1
NURS 340
NURS 340/ NURS340 – Public Health Nursing |
WCU | 2026–2027 | Final Exam Review with
Verified Questions and Answers
The skin of a patient with stroke is particularly susceptible to breakdown related to loss
of sensation, decreased circulation, and immobility. Therefore the nursing prevention plan for
skin breakdown should include pressure relief interventions such as position changes,
application of emollients to dry skin, good skin hygiene, and early mobility. Massage to the
damaged area may cause additional damage and should be avoided. Back rubs can be very
relaxing, but should be done with lotion or oil, not alcohol, which is very drying to the skin.
Text Reference - p. 1405
A patient presenting with pneumonia scores 5 on the CURB-65 scale. What action
should the nurse take?
1
Advise no treatment.
2
Advise treating at home.
3
Consider hospital admission.
4
Consider admission to an intensive care unit. - ANS ✓4
NURS 340
, 2
NURS 340
CURB-65 is used in addition to clinical judgment in determining the severity of
pneumonia and the need for advanced medical care. A patient scoring 5 on the CURB-65
scale means the condition is severe and needs advanced medical care. Hence, the nurse
should consider admission to an intensive care unit. If the patient has symptoms of
pneumonia, advising no treatment is not an option. Treating at home is advised when the
score on CURB-65 scale is 0. Hospital admission is considered when the score on the CURB-
65 scale is 1 to 2.
Test-Taking Tip: After choosing an answer, go back and reread the question stem along
with your chosen answer. Does it fit correctly? The choice that grammatically fits the stem
and contains the correct information is the best choice.
Text Reference - p. 523
The nurse is teaching a student nurse about postoperative care for a patient that has
undergone laparoscopic cholecystectomy. Which statements made by the student nurse
indicate the need for further teaching? Select all that apply.
1
"I will monitor for bleeding."
2
"The patient will need to return to the office in 7 to 10 days for removal of stitches."
3
"The patient will use a bedside commode for the first 24 hours after surgery."
4
"I will encourage the patient to practice deep breathing."
5
NURS 340
, 3
NURS 340
"I will most likely need to administer narcotics for pain control." - ANS ✓2, 3, 5
With laparoscopic cholecystectomy, there are small incisions that are covered by small
adhesive bandages that can be removed in about five days. The stitches dissolve over time.
Patients who have undergone laparoscopic cholecystectomy can usually walk to the
bathroom, so there is no need for a bedside commode. Postoperative pain can usually be
controlled with over-the-counter pain relievers. A cholecystectomy may result in changes in
prothrombin time and may cause bleeding. Therefore, the nurse should monitor for bleeding.
Deep breathing exercises should be encouraged to prevent postoperative pneumonia and to
help relieve the patient's discomfort.
Text Reference - p. 1040
A patient with bacterial meningitis has developed delirium and hallucinations. What
would be the cause of these symptoms?
1
Nuchal rigidity
2
Cranial nerve irritation
3
Increased intracranial pressure
4
Residual neurologic dysfunction - ANS ✓3
Increased intracranial pressure can cause altered mental status such as delirium and
hallucinations. Nuchal rigidity (neck stiffness) is a clinical sign of bacterial meningitis.
NURS 340
, 4
NURS 340
Cranial nerve irritation occurs due to neurologic dysfunction and increased intracranial
pressure. Residual neurologic dysfunction is a complication of bacterial meningitis but it is
not a cause of altered mental states.
Text Reference - p. 1382
A patient who is being treated for osteoporosis receives a prescription for a
bisphosphonate drug. What instruction should the nurse give to the patient regarding its
administration and aftereffects?
1
"You may feel like throwing up and lose your appetite."
2
"You should drink a full glass of water with the medicine."
3
"You should lie down immediately after eating, for 15 minutes."
4
"You should eat a meal within 15 minutes after taking the medicine." - ANS ✓2
Bisphosphonate drugs should be administered correctly to facilitate absorption into the
body. The drug should be consumed with a full glass of water. The patient may experience
flu-like symptoms such as fever and headache without any loss of appetite or vomiting. After
eating, the patient should remain upright for 30 minutes and should not lie down. The
medicine should be taken 30 minutes before having food.
Text Reference - p. 1556
NURS 340
NURS 340
NURS 340/ NURS340 – Public Health Nursing |
WCU | 2026–2027 | Final Exam Review with
Verified Questions and Answers
The skin of a patient with stroke is particularly susceptible to breakdown related to loss
of sensation, decreased circulation, and immobility. Therefore the nursing prevention plan for
skin breakdown should include pressure relief interventions such as position changes,
application of emollients to dry skin, good skin hygiene, and early mobility. Massage to the
damaged area may cause additional damage and should be avoided. Back rubs can be very
relaxing, but should be done with lotion or oil, not alcohol, which is very drying to the skin.
Text Reference - p. 1405
A patient presenting with pneumonia scores 5 on the CURB-65 scale. What action
should the nurse take?
1
Advise no treatment.
2
Advise treating at home.
3
Consider hospital admission.
4
Consider admission to an intensive care unit. - ANS ✓4
NURS 340
, 2
NURS 340
CURB-65 is used in addition to clinical judgment in determining the severity of
pneumonia and the need for advanced medical care. A patient scoring 5 on the CURB-65
scale means the condition is severe and needs advanced medical care. Hence, the nurse
should consider admission to an intensive care unit. If the patient has symptoms of
pneumonia, advising no treatment is not an option. Treating at home is advised when the
score on CURB-65 scale is 0. Hospital admission is considered when the score on the CURB-
65 scale is 1 to 2.
Test-Taking Tip: After choosing an answer, go back and reread the question stem along
with your chosen answer. Does it fit correctly? The choice that grammatically fits the stem
and contains the correct information is the best choice.
Text Reference - p. 523
The nurse is teaching a student nurse about postoperative care for a patient that has
undergone laparoscopic cholecystectomy. Which statements made by the student nurse
indicate the need for further teaching? Select all that apply.
1
"I will monitor for bleeding."
2
"The patient will need to return to the office in 7 to 10 days for removal of stitches."
3
"The patient will use a bedside commode for the first 24 hours after surgery."
4
"I will encourage the patient to practice deep breathing."
5
NURS 340
, 3
NURS 340
"I will most likely need to administer narcotics for pain control." - ANS ✓2, 3, 5
With laparoscopic cholecystectomy, there are small incisions that are covered by small
adhesive bandages that can be removed in about five days. The stitches dissolve over time.
Patients who have undergone laparoscopic cholecystectomy can usually walk to the
bathroom, so there is no need for a bedside commode. Postoperative pain can usually be
controlled with over-the-counter pain relievers. A cholecystectomy may result in changes in
prothrombin time and may cause bleeding. Therefore, the nurse should monitor for bleeding.
Deep breathing exercises should be encouraged to prevent postoperative pneumonia and to
help relieve the patient's discomfort.
Text Reference - p. 1040
A patient with bacterial meningitis has developed delirium and hallucinations. What
would be the cause of these symptoms?
1
Nuchal rigidity
2
Cranial nerve irritation
3
Increased intracranial pressure
4
Residual neurologic dysfunction - ANS ✓3
Increased intracranial pressure can cause altered mental status such as delirium and
hallucinations. Nuchal rigidity (neck stiffness) is a clinical sign of bacterial meningitis.
NURS 340
, 4
NURS 340
Cranial nerve irritation occurs due to neurologic dysfunction and increased intracranial
pressure. Residual neurologic dysfunction is a complication of bacterial meningitis but it is
not a cause of altered mental states.
Text Reference - p. 1382
A patient who is being treated for osteoporosis receives a prescription for a
bisphosphonate drug. What instruction should the nurse give to the patient regarding its
administration and aftereffects?
1
"You may feel like throwing up and lose your appetite."
2
"You should drink a full glass of water with the medicine."
3
"You should lie down immediately after eating, for 15 minutes."
4
"You should eat a meal within 15 minutes after taking the medicine." - ANS ✓2
Bisphosphonate drugs should be administered correctly to facilitate absorption into the
body. The drug should be consumed with a full glass of water. The patient may experience
flu-like symptoms such as fever and headache without any loss of appetite or vomiting. After
eating, the patient should remain upright for 30 minutes and should not lie down. The
medicine should be taken 30 minutes before having food.
Text Reference - p. 1556
NURS 340
