NUR 390 FINAL EXAM PREP NEWEST 2026/2027 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
The nurse is completing discharge teaching with a patient who is recovering from
a right total hip arthroplasty by posterior approach. Which patient action indicates
further instruction is needed?
a. Uses an elevated toilet seat.
b. Sits with feet flat on the floor.
c. Maintains hip in adduction and internal rotation.
d. Verifies need to notify future caregivers about the prosthesis.
c
A nurse performs discharge teaching for a patient after a left hip arthroplasty
using the posterior approach. Which statement indicates teaching is successful?
a. “Leg-raising exercises are necessary for several months.”
b. “I should not try to drive a motor vehicle for 2 to 3 weeks.”
c. “I will not have any restrictions now on hip and leg movements.”
d. “Blood tests will be done weekly while taking enoxaparin (Lovenox).”
a
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An injured soldier who underwent left leg amputation has been reporting
shooting pain and heaviness in the left leg. What action may help resolve
symptoms long-term?
a. Using mirror therapy
b. Giving opioid analgesics
c. Bandaging the residual limb
d. Telling the patient the leg is gone
a
A patient underwent amputation below the knee on the left leg after a traumatic
accident. Which intervention would the nurse include in the plan of care?
a. Sit in a chair for 1 to 2 hours 3 times each day.
b. Lie prone with hip extended for 30 minutes 4 times per day.
c. Dangle the residual limb for 20 to 30 minutes every 6 hours.
d. Elevate the residual limb on a pillow for 4 to 5 days after surgery.
b
The patient with frostbite on the distal toes of both feet is scheduled for
amputation of the damaged tissue. Which assessment finding or diagnostic study
is most objective in determining tissue viability?
a. Arteriogram showing blood vessels
b. Peripheral pulse palpation bilaterally
c. Patches of black, indurated, cold tissue
d. Bilateral pale, cool skin below the ankles
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a
The nurse is caring for a patient placed in Buck’s traction before open reduction
and internal fixation of a left hip fracture. Which care can be delegated to the
LPN/VN?
a. Assess skin integrity around the traction boot.
b. Determine correct body alignment to enhance traction.
c. Remove weights from traction when turning the patient.
d. Monitor pain intensity and administer prescribed analgesics.
d
1. Which actions would the nurse prioritize when admitting a patient to the PACU?
a. Assess the surgical site, noting presence and character of drainage.
b. Assess the amount of urine output and the presence of bladder distention.
c. Assess for airway patency and quality of respirations and obtain vital signs.
d. Review results of intraoperative laboratory values and medications received.
c
2. A patient is admitted to the PACU after major abdominal surgery. During the
initial assessment the patient tells the nurse, "I think I am going to throw up."
Which is the priority intervention?
a. Increase the rate of the IV fluids.
b. Give antiemetic medication as ordered.
c. Obtain vital signs, including O2 saturation.
d. Position patient in lateral recovery position.
d
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3. After admitting a postoperative patient to the clinical unit, which assessment
data require attention first?
a. O2 saturation of 85%
b. Respiratory rate of 13/min
c. Temperature of 100.4°F (38°C)
d. Blood pressure of 90/60 mm Hg
a
4. A 70-kg postoperative patient has an average urine output of 25 mL/hr during
the first 8 hours. Which interventions would the nurse prioritize? (Select all that
apply.)
a. Obtain a bladder ultrasound scan.
b. Perform a straight catheterization.
c. Continue to monitor this normal finding.
d. Evaluate the patient's fluid volume status.
a,d
A nurse is caring for an unconscious patient who has just been admitted to the
postanesthesia care unit (PACU) after an abdominal hysterectomy. How would the
nurse position the patient?
a. Left lateral position with head supported on a pillow
b. Prone position with a pillow supporting the abdomen
c. Supine position with head of bed elevated 30 degrees
d. Semi-Fowler’s position with the head turned to the right
d
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