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NUR 384 FINAL EXAM NEWEST 2025-2026 ACTUAL EXAM
COMPLETE 160 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
Question 1
A client with COPD is receiving oxygen at 4 L/min via nasal cannula. The
nurse notices the client is becoming drowsy. What is the priority action?
A. Increase oxygen flow to 6 L/min
B. Notify the respiratory therapist immediately
C. Lower oxygen flow to 2 L/min
D. Place client in supine position
Correct Answer: C. Lower oxygen flow to 2 L/min
Rationale: COPD clients rely on hypoxic drive to stimulate breathing. Too
much oxygen can suppress their respiratory drive. The nurse should lower
flow and monitor closely.
Question 2
The nurse is preparing to administer digoxin to a client with heart failure.
The apical pulse is 56 bpm. What should the nurse do?
A. Administer the dose
B. Hold the medication and notify provider
C. Give half the dose
D. Document and recheck in 2 hours
Correct Answer: B. Hold the medication and notify provider
Rationale: Digoxin is held if apical pulse <60 bpm due to risk of toxicity
and bradycardia.
Question 3
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Which lab result is most concerning for a client taking furosemide?
A. Sodium 139 mEq/L
B. Potassium 2.9 mEq/L
C. Chloride 101 mEq/L
D. Calcium 9.2 mg/dL
Correct Answer: B. Potassium 2.9 mEq/L
Rationale: Furosemide can cause hypokalemia, leading to dysrhythmias.
Potassium <3.5 mEq/L is critical.
Question 4
A nurse is caring for a client who has a chest tube for pneumothorax. Which
finding requires immediate action?
A. Intermittent bubbling in water seal
B. Constant bubbling in suction chamber
C. Drainage of 30 mL/hr
D. Tracheal deviation to unaffected side
Correct Answer: D. Tracheal deviation to unaffected side
Rationale: Indicates tension pneumothorax, a medical emergency.
Question 5
Which insulin has the fastest onset of action?
A. Regular insulin
B. NPH insulin
C. Lispro insulin
D. Glargine insulin
Correct Answer: C. Lispro insulin
Rationale: Lispro (rapid-acting) has onset in 15 minutes. Used for mealtime
coverage.
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Question 6
A client with type 2 diabetes reports blurred vision, polyuria, and fatigue.
Which complication should the nurse suspect?
A. Hypoglycemia
B. Hyperglycemia
C. Hypokalemia
D. Hyponatremia
Correct Answer: B. Hyperglycemia
Rationale: Classic signs of hyperglycemia are polyuria, polydipsia,
polyphagia, fatigue, and blurred vision.
Question 7
Which food is highest in potassium?
A. Apple
B. Banana
C. White rice
D. Chicken breast
Correct Answer: B. Banana
Rationale: Bananas, oranges, spinach, and potatoes are potassium-rich
foods, useful in hypokalemia.
Question 8
The nurse finds a client experiencing a tonic-clonic seizure. What is the
priority action?
A. Place tongue blade in mouth
B. Move objects away and protect head
C. Restrain client’s arms
D. Insert IV line for medication
Correct Answer: B. Move objects away and protect head
Rationale: Safety is priority. Do not insert objects in mouth or restrain.
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Question 9
A client with a history of alcoholism has tremors, diaphoresis, and agitation
8 hours after last drink. Which medication should the nurse expect?
A. Haloperidol
B. Lorazepam
C. Methadone
D. Disulfiram
Correct Answer: B. Lorazepam
Rationale: Benzodiazepines are used for alcohol withdrawal to prevent
seizures and delirium tremens.
Question 10
Which finding indicates digoxin toxicity?
A. Heart rate 90 bpm
B. Nausea and yellow vision
C. Constipation
D. Increased appetite
Correct Answer: B. Nausea and yellow vision
Rationale: Classic signs: GI upset, halos/yellow vision, bradycardia.
Question 11
The nurse is caring for a client on warfarin. Which lab value indicates
effective therapy?
A. INR 1.0
B. INR 2.5
C. INR 5.0
D. INR 0.8
NUR 384 FINAL EXAM NEWEST 2025-2026 ACTUAL EXAM
COMPLETE 160 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
Question 1
A client with COPD is receiving oxygen at 4 L/min via nasal cannula. The
nurse notices the client is becoming drowsy. What is the priority action?
A. Increase oxygen flow to 6 L/min
B. Notify the respiratory therapist immediately
C. Lower oxygen flow to 2 L/min
D. Place client in supine position
Correct Answer: C. Lower oxygen flow to 2 L/min
Rationale: COPD clients rely on hypoxic drive to stimulate breathing. Too
much oxygen can suppress their respiratory drive. The nurse should lower
flow and monitor closely.
Question 2
The nurse is preparing to administer digoxin to a client with heart failure.
The apical pulse is 56 bpm. What should the nurse do?
A. Administer the dose
B. Hold the medication and notify provider
C. Give half the dose
D. Document and recheck in 2 hours
Correct Answer: B. Hold the medication and notify provider
Rationale: Digoxin is held if apical pulse <60 bpm due to risk of toxicity
and bradycardia.
Question 3
,2|Page
Which lab result is most concerning for a client taking furosemide?
A. Sodium 139 mEq/L
B. Potassium 2.9 mEq/L
C. Chloride 101 mEq/L
D. Calcium 9.2 mg/dL
Correct Answer: B. Potassium 2.9 mEq/L
Rationale: Furosemide can cause hypokalemia, leading to dysrhythmias.
Potassium <3.5 mEq/L is critical.
Question 4
A nurse is caring for a client who has a chest tube for pneumothorax. Which
finding requires immediate action?
A. Intermittent bubbling in water seal
B. Constant bubbling in suction chamber
C. Drainage of 30 mL/hr
D. Tracheal deviation to unaffected side
Correct Answer: D. Tracheal deviation to unaffected side
Rationale: Indicates tension pneumothorax, a medical emergency.
Question 5
Which insulin has the fastest onset of action?
A. Regular insulin
B. NPH insulin
C. Lispro insulin
D. Glargine insulin
Correct Answer: C. Lispro insulin
Rationale: Lispro (rapid-acting) has onset in 15 minutes. Used for mealtime
coverage.
,3|Page
Question 6
A client with type 2 diabetes reports blurred vision, polyuria, and fatigue.
Which complication should the nurse suspect?
A. Hypoglycemia
B. Hyperglycemia
C. Hypokalemia
D. Hyponatremia
Correct Answer: B. Hyperglycemia
Rationale: Classic signs of hyperglycemia are polyuria, polydipsia,
polyphagia, fatigue, and blurred vision.
Question 7
Which food is highest in potassium?
A. Apple
B. Banana
C. White rice
D. Chicken breast
Correct Answer: B. Banana
Rationale: Bananas, oranges, spinach, and potatoes are potassium-rich
foods, useful in hypokalemia.
Question 8
The nurse finds a client experiencing a tonic-clonic seizure. What is the
priority action?
A. Place tongue blade in mouth
B. Move objects away and protect head
C. Restrain client’s arms
D. Insert IV line for medication
Correct Answer: B. Move objects away and protect head
Rationale: Safety is priority. Do not insert objects in mouth or restrain.
, 4|Page
Question 9
A client with a history of alcoholism has tremors, diaphoresis, and agitation
8 hours after last drink. Which medication should the nurse expect?
A. Haloperidol
B. Lorazepam
C. Methadone
D. Disulfiram
Correct Answer: B. Lorazepam
Rationale: Benzodiazepines are used for alcohol withdrawal to prevent
seizures and delirium tremens.
Question 10
Which finding indicates digoxin toxicity?
A. Heart rate 90 bpm
B. Nausea and yellow vision
C. Constipation
D. Increased appetite
Correct Answer: B. Nausea and yellow vision
Rationale: Classic signs: GI upset, halos/yellow vision, bradycardia.
Question 11
The nurse is caring for a client on warfarin. Which lab value indicates
effective therapy?
A. INR 1.0
B. INR 2.5
C. INR 5.0
D. INR 0.8
