NURS 353 FINAL EXAM QUESTIONS
AND ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED
A+
Question: A nurse is managing the admission of a patient diagnosed with
active tuberculosis. Which intervention is the highest priority for infection
control?
Answer: The nurse must assign the patient to a room with negative airflow
pressure. Tuberculosis is transmitted via airborne droplets, requiring a
specialized ventilation system that prevents contaminated air from flowing into
hallways or other patient areas. ✔✔
Question: Thirty minutes after receiving an oral medication, a patient
reports generalized itching. Which of the following entries represents the
most accurate and professional documentation?
Answer: The nurse should document: "Client states, 'I am itching all over.'" In
clinical documentation, using direct quotes to describe subjective data is the
most objective method, as it avoids making unverified assumptions about the
cause (such as a rash or drug reaction) before a provider's assessment. ✔✔
Question: A nurse is providing education on the goals of palliative care to
a patient with a cancer diagnosis. Which of the following patient
statements indicates that more teaching is required?
Answer: "My provider will still attempt to cure my illness." This statement
requires correction because the primary goal of palliative care is to provide
symptom relief and improve quality of life, rather than focusing on a curative
treatment for the underlying disease. ✔✔
A nurse offers pain meds to a client who is post-op prior to ambulation. The
nurse understands that this aspect of care delivery is an example of which of
the following ethical principles?
A) Fidelity
B) Autonomy
C) Justice
D) Beneficence -ANSWER ✔✔D
,A nurse is performing an integumentary assessment for a group of clients.
Which of the following findings should the nurse recognize as requiring
immediate intervention?
A. Pallor
B. Cyanosis
C. Jaundice
D. Erythema -ANSWER ✔✔B
A nurse is caring for a client awaiting transport to the surgical suite for a
coronary artery bypass graft. Just as the transport team arrives, the nurse takes
the client's vital signs and notes an elevation in blood pressure and heart rate.
The nurse should recognize this response as which part of the general
adaptation syndrome (GAS)?
A. Exhaustion stage
B. Resistance stage
C. Alarm reaction
D. Recovery reaction -ANSWER ✔✔C
The nurse who works on the night shift enters the medication room and finds a
co-worker with a tourniquet wrapped around the upper arm. The co-worker is
about to insert a needle, attached to a syringe containing a clear liquid, into the
antecubital area. Which is the most appropriate action by the nurse?
A. Call security
B. Call the police
C. Call the nursing supervisor
D. Lock the co-worker in the medication room until help is obtained -
ANSWER ✔✔C
Contact precautions are initiated for a client with a healthcare-associated
(nosocomial) infection caused by methicillin-resistant Staphylococcus aureus.
The nurse prepares to provide colostomy care and should obtain which
protective items to perform this procedure?
A. Gloves and gown
B. Gloves and goggles
C. Gloves, gown, and shoe protectors
D. Gloves, gown, goggles, and a mask or face shield -ANSWER ✔✔D
, The nurse is describing Piaget's cognitive developmental theory to pediatric
nursing staff. The nurse should tell the staff which child behavior is
characteristic of the formal operations stage?
A. The child has the ability to think abstractly
B. The child begins to understand the environment
C. The child is able to classify, order, and sort facts
D. The child learns to think in terms of past, present, and future -ANSWER
✔✔A
The mother of an 8-year-old child tells the clinic nurse that she is concerned
about the child because the child seems to be more attentive to friends than
anything else. Using Erikson's psychosocial development theory, the nurse
should make which response?
A. "You need to be concerned"
B. "You need to monitor the child's behavior closely"
C. "At this age, the child is developing his own personality"
D. "You need to provide more praise to the child to stop this behavior" -
ANSWER ✔✔C
The nurse is monitoring the status of a postoperative client in the immediate
postoperative period. The nurse would become most concerned with which sign
that could indicate an evolving complication?
A. Increasing restlessness
B. A pulse of 86 beats/minute
C. Blood pressure of 110/70 mm Hg
D. Hypoactive bowel sounds in all 4 quadrants -ANSWER ✔✔A
A nurse is caring for a client in a long-term care facility who is receiving
enteral feedings via an NG tube. Which of the following actions should the
nurse complete prior to administering the tube feeding? (Select all that apply)
A. Auscultate bowel sounds.
B. Assist the client to an upright position.
C. Test the pH of gastric aspirate.
D. Warm the formula to body temperature.
E. Discard any residual gastric contents. -ANSWER ✔✔A, B, C
A nurse is caring for a client who has left-sided hemiplegia resulting from a
cerebrovascular accident. The client works as a carpenter and is now
AND ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED
A+
Question: A nurse is managing the admission of a patient diagnosed with
active tuberculosis. Which intervention is the highest priority for infection
control?
Answer: The nurse must assign the patient to a room with negative airflow
pressure. Tuberculosis is transmitted via airborne droplets, requiring a
specialized ventilation system that prevents contaminated air from flowing into
hallways or other patient areas. ✔✔
Question: Thirty minutes after receiving an oral medication, a patient
reports generalized itching. Which of the following entries represents the
most accurate and professional documentation?
Answer: The nurse should document: "Client states, 'I am itching all over.'" In
clinical documentation, using direct quotes to describe subjective data is the
most objective method, as it avoids making unverified assumptions about the
cause (such as a rash or drug reaction) before a provider's assessment. ✔✔
Question: A nurse is providing education on the goals of palliative care to
a patient with a cancer diagnosis. Which of the following patient
statements indicates that more teaching is required?
Answer: "My provider will still attempt to cure my illness." This statement
requires correction because the primary goal of palliative care is to provide
symptom relief and improve quality of life, rather than focusing on a curative
treatment for the underlying disease. ✔✔
A nurse offers pain meds to a client who is post-op prior to ambulation. The
nurse understands that this aspect of care delivery is an example of which of
the following ethical principles?
A) Fidelity
B) Autonomy
C) Justice
D) Beneficence -ANSWER ✔✔D
,A nurse is performing an integumentary assessment for a group of clients.
Which of the following findings should the nurse recognize as requiring
immediate intervention?
A. Pallor
B. Cyanosis
C. Jaundice
D. Erythema -ANSWER ✔✔B
A nurse is caring for a client awaiting transport to the surgical suite for a
coronary artery bypass graft. Just as the transport team arrives, the nurse takes
the client's vital signs and notes an elevation in blood pressure and heart rate.
The nurse should recognize this response as which part of the general
adaptation syndrome (GAS)?
A. Exhaustion stage
B. Resistance stage
C. Alarm reaction
D. Recovery reaction -ANSWER ✔✔C
The nurse who works on the night shift enters the medication room and finds a
co-worker with a tourniquet wrapped around the upper arm. The co-worker is
about to insert a needle, attached to a syringe containing a clear liquid, into the
antecubital area. Which is the most appropriate action by the nurse?
A. Call security
B. Call the police
C. Call the nursing supervisor
D. Lock the co-worker in the medication room until help is obtained -
ANSWER ✔✔C
Contact precautions are initiated for a client with a healthcare-associated
(nosocomial) infection caused by methicillin-resistant Staphylococcus aureus.
The nurse prepares to provide colostomy care and should obtain which
protective items to perform this procedure?
A. Gloves and gown
B. Gloves and goggles
C. Gloves, gown, and shoe protectors
D. Gloves, gown, goggles, and a mask or face shield -ANSWER ✔✔D
, The nurse is describing Piaget's cognitive developmental theory to pediatric
nursing staff. The nurse should tell the staff which child behavior is
characteristic of the formal operations stage?
A. The child has the ability to think abstractly
B. The child begins to understand the environment
C. The child is able to classify, order, and sort facts
D. The child learns to think in terms of past, present, and future -ANSWER
✔✔A
The mother of an 8-year-old child tells the clinic nurse that she is concerned
about the child because the child seems to be more attentive to friends than
anything else. Using Erikson's psychosocial development theory, the nurse
should make which response?
A. "You need to be concerned"
B. "You need to monitor the child's behavior closely"
C. "At this age, the child is developing his own personality"
D. "You need to provide more praise to the child to stop this behavior" -
ANSWER ✔✔C
The nurse is monitoring the status of a postoperative client in the immediate
postoperative period. The nurse would become most concerned with which sign
that could indicate an evolving complication?
A. Increasing restlessness
B. A pulse of 86 beats/minute
C. Blood pressure of 110/70 mm Hg
D. Hypoactive bowel sounds in all 4 quadrants -ANSWER ✔✔A
A nurse is caring for a client in a long-term care facility who is receiving
enteral feedings via an NG tube. Which of the following actions should the
nurse complete prior to administering the tube feeding? (Select all that apply)
A. Auscultate bowel sounds.
B. Assist the client to an upright position.
C. Test the pH of gastric aspirate.
D. Warm the formula to body temperature.
E. Discard any residual gastric contents. -ANSWER ✔✔A, B, C
A nurse is caring for a client who has left-sided hemiplegia resulting from a
cerebrovascular accident. The client works as a carpenter and is now
