NURS 4005 TOPICS IN CLINICAL NURSING
FINAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS 2025 (VERIFIED
ANSWERS) PLUS RATIONALES | WALDEN
UNIVERSITY
1. What is the primary purpose of a nursing care plan?
a) To document physician orders
b) To guide individualized patient care
c) To complete paperwork requirements
d) To provide legal documentation only
To guide individualized patient care based on assessment data and goals.
2. When assessing a patient’s pain, the nurse should use:
a) Vital signs only
b) The patient’s self-report
c) Family report
d) Physician’s notes
b) The patient’s self-report
Pain is subjective; the patient’s self-report is the most reliable indicator.
,3. Which intervention best prevents hospital-acquired infections?
a) Wearing gloves only during procedures
b) Using hand hygiene before and after patient contact
c) Isolating all patients
d) Administering antibiotics prophylactically
b) Using hand hygiene before and after patient contact
Hand hygiene is the single most effective way to prevent infection
transmission.
4. The nurse identifies a patient is at risk for falls. Which is the best safety
intervention?
a) Restrict patient movement completely
b) Place the call light out of reach
c) Ensure bed alarms are turned on and call light is within reach
d) Administer sedatives regularly
Bed alarms and accessible call lights help prevent falls by alerting staff
and allowing patient to ask for help.
5. What is the first action when a patient develops sudden respiratory
distress?
a) Administer oxygen
b) Call the physician
c) Assess airway, breathing, and circulation
d) Document the event
Assessment of airway, breathing, and circulation (ABCs) is priority in
emergencies.
, 6. A patient with diabetes is scheduled for surgery. What is an important
preoperative nursing action?
a) Withhold all medications
b) Allow unrestricted eating
c) Monitor blood glucose and adjust insulin accordingly
d) Administer extra insulin
Maintaining glucose control reduces risk of complications perioperatively.
7. Which assessment finding best indicates effective pain management?
a) Patient appears distracted
b) Patient requests medication every hour
c) Patient reports pain level decreased to acceptable level
d) Vital signs are elevated
Patient’s own report of pain relief indicates effectiveness of pain
management.
8. Which lab value is a priority to review before administering heparin?
a) Hemoglobin
b) Platelet count
c) Activated partial thromboplastin time (aPTT)
d) Blood glucose
aPTT monitors anticoagulation effect to prevent bleeding or clotting
complications.
9. The nurse teaches a patient about managing hypertension. Which
statement shows understanding?
a) "I will stop my medication if my blood pressure is normal."
FINAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS 2025 (VERIFIED
ANSWERS) PLUS RATIONALES | WALDEN
UNIVERSITY
1. What is the primary purpose of a nursing care plan?
a) To document physician orders
b) To guide individualized patient care
c) To complete paperwork requirements
d) To provide legal documentation only
To guide individualized patient care based on assessment data and goals.
2. When assessing a patient’s pain, the nurse should use:
a) Vital signs only
b) The patient’s self-report
c) Family report
d) Physician’s notes
b) The patient’s self-report
Pain is subjective; the patient’s self-report is the most reliable indicator.
,3. Which intervention best prevents hospital-acquired infections?
a) Wearing gloves only during procedures
b) Using hand hygiene before and after patient contact
c) Isolating all patients
d) Administering antibiotics prophylactically
b) Using hand hygiene before and after patient contact
Hand hygiene is the single most effective way to prevent infection
transmission.
4. The nurse identifies a patient is at risk for falls. Which is the best safety
intervention?
a) Restrict patient movement completely
b) Place the call light out of reach
c) Ensure bed alarms are turned on and call light is within reach
d) Administer sedatives regularly
Bed alarms and accessible call lights help prevent falls by alerting staff
and allowing patient to ask for help.
5. What is the first action when a patient develops sudden respiratory
distress?
a) Administer oxygen
b) Call the physician
c) Assess airway, breathing, and circulation
d) Document the event
Assessment of airway, breathing, and circulation (ABCs) is priority in
emergencies.
, 6. A patient with diabetes is scheduled for surgery. What is an important
preoperative nursing action?
a) Withhold all medications
b) Allow unrestricted eating
c) Monitor blood glucose and adjust insulin accordingly
d) Administer extra insulin
Maintaining glucose control reduces risk of complications perioperatively.
7. Which assessment finding best indicates effective pain management?
a) Patient appears distracted
b) Patient requests medication every hour
c) Patient reports pain level decreased to acceptable level
d) Vital signs are elevated
Patient’s own report of pain relief indicates effectiveness of pain
management.
8. Which lab value is a priority to review before administering heparin?
a) Hemoglobin
b) Platelet count
c) Activated partial thromboplastin time (aPTT)
d) Blood glucose
aPTT monitors anticoagulation effect to prevent bleeding or clotting
complications.
9. The nurse teaches a patient about managing hypertension. Which
statement shows understanding?
a) "I will stop my medication if my blood pressure is normal."
