NURS 1327 EXAM 1 BEST QUESTIONS WITH ANSWERS 2022
UPDATE
The nurse is screening clients for those at increased risk for developing cancer. At highest risk for developing
leukemia is the client who
a. received more than 3 blood transfusions
b. has a magnetic resonance imaging (MRI) scan annually
c. has polycythemia vera and requires phlebotomy treatments
d. had colon cancer and received prescribed chemotherapy treatments
The nurse is preparing to insert a peripheral venous access device (VAD) for a client who requires prescribed
antibiotics intravenously. Which of the following actions by the nurse will increase the likelihood of success
in initiating the VAD? Select all that apply.
a. Select a vein that is visible but not palpable.
b. Massage the arm distal to the selected venipuncture site.
c. Apply a tourniquet tightly enough to suppress the radial pulse.
d. Apply a warm compress to the client's arm for 10 to 15 minutes.
e. Use the nondominant hand to hold the skin taut against the selected vein.
The nurse is preparing a staff education conference about total parenteral nutrition (TPN). Which of the
following information should the nurse include? Select all that apply.
a. "The TPN intravenous tubing should be changed once a week."
b. "TPN can be administered through a peripherally inserted central catheter (PICC)."
c. "Clients receiving TPN should be weighed daily."
d. "An infusion pump is used to deliver TPN."
e. "Blood glucose levels should be monitored in clients receiving TPN."
The nurse is preparing to administer a prescribed unit of packed red blood cells (PRBCs) to a client. Which of
the following actions should the nurse take?
a. Assess the client's recent urine output.
b. Prime a Y-tubing blood administration set with lactated Ringer's solution.
c. Ensure that the client has a peripheral venous access device (VAD) that is 24-gauge or larger.
d. Verify with another nurse that the client's room number is on both the blood product label and the
client's identification band.
The nurse has become aware of the following client situations. The nurse should first assess the client
a. who had a right pneumonectomy 24 hours ago and is in the high-Fowler's position while lying on the
right side
b. with chronic obstructive pulmonary disease (COPD) who is using pursed-lip breathing and reporting
hemoptysis
c. who had a wedge resection of the left lung 24 hours ago and is sitting in the high-Fowler's
position d. with heart failure who has a productive cough and is restless
The nurse is caring for a client who is receiving a blood transfusion and states, "I feel chilled and am having
back pain." Which of the following actions should the nurse take? Select all that apply.
a. Stop the transfusion.
b. Check the client's vital signs.
,NURS 1327 EXAM 1 BEST QUESTIONS WITH ANSWERS 2022
UPDATE
c. Notify the client's primary health care provider.
d. Return the blood and infusion tubing to the blood bank.
e. Infuse 5% dextrose in water through the intravenous catheter.
f. Administer a dose of an antiemetic prescribed p.r.n. to the client.
The nurse is preparing to admit a client who has pleuritic chest pain and is reporting a cough productive of yellow
,NURS 1327 EXAM 1 BEST QUESTIONS WITH ANSWERS 2022
UPDATE
sputum for the past 1 week. The client has a pulse oximetry reading of 90% on room air. Which of the following
infection control precautions should the nurse implement?
a. Use a stethoscope that is designated for use with the client only.
b. Wear sterile gloves when inserting a peripheral venous access device
(VAD). c. Assign the client to a private room with monitored negative air
pressure.
d. Place a box of surgical masks inside the client's room.
13.A A client admitted to the maternity unit is at 38 weeks of gestation and has bright red vaginal bleeding. It would
be
most important for the nurse to assess which of the following?
a. history of bleeding at any other time during the pregnancy
b. complaints of abdominal pain
c. temperature
d. length of time of the bleeding
The nurse has attended a staff education program about infection control precautions. It would indicate a
correct understanding of the teaching if the nurse is observed
a. wearing a particulate respirator mask (N95) when entering the room of a client with
Haemophilus influenzae pneumonia
b. placing a client with streptococcal pneumonia in a room with a client who has respiratory syncytial virus
(RSV)
c. wearing a protective gown when entering the room of a client with Escherichia coli O157:H7 who is
incontinent
d. placing a client with pediculosis capitis (head lice) in a room with a client who has scabies
The nurse is calculating a client's output for an 8-hour shift. The client has a 3-way continuous bladder irrigation
(CBI) that is infusing at 200 mL/hr. The drainage bag was emptied twice during the shift for a total of 2,000
mL. How many mL should the nurse record as the client's output? Record your answer using a whole
number.
a. Answer: 400 mL
The nurse is assessing a client with suspected gout. Which of the following findings would support a diagnosis
of gout? Select all that apply.
a. elevated serum uric acid level
b. a swollen, red joint
c. reports of moderate fatigue
d. distal extremities cool to touch
e. pain associated with movement of the affected extremity
f. intolerance of dairy products
The nurse is caring for a client who is receiving a high dose of a prescribed phenothiazine. When evaluating
the client for a life-threatening syndrome related to the medication, it would be a priority for the nurse to
report
, NURS 1327 EXAM 1 BEST QUESTIONS WITH ANSWERS 2022
UPDATE
a. dry mouth
b. orthostatic hypotension
c. fever
d. photophobia
The nurse is assessing a male client who has suspected syphilis. Which of the following findings would support
a diagnosis of syphilis?
a. urethritis
b. conjunctivitis
c. chancre lesions
d. penile discharge
UPDATE
The nurse is screening clients for those at increased risk for developing cancer. At highest risk for developing
leukemia is the client who
a. received more than 3 blood transfusions
b. has a magnetic resonance imaging (MRI) scan annually
c. has polycythemia vera and requires phlebotomy treatments
d. had colon cancer and received prescribed chemotherapy treatments
The nurse is preparing to insert a peripheral venous access device (VAD) for a client who requires prescribed
antibiotics intravenously. Which of the following actions by the nurse will increase the likelihood of success
in initiating the VAD? Select all that apply.
a. Select a vein that is visible but not palpable.
b. Massage the arm distal to the selected venipuncture site.
c. Apply a tourniquet tightly enough to suppress the radial pulse.
d. Apply a warm compress to the client's arm for 10 to 15 minutes.
e. Use the nondominant hand to hold the skin taut against the selected vein.
The nurse is preparing a staff education conference about total parenteral nutrition (TPN). Which of the
following information should the nurse include? Select all that apply.
a. "The TPN intravenous tubing should be changed once a week."
b. "TPN can be administered through a peripherally inserted central catheter (PICC)."
c. "Clients receiving TPN should be weighed daily."
d. "An infusion pump is used to deliver TPN."
e. "Blood glucose levels should be monitored in clients receiving TPN."
The nurse is preparing to administer a prescribed unit of packed red blood cells (PRBCs) to a client. Which of
the following actions should the nurse take?
a. Assess the client's recent urine output.
b. Prime a Y-tubing blood administration set with lactated Ringer's solution.
c. Ensure that the client has a peripheral venous access device (VAD) that is 24-gauge or larger.
d. Verify with another nurse that the client's room number is on both the blood product label and the
client's identification band.
The nurse has become aware of the following client situations. The nurse should first assess the client
a. who had a right pneumonectomy 24 hours ago and is in the high-Fowler's position while lying on the
right side
b. with chronic obstructive pulmonary disease (COPD) who is using pursed-lip breathing and reporting
hemoptysis
c. who had a wedge resection of the left lung 24 hours ago and is sitting in the high-Fowler's
position d. with heart failure who has a productive cough and is restless
The nurse is caring for a client who is receiving a blood transfusion and states, "I feel chilled and am having
back pain." Which of the following actions should the nurse take? Select all that apply.
a. Stop the transfusion.
b. Check the client's vital signs.
,NURS 1327 EXAM 1 BEST QUESTIONS WITH ANSWERS 2022
UPDATE
c. Notify the client's primary health care provider.
d. Return the blood and infusion tubing to the blood bank.
e. Infuse 5% dextrose in water through the intravenous catheter.
f. Administer a dose of an antiemetic prescribed p.r.n. to the client.
The nurse is preparing to admit a client who has pleuritic chest pain and is reporting a cough productive of yellow
,NURS 1327 EXAM 1 BEST QUESTIONS WITH ANSWERS 2022
UPDATE
sputum for the past 1 week. The client has a pulse oximetry reading of 90% on room air. Which of the following
infection control precautions should the nurse implement?
a. Use a stethoscope that is designated for use with the client only.
b. Wear sterile gloves when inserting a peripheral venous access device
(VAD). c. Assign the client to a private room with monitored negative air
pressure.
d. Place a box of surgical masks inside the client's room.
13.A A client admitted to the maternity unit is at 38 weeks of gestation and has bright red vaginal bleeding. It would
be
most important for the nurse to assess which of the following?
a. history of bleeding at any other time during the pregnancy
b. complaints of abdominal pain
c. temperature
d. length of time of the bleeding
The nurse has attended a staff education program about infection control precautions. It would indicate a
correct understanding of the teaching if the nurse is observed
a. wearing a particulate respirator mask (N95) when entering the room of a client with
Haemophilus influenzae pneumonia
b. placing a client with streptococcal pneumonia in a room with a client who has respiratory syncytial virus
(RSV)
c. wearing a protective gown when entering the room of a client with Escherichia coli O157:H7 who is
incontinent
d. placing a client with pediculosis capitis (head lice) in a room with a client who has scabies
The nurse is calculating a client's output for an 8-hour shift. The client has a 3-way continuous bladder irrigation
(CBI) that is infusing at 200 mL/hr. The drainage bag was emptied twice during the shift for a total of 2,000
mL. How many mL should the nurse record as the client's output? Record your answer using a whole
number.
a. Answer: 400 mL
The nurse is assessing a client with suspected gout. Which of the following findings would support a diagnosis
of gout? Select all that apply.
a. elevated serum uric acid level
b. a swollen, red joint
c. reports of moderate fatigue
d. distal extremities cool to touch
e. pain associated with movement of the affected extremity
f. intolerance of dairy products
The nurse is caring for a client who is receiving a high dose of a prescribed phenothiazine. When evaluating
the client for a life-threatening syndrome related to the medication, it would be a priority for the nurse to
report
, NURS 1327 EXAM 1 BEST QUESTIONS WITH ANSWERS 2022
UPDATE
a. dry mouth
b. orthostatic hypotension
c. fever
d. photophobia
The nurse is assessing a male client who has suspected syphilis. Which of the following findings would support
a diagnosis of syphilis?
a. urethritis
b. conjunctivitis
c. chancre lesions
d. penile discharge
