1|Page
NURS 2003 FINAL EXAM AND STUDY GUIDE NEWEST
2026 TEST BANK| NURS2003 NURSING
THERAPEUTICS FINAL EXAM REVIEW WITH
COMPLETE 400 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
A client presents to the emergency department with a sudden onset of
severe flank pain, hematuria, nausea and vomiting. The nurse suspects
renal calculi. Which finding supports the diagnosis?
A) Colicky pain radiating towards the groin
B) Fever and suprapubic tenderness
C) Dull bilateral lower back pain
D) Painless urinary frequency - Correct Answer - A) Colicky pain
radiating towards the groin
A hospitalized client develops acute kidney injury after prolonged
hypotension. Resulting from severe vomiting and diarrhea. This type of
AKI is classified as:
A) Intrarenal
B) Postrenal
C) Chronic kidney disease
D) Prerenal - Correct Answer - D) Prerenal
The nurse is caring for a client with an acute exacerbation of ulcerative
colitis, having 14 to 16 bloody stools a day and crampy abdominal pain
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associated with diarrhea. Which of the following actions should the
nurse take?
A) Place the client on NPO status
B) Administer IV metoclopramide
C) Teach the client about total colectomy surgery
D) Administer cobalamin (B12) injections - Correct Answer - A) Place
the client on NPO status - Most likely will not see something like this on
the exam, but its good to challenge yourself :)
A client with asthma is exposed to cat dander and develops wheezing
and shortness of breath within 30 minutes. Which pathophysiological
process is primarily responsible for this early-phase response?
A) Chronic airway remodelling from prolonged inflammation
B) Bronchospasm caused by mast cell mediator release
C) Fibrosis and thickening of the basement membrane
D) Severe hypercapnia due to alveolar hypoventilation - Correct Answer
- B) Bronchospasm caused by mast cell mediator release
A client arrives in the emergency department with an acute asthma
exacerbation. Which assessment finding is most concerning?
A) Expiratory wheezing throughout the lung fields
B) Chest tightness and frequent coughing
C) Absence of wheezing with minimal air movement
D) Respiratory rate of 24 breaths per minute - Correct Answer - C)
Absence of wheezing with minimal air movement.
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A patient in the outpatient clinic is diagnosed with acute hepatitis C
virus (HCV) infection. Which of the following actions by the nurse is
best?
A) Teach that the infection will resolve in a few weeks
B) Schedule the patient for HCV genotype test testing
C) Administer the HCV vaccine
D) Instruct the patient on ribavirin (antiviral medication) treatment -
Correct Answer - B) Schedule the patient for HCV genotype test testing
- HCV genotype testing helps us pick the right medication
A patient with a history of chronic hepatitis C presents with abdominal
distension, jaundice, and confusion. Which underlying condition is most
likely responsible for these findings?
A) Acute hepatitis
B) Hepatitis A infection
C) Drug-induced liver inflammation
D) Cirrhosis - Correct Answer - D) Cirrhosis
Chronic Hep C → progresses to cirrhosis
Combo of: Ascites (abdominal distension), jaundice, and confusion
(encephalopathy) = late-stage liver disease
A patient presents with fatigue, anorexia, and mild jaundice. Laboratory
results show elevated AST and ALT. Which condition is most likely?
A) Acute hepatitis
B) Cirrhosis
C) Portal hypertension
D) Hepatic encephalopathy - Correct Answer - A) Acute hepatitis
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Early, vague symptoms + ↑ liver enzymes = hepatitis
A patient with liver disease develops confusion, asterixis, and slurred
speech. Which mechanism is responsible for these findings?
A) Decreased albumin leading to fluid shifts
B) Increased bilirubin, causing jaundice
C) Accumulation of ammonia affecting the brain
D) Increased portal pressure causing varices - Correct Answer - C)
Accumulation of ammonia affecting the brain
Hepatic encephalopathy caused by ammonia buildup → brain
dysfunction
The nurse is caring for a patient with cirrhosis who has 4+ pitting edema
of the feet and legs. Which of the following assessments is the priority
for the nurse to monitor?
A) Albumin
B) Activity level
C) Hemoglobin
D) Temperature - Correct Answer - A) Albumin
A patient reports recent travel and eating street food in an area with poor
sanitation. They now have nausea, fatigue, and jaundice. What is the
most likely diagnosis?
A) Hepatitis B
B) Hepatitis C
C) Hepatitis A
NURS 2003 FINAL EXAM AND STUDY GUIDE NEWEST
2026 TEST BANK| NURS2003 NURSING
THERAPEUTICS FINAL EXAM REVIEW WITH
COMPLETE 400 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
A client presents to the emergency department with a sudden onset of
severe flank pain, hematuria, nausea and vomiting. The nurse suspects
renal calculi. Which finding supports the diagnosis?
A) Colicky pain radiating towards the groin
B) Fever and suprapubic tenderness
C) Dull bilateral lower back pain
D) Painless urinary frequency - Correct Answer - A) Colicky pain
radiating towards the groin
A hospitalized client develops acute kidney injury after prolonged
hypotension. Resulting from severe vomiting and diarrhea. This type of
AKI is classified as:
A) Intrarenal
B) Postrenal
C) Chronic kidney disease
D) Prerenal - Correct Answer - D) Prerenal
The nurse is caring for a client with an acute exacerbation of ulcerative
colitis, having 14 to 16 bloody stools a day and crampy abdominal pain
,2|Page
associated with diarrhea. Which of the following actions should the
nurse take?
A) Place the client on NPO status
B) Administer IV metoclopramide
C) Teach the client about total colectomy surgery
D) Administer cobalamin (B12) injections - Correct Answer - A) Place
the client on NPO status - Most likely will not see something like this on
the exam, but its good to challenge yourself :)
A client with asthma is exposed to cat dander and develops wheezing
and shortness of breath within 30 minutes. Which pathophysiological
process is primarily responsible for this early-phase response?
A) Chronic airway remodelling from prolonged inflammation
B) Bronchospasm caused by mast cell mediator release
C) Fibrosis and thickening of the basement membrane
D) Severe hypercapnia due to alveolar hypoventilation - Correct Answer
- B) Bronchospasm caused by mast cell mediator release
A client arrives in the emergency department with an acute asthma
exacerbation. Which assessment finding is most concerning?
A) Expiratory wheezing throughout the lung fields
B) Chest tightness and frequent coughing
C) Absence of wheezing with minimal air movement
D) Respiratory rate of 24 breaths per minute - Correct Answer - C)
Absence of wheezing with minimal air movement.
,3|Page
A patient in the outpatient clinic is diagnosed with acute hepatitis C
virus (HCV) infection. Which of the following actions by the nurse is
best?
A) Teach that the infection will resolve in a few weeks
B) Schedule the patient for HCV genotype test testing
C) Administer the HCV vaccine
D) Instruct the patient on ribavirin (antiviral medication) treatment -
Correct Answer - B) Schedule the patient for HCV genotype test testing
- HCV genotype testing helps us pick the right medication
A patient with a history of chronic hepatitis C presents with abdominal
distension, jaundice, and confusion. Which underlying condition is most
likely responsible for these findings?
A) Acute hepatitis
B) Hepatitis A infection
C) Drug-induced liver inflammation
D) Cirrhosis - Correct Answer - D) Cirrhosis
Chronic Hep C → progresses to cirrhosis
Combo of: Ascites (abdominal distension), jaundice, and confusion
(encephalopathy) = late-stage liver disease
A patient presents with fatigue, anorexia, and mild jaundice. Laboratory
results show elevated AST and ALT. Which condition is most likely?
A) Acute hepatitis
B) Cirrhosis
C) Portal hypertension
D) Hepatic encephalopathy - Correct Answer - A) Acute hepatitis
, 4|Page
Early, vague symptoms + ↑ liver enzymes = hepatitis
A patient with liver disease develops confusion, asterixis, and slurred
speech. Which mechanism is responsible for these findings?
A) Decreased albumin leading to fluid shifts
B) Increased bilirubin, causing jaundice
C) Accumulation of ammonia affecting the brain
D) Increased portal pressure causing varices - Correct Answer - C)
Accumulation of ammonia affecting the brain
Hepatic encephalopathy caused by ammonia buildup → brain
dysfunction
The nurse is caring for a patient with cirrhosis who has 4+ pitting edema
of the feet and legs. Which of the following assessments is the priority
for the nurse to monitor?
A) Albumin
B) Activity level
C) Hemoglobin
D) Temperature - Correct Answer - A) Albumin
A patient reports recent travel and eating street food in an area with poor
sanitation. They now have nausea, fatigue, and jaundice. What is the
most likely diagnosis?
A) Hepatitis B
B) Hepatitis C
C) Hepatitis A
