NURS 225 FINAL EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
The registered nurse (RN) is observing a nursing student auscultate the
patient's breath sounds. The RN intervenes if the nursing student performs
which action?
a)Asks the patient to sit straight up
b)Instructs the patient to breathe slowly and deeply though the mouth
c)Places the stethoscope directly on the patient's skin
d)Uses the bell of the stethoscope - CORRECT-ANSWERS"""d
Which of the following would reflect an abnormality in cranial nerve III?
a)Gag reflex is absent and dysphagia is noted
b)Hearing loss is identified on the right side
c)The left pupil of the patient fails to accommodate
d)The patient is unable to chew or bite down - CORRECT-ANSWERS"""c
Which of the following is an example of an active listening behavior?
a)Taking frequent notes
b)Asking for more details
c)Leaning toward the patient
d)Sitting comfortably with legs crossed - CORRECT-ANSWERS"""c
The nurse is planning the care of a frail, immobile, elderly patient. Which of
the following is the best treatment or prevention to protect the patient's
skin?
,a)Administer fluid boluses as directed by the healthcare provider
b)Assisting the patient to sit in a chair three times a day
c)Offering the patient six small meals a day
d)Turning the patient at least every 2 hours - CORRECT-ANSWERS"""d
A nurse is performing an otoscopic examination of a client. Which of the
following is an unexpected finding?
a)Pearly, gray tympanic membrane (TM)
b)Malleous visible behind the TM
c)Flaky skin in the external canal near the TM
d)Black cerumen partially occluding the TM - CORRECT-ANSWERS"""d
A nurse is completing an assessment of a client who is a first generation
immigrant to the U.S. Which of the following questions should the nurse
consider asking to understand the client's culture-based nutrition habits?
a)"What type of afternoon snacks do you consume?"
b)"What type of meal do you prepare for a holiday?"
c)"What time of day do you eat breakfast?"
d)"What cooking utensils are used in food preparation?" - CORRECT-
ANSWERS"""b
A nurse is assessing a client who is in respiratory distress. The nurse should
recognize that which of the following can cause a low pulse oximetry
reading? (select all that apply)
a) nail polish
b) inadequate peripheral circualtion
, c) hyperthermia
d) increased hgb level
e)edema - CORRECT-ANSWERS"""a,b,e
Which statement related to prioritizing patient problems is most accurate?
a)Nurses must resolve one problem before addressing another problem.
b)Nurses prioritize problems in order of urgency.
c)Actual problem always take priority over risk problems.
d)Nurses give the highest priority to problems that the patient thinks are
most important. - CORRECT-ANSWERS"""b
A nurse is caring for an 80-year-old patient of Chinese heritage. When
planning outcomes for this patient, which actions by the nurse would meet
the American Nurses Association standards for outcomes identification?
Select all that apply.
a)Developing culturally appropriate outcomes
b)Using the standardized outcomes on the clinical pathway
c)Choosing the best outcome for the patient regardless of the cost
d)Involving the patient and family in formulating the outcomes - CORRECT-
ANSWERS"""a,d
A nurse is caring for an older adult client in an extended care facility. Which
of the following indicates the client has a stool impaction causing a large
intestine obstruction?
a)The client reports he had a bowel movement yesterday
b)The client is having small, frequent liquid stools
QUESTIONS AND ANSWERS 2025
The registered nurse (RN) is observing a nursing student auscultate the
patient's breath sounds. The RN intervenes if the nursing student performs
which action?
a)Asks the patient to sit straight up
b)Instructs the patient to breathe slowly and deeply though the mouth
c)Places the stethoscope directly on the patient's skin
d)Uses the bell of the stethoscope - CORRECT-ANSWERS"""d
Which of the following would reflect an abnormality in cranial nerve III?
a)Gag reflex is absent and dysphagia is noted
b)Hearing loss is identified on the right side
c)The left pupil of the patient fails to accommodate
d)The patient is unable to chew or bite down - CORRECT-ANSWERS"""c
Which of the following is an example of an active listening behavior?
a)Taking frequent notes
b)Asking for more details
c)Leaning toward the patient
d)Sitting comfortably with legs crossed - CORRECT-ANSWERS"""c
The nurse is planning the care of a frail, immobile, elderly patient. Which of
the following is the best treatment or prevention to protect the patient's
skin?
,a)Administer fluid boluses as directed by the healthcare provider
b)Assisting the patient to sit in a chair three times a day
c)Offering the patient six small meals a day
d)Turning the patient at least every 2 hours - CORRECT-ANSWERS"""d
A nurse is performing an otoscopic examination of a client. Which of the
following is an unexpected finding?
a)Pearly, gray tympanic membrane (TM)
b)Malleous visible behind the TM
c)Flaky skin in the external canal near the TM
d)Black cerumen partially occluding the TM - CORRECT-ANSWERS"""d
A nurse is completing an assessment of a client who is a first generation
immigrant to the U.S. Which of the following questions should the nurse
consider asking to understand the client's culture-based nutrition habits?
a)"What type of afternoon snacks do you consume?"
b)"What type of meal do you prepare for a holiday?"
c)"What time of day do you eat breakfast?"
d)"What cooking utensils are used in food preparation?" - CORRECT-
ANSWERS"""b
A nurse is assessing a client who is in respiratory distress. The nurse should
recognize that which of the following can cause a low pulse oximetry
reading? (select all that apply)
a) nail polish
b) inadequate peripheral circualtion
, c) hyperthermia
d) increased hgb level
e)edema - CORRECT-ANSWERS"""a,b,e
Which statement related to prioritizing patient problems is most accurate?
a)Nurses must resolve one problem before addressing another problem.
b)Nurses prioritize problems in order of urgency.
c)Actual problem always take priority over risk problems.
d)Nurses give the highest priority to problems that the patient thinks are
most important. - CORRECT-ANSWERS"""b
A nurse is caring for an 80-year-old patient of Chinese heritage. When
planning outcomes for this patient, which actions by the nurse would meet
the American Nurses Association standards for outcomes identification?
Select all that apply.
a)Developing culturally appropriate outcomes
b)Using the standardized outcomes on the clinical pathway
c)Choosing the best outcome for the patient regardless of the cost
d)Involving the patient and family in formulating the outcomes - CORRECT-
ANSWERS"""a,d
A nurse is caring for an older adult client in an extended care facility. Which
of the following indicates the client has a stool impaction causing a large
intestine obstruction?
a)The client reports he had a bowel movement yesterday
b)The client is having small, frequent liquid stools
