78 questions · Page 1 of 4
NURS 230 Advanced Nursing Care Of The Early, Middle And Older Adult Proctored Exam is a nursing-school practice exam with 78 questions. It is written for nursing students preparing for this course exam and for NCLEX-style review. Every question has its own page showing the full stem, all answer options, the correct answer, and a written rationale explaining why each option is right or wrong.
Topics covered on this page: Nurs 230 Advanced Nursing Care Of The Early, Middle And Older Adult Proctored Exam.
Study this exam in Review mode (questions and rationales together), Tutor mode (instant feedback per question), or Exam mode (timed). You can also browse the full exam library.
Start Practice ExamA patient is admitted with uncontrolled atrial fibrillation. The patient's medication history includes vitamin D supplements and calcium. What type of stroke is this patient at MOST risk for?
A patient is receiving lidocaine by continuous intravenous (IV) infusion. The nurse understands this medication is prescribed for what condition?
Which of the following is TRUE regarding the etiology of acute decompensated heart failure?
A nurse is caring for a client who has a burn injury and is receiving total parenteral nutrition (TPN). Which of the following lab values supports the nurse’s evaluation that the treatment is effectiv
You’re performing a head-to-toe assessment on a patient with a spinal cord injury at T6. The patient is restless, sweaty, and extremely flushed. You assess the patient’s blood pressure and heart rate.
The nurse is assessing a client in the postictal phase of generalized tonic-clonic seizure. What is an expected finding?
The nurse is caring for a client when a seizure occurs. What data is a priority for the nurse to obtain during this phase of the seizure?
In planning care for the client who has had a stroke, the nurse should obtain a history of the client’s functional status before the stroke because?
What is a priority nursing assessment in the first 24 hours after admission of the client with a cerebrovascular accident?
A nurse in an emergency department is reviewing the medical record of a client who has an extensive burn injury. Which of the following laboratory results should the nurse expect?
Your patient’s recent PTT is 45. According to protocol, you need to increase the Heparin drip by 2 units/kg/hr and administer 30 units/kg IV bolus. The patient is currently receiving a Heparin drip at
A nurse is caring for a client in a critical care unit who suffered a knife wound to the chest. The nurse suspects the client is developing cardiac tamponade. What finding supports this hypothesis?
A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the priority?
A nurse is teaching an older adult client who is postoperative following insertion of a permanent pacemaker. The nurse should instruct the client to notify the provider about which of the following ma
A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate with a significant
A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. What adverse effect will the nurse anticipate?
A nursing assistant is providing care to a client with left-sided paralysis. Which of the following actions by the nursing assistant requires the nurse to intervene?
A nurse is caring for a client who has bacterial endocarditis. Which of the following manifestations is the priority for the nurse to monitor for?
A patient presents to the emergency room reporting chest pain. They state their chest pain occurs with activity and that it subsided after taking nitroglycerin. In addition, the patient states the pai
The nurse is caring for a client diagnosed with an anterior myocardial infarction 2 days ago. Upon assessment, the nurse identifies a new systolic murmur at the apex. The nurse should first:
The nurse is caring for a client diagnosed with an anterior myocardial infarction 2 days ago. Upon assessment, the nurse identifies a new systolic murmur at the apex. The nurse should first:
A nurse is caring for a client who has atrial fibrillation and is receiving intravenous heparin. Which of the following findings is the nurse’s priority?
A patient is ordered to start an IV Dopamine drip at 5 mcg/kg/min. The patient weighs 57 kg. You have a bag of Dopamine that reads 400 mg/250 mL. What will you set the IV pump drip rate (mL/hr) at?
The nurse is providing teaching to a client at risk for endocarditis. What statement will the nurse make?
A client admitted with angina complains of severe chest pain and suddenly becomes unresponsive. What action should the nurse take first?