NURS 384 FINAL STUDY GUIDE
(2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!
1.mAmpatientmwithmleft-
sidedmweaknessmthatmstartedm60mminutesmearliermismadmittedmtomthemEmergencymDepartmentman
dmdiagnosticmtestsmaremordered.mWhichmtestmshouldmbemdonemfirst?
a.mCompletembloodmcountm(CBC)
b.mChestmradiographym(Chestmx-ray)
c.m12-Leadmelectrocardiogramm(ECG)
d.mNon-contrastmcomputedmtomographym(CT)mscanm-mCORRECTmANSWERmAnswermDmNon-
contrastmcomputedmtomographym(CT)mscan
Rationale:mTomscreenmformstrokemsymptomsmquicklymamnon-
contrastmCTmscanmismrequiredmbeforemadministeringmtissuemplasminogenmactivatorm(tPA)mwithinm4.
5mhours.mGivingmtPAmsoonermreducesmdamagemtombrainmtissue.mDiagnosticmtestsmcanmrevealmthemp
ossiblemcausesmofmthemstrokembutmtheymaremnotmasmurgentmasmthemCTmscan.
2.mAm72-year-
oldmpatientmwithmamhistorymofmamtransientmischemicmattackm(TIA)mhasmanmordermformaspirinm160mm
gmdaily.mWhenmthemnursemadministersmmedicationsmthempatientmsaysmImdon'tmneedmthemaspirinmto
day.mImdon'tmhavemamfever.mWhichmactionmshouldmthemnursemtake?
a.mDocumentmthatmthemASAmwasmrefusedmbymthempatient.
b.mTellmthempatientmthatmthemaspirinmismusedmtompreventmamfever.
c.mExplainmthatmaspirinmismorderedmtomdecreasemstroke.
d.mCallmthemhealthcaremprovidermtomclarifymthemmedicationmorderm-
mCORRECTmANSWERmAnswermCmExplainmthatmaspirinmismorderedmtomdecreasemstroke.
,Rationale:mPatientsmwhomhavemexperiencedmTIAsmaremprescribedmaspirinmtompreventmfurthermoccu
rrences.mIfmampatientmrefusesmtomtakemthemmedicationmsimplymdocumentingmthemrefusalmisminsuffic
ient.mIt'smnotmrequiredmtomconfirmmthemordermwithmthemhealthcaremprovider.mIt'smimportantmtomun
derstandmthatmaspirinmismnotmgivenmtomrelievemheadachesmormpains.
3.mAm37-year-
oldmfemalemismhospitalizedmwithmAcutemKidneyminjurym(AKI).mWhichminformationmismmostmusefulmto
mthemnurseminmevaluatingmimprovementminmkidneymfunction?
a.mUrinemvolume
b.mCreatininemlevel
c.mGlomerularmfiltrationmrate
d.mBloodmureamnitrogenm(BUN)mlevelm-mCORRECTmANSWERmAnswermCmGlomerularmfiltrationmrate
Rationale:mThembestmwaymtomevaluatemkidneymfunctionmismbymusingmGFRm(glomerularmfiltrationmrat
e)mandmtakingmintomaccountmproteinmintake.mIt'smworthmmentioningmthatmpatientsmwithmAKIm(acute
mkidneyminjury)mmaymhavemnormalmormhighmurinemoutputmwhichmdoesn'tmindicatemkidneymfunction
.mAlsomrelyingmonlymonmcreatininemlevelsmismnotmamdependablemmethodmtomassessmrenalmfunction.
4.mAmpatientmwithmacutemglomerulonephritismismhospitalizedmwithmhyperkalemia.mWhichminformat
ionmwillmthemnursemmonitormtomevaluatemthemeffectivenessmofmthemprescribedmcalciummgluconatem
IV?
a.mUrinemvolume
b.mCalciummlevel
c.mCardiacmrhythm
d.mNeurologicmstatusm-mCORRECTmANSWERmAnswermCmCardiacmRhythm
Rationale:mCalciummgluconatemhelpsmpreventmdysrhythmiamthatmmightmbemcausedmbymhyperkalem
ia.mThemnursemwillmalsommonitormthemothermdatambutmthesemwillmnotmhelpmdeterminemthemeffectiv
enessmofmthemcalciummgluconate.
,5.mWhichmfindingmwillmthemnursemexpectmwhenmassessingmam58-year-
oldmpatientmwithmkneemosteoarthritis?
a.mDiscomfortmwithmjointmmovement
b.mHeberdenmandmBouchardmnodes
c.mRednessmandmswellingmofmthemkneemjoint.
d.mStiffnessmthatmincreasesmwithmmovementm-
mCORRECTmANSWERmAnswermAmDiscomfortmwithmjointmmovement
Rationale:mInitialmsymptomsmofmOAmincludempainmwithmjointmmovement.mHeberdenmnodulesmoccu
rmonmthemfingers.mRednessmofmthemJointmismmoremstronglymassociatedmwithmrheumatoidmarthritism(
RA).mStiffnessmismworsemrightmaftermthempatientmrestsmandmdecreasesmwithmjointmmovement.
6.mAmnursemismreviewingmthemmedicalmhistorymofmamclientmwhomhasmend-
stagemkidneymdisease.mThemnursemshouldmidentifymthatmwhichmofmthemfollowingmfactorsminmthemclie
nt'smhistorymismamcontraindicationmformreceivingmhemodialysis?
a.mHistorymofmhemophilia
b.mDifficultymwithmambulation
c.mDecreasedmWBCmcount
d.mIodinemallergym-mCORRECTmANSWERmAnswer:mAmHistorymofmhemophilia
Rationale:mThemnursemshouldmidentifymthatmamhistorymofmammajormbleedingmdisordermismamcontrain
dicationmformhemodialysis.mAmclientmwhomhasmhemophiliambleedsmexcessivelymfollowingmminormbr
eaksminmthemskinmandmismatmhighmriskmformextremembloodmlossmduringmhemodialysismtreatment.
7.mAmnursemismplanningmcaremformamclientmwhomhasmacutemglomerulonephritis.mThemnursemshouldm
planmtomprovidemwhichmofmthemfollowingminterventions?
a.mWeighmthemclientmdaily.
b.mEncouragemthemclientmtomdrinkm2mtom3mLmofmfluidmpermday.
c.mInstructmthemclientmtomambulatemeverym2mhr.
, d.mCheckmthemclient'smbloodmglucosemlevelm-
mCORRECTmANSWERmAnswer:AmWeighmthemclientmdaily.
Rationale:mThemnursemshouldmmonitormfluidmretentionmbymweighingmthemclientmdaily.mAmdecreasemi
nmweightmindicatesmthemeffectivenessmofmthemtherapy.
8.mAm70myearsmoldmpatientmismbeingmadmittedmwithmampossiblemstroke.mWhichminformationmfrommt
hemassessmentmindicatesmthatmthemnursemshouldmconsultmwithmthemhealthmcaremprovidermbeforemg
ivingmthemprescribedmaspirin?
a.m.mThempatientmhasmdysphasia
b.mThempatientmhasmatrialmfibrillation
c.mThempatientmreportsmthatmsymptomsmbeganmwithmamseveremheadache.
d.mThempatientmhasmamhistorymofmbriefmepisodesmofmright-sidedmhemiplegiam-
mCORRECTmANSWERmAnswer:mC.mThempatientmreportsmthatmsymptomsmbeganmwithmamseveremhead
ache.
Rationale:mAmsuddenmonsetmheadachemismtypicalmofmamsubarachnoidmhemorrhagemandmaspirinmismc
ontraindicated.mAtrialmfibrillationmdysphasiamandmtransientmischemicmattackm(TIA)maremnotmcontrai
ndicationsmtomaspirinmusemsomthemnursemcanmadministermthemaspirin.
9.mWhenmcaringmformampatientmwithmamnewmright-
sidedmhomonymousmhemianopsiamresultingmfrommamstrokemwhichminterventionmshouldmthemnurse
mincludeminmthemplanmofmcare?
a.mA.mApplymanmeyempatchmtomthemrightmeye.
b.mB.mApproachmthempatientmfrommthemrightmside.
c.mC.mPlacemobjectsmneededmonmthempatient'smleftmside.
d.mD.mTeachmthempatientmthatmthemleftmvisualmdeficitmwillmresolve.m-
mCORRECTmANSWERmAnswer:C.mPlacemobjectsmneededmonmthempatient'smleftmside.
Rationale:mDuringmthemacutemperiodmthemnursemshouldmplacemobjectsmonmthempatient'smunaffecte
dmside.mBecausemtheremismamvisualmdefectminmthemrightmhalfmofmeachmeyemanmeyempatchmismnotmappr
opriate.mThempatientmshouldmbemapproachedmfrommthemleftmside.mThemvisualmdeficitmmaymnotmreso
lvemalthoughmthempatientmcanmlearnmtomcompensatemformthemdefect.
(2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!
1.mAmpatientmwithmleft-
sidedmweaknessmthatmstartedm60mminutesmearliermismadmittedmtomthemEmergencymDepartmentman
dmdiagnosticmtestsmaremordered.mWhichmtestmshouldmbemdonemfirst?
a.mCompletembloodmcountm(CBC)
b.mChestmradiographym(Chestmx-ray)
c.m12-Leadmelectrocardiogramm(ECG)
d.mNon-contrastmcomputedmtomographym(CT)mscanm-mCORRECTmANSWERmAnswermDmNon-
contrastmcomputedmtomographym(CT)mscan
Rationale:mTomscreenmformstrokemsymptomsmquicklymamnon-
contrastmCTmscanmismrequiredmbeforemadministeringmtissuemplasminogenmactivatorm(tPA)mwithinm4.
5mhours.mGivingmtPAmsoonermreducesmdamagemtombrainmtissue.mDiagnosticmtestsmcanmrevealmthemp
ossiblemcausesmofmthemstrokembutmtheymaremnotmasmurgentmasmthemCTmscan.
2.mAm72-year-
oldmpatientmwithmamhistorymofmamtransientmischemicmattackm(TIA)mhasmanmordermformaspirinm160mm
gmdaily.mWhenmthemnursemadministersmmedicationsmthempatientmsaysmImdon'tmneedmthemaspirinmto
day.mImdon'tmhavemamfever.mWhichmactionmshouldmthemnursemtake?
a.mDocumentmthatmthemASAmwasmrefusedmbymthempatient.
b.mTellmthempatientmthatmthemaspirinmismusedmtompreventmamfever.
c.mExplainmthatmaspirinmismorderedmtomdecreasemstroke.
d.mCallmthemhealthcaremprovidermtomclarifymthemmedicationmorderm-
mCORRECTmANSWERmAnswermCmExplainmthatmaspirinmismorderedmtomdecreasemstroke.
,Rationale:mPatientsmwhomhavemexperiencedmTIAsmaremprescribedmaspirinmtompreventmfurthermoccu
rrences.mIfmampatientmrefusesmtomtakemthemmedicationmsimplymdocumentingmthemrefusalmisminsuffic
ient.mIt'smnotmrequiredmtomconfirmmthemordermwithmthemhealthcaremprovider.mIt'smimportantmtomun
derstandmthatmaspirinmismnotmgivenmtomrelievemheadachesmormpains.
3.mAm37-year-
oldmfemalemismhospitalizedmwithmAcutemKidneyminjurym(AKI).mWhichminformationmismmostmusefulmto
mthemnurseminmevaluatingmimprovementminmkidneymfunction?
a.mUrinemvolume
b.mCreatininemlevel
c.mGlomerularmfiltrationmrate
d.mBloodmureamnitrogenm(BUN)mlevelm-mCORRECTmANSWERmAnswermCmGlomerularmfiltrationmrate
Rationale:mThembestmwaymtomevaluatemkidneymfunctionmismbymusingmGFRm(glomerularmfiltrationmrat
e)mandmtakingmintomaccountmproteinmintake.mIt'smworthmmentioningmthatmpatientsmwithmAKIm(acute
mkidneyminjury)mmaymhavemnormalmormhighmurinemoutputmwhichmdoesn'tmindicatemkidneymfunction
.mAlsomrelyingmonlymonmcreatininemlevelsmismnotmamdependablemmethodmtomassessmrenalmfunction.
4.mAmpatientmwithmacutemglomerulonephritismismhospitalizedmwithmhyperkalemia.mWhichminformat
ionmwillmthemnursemmonitormtomevaluatemthemeffectivenessmofmthemprescribedmcalciummgluconatem
IV?
a.mUrinemvolume
b.mCalciummlevel
c.mCardiacmrhythm
d.mNeurologicmstatusm-mCORRECTmANSWERmAnswermCmCardiacmRhythm
Rationale:mCalciummgluconatemhelpsmpreventmdysrhythmiamthatmmightmbemcausedmbymhyperkalem
ia.mThemnursemwillmalsommonitormthemothermdatambutmthesemwillmnotmhelpmdeterminemthemeffectiv
enessmofmthemcalciummgluconate.
,5.mWhichmfindingmwillmthemnursemexpectmwhenmassessingmam58-year-
oldmpatientmwithmkneemosteoarthritis?
a.mDiscomfortmwithmjointmmovement
b.mHeberdenmandmBouchardmnodes
c.mRednessmandmswellingmofmthemkneemjoint.
d.mStiffnessmthatmincreasesmwithmmovementm-
mCORRECTmANSWERmAnswermAmDiscomfortmwithmjointmmovement
Rationale:mInitialmsymptomsmofmOAmincludempainmwithmjointmmovement.mHeberdenmnodulesmoccu
rmonmthemfingers.mRednessmofmthemJointmismmoremstronglymassociatedmwithmrheumatoidmarthritism(
RA).mStiffnessmismworsemrightmaftermthempatientmrestsmandmdecreasesmwithmjointmmovement.
6.mAmnursemismreviewingmthemmedicalmhistorymofmamclientmwhomhasmend-
stagemkidneymdisease.mThemnursemshouldmidentifymthatmwhichmofmthemfollowingmfactorsminmthemclie
nt'smhistorymismamcontraindicationmformreceivingmhemodialysis?
a.mHistorymofmhemophilia
b.mDifficultymwithmambulation
c.mDecreasedmWBCmcount
d.mIodinemallergym-mCORRECTmANSWERmAnswer:mAmHistorymofmhemophilia
Rationale:mThemnursemshouldmidentifymthatmamhistorymofmammajormbleedingmdisordermismamcontrain
dicationmformhemodialysis.mAmclientmwhomhasmhemophiliambleedsmexcessivelymfollowingmminormbr
eaksminmthemskinmandmismatmhighmriskmformextremembloodmlossmduringmhemodialysismtreatment.
7.mAmnursemismplanningmcaremformamclientmwhomhasmacutemglomerulonephritis.mThemnursemshouldm
planmtomprovidemwhichmofmthemfollowingminterventions?
a.mWeighmthemclientmdaily.
b.mEncouragemthemclientmtomdrinkm2mtom3mLmofmfluidmpermday.
c.mInstructmthemclientmtomambulatemeverym2mhr.
, d.mCheckmthemclient'smbloodmglucosemlevelm-
mCORRECTmANSWERmAnswer:AmWeighmthemclientmdaily.
Rationale:mThemnursemshouldmmonitormfluidmretentionmbymweighingmthemclientmdaily.mAmdecreasemi
nmweightmindicatesmthemeffectivenessmofmthemtherapy.
8.mAm70myearsmoldmpatientmismbeingmadmittedmwithmampossiblemstroke.mWhichminformationmfrommt
hemassessmentmindicatesmthatmthemnursemshouldmconsultmwithmthemhealthmcaremprovidermbeforemg
ivingmthemprescribedmaspirin?
a.m.mThempatientmhasmdysphasia
b.mThempatientmhasmatrialmfibrillation
c.mThempatientmreportsmthatmsymptomsmbeganmwithmamseveremheadache.
d.mThempatientmhasmamhistorymofmbriefmepisodesmofmright-sidedmhemiplegiam-
mCORRECTmANSWERmAnswer:mC.mThempatientmreportsmthatmsymptomsmbeganmwithmamseveremhead
ache.
Rationale:mAmsuddenmonsetmheadachemismtypicalmofmamsubarachnoidmhemorrhagemandmaspirinmismc
ontraindicated.mAtrialmfibrillationmdysphasiamandmtransientmischemicmattackm(TIA)maremnotmcontrai
ndicationsmtomaspirinmusemsomthemnursemcanmadministermthemaspirin.
9.mWhenmcaringmformampatientmwithmamnewmright-
sidedmhomonymousmhemianopsiamresultingmfrommamstrokemwhichminterventionmshouldmthemnurse
mincludeminmthemplanmofmcare?
a.mA.mApplymanmeyempatchmtomthemrightmeye.
b.mB.mApproachmthempatientmfrommthemrightmside.
c.mC.mPlacemobjectsmneededmonmthempatient'smleftmside.
d.mD.mTeachmthempatientmthatmthemleftmvisualmdeficitmwillmresolve.m-
mCORRECTmANSWERmAnswer:C.mPlacemobjectsmneededmonmthempatient'smleftmside.
Rationale:mDuringmthemacutemperiodmthemnursemshouldmplacemobjectsmonmthempatient'smunaffecte
dmside.mBecausemtheremismamvisualmdefectminmthemrightmhalfmofmeachmeyemanmeyempatchmismnotmappr
opriate.mThempatientmshouldmbemapproachedmfrommthemleftmside.mThemvisualmdeficitmmaymnotmreso
lvemalthoughmthempatientmcanmlearnmtomcompensatemformthemdefect.
