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NUR283 / NUR 283 ALL COMPREHENSIVE EXAM 2026-2027
BANK QUESTIONS WITH DETAILED VERIFIED ANSWERS
EXAM QUESTIONS WILL COME FROM HERE (100%
CORRECT ANSWERS A+ GRADED
1. A nurse is caring for a client who has just returned from surgery.
Which assessment finding requires immediate intervention?
A. Pain rated 4 on a 0-10 scale
B. Drowsiness but easily aroused
C. Oxygen saturation of 88% on room air
D. Urinary output of 30 mL over 2 hours
Answer: C. Oxygen saturation of 88% on room air
Explanation: An oxygen saturation below 90% indicates hypoxemia,
which is a life-threatening condition requiring immediate intervention
to ensure adequate oxygenation. Pain, drowsiness, and low urine
output are concerning but are lower priority than hypoxia.
2. A client with heart failure is prescribed furosemide. The nurse
understands the desired therapeutic effect is to:
A. Increase cardiac contractility
B. Decrease fluid volume overload
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C. Dilate coronary arteries
D. Lower blood pressure through beta-blockade
Answer: B. Decrease fluid volume overload
Explanation: Furosemide is a loop diuretic that inhibits sodium and
water reabsorption in the kidneys, promoting diuresis to reduce edema
and pulmonary congestion associated with heart failure.
3. A nurse is teaching a client about warfarin therapy. Which statement
by the client indicates a need for further teaching?
A. "I will use a soft toothbrush to prevent gum bleeding."
B. "I should avoid eating large amounts of green leafy vegetables."
C. "I can take aspirin for my headaches while on this medication."
D. "I need regular blood tests to check my clotting levels."
Answer: C. "I can take aspirin for my headaches while on this
medication."
Explanation: Aspirin is an antiplatelet medication that increases the risk
of bleeding when combined with warfarin. Clients should avoid aspirin
unless specifically prescribed by their healthcare provider.
4. A client is admitted with pneumonia. Which nursing intervention is
most effective to promote airway clearance?
A. Administering opioid analgesics for chest pain
B. Encouraging increased fluid intake
C. Maintaining strict bed rest
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D. Providing high-flow oxygen via face mask
Answer: B. Encouraging increased fluid intake
Explanation: Adequate hydration thins respiratory secretions, making
them easier to expectorate and promoting effective airway clearance in
clients with pneumonia.
5. The nurse is performing a physical assessment on a client with
chronic obstructive pulmonary disease (COPD). Which finding is
expected?
A. Prolonged inspiration
B. Diminished breath sounds
C. Tracheal deviation toward the affected side
D. Hyperresonance on percussion of the chest
Answer: D. Hyperresonance on percussion of the chest
Explanation: In COPD, air trapping and hyperinflation of the lungs
produce a hyperresonant percussion note. Prolonged expiration, not
inspiration, is typical. Diminished breath sounds occur but
hyperresonance is a hallmark finding. Tracheal deviation suggests a
tension pneumothorax.
6. A client is receiving vancomycin intravenously. The nurse recognizes
which syndrome if the client develops flushing, rash, and hypotension
during the infusion?
A. Stevens-Johnson syndrome
B. Red man syndrome
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C. Serotonin syndrome
D. Cushing syndrome
Answer: B. Red man syndrome
Explanation: Red man syndrome is an infusion-related reaction to
vancomycin characterized by flushing, erythematous rash, pruritus, and
hypotension, caused by histamine release when the drug is
administered too rapidly.
7. A nurse is caring for a client with a chest tube to water seal drainage.
Continuous bubbling is observed in the water seal chamber. What does
this indicate?
A. Normal functioning of the drainage system
B. An air leak in the system
C. Suction is adequate
D. The lung has fully re-expanded
Answer: B. An air leak in the system
Explanation: Continuous bubbling in the water seal chamber indicates
an air leak, either from the client's chest cavity or a leak in the tubing
connections. Intermittent bubbling during exhalation or coughing may
be normal, but continuous bubbling requires investigation.
8. A client with type 1 diabetes mellitus is found unconscious with cool,
clammy skin. The nurse should immediately:
A. Administer regular insulin subcutaneously
B. Administer glucagon intramuscularly
NUR283 / NUR 283 ALL COMPREHENSIVE EXAM 2026-2027
BANK QUESTIONS WITH DETAILED VERIFIED ANSWERS
EXAM QUESTIONS WILL COME FROM HERE (100%
CORRECT ANSWERS A+ GRADED
1. A nurse is caring for a client who has just returned from surgery.
Which assessment finding requires immediate intervention?
A. Pain rated 4 on a 0-10 scale
B. Drowsiness but easily aroused
C. Oxygen saturation of 88% on room air
D. Urinary output of 30 mL over 2 hours
Answer: C. Oxygen saturation of 88% on room air
Explanation: An oxygen saturation below 90% indicates hypoxemia,
which is a life-threatening condition requiring immediate intervention
to ensure adequate oxygenation. Pain, drowsiness, and low urine
output are concerning but are lower priority than hypoxia.
2. A client with heart failure is prescribed furosemide. The nurse
understands the desired therapeutic effect is to:
A. Increase cardiac contractility
B. Decrease fluid volume overload
,2|Page
C. Dilate coronary arteries
D. Lower blood pressure through beta-blockade
Answer: B. Decrease fluid volume overload
Explanation: Furosemide is a loop diuretic that inhibits sodium and
water reabsorption in the kidneys, promoting diuresis to reduce edema
and pulmonary congestion associated with heart failure.
3. A nurse is teaching a client about warfarin therapy. Which statement
by the client indicates a need for further teaching?
A. "I will use a soft toothbrush to prevent gum bleeding."
B. "I should avoid eating large amounts of green leafy vegetables."
C. "I can take aspirin for my headaches while on this medication."
D. "I need regular blood tests to check my clotting levels."
Answer: C. "I can take aspirin for my headaches while on this
medication."
Explanation: Aspirin is an antiplatelet medication that increases the risk
of bleeding when combined with warfarin. Clients should avoid aspirin
unless specifically prescribed by their healthcare provider.
4. A client is admitted with pneumonia. Which nursing intervention is
most effective to promote airway clearance?
A. Administering opioid analgesics for chest pain
B. Encouraging increased fluid intake
C. Maintaining strict bed rest
,3|Page
D. Providing high-flow oxygen via face mask
Answer: B. Encouraging increased fluid intake
Explanation: Adequate hydration thins respiratory secretions, making
them easier to expectorate and promoting effective airway clearance in
clients with pneumonia.
5. The nurse is performing a physical assessment on a client with
chronic obstructive pulmonary disease (COPD). Which finding is
expected?
A. Prolonged inspiration
B. Diminished breath sounds
C. Tracheal deviation toward the affected side
D. Hyperresonance on percussion of the chest
Answer: D. Hyperresonance on percussion of the chest
Explanation: In COPD, air trapping and hyperinflation of the lungs
produce a hyperresonant percussion note. Prolonged expiration, not
inspiration, is typical. Diminished breath sounds occur but
hyperresonance is a hallmark finding. Tracheal deviation suggests a
tension pneumothorax.
6. A client is receiving vancomycin intravenously. The nurse recognizes
which syndrome if the client develops flushing, rash, and hypotension
during the infusion?
A. Stevens-Johnson syndrome
B. Red man syndrome
, 4|Page
C. Serotonin syndrome
D. Cushing syndrome
Answer: B. Red man syndrome
Explanation: Red man syndrome is an infusion-related reaction to
vancomycin characterized by flushing, erythematous rash, pruritus, and
hypotension, caused by histamine release when the drug is
administered too rapidly.
7. A nurse is caring for a client with a chest tube to water seal drainage.
Continuous bubbling is observed in the water seal chamber. What does
this indicate?
A. Normal functioning of the drainage system
B. An air leak in the system
C. Suction is adequate
D. The lung has fully re-expanded
Answer: B. An air leak in the system
Explanation: Continuous bubbling in the water seal chamber indicates
an air leak, either from the client's chest cavity or a leak in the tubing
connections. Intermittent bubbling during exhalation or coughing may
be normal, but continuous bubbling requires investigation.
8. A client with type 1 diabetes mellitus is found unconscious with cool,
clammy skin. The nurse should immediately:
A. Administer regular insulin subcutaneously
B. Administer glucagon intramuscularly
