Custom NUR 250 Final Assessment 2026

Question 1

Custom NUR 250 Final Assessment 2026. A nurse is planning care for a client who has acute respiratory distress syndrome (ARDS). Which of the following changes should the nurse expect? (Select All that Apply.)

• Muscle wasting
• Fat accumulation
• Cognitive loss
• Functional impairment
• Weight gain

---

Question 2

A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?

• Notify the provider of a weight gain of 0.5 kg (1 lb) in a week.
• Exercise at least three times per week.
• Take diuretics early in the morning and before bedtime.
• Take naproxen for generalized discomfort.

---

Question 3

A nurse is caring for a client who is at risk for shock. Which of the following findings is the earliest indicator that this complication is developing?

• Decreased level of consciousness Custom NUR 250 Final Assessment 2026
• Anuria
• Hypotension
• Increased respiratory rate

---

Question 4

A nurse is caring for a client who is struggling with alcohol overuse. Which of the following statements would be appropriate for the nurse to make?

• “You could try to stop all at once to get moving towards recovery.”
• “Maybe someone at your homeless shelter can tell you how they quit drinking.”
• “You should probably stop socializing outside your home.”
• “Try to be patient and allow yourself more time to reach recovery.”

---

Question 5

It has been identified that the client is in sepsis. Select the 4 actions that the nurse should complete in the first hour to manage sepsis and prevent further complications?

• Administer broad-spectrum antibiotics.
• Type and cross-match for 2 units of packed RBCs.
• Obtain a urine specimen.
• Rapidly administer 30 mL/kg of normal saline.
• Obtain blood cultures.
• Obtain a wound culture.
• Insert a nasogastric (NG) tube.
• Measure lactate level.

---

Question 6

Complete the following sentence by using the list of options. The nurse should first [Select…] followed by [Select…].

• First: Preparing for intubation by obtaining the crash cart
• Followed by: Preparing to administer a dose of epinephrine

---

Question 7

A nurse in the emergency department is caring for a client who is experiencing manifestations of a myocardial infarction (MI). Which of the following laboratory tests should the nurse expect the provider to prescribe?

• Creatinine kinase (CK)
• Troponin
• C-reactive protein
• Brain natriuretic peptide (BNP)

---

Question 8

A nurse is caring for a client who reports an area of redness, warmth, tenderness and pain in the right calf. The nurse anticipates which of the following orders when notifying the provider of this finding?

• Obtain a venous duplex ultrasound.
• Apply cold therapy to the affected leg.
• Monitor Homan’s sign.
• Obtain impedance plethysmography.

---

Question 9

A nurse on a surgical unit is caring for a group of clients. Which of the following is the priority action of the nurse?

• Reassuring the partner of a client who sustained a closed head injury
• Assessing a client who experiences unilateral calf pain when ambulating
• Reinforcing a client’s dressing for the surgical site of an above-the-knee amputation
• Taking a telephone prescription about a client who is to be transferred from PACU

---

Question 10

A nurse is caring for a client who experienced a femur fracture 8 hr ago and now reports sudden onset dyspnea and severe chest pain. Which of the following actions should the nurse take first?

• Administer an IV vasopressor medication.
• Monitor the client for headache.
• Provide high-flow oxygen.
• Check the client for a positive Chvostek’s sign.

---

Question 11

A nurse is planning care for a client who has acute respiratory distress syndrome (ARDS). Which of the following interventions should the nurse include in the plan?

• Place in a prone position.
• Administer low-flow oxygen continuously via nasal cannula.
• Offer high-protein and high-carbohydrate foods frequently.
• Encourage oral intake of at least 3,000 mL of fluids per day. Custom NUR 250 Final Assessment 2026

---

Question 12

A nurse is providing discharge instruction to a client who has hypertension that has resulted in a transient ischemic attack (TIA). Which of the following information should the nurse discuss with the client regarding blood pressure (BP) management?

• The client should maintain systolic BP between 136 and 140 mm Hg.
• The client should maintain systolic BP between 130 and 135 mm Hg.
• The client should maintain systolic BP between 120 and 129 mm Hg.
• The client should maintain systolic BP between 141 and 145 mm Hg.

---

Question 13

A nurse is reviewing laboratory results and notes that a client has an elevated thyroid-stimulating hormone (TSH) level. Which of the following assessment findings would the nurse expect?

• Fatigue, constipation, weight gain
• Increased thirst, increased urine output, and weight loss
• Anxiety, unintended weight loss, palpitations
• Shakiness, sweating, nausea

Question 14

A nurse is caring for a client who has valvular heart disease and is at risk for developing left-sided heart failure. Which of the following manifestations should alert the nurse the client is developing this condition?

• Weight gain
• Breathlessness
• Anorexia
• Distended abdomen

---

Question 15

A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect?

• Abdominal distension
• Hacking cough
• Dependent edema
• Jugular venous distention

---

Question 16

A nurse on a mental health unit is caring for a newly admitted client. The nurse is continuing to care for the client. Which of the following actions should the nurse take? (Select All that Apply.)

• Employ active listening skills when communicating with the client.
• Administer an anxiolytic medication to the client.
• Explain the expected behavioral limits to the client.
• Assist the client to identify the source of anger.
• Gently place a hand on the client’s arm during conversation.

---

Question 17

A nurse is triaging clients in the emergency department. Which of the following clients should the nurse ask the provider to care for first?

• An adolescent who has sickle cell disease, reports pain as 7 on a scale of 0 to 10, and requests pain medication
• A toddler who has otitis media, a temperature of 39.2° C (102.6° F), and purulent ear discharge
• A toddler who has asthma and has a pulse oximetry reading of 95% while receiving oxygen at 2 L/min
• A school-age child who has acute epiglottitis, is drooling, and has an absence of spontaneous cough

---

Question 18

A nurse is caring for a client following a recent suicide attempt. Which of the following actions should the nurse take?

• Inspect the client’s personal belongings.
• Tuck bedcovers over client’s hands and arms.
• Place metal utensils on the client’s meal tray.
• Assign the client to a private room.

---

Question 19

A nurse is caring for four clients who are postoperative from surgery 24 hr ago. At 1200 the nurse assesses the clients. Which of the following clients is the nurse’s priority?

• A client whose blood pressure at 0800 was 138/86 mm Hg and at 1200 is 106/60 mm Hg
• A client whose wound drainage at 0800 was sanguineous and now it is serosanguineous
• A client who has a prescription for insulin and his premeal capillary blood glucose was 110 mg/dL and his post-meal capillary blood glucose is now 160 mg/dL
• A client who reports pain as 4 on a scale of 1 to 10 at 0800 now reports pain as 6

---

Question 20

A nurse is caring for a client who has hypovolemic shock. Which of the following should the nurse recognize as an expected finding?

• Flushing of the skin
• Bradypnea Custom NUR 250 Final Assessment 2026
• Oliguria
• Hypertension

---

Question 21

A nurse is providing discharge teaching to a client who has a pulmonary embolism and has begun anticoagulant therapy. Which of the following recommendations should the nurse make? (Select All that Apply.) Custom NUR 250 Final Assessment 2026

• Avoid acetaminophen.
• Use a soft toothbrush.
• Stop anticoagulant medication when your symptoms subside.
• Avoid high-impact activities.
• Wear a medical alert bracelet.

---

Question 22

A nurse is caring for a client who has been admitted with chronic obstructive pulmonary disease. Select the 4 priority findings that require immediate follow-up.

• Lung sounds
• Shortness of breath
• Barrel chest
• Arterial blood gas results
• Electrocardiogram results
• Oxygen saturation

---

Question 23

A nurse is caring for a client who is in the late stage of the dying process. Which of the following interventions should the nurse perform for this client? (Select All that Apply.)

• Place client in supine position with foot of bed elevated.
• Place ice chips in mouth as needed.
• Apply lubricating ophthalmic drops PRN.
• Administer furosemide 40 mg orally.
• Administer albuterol nebulizer treatments 10 mg every 1 to 4 hr PRN.
• Swab mouth with moisturizer as needed.

---

Question 24

A nurse is preparing to administer morphine sulfate 2 mg IV bolus. Available is morphine sulfate 10 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

• 0.2 mL

---

Question 25

A nurse is caring for a client whose heart monitor shows the rhythm in the exhibit (Ventricular Tachycardia). Which of the following actions should the nurse take first?

• Defibrillate the client
• Administer amiodarone
• Check the client for a pulse
• Initiate CPR

Question 26

A nurse is receiving a transfer report for a client who has a head injury. The client has a Glasgow Coma Scale (GCS) score of 3 for eye opening, 5 for best verbal response, and 5 for best motor response. Which of the following is an appropriate conclusion based on this data?

• The client is unable to make vocal sound.
• The client can follow simple motor commands.
• The client is unconscious.
• The client opens his eyes when spoken to.

---

Question 29

A nurse is caring for an infant who weighs 12 lb and is prescribed cefuroxime sodium 15mg/kg PO every 12 hr. Available is cefuroxime sodium oral solution 125mg/5mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer: 3.3 mL

---

Question 30

A nurse is caring for a client who has increased intracranial pressure. Which of the following interventions should the nurse plan to include in the plan of care? (Select All that Apply.)

• Monitoring volume status
• Ensuring proper ventriculostomy transducer levels
• Completing hourly endotracheal suctioning
• Managing sedation
• Elevating the head of the bed 15°

Question 31

A nurse is assessing a client who has pulmonary edema. Which of the following findings should the nurse understand is indicative of pulmonary edema? Select all that apply.

• Pink frothy sputum
• Ascites
• Atelectasis
• Jugular vein distention
• Tachypnea
• Edema of the extremities

---

Question 32

A nurse is preparing to administer total parenteral nutrition (TPN) 1800 mL to infuse over 24 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) Custom NUR 250 Final Assessment 2026

Answer: 75 mL/hr

---

Question 33

A nurse is planning care for a client who has deep vein thrombosis of the lower leg. Which of the following interventions should the nurse include in the plan of care?

• Massage the client’s affected leg twice a day.
• Keep the client’s affected leg elevated while in bed.
• Have the client ambulate prior to applying antiembolic stockings.
• Apply ice packs to affected leg.

---

Question 35

A client is admitted to the emergency room with a respiratory rate of 7/min. Arterial blood gases (ABG) reveal the following values. Which of the following is an appropriate analysis of the ABGs?

pH 7.22 PaCO2 68 mm Hg Base excess -2 PaO2 78 mm Hg Saturation 80% Bicarbonate 26 mEq/L

• Respiratory acidosis
• Metabolic acidosis
• Respiratory alkalosis
• Metabolic alkalosis

Question 46 of 60

A nurse is preparing a client for surgery. Which of the following is a priority when completing an assessment preoperatively?

• To determine understanding of the procedure
• To recognize resources needed postoperatively
• To establish the need for psychological support
• To identify possible surgical risks

Question 47

A nurse is caring for a client who is experiencing manifestations of alcohol withdrawal. Which of the following medications should the nurse anticipate the provider to prescribe?

• Diphenhydramine
• Benzodiazepines
• Methadone
• Naloxone

---

Question 48

A nurse in a cardiac care unit is caring for a client with acute right-sided heart failure. Which of the following findings should the nurse expect?

• Increased pulmonary artery wedge pressure (PAWP).
• Decreased specific gravity
• Decreased brain natriuretic peptide (BNP).
• Elevated central venous pressure (CVP).

---

Question 49

A nurse is providing instructions to a client who has a new prescription for sublingual nitroglycerin (Nitrostat) to treat angina pectoris. Which of the following instructions should the nurse include?

• “The medication can take up to 15 minutes to take effect.”
• “Place the tablet under your tongue, and then take a small sip of water.”
• “Avoid taking the medication prior to exercising.”
• “Stop taking the medication and notify your provider if you develop a headache.”

---

Question 50

A nurse who is leading a team of nurse managers is planning to make a major announcement. The nurse should use which of the following nonverbal communication techniques to enhance the importance of the announcement?

• Stare at the people the announcement will affect the most.
• Sit in front of the group for the meeting and then stand for the announcement.
• Lean gently over the back of a chair sitting to one side of the room when making the announcement.
• Cross her arms over her chest when beginning the announcement.

---

Question 51

A nurse is caring for a client who has hypertension and has a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take?

• Obtain a 12-lead ECG.
• Obtain a blood sample for a serum sodium level.
• Suggest that the client use a salt substitute.
• Advise the client to add citrus juices and bananas to her diet.

---

Question 52

A nurse is caring for a client who has diabetic ketoacidosis (DKA) and is manifesting Kussmaul breathing. Which of the following pathophysiological terms is related to Kussmaul breathing?

• Metabolic alkalosis
• Lipolysis
• Hypokalemia
• Hyperglycemia

---

Question 53

A nurse is preparing to administer metoprolol 5 mg IV bolus to a client for heart rate control. Available is metoprolol injection 1 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

• 5 mL

---

Question 54

A nurse in an emergency department is preparing to care for a client who is being brought in with multiple system trauma following a motor vehicle crash. Which of the following should the nurse identify as the priority focus of care?

• Airway protection
• Preventing musculoskeletal disability
• Decreasing intracranial pressure
• Stabilizing cardiac arrhythmias

---

Question 55

A nurse is caring for a client who is postoperative hip arthroplasty and has a new prescription for enoxaparin 1 mg/kg/dose subcutaneous every 12 hr. The client weighs 95 lbs. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

• 43.2 mg

---

Question 57

A nurse is assessing four clients on a medical-surgical unit. Which of the following clients should the nurse care for first?

• A client who has pneumonia and has an axillary temperature of 38°C (101°F)
• A client who has diarrhea and requests clear liquids for breakfast
• A client who has a cast on the left leg and reports numbness and paresthesia
• A client who has type 1 diabetes mellitus and has a fasting blood glucose level of 150

---

Question 58

A charge nurse is supervising a newly licensed nurse care for a client who is receiving a transfusion of packed RBC. The nurse suspects a possible hemolytic reaction. After stopping the blood transfusion, which of the following actions by the new nurse requires intervention by the charge nurse?

• The nurse starts the transfusion of another unit of blood product.
• The nurse initiates an infusion of 0.9% sodium chloride.
• The nurse sends a blood specimen to the laboratory.
• The nurse collects a urine specimen.

---

Question 59

A nurse is caring for a client who has a respiratory illness that has resulted in chronic hypoxia. Which of these conditions can develop as a result of long-term hypoxia?

• Exophthalmos
• Gastric ulcerations
• Cardiac enlargement
• Urinary tract infections

---

Question 60

A nurse is caring for client who just returned from the PACU with an IV fluid infusion and an NG tube in place following abdominal surgery. Which of the following data is the priority for the nurse to assess?

• The client’s bowel sounds
• The coping ability of the client
• The surgical dressing
• The patency of the NG tube