NURS 480 Exam 1 Questions and 100% Correct Answers Latest 2026/27 - WCU.
A nurse is caring for a client who has a pulmonary embolism and has a new prescription for enoxaparin
1.5m/kg/dose subcutaneous every 12. hr.
The client weighs 245 lbs. How many mg 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.)
167
The patient is admitted with pneumothorax. The ABG shows Ph 7.20. What should the nurse know that the and
PaC02 50 what does this Indicates?
Myocardia injury
• Bowel Obstruction
Respiratory Acidosis
Normal pacemaker function
An intubated client's oxygen saturation has dropped to 86%. What action by the nurse takes priority?
Ensure all connections are patent.
Suction the endotracheal tube.
Listen to the clients lung sounds.
Determine if the tube is kinked to coiled.
A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with
continuous enteral feedings. Which of the following actions should the nurse take?
Flush the NG feeding tube with 30 mL of water immediately following medication administration
Dilute each medication with 10 mL of tap water.
Mix the three medications together prior to administering.
Maintain the head of the bed in a flat position for 30 min following medication administration.
The nursing student is asked to demonstrate the Allen test on a fellow student. which of the following best
describes the Allen test?
Yellowish cholesterol deposits seen on the evelids and are indicative of premature atheroscierosis.
Diagnostic maneuver in which pain may increase with sharp dorsiflexion of the foot.
A condition in which the arterioles is the fingers develop spasms, causing intermittent skin palior or cyanosis and
then rubor (red colon.
Test used to determine patency of the radial and ulnar arteries
A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units
of PH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should
prepare in the insulin syringe?
14 Units
28 units
32 units
42 units
A patient has a bottle of warfarin (Coumadin) 5 mg tablets at home. After his most recent international
normalized ratio (INR), the doctor calls and tells him to take 7.5 mg/day. How many tablets (scored) should the
patient take? Round answer using one decimal place:
1.5 tabs
Which of the following is a hallmark characteristic of acute respiratory distress syndrome (ARDS)?
Refractory Hypoxemia
Hyperventilation
Shortness of breath
Change in level of consciousness
A nurse is caring for a client who has an endotracheal tube and is receiving mechanical ventilation. The client
pulls out his endotracheal tube.
NURS 480 Exam 1
, Which of the following actions should the nurse take first?
Assess the client's airway.
Suction the client's mouth.
Elevate the client's head of bed.
Prepare the client for reintubation.
A nurse is caring for a client who is using a patient-controlled analgesia (CA) pump for postoperative pain
management. The nurse enters the room to find the client asleep and his partner pressing the button to dispense
another dose. Which of the following responses should the nurse make?
"Your husband should decide when more medication is needed."
It's a good idea to help make sure your husband can sleep comfortably."
Why do you think your husband needs more medication when he is asleep?
"Next time you think he needs more medication, call me and fill push the button.
A nurse is preparing a client for transfer to the ICU for placement of a pulmonary artery catheter. The nurse
should explain to the client that this catheter is used to monitor which of the following conditions?
Spinal cord perfusion
Hemodynamic status
Renal function
intracranial pressure
After completing a respiratory assessment, the nurse documents: APT diameter 1:2, symmetrical chest
expansion, respiratory rate 16 and regular. vesicular breath sounds. Interpreting these data, the nurse:
percusses the lung fields for areas of hyperresonance
considers these normal findings
suspects a potential respiratory infection
performs a more in-depth respiratory assessment because of the abnormal breath sounds
A nurse is caring for a client who is postoperative. The nurse should base her pain management interventions
primarily on which of the following methods of determining the intensity of the client's pan?
Visual observation for nonverbal signs of pain
The nature and invasiveness of the surgical procedure
The client's self-report of pain severity
Vital sign measurement
A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin
PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following
responses should the nurse provide?
"Crushing the medication would release all the medication at once, rather than over time."
"Crushing the medication might cause you to have a stomachache or indigestion."
"Crushing the medication is a good idea, and i can mix it in some ice cream for you."
"Crushing is unsafe, as it destroys the ingredients in the medication."
The nurse performing a respiratory assessment on her client and hears rhonchi in bilateral lobes. Which is the
best description for this adventitious sound?
High pitched, short, and crackling.
Low pitched grating. rubbing.
High pitched and continuous.
Low pitched, continuous, snoring or rattling.
While palpating respiratory expansion on a client in the emergency room the nurse notes movement on only one
side of the chest. What is the most likely indication of this finding?
Pain.
Pneumonia.
NURS 480 Exam 1
A nurse is caring for a client who has a pulmonary embolism and has a new prescription for enoxaparin
1.5m/kg/dose subcutaneous every 12. hr.
The client weighs 245 lbs. How many mg 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.)
167
The patient is admitted with pneumothorax. The ABG shows Ph 7.20. What should the nurse know that the and
PaC02 50 what does this Indicates?
Myocardia injury
• Bowel Obstruction
Respiratory Acidosis
Normal pacemaker function
An intubated client's oxygen saturation has dropped to 86%. What action by the nurse takes priority?
Ensure all connections are patent.
Suction the endotracheal tube.
Listen to the clients lung sounds.
Determine if the tube is kinked to coiled.
A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with
continuous enteral feedings. Which of the following actions should the nurse take?
Flush the NG feeding tube with 30 mL of water immediately following medication administration
Dilute each medication with 10 mL of tap water.
Mix the three medications together prior to administering.
Maintain the head of the bed in a flat position for 30 min following medication administration.
The nursing student is asked to demonstrate the Allen test on a fellow student. which of the following best
describes the Allen test?
Yellowish cholesterol deposits seen on the evelids and are indicative of premature atheroscierosis.
Diagnostic maneuver in which pain may increase with sharp dorsiflexion of the foot.
A condition in which the arterioles is the fingers develop spasms, causing intermittent skin palior or cyanosis and
then rubor (red colon.
Test used to determine patency of the radial and ulnar arteries
A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units
of PH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should
prepare in the insulin syringe?
14 Units
28 units
32 units
42 units
A patient has a bottle of warfarin (Coumadin) 5 mg tablets at home. After his most recent international
normalized ratio (INR), the doctor calls and tells him to take 7.5 mg/day. How many tablets (scored) should the
patient take? Round answer using one decimal place:
1.5 tabs
Which of the following is a hallmark characteristic of acute respiratory distress syndrome (ARDS)?
Refractory Hypoxemia
Hyperventilation
Shortness of breath
Change in level of consciousness
A nurse is caring for a client who has an endotracheal tube and is receiving mechanical ventilation. The client
pulls out his endotracheal tube.
NURS 480 Exam 1
, Which of the following actions should the nurse take first?
Assess the client's airway.
Suction the client's mouth.
Elevate the client's head of bed.
Prepare the client for reintubation.
A nurse is caring for a client who is using a patient-controlled analgesia (CA) pump for postoperative pain
management. The nurse enters the room to find the client asleep and his partner pressing the button to dispense
another dose. Which of the following responses should the nurse make?
"Your husband should decide when more medication is needed."
It's a good idea to help make sure your husband can sleep comfortably."
Why do you think your husband needs more medication when he is asleep?
"Next time you think he needs more medication, call me and fill push the button.
A nurse is preparing a client for transfer to the ICU for placement of a pulmonary artery catheter. The nurse
should explain to the client that this catheter is used to monitor which of the following conditions?
Spinal cord perfusion
Hemodynamic status
Renal function
intracranial pressure
After completing a respiratory assessment, the nurse documents: APT diameter 1:2, symmetrical chest
expansion, respiratory rate 16 and regular. vesicular breath sounds. Interpreting these data, the nurse:
percusses the lung fields for areas of hyperresonance
considers these normal findings
suspects a potential respiratory infection
performs a more in-depth respiratory assessment because of the abnormal breath sounds
A nurse is caring for a client who is postoperative. The nurse should base her pain management interventions
primarily on which of the following methods of determining the intensity of the client's pan?
Visual observation for nonverbal signs of pain
The nature and invasiveness of the surgical procedure
The client's self-report of pain severity
Vital sign measurement
A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin
PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following
responses should the nurse provide?
"Crushing the medication would release all the medication at once, rather than over time."
"Crushing the medication might cause you to have a stomachache or indigestion."
"Crushing the medication is a good idea, and i can mix it in some ice cream for you."
"Crushing is unsafe, as it destroys the ingredients in the medication."
The nurse performing a respiratory assessment on her client and hears rhonchi in bilateral lobes. Which is the
best description for this adventitious sound?
High pitched, short, and crackling.
Low pitched grating. rubbing.
High pitched and continuous.
Low pitched, continuous, snoring or rattling.
While palpating respiratory expansion on a client in the emergency room the nurse notes movement on only one
side of the chest. What is the most likely indication of this finding?
Pain.
Pneumonia.
NURS 480 Exam 1
