NURS 332 FINAL EXAM 175 QUESTIONS AND
CORRECT ANSWERS 2024-2025 LATEST
VERSION//ALREADY GRADED A+
A patient who has a history of chronic obstructive pulmonary disease (COPD) was hospitalized for
increasing shortness of breath and chronic hypoxemia (SaO2 levels of 89% to 90%). In planning for
discharge, which action by the nurse will be most effective in improving compliance with discharge
teaching?
A. Have the patient repeat the instructions immediately after teaching
B. Accomplish the patient teaching just before the scheduled discharge
C. Arrange for the patient's caregiver to be present during the teaching
D. Start giving the patient discharge teaching during the admission process - CORRECT ANSWER-C.
Arrange for the patient's caregiver to be present during the teaching
A patient is scheduled for a computed tomography (CT) scan of the chest with contrast media. Which
assessment findings should the nurse report to the healthcare provider before the patient goes for the
CT? Select all that apply.
A. Allergy to shellfish
B. Patient reports claustrophobia
C. Elevated serum creatinine level
D. Recent bronchodilator inhaler use
E. Inability to remove a wedding band - CORRECT ANSWER-A. Allergy to shellfish
C. Elevated serum creatinine level
A patient arrives in the ear, nose and throat clinic complaining of a piece of tissue being "stuck up my
nose" and which foul-smelling nasal drainage from the right nare. Which action should the nurse take
first?
A. Notify the clinic health care provider
B. Obtain aerobic culture specimens of the drainage
C. Ask the patient about how the cotton got into the nose
,D. Have the patient occlude the left nare and blow the nose - CORRECT ANSWER-D. Have the patient
occlude the left nare and blow the nose
A patient with a possible pulmonary embolism complains of chest pain and difficulty breathing. The
nurse finds a heart rate of 142 beats/min, blood pressure of 100/60 mmHg, and respirations of 42
breaths/min. Which action should the nurse take first?
A. Administer anticoagulant drug therapy
B. Notify the patient's health care provider
C. Pressure patient for a spiral computed tomography (CT)
D. Elevate the head of the bed to a semi-Fowler's position - CORRECT ANSWER-D. Elevate the head of
the bed to a semi-Fowler's position
The emergency department nurse is evaluating the effective of therapy for a patient who has received
treatment during an asthma attack. Which assessment finding is the best indicator that the therapy has
been effective?
A. No wheezes are audible
B. O2 saturation is >90%
C. Accessory muscle use has decreased
D. Respiratory rate is 16 breaths/minute - CORRECT ANSWER-B. O2 saturation is >90%
A patient in the clinic with cystic fibrosis (CF) reports increased sweating and weakness during the
summer months. Which action by the nurse would be most appropriate?
A. Teach the patient signs of hypoglycemia
B. Have the patient add dietary salt to meals
C. Suggest decreasing intake of dietary fat and calories
D. Instruct the patient about pancreatic enzyme replacements - CORRECT ANSWER-B. Have the patient
add dietary salt to meals
The nurse is caring for a patient with aortic stenosis. Which assessment data obtained by the nurse
would be most important to report to the health care provider?
A. The patient complains of chest pressure when ambulating
B. A loud systolic murmur is heard along the right sternal border
,C. A thrill is palpated at the second intercostal space, right sternal border
D. The point of maximum impulse (PMI) is at the left midclavicular line - CORRECT ANSWER-A. The
patient complains of chest pressure when ambulating
Which are clinical findings in a person with an acute lower extremity VTE? Select all that apply.
A. Pallor and coolness of foot and calf
B. Mild to moderate calf pain and tenderness
C. Grossly diminished or absent pedal pulses
D. Unilateral edema and induration of the thigh
E. Palpable cord along a superficial varicose vein - CORRECT ANSWER-B. Mild to moderate calf pain and
tenderness
D. Unilateral edema and induration of the thigh
Which statement(s) is/are correct about infective endocarditis? Select all that apply.
A. The infection leading to heart failure, sepsis and heart block
B. Tests to diagnose IE are MRI and CT scan
C. Symptoms of subacute IE include arthralgias, myalgias and clubbing of fingers
D. Worsening or new onset of systolic murmur is noted, and the aortic or mitral valves are most often
affected in most patient with IE
E. IE generally requires treatment with antibiotic for 4-6 weeks and bed rest - CORRECT ANSWER-A. The
infection leading to heart failure, sepsis and heart block
C. Symptoms of subacute IE include arthralgias, myalgias and clubbing of fingers
D. Worsening or new onset of systolic murmur is noted, and the aortic or mitral valves are most often
affected in most patient with IE
E. IE generally requires treatment with antibiotic for 4-6 weeks and best rest
A patient with a history of chronic stable angina begins to feel a squeezing, heavy kind of ache in their
chest that radiates to between their shoulder blades. Expecting that they may be experiencing an angina
attack, what is the first thing the nurse will do?
A. Check the patient's blood pressure and heart rate
B. Obtain a 12-lead ECG
, C. Position patient upright and administer supplemental oxygen
D. Administer sublingual nitroglycerin - CORRECT ANSWER-C. Position patient upright and administer
supplemental oxygen
Which of the following is not a major risk factor of Coronary Artery Disease?
A. Depression
B. Tobacco use
C. Fasting triglyceride level of 120 mg/dL
D. Physical inactivity - CORRECT ANSWER-C. Fasting triglyceride level of 120 mg/dL
A patient with acute coronary syndrome undergoes coronary artery bypass graft (CABG) surgery. The
nurse plans to administer Metoprolol Succinate postoperatively to prevent which common
complication?
A. Stroke
B. Atrial fibrillation
C. Cognitive dysfunction
D. Infection - CORRECT ANSWER-B. Atrial fibrillation
Which of the following would indicate a common complication of aortic dissection?
A. Hypertension
B. Bounding pulse
C. Increase in stroke volume
D. Muffled heart sounds - CORRECT ANSWER-D. Muffled heart sounds
To assess the functions of the trigeminal and facial nerves (CN V and VII), the nurse should
A. Check for unilateral eyelid droop
B. Shine a light into the patient's pupil
C. Touch a cotton wisp strand to the cornea
D. Have the patient read a magazine or book - CORRECT ANSWER-C. Touch a cotton wisp strand to the
cornea
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