periods of
time can cause additional tissue damage. Ice is recommended to inhibit the
inflammatory process from damaging surrounding tissue.
