ESTUDY
NUR 1140 EXAM QUESTIONS WITH COMPLETE
SOLUTIONS 2024/2025
1. A nurse is caring for a client who is acidotic. Why is the client breathing rapidly?
a. Anxiety is causing the client to breathe fast.
b. The client is trying to get rid of extra body acids.
c. Rapid breathing increases bicarbonate in the body.
d. Increased breathing is due to higher metabolism.
✔✔ - ANSWER - ANS: B
The client is acidotic, and their body is trying to compensate by exhaling excess carbon dioxide.
2. A client had a recent thromboembolism and needs to travel frequently. What self-care
measure should the nurse teach to reduce clotting risk?
a. Walk around every 2 hours while traveling.
b. Use a soft toothbrush and electric razor for safety.
c. Sit with legs elevated as much as possible.
d. Increase fiber in the diet to avoid straining.
✔✔ - ANSWER - ANS: A
Walking frequently during long periods of sitting helps reduce the risk of clots.
3. The nurse is caring for four clients. Which client should the nurse assess first for cognitive
issues?
a. A 28-year-old client 2 days after gallbladder surgery.
b. An 88-year-old client 3 days after a stroke.
c. A 32-year-old client with a 20-pack-year smoking history.
d. A 42-year-old client with a serum sodium level of 134 mEq/L.
✔✔ - ANSWER - ANS: B
The 88-year-old client recovering from a stroke has multiple risk factors for cognitive issues.
1
,ESTUDY
4. The assistive personnel (AP) reports a postoperative client has a pulse of 132 beats/min and a
blood pressure of 168/90 mm Hg. What should the nurse do first?
a. Ask the AP to repeat the vital signs in 15 minutes.
b. Check the client for pain.
c. Ask the client if anything is bothering them.
d. Instruct the AP to reposition the client.
✔✔ - ANSWER - ANS: B
Postoperative clients may have increased vital signs due to pain. The nurse should first assess for
discomfort.
5. A client has urinary incontinence. Which finding shows that nursing goals have been met?
a. Client is satisfied with incontinence undergarments.
b. Client drinks 8 to 9 glasses of water daily.
c. Skin in the perineal area is intact and not red.
d. Family states that the client is more active and social.
✔✔ - ANSWER - ANS: C
Intact skin without redness indicates a successful outcome related to incontinence.
6. The registered nurse asks the nursing assistant why a cardiac client's morning weight has not
been taken. What is the best response about weight?
a. Treatment decisions often depend on daily weight.
b. The nursing assistant needs to finish tasks on time.
c. Weight is the most accurate indicator of fluid status.
d. A change in weight may require changing IV fluids.
✔✔ - ANSWER - ANS: C
Weight is the best indicator of fluid balance, crucial for patient care.
7. The nurse in the emergency department (ED) is caring for four clients. Which client should the
nurse assess first for gas exchange problems?
2
,ESTUDY
a. Involved in a car crash with a broken leg.
b. Unconscious due to an opioid overdose.
c. Asthmatic client being discharged after treatment.
d. Client with COPD bitten by a dog.
✔✔ - ANSWER - ANS: B
The client who overdosed is most at risk for gas exchange issues due to respiratory depression.
8. The nurse caring for a client with malnutrition should prioritize which lab value?
a. Albumin
b. Prealbumin
c. Prothrombin time
d. Serum sodium
✔✔ - ANSWER - ANS: B
Prealbumin levels change quickly with nutrition status, making it a key indicator.
9. A nurse is planning primary prevention for community-dwelling adults to prevent vision
problems. What action will best achieve this goal?
a. Provide glaucoma screenings.
b. Assess visual acuity.
c. Teach clients how to use eyedrops.
d. Offer a healthy lifestyle class.
✔✔ - ANSWER - ANS: D
Offering a healthy lifestyle class can help prevent conditions that lead to vision impairment.
10. The nurse is uncomfortable discussing sexuality with older clients. What suggestion from the
staff development nurse is most helpful?
a. "Find a trusted friend and practice."
b. "Don't worry; it will get easier."
c. "A sexual assessment is usually unnecessary."
d. "It's hard for me too."
3
, ESTUDY
✔✔ - ANSWER - ANS: A
Role-playing can help the nurse feel more comfortable discussing sexuality.
11. A nurse is planning a community education event about impaired cellular regulation. Which
topics should be included? (Select all that apply.)
a. Ways to limit sun exposure.
b. Resources for quitting smoking.
c. Strategies for staying hydrated in hot weather.
d. Using indoor tanning beds instead of sunbathing.
e. Creative cooking to increase fiber intake.
f. How to check sodium content in food.
✔✔ - ANSWER - ANS: A, B, E
Reducing cancer risk involves minimizing sun exposure, quitting smoking, and increasing fiber.
12. The nurse identifies clients at risk for impaired immunity. Which clients are at risk? (Select all
that apply.)
a. 86 years old
b. Has type 2 diabetes
c. Taking prednisone
d. Has many allergies
e. Drinks a beer a day
f. Low socioeconomic status
✔✔ - ANSWER - ANS: A, B, C, F
Older adults, those with diabetes, those on immunosuppressive medications, and those with low
socioeconomic status are at higher risk for impaired immunity.
13. The nurse cares for a client with limited mobility. What actions should the nurse include in
the care plan to prevent complications? (Select all that apply.)
a. Screen for depression daily.
b. Consult physical therapy for range of motion exercises.
c. Increase fiber in the diet.
4
NUR 1140 EXAM QUESTIONS WITH COMPLETE
SOLUTIONS 2024/2025
1. A nurse is caring for a client who is acidotic. Why is the client breathing rapidly?
a. Anxiety is causing the client to breathe fast.
b. The client is trying to get rid of extra body acids.
c. Rapid breathing increases bicarbonate in the body.
d. Increased breathing is due to higher metabolism.
✔✔ - ANSWER - ANS: B
The client is acidotic, and their body is trying to compensate by exhaling excess carbon dioxide.
2. A client had a recent thromboembolism and needs to travel frequently. What self-care
measure should the nurse teach to reduce clotting risk?
a. Walk around every 2 hours while traveling.
b. Use a soft toothbrush and electric razor for safety.
c. Sit with legs elevated as much as possible.
d. Increase fiber in the diet to avoid straining.
✔✔ - ANSWER - ANS: A
Walking frequently during long periods of sitting helps reduce the risk of clots.
3. The nurse is caring for four clients. Which client should the nurse assess first for cognitive
issues?
a. A 28-year-old client 2 days after gallbladder surgery.
b. An 88-year-old client 3 days after a stroke.
c. A 32-year-old client with a 20-pack-year smoking history.
d. A 42-year-old client with a serum sodium level of 134 mEq/L.
✔✔ - ANSWER - ANS: B
The 88-year-old client recovering from a stroke has multiple risk factors for cognitive issues.
1
,ESTUDY
4. The assistive personnel (AP) reports a postoperative client has a pulse of 132 beats/min and a
blood pressure of 168/90 mm Hg. What should the nurse do first?
a. Ask the AP to repeat the vital signs in 15 minutes.
b. Check the client for pain.
c. Ask the client if anything is bothering them.
d. Instruct the AP to reposition the client.
✔✔ - ANSWER - ANS: B
Postoperative clients may have increased vital signs due to pain. The nurse should first assess for
discomfort.
5. A client has urinary incontinence. Which finding shows that nursing goals have been met?
a. Client is satisfied with incontinence undergarments.
b. Client drinks 8 to 9 glasses of water daily.
c. Skin in the perineal area is intact and not red.
d. Family states that the client is more active and social.
✔✔ - ANSWER - ANS: C
Intact skin without redness indicates a successful outcome related to incontinence.
6. The registered nurse asks the nursing assistant why a cardiac client's morning weight has not
been taken. What is the best response about weight?
a. Treatment decisions often depend on daily weight.
b. The nursing assistant needs to finish tasks on time.
c. Weight is the most accurate indicator of fluid status.
d. A change in weight may require changing IV fluids.
✔✔ - ANSWER - ANS: C
Weight is the best indicator of fluid balance, crucial for patient care.
7. The nurse in the emergency department (ED) is caring for four clients. Which client should the
nurse assess first for gas exchange problems?
2
,ESTUDY
a. Involved in a car crash with a broken leg.
b. Unconscious due to an opioid overdose.
c. Asthmatic client being discharged after treatment.
d. Client with COPD bitten by a dog.
✔✔ - ANSWER - ANS: B
The client who overdosed is most at risk for gas exchange issues due to respiratory depression.
8. The nurse caring for a client with malnutrition should prioritize which lab value?
a. Albumin
b. Prealbumin
c. Prothrombin time
d. Serum sodium
✔✔ - ANSWER - ANS: B
Prealbumin levels change quickly with nutrition status, making it a key indicator.
9. A nurse is planning primary prevention for community-dwelling adults to prevent vision
problems. What action will best achieve this goal?
a. Provide glaucoma screenings.
b. Assess visual acuity.
c. Teach clients how to use eyedrops.
d. Offer a healthy lifestyle class.
✔✔ - ANSWER - ANS: D
Offering a healthy lifestyle class can help prevent conditions that lead to vision impairment.
10. The nurse is uncomfortable discussing sexuality with older clients. What suggestion from the
staff development nurse is most helpful?
a. "Find a trusted friend and practice."
b. "Don't worry; it will get easier."
c. "A sexual assessment is usually unnecessary."
d. "It's hard for me too."
3
, ESTUDY
✔✔ - ANSWER - ANS: A
Role-playing can help the nurse feel more comfortable discussing sexuality.
11. A nurse is planning a community education event about impaired cellular regulation. Which
topics should be included? (Select all that apply.)
a. Ways to limit sun exposure.
b. Resources for quitting smoking.
c. Strategies for staying hydrated in hot weather.
d. Using indoor tanning beds instead of sunbathing.
e. Creative cooking to increase fiber intake.
f. How to check sodium content in food.
✔✔ - ANSWER - ANS: A, B, E
Reducing cancer risk involves minimizing sun exposure, quitting smoking, and increasing fiber.
12. The nurse identifies clients at risk for impaired immunity. Which clients are at risk? (Select all
that apply.)
a. 86 years old
b. Has type 2 diabetes
c. Taking prednisone
d. Has many allergies
e. Drinks a beer a day
f. Low socioeconomic status
✔✔ - ANSWER - ANS: A, B, C, F
Older adults, those with diabetes, those on immunosuppressive medications, and those with low
socioeconomic status are at higher risk for impaired immunity.
13. The nurse cares for a client with limited mobility. What actions should the nurse include in
the care plan to prevent complications? (Select all that apply.)
a. Screen for depression daily.
b. Consult physical therapy for range of motion exercises.
c. Increase fiber in the diet.
4
