NR 341 FINAL EXAM 2025-2026 SPRING ACTUAL
QUESTIONS AND CORRECT ANSWERS GRADED
A+
A client presents to the emergency department with partial-thickness burns to the
left arm and abdomen sustained at work. What action should the nurse plan to
include in the client's care?
Administer prescribed opioid analgesia for pain management
The nurse is caring for a client with end-stage liver disease and has provided the
prescribed treatment regimen. What finding indicates the client's condition is
improving?
Decreased bilirubin
The nurse is caring for a client with a pulmonary artery catheter in place. The nurse
notes that the pulmonary artery wedge pressure (PAWP) is 18 mm Hg. What
action should the nurse take first?
Assess the client for signs of fluid volume excess
Emergency medical services (EMS) arrives to the emergency department with a
client who sustained a penetrating stab wound to the abdomen. The nurse notes
that the client's intestines are protruding through the wound. What action should
the nurse plan to take first?
Place a sterile saline-soaked dressing over the wound.
,The nurse is caring for a client with an arterial line in the right femoral artery.
What assessment finding requires immediate action by the nurse?
Absence of the right pedal pulse
The emergency department nurse provides discharge instructions to a client with a
concussion. What client statement indicates a need for additional education?
"I should take ibuprofen rather than acetaminophen for my headache."
A client arrives at the emergency department via ambulance after a motor vehicle
accident. The nurse suspects the client may have sustained an acute spinal cord
injury. Place the actions the nurse should take in the order they should be
implemented.
Assess the client's airway and breathing, Immobilize the client's cervical spine,
Establish intravenous (IV) access, Prepare the client for diagnostic imaging
The nurse is caring for a client undergoing peritoneal dialysis for the first time
since catheter insertion. What finding should the nurse report immediately to the
healthcare provider?
Purulent dialysate outflow
The nurse administers IV calcium gluconate to a client with acute kidney injury
and a potassium level of 7.0 mEq/L. What finding indicates to the nurse that the
treatment has been effective?
The client's ECG shows a normal sinus rhythm
, The nurse is assessing a client with type 1 diabetes who is admitted with diabetic
ketoacidosis (DKA). What question should the nurse ask to identify a potential
cause of the client's DKA?
"Have you had any recent illnesses or infections?"
The nurse cares for a client admitted with hematemesis related to esophageal
varices and receives medication prescriptions from the healthcare provider. For
which medication should the nurse question the prescription?
Aspirin
The following six questions are part of an unfolding case study. Review the
electronic health record. What finding(s) require follow-up by the nurse? Select all
that apply.
-Confusion
-heart rate
-blood pressure
-pale cool clammy skin
-O2 sat
The nurse in a healthcare clinic is assessing a client three months after a new
diagnosis of type 1 diabetes. What client statement(s) should concern the nurse and
require follow up? Select all that apply.
-"When I exercise, I make sure to increase my insulin dose."
QUESTIONS AND CORRECT ANSWERS GRADED
A+
A client presents to the emergency department with partial-thickness burns to the
left arm and abdomen sustained at work. What action should the nurse plan to
include in the client's care?
Administer prescribed opioid analgesia for pain management
The nurse is caring for a client with end-stage liver disease and has provided the
prescribed treatment regimen. What finding indicates the client's condition is
improving?
Decreased bilirubin
The nurse is caring for a client with a pulmonary artery catheter in place. The nurse
notes that the pulmonary artery wedge pressure (PAWP) is 18 mm Hg. What
action should the nurse take first?
Assess the client for signs of fluid volume excess
Emergency medical services (EMS) arrives to the emergency department with a
client who sustained a penetrating stab wound to the abdomen. The nurse notes
that the client's intestines are protruding through the wound. What action should
the nurse plan to take first?
Place a sterile saline-soaked dressing over the wound.
,The nurse is caring for a client with an arterial line in the right femoral artery.
What assessment finding requires immediate action by the nurse?
Absence of the right pedal pulse
The emergency department nurse provides discharge instructions to a client with a
concussion. What client statement indicates a need for additional education?
"I should take ibuprofen rather than acetaminophen for my headache."
A client arrives at the emergency department via ambulance after a motor vehicle
accident. The nurse suspects the client may have sustained an acute spinal cord
injury. Place the actions the nurse should take in the order they should be
implemented.
Assess the client's airway and breathing, Immobilize the client's cervical spine,
Establish intravenous (IV) access, Prepare the client for diagnostic imaging
The nurse is caring for a client undergoing peritoneal dialysis for the first time
since catheter insertion. What finding should the nurse report immediately to the
healthcare provider?
Purulent dialysate outflow
The nurse administers IV calcium gluconate to a client with acute kidney injury
and a potassium level of 7.0 mEq/L. What finding indicates to the nurse that the
treatment has been effective?
The client's ECG shows a normal sinus rhythm
, The nurse is assessing a client with type 1 diabetes who is admitted with diabetic
ketoacidosis (DKA). What question should the nurse ask to identify a potential
cause of the client's DKA?
"Have you had any recent illnesses or infections?"
The nurse cares for a client admitted with hematemesis related to esophageal
varices and receives medication prescriptions from the healthcare provider. For
which medication should the nurse question the prescription?
Aspirin
The following six questions are part of an unfolding case study. Review the
electronic health record. What finding(s) require follow-up by the nurse? Select all
that apply.
-Confusion
-heart rate
-blood pressure
-pale cool clammy skin
-O2 sat
The nurse in a healthcare clinic is assessing a client three months after a new
diagnosis of type 1 diabetes. What client statement(s) should concern the nurse and
require follow up? Select all that apply.
-"When I exercise, I make sure to increase my insulin dose."
