NUR 202 EXAM 240 QUESTIONS & CORRECT
ANSWERS LATEST 2026/2027
A 78-year-old client with a history of hypertension and diabetes is admitted with
chronic renal failure. The nurse notes a potassium level of 6.2 mEq/L. Which of
the following clinical manifestations is the highest priority for the nurse to assess?
A.
Nausea and anorexia
B.
Anemia and fatigue
C.
Lethargy and confusion
D.
Irregular heart rate and palpitations
D
Hyperkalemia can cause lethal cardiac dysrhythmias, making cardiovascular
assessment the most critical priority to prevent cardiac arrest.
A nurse is providing discharge instructions to a client who underwent
phacoemulsification for a cataract in the right eye. Which statement by the client
indicates a need for further teaching?
A.
I will wear the eye shield at night to protect my eye while I sleep.
B.
I should take a stool softener to prevent constipation and straining.
C.
I can bend over to tie my shoes as long as I do it slowly and carefully.
D.
I will call the doctor if I experience severe pain that is not relieved by my
prescribed pain medication.
,C
Activities that increase intraocular pressure, such as bending over, sneezing,
coughing, or lifting heavy objects, must be avoided to prevent complications.
A client is brought to the emergency department after a temporal bone fracture and
briefly lost consciousness. They are now awake and alert, but the nurse is
concerned about an epidural hematoma. Which potential finding is most
characteristic of this condition?
A.
A lucid interval followed by a rapid decline in level of consciousness.
B.
Signs of increased intracranial pressure that develop within 48 hours of the injury.
C.
A gradual onset of confusion and drowsiness over several days.
D.
Symptoms that mimic dementia or a stroke in an older adult.
A
An epidural hematoma is typically from an arterial bleed, leading to a period of
apparent recovery (lucid interval) before rapid deterioration as the hematoma
expands and increases intracranial pressure.
A nurse is assessing a client with a suspected stroke who is exhibiting expressive
aphasia. Which of the following behaviors would the nurse expect to observe?
A.
The client is unable to understand spoken language, as if it were a foreign tongue.
B.
The client speaks fluently, but the words are jumbled and meaningless.
C.
The client is unaware of their left side and does not acknowledge objects in their
left visual field.
D.
The client speaks in short phrases that make sense but are produced with great
effort.
D
,Expressive aphasia involves understanding language but having difficulty
formulating and producing a verbal response, which aligns with this description.
A 66-year-old client with a long bone fracture develops dyspnea, tachycardia, and
petechiae on the upper chest 24 hours after injury. The nurse suspects Fat
Embolism Syndrome (FES). What is the most important preventative measure for
FES?
A.
Administering prophylactic anticoagulants.
B.
Encouraging early and aggressive ambulation.
C.
Careful immobilization of the fractured bone.
D.
Placing the client in a high-Fowler's position.
C
Proper and early stabilization of long bone fractures is the most critical factor in
preventing the migration of fat globules from the exposed bone marrow into the
systemic circulation.
A nurse is planning care for a frail older adult. According to the source material,
which combination of clinical manifestations would meet the criteria for a
diagnosis of frailty?
A.
Self-reported exhaustion, slow walking speed, and unintentional weight loss of 10
pounds in a year.
B.
Atypical UTI symptoms, polypharmacy, and social isolation.
C.
Decreased height, slowed gait, and decreased range of motion.
D.
Dementia, multiple chronic conditions, and frequent falls.
A
The presence of three or more of the five criteria-unintentional weight loss, self-
, reported exhaustion, weakness, slow walking speed, and low physical activity-is
required for a diagnosis of frailty.
A client is diagnosed with Obstructive Sleep Apnea (OSA) after a
polysomnography study. The nurse explains that the primary treatment,
Continuous Positive Airway Pressure (CPAP), works by which mechanism?
A.
Increasing the respiratory rate to prevent drops in oxygen saturation.
B.
Delivering a steady stream of pressurized air to prevent airway collapse.
C.
Administering a high concentration of oxygen to correct hypoxemia.
D.
Stimulating the phrenic nerve to strengthen diaphragm contractions.
B
The core function of CPAP is to act as a pneumatic splint, delivering continuous
positive pressure that keeps the upper airway from collapsing during sleep.
A nurse is educating a client recently diagnosed with osteoporosis. Which
statement best explains the underlying pathophysiology of the disease?
A.
There is a progressive hardening of your bone tissue due to an overgrowth of
fibrous material.
B.
Your bones are not receiving enough calcium because your vitamin D levels are
too high, preventing absorption.
C.
Your osteoblasts, which build bone, are being destroyed by an autoimmune
process.
D.
The activity of your bone-breaking cells, the osteoclasts, is outpacing the activity
of your bone-building cells, the osteoblasts.
HintPrevious
D
In osteoporosis, the balance of bone remodeling is disrupted, with bone resorption
ANSWERS LATEST 2026/2027
A 78-year-old client with a history of hypertension and diabetes is admitted with
chronic renal failure. The nurse notes a potassium level of 6.2 mEq/L. Which of
the following clinical manifestations is the highest priority for the nurse to assess?
A.
Nausea and anorexia
B.
Anemia and fatigue
C.
Lethargy and confusion
D.
Irregular heart rate and palpitations
D
Hyperkalemia can cause lethal cardiac dysrhythmias, making cardiovascular
assessment the most critical priority to prevent cardiac arrest.
A nurse is providing discharge instructions to a client who underwent
phacoemulsification for a cataract in the right eye. Which statement by the client
indicates a need for further teaching?
A.
I will wear the eye shield at night to protect my eye while I sleep.
B.
I should take a stool softener to prevent constipation and straining.
C.
I can bend over to tie my shoes as long as I do it slowly and carefully.
D.
I will call the doctor if I experience severe pain that is not relieved by my
prescribed pain medication.
,C
Activities that increase intraocular pressure, such as bending over, sneezing,
coughing, or lifting heavy objects, must be avoided to prevent complications.
A client is brought to the emergency department after a temporal bone fracture and
briefly lost consciousness. They are now awake and alert, but the nurse is
concerned about an epidural hematoma. Which potential finding is most
characteristic of this condition?
A.
A lucid interval followed by a rapid decline in level of consciousness.
B.
Signs of increased intracranial pressure that develop within 48 hours of the injury.
C.
A gradual onset of confusion and drowsiness over several days.
D.
Symptoms that mimic dementia or a stroke in an older adult.
A
An epidural hematoma is typically from an arterial bleed, leading to a period of
apparent recovery (lucid interval) before rapid deterioration as the hematoma
expands and increases intracranial pressure.
A nurse is assessing a client with a suspected stroke who is exhibiting expressive
aphasia. Which of the following behaviors would the nurse expect to observe?
A.
The client is unable to understand spoken language, as if it were a foreign tongue.
B.
The client speaks fluently, but the words are jumbled and meaningless.
C.
The client is unaware of their left side and does not acknowledge objects in their
left visual field.
D.
The client speaks in short phrases that make sense but are produced with great
effort.
D
,Expressive aphasia involves understanding language but having difficulty
formulating and producing a verbal response, which aligns with this description.
A 66-year-old client with a long bone fracture develops dyspnea, tachycardia, and
petechiae on the upper chest 24 hours after injury. The nurse suspects Fat
Embolism Syndrome (FES). What is the most important preventative measure for
FES?
A.
Administering prophylactic anticoagulants.
B.
Encouraging early and aggressive ambulation.
C.
Careful immobilization of the fractured bone.
D.
Placing the client in a high-Fowler's position.
C
Proper and early stabilization of long bone fractures is the most critical factor in
preventing the migration of fat globules from the exposed bone marrow into the
systemic circulation.
A nurse is planning care for a frail older adult. According to the source material,
which combination of clinical manifestations would meet the criteria for a
diagnosis of frailty?
A.
Self-reported exhaustion, slow walking speed, and unintentional weight loss of 10
pounds in a year.
B.
Atypical UTI symptoms, polypharmacy, and social isolation.
C.
Decreased height, slowed gait, and decreased range of motion.
D.
Dementia, multiple chronic conditions, and frequent falls.
A
The presence of three or more of the five criteria-unintentional weight loss, self-
, reported exhaustion, weakness, slow walking speed, and low physical activity-is
required for a diagnosis of frailty.
A client is diagnosed with Obstructive Sleep Apnea (OSA) after a
polysomnography study. The nurse explains that the primary treatment,
Continuous Positive Airway Pressure (CPAP), works by which mechanism?
A.
Increasing the respiratory rate to prevent drops in oxygen saturation.
B.
Delivering a steady stream of pressurized air to prevent airway collapse.
C.
Administering a high concentration of oxygen to correct hypoxemia.
D.
Stimulating the phrenic nerve to strengthen diaphragm contractions.
B
The core function of CPAP is to act as a pneumatic splint, delivering continuous
positive pressure that keeps the upper airway from collapsing during sleep.
A nurse is educating a client recently diagnosed with osteoporosis. Which
statement best explains the underlying pathophysiology of the disease?
A.
There is a progressive hardening of your bone tissue due to an overgrowth of
fibrous material.
B.
Your bones are not receiving enough calcium because your vitamin D levels are
too high, preventing absorption.
C.
Your osteoblasts, which build bone, are being destroyed by an autoimmune
process.
D.
The activity of your bone-breaking cells, the osteoclasts, is outpacing the activity
of your bone-building cells, the osteoblasts.
HintPrevious
D
In osteoporosis, the balance of bone remodeling is disrupted, with bone resorption
