wayground logo

Free Printable Worksheets

NEW

Font size

S
M
L
XL
Worksheets

NSG2340 Exam 2 Content Review

Total questions: 60

Worksheet time: 30mins

Name
Class
Date
1.

A patient with Parkinson’s disease is prescribed levodopa/carbidopa. The nurse should instruct the patient to:

a)

Avoid high-protein meals

b)

Take the medication at bedtime only

c)

Stop the drug if tremors worsen

d)

Increase fluid intake to 4 liters/day

2.

A patient presents with signs of Cushing’s syndrome. Which finding supports this diagnosis?

a)

Weight loss

b)

Hypotension

c)

Moon face and truncal obesity

d)

Hyperpigmentation

3.

During care of a patient with myasthenia gravis, which medication should the nurse anticipate administering to improve muscle strength?

a)

Pyridostigmine

b)

Atropine

c)

Lorazepam

d)

Phenytoin

4.

The nurse recognizes that a lumbar puncture is contraindicated in which situation?

a)

Suspected increased intracranial pressure

b)

Suspected meningitis

c)

Severe headache

d)

Spinal deformity

5.

The priority nursing intervention for a patient experiencing a tonic-clonic seizure is:

a)

Insert an oral airway

b)

Restrain the patient’s arms and legs

c)

Turn the patient to the side

d)

Record the patient’s temperature

6.

A patient is admitted with a stroke. The nurse notes slurred speech and right facial droop. The priority is to:

a)

Obtain a CT scan of the head

b)

Administer aspirin 325 mg

c)

Begin IV fluids

d)

Insert an indwelling catheter

7.

A nurse is caring for a patient after a thyroidectomy. Which finding requires immediate intervention?

a)

Hoarseness when talking

b)

Respiratory distress and stridor

c)

Mild pain at the incision site

d)

Tingling in the fingers

8.

Which assessment is most important for a patient with a cervical spinal cord injury?

a)

Bowel sounds

b)

Lung sounds and respiratory effort

c)

Urine output

d)

Skin turgor

9.

The nurse is educating a patient with Addison’s disease about medication management. The patient should:

a)

Increase corticosteroid dosage during stress

b)

Discontinue medication once feeling well

c)

Avoid salty foods

d)

Expect fluid retention

10.

Which diagnostic finding confirms a diagnosis of hypothyroidism?

a)

Elevated TSH, low T3 and T4

b)

Low TSH, high T3 and T4

c)

Elevated cortisol

d)

Elevated growth hormone

11.

The nurse monitors a patient with a basilar skull fracture for:

a)

Halo sign from ear drainage

b)

Bradycardia and hypertension

c)

Dilated pupils

d)

Decreased urinary output

12.

The nurse should suspect autonomic dysreflexia in a spinal cord injury patient who exhibits:

a)

Hypotension and tachycardia

b)

Hypertension, bradycardia, and headache

c)

Hyperthermia

d)

Hypoglycemia

13.

Which patient requires immediate nursing intervention?

a)

Patient with Parkinson’s disease with drooling

b)

Patient with Guillain-Barre reporting difficulty breathing

c)

Patient with trigeminal neuralgia reporting pain

d)

Patient with multiple sclerosis who is fatigued

14.

A patient is receiving mannitol IV for increased intracranial pressure. Which finding indicates the medication is effective?

a)

Decreased urine output

b)

Decreased intracranial pressure

c)

Increased confusion

d)

Elevated blood pressure

15.

A nurse should place a patient recovering from a right CVA in which position to prevent complications?

a)

On the left side

b)

Supine with head flat

c)

On the right side with head midline

d)

In high Fowler’s position

16.

A patient with SIADH will likely have which electrolyte imbalance?

a)

Hyponatremia

b)

Hyperkalemia

c)

Hypernatremia

d)

Hypocalcemia

17.

Which statement indicates understanding by a patient with hyperthyroidism prescribed propranolol?

a)

"This medication helps control my heart rate."

b)

"It will lower my thyroid hormone levels."

c)

"I can stop taking this once my weight stabilizes."

d)

"This replaces my thyroid hormone."

18.

A nurse recognizes that a patient with myasthenic crisis needs:

a)

Mechanical ventilation

b)

IV corticosteroids

c)

Antipsychotic medication

d)

Fluid restriction

19.

When caring for a patient with meningitis, the nurse should implement:

a)

Airborne precautions

b)

Droplet precautions

c)

Contact precautions

d)

Neutropenic precautions

20.

A nurse is calculating an IV infusion rate. The order is for 1,000 mL of NS over 8 hours. The IV tubing delivers 15 gtt/mL. Calculate the flow rate (gtt/min).

a)

21 gtt/min

b)

31 gtt/min

c)

24 gtt/min

d)

18 gtt/min

21.

The nurse knows the most accurate indicator of neurological function is:

a)

Glasgow Coma Scale

b)

Pupil size

c)

Vital signs

d)

Reflex response

22.

The nurse should hold the morning dose of levothyroxine if:

a)

Heart rate is 120 bpm

b)

Blood pressure is 110/70

c)

The patient complains of fatigue

d)

The patient reports cold intolerance

23.

A patient on long-term corticosteroid therapy is at risk for:

a)

Hypoglycemia

b)

Immunosuppression

c)

Hypotension

d)

Weight loss

24.

Which lab result would be expected in Cushing’s syndrome?

a)

Low sodium

b)

High potassium

c)

High glucose

d)

Low cortisol

25.

A nurse identifies which finding as an early sign of increased intracranial pressure?

a)

Cushing’s triad

b)

Headache and restlessness

c)

Decerebrate posturing

d)

Fixed pupils

26.

A nurse caring for a patient with a pituitary adenoma should monitor for:

a)

Changes in vision

b)

Polycythemia

c)

Chest pain

d)

Hyperkalemia

27.

A nurse notes that a patient receiving phenytoin has bleeding gums. The best response is to:

a)

Encourage good oral hygiene

b)

Hold the next dose

c)

Notify the provider immediately

d)

Decrease the dose

28.

A patient with a spinal cord injury develops a pounding headache, flushed skin, and BP of 210/110. The nurse should:

a)

Sit the patient upright

b)

Lay the patient flat

c)

Give morphine

d)

Increase IV fluids

29.

A patient with Guillain-Barre syndrome is at greatest risk for:

a)

Respiratory failure

b)

Hypertension

c)

Seizures

d)

Urinary tract infection

30.

Which dietary selection is best for a patient with hypothyroidism?

a)

Low-calorie, high-fiber

b)

High-protein, low-fat

c)

High-iodine foods

d)

Low-sodium, high-potassium

31.

A nurse caring for a patient with hyperthyroidism should report which finding to the provider?

a)

Weight loss

b)

Tachycardia

c)

Temperature 102°F (38.9°C)

d)

Anxiety

32.

Which symptom is expected in a patient with hypocalcemia after thyroid surgery?

a)

Numbness and tingling

b)

Constipation

c)

Weight gain

d)

Bradycardia

33.

The nurse recognizes that a patient post-stroke with expressive aphasia:

a)

Has difficulty speaking but understands speech

b)

Cannot understand spoken language

c)

Has memory impairment

d)

Experiences complete paralysis

34.

Which medication would the nurse expect for a patient with status epilepticus?

a)

Lorazepam IV

b)

Lithium

c)

Haloperidol

d)

Furosemide

35.

When caring for a patient with increased ICP, the nurse should avoid:

a)

Suctioning frequently

b)

Elevating HOB 30 degrees

c)

Keeping neck midline

d)

Monitoring pupils

36.

Which vital sign change suggests Cushing’s triad?

a)

Bradycardia, irregular respirations, widened pulse pressure

b)

Tachycardia, rapid respirations, low BP

c)

Bradycardia, low BP, high temperature

d)

Tachycardia, high BP, irregular respirations

37.

A nurse evaluating a patient on levodopa notes facial tics. The priority action is to:

a)

Report the finding to the provider

b)

Increase the dose

c)

Stop the medication

d)

Give at bedtime

38.

A nurse caring for a patient with diabetes insipidus expects which finding?

a)

Polyuria and dehydration

b)

Low urine output

c)

Weight gain

d)

Hyponatremia

39.

The best indicator that mannitol is effective in reducing ICP is:

a)

Increased urinary output

b)

Increased BP

c)

Slowed heart rate

d)

Decreased pupil reactivity

40.

The nurse should prioritize assessment for which patient?

a)

Addison’s disease with fatigue

b)

SIADH with confusion

c)

Hyperthyroidism with tachycardia

d)

Parkinson’s disease with tremor

41.

Which intervention is most appropriate for a patient with Alzheimer’s disease?

a)

Use short, simple sentences

b)

Provide multiple choices

c)

Frequently change environment

d)

Give lengthy explanations

42.

The nurse is teaching a patient with MS about fatigue management. Which statement shows understanding?

a)

"I will plan activities with rest breaks."

b)

"I will increase exercise when tired."

c)

"I will drink more caffeine."

d)

"I will avoid sleeping during the day."

43.

A nurse administers 25 mg of hydrocortisone IV every 8 hours. How much will the patient receive in 24 hours?

a)

25 mg

b)

50 mg

c)

75 mg

d)

100 mg

44.

A patient with a spinal cord injury suddenly complains of sweating and nasal congestion. The nurse suspects:

a)

Autonomic dysreflexia

b)

Neurogenic shock

c)

Spinal shock

d)

Sepsis

45.

A patient with a TIA should be educated on which medication?

a)

Aspirin

b)

Insulin

c)

Phenytoin

d)

Furosemide

46.

Which finding in a patient with diabetes insipidus requires immediate action?

a)

Serum sodium 152 mEq/L

b)

Urine output 200 mL/hr

c)

Urine specific gravity 1.005

d)

BP 90/60 mmHg

47.

A patient with chronic seizure disorder should:

a)

Take medication at the same time daily

b)

Discontinue medication when seizures stop

c)

Avoid swimming

d)

Limit fluid intake

48.

Which lab result supports a diagnosis of Addison’s disease?

a)

Elevated cortisol

b)

Low sodium, high potassium

c)

High glucose

d)

High sodium

49.

The nurse should monitor which electrolyte closely when a patient is on furosemide?

a)

Potassium

b)

Calcium

c)

Sodium

d)

Chloride

50.

A nurse reviews a patient’s thyroid panel: TSH 0.1, T3/T4 elevated. This indicates:

a)

Hyperthyroidism

b)

Hypothyroidism

c)

Cushing’s disease

d)

Addison’s disease

51.

The nurse recognizes which as a potential complication of SIADH treatment?

a)

Rapid sodium correction leading to seizures

b)

Dehydration

c)

Weight gain

d)

Hypokalemia

52.

A patient with meningitis reports photophobia. The nurse should:

a)

Dim the room lights

b)

Encourage ambulation

c)

Provide cold compresses

d)

Increase stimuli

53.

The nurse caring for a patient with TBI monitors for which sign of herniation?

a)

Unequal pupils

b)

Dilated neck veins

c)

Hypotension

d)

Hyperreflexia

54.

Which instruction is appropriate for a patient taking phenytoin?

a)

Use nonhormonal contraception

b)

Take on an empty stomach

c)

Stop if rash occurs

d)

Skip doses if drowsy

55.

A patient recovering from stroke has difficulty swallowing. The nurse should:

a)

Place patient in high Fowler’s

b)

Offer thin liquids

c)

Feed quickly

d)

Avoid checking gag reflex

56.

Which finding indicates Cushing’s syndrome?

a)

Buffalo hump

b)

Weight loss

c)

Hypoglycemia

d)

Bradycardia

57.

A patient with hyperthyroidism is prescribed methimazole. Which lab should the nurse monitor?

a)

WBC count

b)

Potassium

c)

Calcium

d)

Sodium

58.

The nurse calculates: Order – 500 mg ampicillin PO q6h. Supply: 250 mg tablets. How many tablets per dose?

a)

1

b)

2

c)

3

d)

4

59.

A patient with Cushing’s disease reports mood swings and irritability. The best nursing action is:

a)

Provide emotional support

b)

Discontinue corticosteroids

c)

Restrict fluids

d)

Give antihypertensives

60.

A patient develops confusion after a head injury. The nurse should:

a)

Perform neurological checks frequently

b)

Give pain medication

c)

Encourage fluids

d)

Place in Trendelenburg position