NUR1212C FINAL EXAM (2025/2026) Updated: EXAM QUESTIONS WITH ACCURATE
ANSWERS | GET IT RIGHT!!
The nurse is developing a teaching plan for a client with glaucoma. Which instruction
should the nurse include in the plan of care?
a. Avoid overuse of the eyes.
b. Decrease the amount of salt in the diet.
c. Eye medications will need to be administered for life.
d. Decrease fluid intake to control the intraocular pressure.
c. Eye medications will need to be administered for life.
The nurse is performing an assessment on a client with a suspected diagnosis of cataract.
What is the chief clinical manifestation that the nurse expects to note in the early stages of
cataract formation?
a. Diplopia
b. Eye pain
c. Floating spots
d. Blurred vision
d. Blurred vision
Tonometry is performed on a client with a suspected diagnosis of glaucoma. The nurse
looks at the test results documented in the client's chart, knowing that which is the range
for normal intraocular pressure?
a. 2 to 7 mm Hg
b. 10 to 21 mm Hg
c. 22 to 30 mm Hg
d. 31 to 35 mm Hg
b. 10 to 21 mm Hg
A client's vision is tested with a Snellen chart. The results of the tests are documented as
20/60. How should the nurse interpret this finding?
a. The client is legally blind.
b. The client's vision is normal.
c. The client can read at a distance of 60 feet what a client with normal vision can read at
20 feet.
d. The client can read only at a distance of 20 feet what a client with normal vision can read
at 60 feet.
d. The client can read only at a distance of 20 feet, what a client with normal vision can read at
60 feet.
A client is diagnosed with glaucoma. Which nursing assessment data identifies a risk factor
associated with this eye disorder?
a. Cardiovascular disease
, 2
b. Frequent urinary tract infections
c. A history of migraine headaches
d. Frequent upper respiratory infections
a. Cardiovascular disease
A clinic nurse is reviewing the record of a client with a diagnosis of a macular degeneration.
Which clinical manifestation is associated with this disorder? '
a. Eye pain
b. Opacity of the lens
c. Loss of central vision
d. Inability to identify the color red on an eye examination
c. Loss of central vision
A client is experiencing visual difficulties and has been told that a previous vision test
showed that the light rays entering the eye are falling in front of the retina. The nurse
understands that this client is experiencing which visual disturbance? a. Myopia
b. Hyperopia
c. Astigmatism
d. Exophthalmos
a. Myopia
Timolol (Timoptic) ophthalmic drops have been prescribed for a client with primary open-
angle glaucoma. The client asks the nurse how this medication works. The nurse explains
that the medication lowers intraocular pressure by which mechanism?
a. Constricting the pupil
b. Reducing intracranial pressure
c. Increasing contractions of the ciliary muscle
d. Reducing the production of aqueous humor
d. Reducing the production of aqueous humor
The nurse is providing instructions to a client with a seizure disorder who will be taking
phenytoin (Dilantin). Which statement, if made by the client, would indicate an
understanding of the information about this medication?
a. "I need to perform good oral hygiene, including flossing and brushing my teeth."
b. "I should try to avoid alcohol, but if I'm not able to, I can drink alcohol in moderation."
c. "I should take my medication before coming to the laboratory to have a blood level
drawn."
d. "I should monitor for side effects and adjust my medication dose depending on how
severe the side effects are.
, 3
a. "I need to perform good oral hygiene, including flossing and brushing my teeth."
The nurse is preparing for the admission to the unit of a client with a diagnosis of seizures
and is preparing to institute full seizure precautions. Which item is contraindicated for use
if a seizure occurs?
a. Oxygen source
b. Suction machine
c. Padded tongue blade
d. Padding for the side rails
c. Padded tongue blade
What is the most appropriate nursing action to help manage a manic client who is
monopolizing a group therapy session?
a. Ask the client to leave the group for this session only.
b. Refer the client to another group that includes other manic clients.
c. Tell the client to stop monopolizing in a firm but compassionate manner.
d. Thank the client for the input, but inform the client that now others need a chance to
contribute.
d. Thank the client for the input, but inform the client that now others need a chance to
contribute.
A client is admitted to the mental health unit with a diagnosis of depression. The nurse
should develop a plan of care for the client that includes which intervention?
a. Encouraging quiet reading and writing for the first few days
b. Identification of physical activities that will provide exercise
c. No socializing activities, until the client asks to participate in milieu
d. A structured program of activities in which the client can participate
d. A structured program of activities in which the client can participate
A client is unwilling to go out of the house for fear of "making a fool of myself in public."
Because of this fear, the client remains homebound. Based on these data, which mental
health disorder is the client experiencing?
a. Agoraphobia
b. Social phobia
c. Claustrophobia
d. Hypochondriasis
b. Social phobia
A depressed client on an inpatient unit says to the nurse, "My family would be better off
without me." What is the nurse's best response?
, 4
a. "Have you talked to your family about this?
b. "Everyone feels this way when they are depressed."
c. "You will feel better once your medication begins to work."
d. "You sound very upset. Are you thinking of hurting yourself?"
d. "You sound very upset. Are you thinking of hurting yourself?"
The nurse assesses a client with the admitting diagnosis of bipolar affective disorder,
mania. Which client symptoms require the nurse's immediate action?
a. Incessant talking and sexual innuendoes
b. Grandiose delusions and poor concentration
c. Outlandish behaviors and inappropriate dress
d. Nonstop physical activity and poor nutritional intake
d. Nonstop physical activity and poor nutritional intake
The nurse is performing an assessment on a client with dementia. Which data gathered
during the assessment indicates a manifestation associated with dementia?
a. Uses confabulation
b. Improvement in sleeping
c. Absence of sundown syndrome
d. Presence of personal hygienic care
a. Uses confabulation
A client is being prepared for electroconvulsive therapy (ECT). The nurse's plan of care for
the day before ECT includes ensuring that the client follows which guideline?
a. Does not smoke at all
b. Receives no visitors and participates in limited unit activities
c. Reports to the clinic for blood draws and an electrocardiogram (ECG)
d. Is placed on nothing by mouth (NPO) status for 16 to 24 hours before the ECT.
c. Reports to the clinic for blood draws and an electrocardiogram (ECG)
A hospitalized client is receiving clozapine (Clozaril) for the treatment of a schizophrenic
disorder. The nurse determines that the client may be having an adverse reaction to the
medication if abnormalities are noted on which laboratory study?
a. Platelet count
b. Cholesterol level
c. Blood urea nitrogen
d. White blood cell (WBC) count
d. White blood cell (WBC) count
ANSWERS | GET IT RIGHT!!
The nurse is developing a teaching plan for a client with glaucoma. Which instruction
should the nurse include in the plan of care?
a. Avoid overuse of the eyes.
b. Decrease the amount of salt in the diet.
c. Eye medications will need to be administered for life.
d. Decrease fluid intake to control the intraocular pressure.
c. Eye medications will need to be administered for life.
The nurse is performing an assessment on a client with a suspected diagnosis of cataract.
What is the chief clinical manifestation that the nurse expects to note in the early stages of
cataract formation?
a. Diplopia
b. Eye pain
c. Floating spots
d. Blurred vision
d. Blurred vision
Tonometry is performed on a client with a suspected diagnosis of glaucoma. The nurse
looks at the test results documented in the client's chart, knowing that which is the range
for normal intraocular pressure?
a. 2 to 7 mm Hg
b. 10 to 21 mm Hg
c. 22 to 30 mm Hg
d. 31 to 35 mm Hg
b. 10 to 21 mm Hg
A client's vision is tested with a Snellen chart. The results of the tests are documented as
20/60. How should the nurse interpret this finding?
a. The client is legally blind.
b. The client's vision is normal.
c. The client can read at a distance of 60 feet what a client with normal vision can read at
20 feet.
d. The client can read only at a distance of 20 feet what a client with normal vision can read
at 60 feet.
d. The client can read only at a distance of 20 feet, what a client with normal vision can read at
60 feet.
A client is diagnosed with glaucoma. Which nursing assessment data identifies a risk factor
associated with this eye disorder?
a. Cardiovascular disease
, 2
b. Frequent urinary tract infections
c. A history of migraine headaches
d. Frequent upper respiratory infections
a. Cardiovascular disease
A clinic nurse is reviewing the record of a client with a diagnosis of a macular degeneration.
Which clinical manifestation is associated with this disorder? '
a. Eye pain
b. Opacity of the lens
c. Loss of central vision
d. Inability to identify the color red on an eye examination
c. Loss of central vision
A client is experiencing visual difficulties and has been told that a previous vision test
showed that the light rays entering the eye are falling in front of the retina. The nurse
understands that this client is experiencing which visual disturbance? a. Myopia
b. Hyperopia
c. Astigmatism
d. Exophthalmos
a. Myopia
Timolol (Timoptic) ophthalmic drops have been prescribed for a client with primary open-
angle glaucoma. The client asks the nurse how this medication works. The nurse explains
that the medication lowers intraocular pressure by which mechanism?
a. Constricting the pupil
b. Reducing intracranial pressure
c. Increasing contractions of the ciliary muscle
d. Reducing the production of aqueous humor
d. Reducing the production of aqueous humor
The nurse is providing instructions to a client with a seizure disorder who will be taking
phenytoin (Dilantin). Which statement, if made by the client, would indicate an
understanding of the information about this medication?
a. "I need to perform good oral hygiene, including flossing and brushing my teeth."
b. "I should try to avoid alcohol, but if I'm not able to, I can drink alcohol in moderation."
c. "I should take my medication before coming to the laboratory to have a blood level
drawn."
d. "I should monitor for side effects and adjust my medication dose depending on how
severe the side effects are.
, 3
a. "I need to perform good oral hygiene, including flossing and brushing my teeth."
The nurse is preparing for the admission to the unit of a client with a diagnosis of seizures
and is preparing to institute full seizure precautions. Which item is contraindicated for use
if a seizure occurs?
a. Oxygen source
b. Suction machine
c. Padded tongue blade
d. Padding for the side rails
c. Padded tongue blade
What is the most appropriate nursing action to help manage a manic client who is
monopolizing a group therapy session?
a. Ask the client to leave the group for this session only.
b. Refer the client to another group that includes other manic clients.
c. Tell the client to stop monopolizing in a firm but compassionate manner.
d. Thank the client for the input, but inform the client that now others need a chance to
contribute.
d. Thank the client for the input, but inform the client that now others need a chance to
contribute.
A client is admitted to the mental health unit with a diagnosis of depression. The nurse
should develop a plan of care for the client that includes which intervention?
a. Encouraging quiet reading and writing for the first few days
b. Identification of physical activities that will provide exercise
c. No socializing activities, until the client asks to participate in milieu
d. A structured program of activities in which the client can participate
d. A structured program of activities in which the client can participate
A client is unwilling to go out of the house for fear of "making a fool of myself in public."
Because of this fear, the client remains homebound. Based on these data, which mental
health disorder is the client experiencing?
a. Agoraphobia
b. Social phobia
c. Claustrophobia
d. Hypochondriasis
b. Social phobia
A depressed client on an inpatient unit says to the nurse, "My family would be better off
without me." What is the nurse's best response?
, 4
a. "Have you talked to your family about this?
b. "Everyone feels this way when they are depressed."
c. "You will feel better once your medication begins to work."
d. "You sound very upset. Are you thinking of hurting yourself?"
d. "You sound very upset. Are you thinking of hurting yourself?"
The nurse assesses a client with the admitting diagnosis of bipolar affective disorder,
mania. Which client symptoms require the nurse's immediate action?
a. Incessant talking and sexual innuendoes
b. Grandiose delusions and poor concentration
c. Outlandish behaviors and inappropriate dress
d. Nonstop physical activity and poor nutritional intake
d. Nonstop physical activity and poor nutritional intake
The nurse is performing an assessment on a client with dementia. Which data gathered
during the assessment indicates a manifestation associated with dementia?
a. Uses confabulation
b. Improvement in sleeping
c. Absence of sundown syndrome
d. Presence of personal hygienic care
a. Uses confabulation
A client is being prepared for electroconvulsive therapy (ECT). The nurse's plan of care for
the day before ECT includes ensuring that the client follows which guideline?
a. Does not smoke at all
b. Receives no visitors and participates in limited unit activities
c. Reports to the clinic for blood draws and an electrocardiogram (ECG)
d. Is placed on nothing by mouth (NPO) status for 16 to 24 hours before the ECT.
c. Reports to the clinic for blood draws and an electrocardiogram (ECG)
A hospitalized client is receiving clozapine (Clozaril) for the treatment of a schizophrenic
disorder. The nurse determines that the client may be having an adverse reaction to the
medication if abnormalities are noted on which laboratory study?
a. Platelet count
b. Cholesterol level
c. Blood urea nitrogen
d. White blood cell (WBC) count
d. White blood cell (WBC) count
