NUR 155 Exam 2026-2027 BANK QUESTIONS WITH DETAILED
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1. A nursing student is learning about the history of nursing. Which
historical figure is credited with establishing sanitary conditions during
the Crimean War, significantly reducing mortality rates?
A) Clara Barton
B) Lillian Wald
C) Florence Nightingale
D) Dorothea Dix
Answer: C) Florence Nightingale
Explanation: Florence Nightingale is renowned for her work during the
Crimean War, where she implemented strict sanitary practices,
including handwashing and environmental cleanliness, which
dramatically lowered the death rate from infections. Clara Barton
founded the American Red Cross, Lillian Wald established public health
nursing, and Dorothea Dix advocated for mental health reform.
2. The nurse is caring for a patient who has been on bed rest for several
days. When getting the patient out of bed for the first time, the patient
reports feeling lightheaded and dizzy. The nurse recognizes these
symptoms as:
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A) Orthostatic hypotension
B) Thrombophlebitis
C) Hypostatic pneumonia
D) Muscle atrophy
Answer: A) Orthostatic hypotension
Explanation: Orthostatic hypotension is a drop in systolic blood
pressure of 20 mmHg or more, or a diastolic drop of 10 mmHg or more,
upon changing position from lying to standing, often manifesting as
lightheadedness or dizziness. This occurs due to the body's inability to
rapidly adjust vascular tone after periods of immobility.
3. A patient is admitted with a wound on the lower leg that has thick,
yellow drainage. Which phase of the inflammatory response is
characterized by this type of exudate?
A) Vascular response phase
B) Cellular exudate phase
C) Tissue repair phase
D) Hemostasis phase
Answer: B) Cellular exudate phase
Explanation: The cellular exudate phase of inflammation is
characterized by the accumulation of white blood cells, dead tissue,
and bacteria, often forming a thick, yellowish fluid known as purulent
exudate. The vascular response causes redness and heat, while tissue
repair involves rebuilding.
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4. When performing a pain assessment, the nurse asks the patient to
rate their pain on a scale of 0 to 10. Which component of the pain
assessment does this address?
A) Quality
B) Location
C) Intensity
D) Onset
Answer: C) Intensity
Explanation: Pain intensity quantifies how strong the pain is, typically
using standardized scales like the 0-10 numeric rating scale, the Wong-
Baker FACES scale, or a visual analog scale. Asking "how much does it
hurt" directly addresses intensity, which is vital for evaluating
interventions.
5. A patient's respiratory rate is 10 breaths per minute and shallow.
Which medical term should the nurse use to document this finding?
A) Tachypnea
B) Bradypnea
C) Apnea
D) Dyspnea
Explanation: Bradypnea is the term for an abnormally slow respiratory
rate, typically below 12 breaths per minute in adults. Tachypnea refers
to a fast rate, apnea is the absence of breathing, and dyspnea is a
subjective sensation of difficult or labored breathing.
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6. The nurse is caring for a patient with a urinary catheter. Which
intervention is most crucial to prevent a catheter-associated urinary
tract infection (CAUTI)?
A) Irrigating the catheter daily with antibiotic solution
B) Ensuring the collection bag remains below the level of the bladder
C) Applying antimicrobial ointment to the meatus every shift
D) Changing the catheter every 48 hours
Answer: B) Ensuring the collection bag remains below the level of the
bladder
Explanation: Maintaining a closed, dependent, and unobstructed
drainage system is the primary evidence-based intervention to prevent
CAUTI. Keeping the bag below the bladder level prevents backflow of
contaminated urine. Routine irrigation and frequent catheter changes
increase infection risk.
7. Following a total knee replacement, a patient has minimal drainage
in the surgical drain. The nurse notes the bulb of the drain is fully
expanded. What is the priority nursing action?
A) Strip the tubing toward the patient
B) Compress the bulb and re-establish suction
C) Remove the drain immediately
D) Notify the healthcare provider for an order to irrigate the drain
Answer: B) Compress the bulb and re-establish suction
Explanation: A fully expanded bulb indicates that suction has been lost.
The nurse must compress the drain reservoir (bulb) completely to