NSG 3800 PRACTICE EXAM 2 PREP NEWEST 2026/2027 ACTUAL
EXAM COMPLETE 50 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
The nurse is teaching a client who has been diagnosed with hypertension about
lifestyle modifications. Which of the following statements by the nurse is
appropriate?
a. "Maintain a normal body weight with a body mass index (BMI) of less than 18.5
kg/m²."
b. "Regular physical activity should be done for 20 minutes every day."
c. "Dietary sodium intake should not exceed 5 g per day."
d. "Alcoholic beverages should be limited to less than 1 to 2 per day."
d. "Alcoholic beverages should be limited to less than 1 to 2 per day."
Rationale:
Limiting alcohol intake is a key lifestyle modification for managing hypertension,
as excessive alcohol consumption can raise blood pressure and reduce the
effectiveness of antihypertensive medications. Current guidelines recommend
limiting alcohol to no more than one drink per day for women and two drinks per
day for men. Option a is incorrect because a BMI of less than 18.5 is considered
underweight, not normal. Option b is insufficient, as recommendations suggest at
least 30 minutes of moderate activity most days of the week. Option c is incorrect
because sodium intake should be limited to about 2.3 g (or less), not 5 g, for better
blood pressure control.
The nurse working in the emergency department (ED) is caring for a 26-year-old
female client who was admitted after a motor vehicle crash and has now
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developed secondary Raynaud's syndrome. The client has a history of systemic
lupus erythematosus (SLE) and rheumatoid arthritis (RA). Which of the following
statements is appropriate for the nurse to make when teaching the client about
their new condition?
a. "Secondary Raynaud's disease may be related to the trauma and some of your
medical history."
b. "This form of Raynaud's disease results in joint fever, pain, and pale fingertips or
toes."
c. "This form of Raynaud's disease is idiopathic as it can occur without any
underlying disease."
d. "Secondary Raynaud's disease is more commonly seen in younger men than in
younger women."
a. "Secondary Raynaud's disease may be related to the trauma and some of your
medical history."
Rationale:
Secondary Raynaud’s syndrome occurs as a result of an underlying condition, such
as autoimmune diseases like SLE and RA, or due to trauma. The client’s history and
recent injury make this explanation accurate and relevant. Option b is incorrect
because Raynaud’s primarily affects blood vessels, not causing joint fever. Option c
describes primary (idiopathic) Raynaud’s, not secondary. Option d is incorrect
because Raynaud’s is more common in women than men.
A nurse is caring for a client who has been diagnosed with hemophilia A.
Concerning the nursing management of this condition, the nurse is aware that
a. the client will need to increase foods rich in vitamin K to lessen episodes of
bleeding.
b. heat-solvent or detergent-solvent factor concentrates carry the risk of human
immunodeficiency virus (HIV) and other viruses.
c. most clients with mild factor deficiency hemophilia benefit from taking garlic
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supplements.
d. analgesic medications are often prescribed to alleviate the pain associated with
hematomas.
d. analgesic medications are often prescribed to alleviate the pain associated with
hematomas.
Rationale:
Clients with hemophilia A commonly experience bleeding into joints and soft
tissues, leading to painful hematomas. Analgesics (excluding aspirin and NSAIDs
due to bleeding risk) are used to manage this pain. Option a is incorrect because
hemophilia A is a deficiency of factor VIII, not vitamin K–dependent clotting
factors. Option b is outdated, as modern factor concentrates are treated to
eliminate viral transmission risk. Option c is incorrect because garlic can increase
bleeding risk due to its antiplatelet effects.
The nurse is admitting a client diagnosed with venous insufficiency. Which of the
following prescriptions should the nurse question?
a. Exercise and ambulate for 20 minutes 4 times a day.
b. Apply graduated compression stockings bilaterally while in bed.
c. Sit with legs dangling for an extended period of time.
d. Keep legs elevated except when in bathroom.
c. Sit with legs dangling for an extended period of time.
Rationale:
Venous insufficiency is characterized by poor venous return, and prolonged
dangling of the legs worsens venous pooling, edema, and discomfort. Therefore,
this prescription is inappropriate and should be questioned. Options a and d
promote circulation and reduce venous stasis. Compression stockings (option b)
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are beneficial, though typically worn when out of bed, not while lying down, but
the most clearly harmful option is prolonged dangling.
The home health nurse is assessing the home of a client diagnosed with chronic
venous insufficiency. Which of the following changes should the nurse
recommend to the client?
a. Avoiding using the microwave for cooking.
b. Avoiding compression of the legs.
c. Using a walker when out of bed.
d. Keeping extremities protected, clean, and dry.
d. Keeping extremities protected, clean, and dry.
Rationale:
Clients with chronic venous insufficiency are at risk for skin breakdown and venous
ulcers due to edema and poor circulation. Maintaining clean, dry, and protected
skin helps prevent infection and promotes healing. Option b is incorrect because
compression therapy is actually recommended. Options a and c are unrelated to
venous insufficiency management.
The nurse is evaluating dietary teaching regarding the dietary approaches to stop
hypertension (DASH) diet for a client who is diagnosed with hypertension (stage
2). Which of the following statements by the client indicates a need for further
teaching?
a. "I will eat about 4 to 5 servings of nuts, seeds, or dry beans each day."
b. "I will plan to eat about 8 to 10 servings of grains and grain products per day."
c. "I will need about 4 to 5 servings of healthy vegetable and fruit choices per
day."
d. "I will include about 2 to 3 servings of low-fat or fat-free dairy foods each day."
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