NU 310 EXAM 1 ACTUAL EXAM WITH
COMPLETE REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+.
A client at 32 weeks gestation reports painless vaginal bleeding. What is
the priority nursing action?
A) Assess fetal heart rate and maternal vital signs
B) Encourage ambulation to assess bleeding
C) Ask the patient to perform a Valsalva maneuver
D) Schedule routine follow-up in 1 week
Correct Answer: A) Assess fetal heart rate and maternal vital signs
Rationale:
Painless bleeding in the second or third trimester may indicate placenta
previa. Maternal and fetal stability must be assessed immediately;
interventions follow based on findings.
Question 2 – Pediatric
A 6-year-old presents with fever, sore throat, and drooling. The child
refuses to lie down. What is the most important initial action?
A) Inspect throat with a tongue blade
B) Keep child calm and maintain airway
C) Administer oral antibiotics
,D) Encourage fluid intake
Correct Answer: B) Keep child calm and maintain airway
Rationale:
Drooling and refusal to lie down suggest epiglottitis. Airway protection is
the priority; inspection may precipitate complete obstruction.
Question 3 – Pharmacology
A client is prescribed lisinopril and develops persistent dry cough. What
is the most appropriate nursing action?
A) Reassure the patient the cough is harmless
B) Hold medication and notify provider
C) Prescribe an antitussive
D) Discontinue medication independently
Correct Answer: B) Hold medication and notify provider
Rationale:
ACE inhibitors can cause persistent cough. The provider may switch the
patient to an ARB. Do not independently discontinue.
Question 4 – Adult Health
A client with heart failure reports 3 lb weight gain in 24 hours and new
shortness of breath. Which is the priority intervention?
A) Increase ACE inhibitor dose
B) Assess lung sounds and increase diuretic
C) Restrict fluids only
D) Schedule follow-up visit in 1 week
Correct Answer: B) Assess lung sounds and increase diuretic
,Rationale:
Sudden weight gain and dyspnea indicate fluid overload. Diuretics
relieve congestion and prevent complications.
Question 5 – Maternal/Newborn
A postpartum client, 6 hours after delivery, has a firm fundus, moderate
lochia, and pulse 110 bpm. What is the priority nursing assessment?
A) Blood pressure
B) Temperature
C) Fundal assessment and bleeding
D) Encourage ambulation
Correct Answer: C) Fundal assessment and bleeding
Rationale:
Early postpartum hemorrhage is most commonly caused by uterine
atony. Fundal tone and lochia amount are priority assessments.
Question 6 – Pediatric
A child with Type 1 diabetes is lethargic and blood glucose is 40 mg/dL.
The child is conscious and able to swallow. What is the priority
intervention?
A) Administer IV dextrose
B) Give 15 g of rapid-acting carbohydrate orally
C) Call provider
D) Monitor glucose in 15 minutes
Correct Answer: B) Give 15 g of rapid-acting carbohydrate orally
Rationale:
, Conscious hypoglycemic children should receive oral glucose first. IV
glucose is used if the child is unconscious.
Question 7 – Adult Health
A patient on warfarin presents with black tarry stools. What is the priority
nursing action?
A) Administer vitamin K immediately
B) Hold warfarin and notify provider
C) Encourage dietary iron
D) Document findings
Correct Answer: B) Hold warfarin and notify provider
Rationale:
Tarry stools indicate GI bleeding. Warfarin should be held and provider
notified. Vitamin K may be administered per provider orders.
Question 8 – Pharmacology
A patient on digoxin reports nausea, visual halos, and bradycardia. What
should the nurse do first?
A) Administer the scheduled dose
B) Hold the medication and notify provider
C) Encourage fluids
D) Give antacid
Correct Answer: B) Hold the medication and notify provider
Rationale:
These are classic signs of digoxin toxicity. Medication should be held
and levels checked.
COMPLETE REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+.
A client at 32 weeks gestation reports painless vaginal bleeding. What is
the priority nursing action?
A) Assess fetal heart rate and maternal vital signs
B) Encourage ambulation to assess bleeding
C) Ask the patient to perform a Valsalva maneuver
D) Schedule routine follow-up in 1 week
Correct Answer: A) Assess fetal heart rate and maternal vital signs
Rationale:
Painless bleeding in the second or third trimester may indicate placenta
previa. Maternal and fetal stability must be assessed immediately;
interventions follow based on findings.
Question 2 – Pediatric
A 6-year-old presents with fever, sore throat, and drooling. The child
refuses to lie down. What is the most important initial action?
A) Inspect throat with a tongue blade
B) Keep child calm and maintain airway
C) Administer oral antibiotics
,D) Encourage fluid intake
Correct Answer: B) Keep child calm and maintain airway
Rationale:
Drooling and refusal to lie down suggest epiglottitis. Airway protection is
the priority; inspection may precipitate complete obstruction.
Question 3 – Pharmacology
A client is prescribed lisinopril and develops persistent dry cough. What
is the most appropriate nursing action?
A) Reassure the patient the cough is harmless
B) Hold medication and notify provider
C) Prescribe an antitussive
D) Discontinue medication independently
Correct Answer: B) Hold medication and notify provider
Rationale:
ACE inhibitors can cause persistent cough. The provider may switch the
patient to an ARB. Do not independently discontinue.
Question 4 – Adult Health
A client with heart failure reports 3 lb weight gain in 24 hours and new
shortness of breath. Which is the priority intervention?
A) Increase ACE inhibitor dose
B) Assess lung sounds and increase diuretic
C) Restrict fluids only
D) Schedule follow-up visit in 1 week
Correct Answer: B) Assess lung sounds and increase diuretic
,Rationale:
Sudden weight gain and dyspnea indicate fluid overload. Diuretics
relieve congestion and prevent complications.
Question 5 – Maternal/Newborn
A postpartum client, 6 hours after delivery, has a firm fundus, moderate
lochia, and pulse 110 bpm. What is the priority nursing assessment?
A) Blood pressure
B) Temperature
C) Fundal assessment and bleeding
D) Encourage ambulation
Correct Answer: C) Fundal assessment and bleeding
Rationale:
Early postpartum hemorrhage is most commonly caused by uterine
atony. Fundal tone and lochia amount are priority assessments.
Question 6 – Pediatric
A child with Type 1 diabetes is lethargic and blood glucose is 40 mg/dL.
The child is conscious and able to swallow. What is the priority
intervention?
A) Administer IV dextrose
B) Give 15 g of rapid-acting carbohydrate orally
C) Call provider
D) Monitor glucose in 15 minutes
Correct Answer: B) Give 15 g of rapid-acting carbohydrate orally
Rationale:
, Conscious hypoglycemic children should receive oral glucose first. IV
glucose is used if the child is unconscious.
Question 7 – Adult Health
A patient on warfarin presents with black tarry stools. What is the priority
nursing action?
A) Administer vitamin K immediately
B) Hold warfarin and notify provider
C) Encourage dietary iron
D) Document findings
Correct Answer: B) Hold warfarin and notify provider
Rationale:
Tarry stools indicate GI bleeding. Warfarin should be held and provider
notified. Vitamin K may be administered per provider orders.
Question 8 – Pharmacology
A patient on digoxin reports nausea, visual halos, and bradycardia. What
should the nurse do first?
A) Administer the scheduled dose
B) Hold the medication and notify provider
C) Encourage fluids
D) Give antacid
Correct Answer: B) Hold the medication and notify provider
Rationale:
These are classic signs of digoxin toxicity. Medication should be held
and levels checked.
