NUR 1140 Exam Questions and
Answers A+ Graded (2025)
A .nurse .is .caring .for .a .client .who .is .acidotic. .The .nurse .asks .the .charge .nurse
.why .the .client .is .breathing .rapidly. .What .response .by
the .charge .nurse .is .best?
a. .Anxiety .is .causing .the .client .to .breathe .rapidly.
b. .The .client .is .trying .to .get .rid .of .excess .body .acids.
c. .The .rapid .respirations .cause .buildup .of .bicarbonate.
d. .An .increased .respiratory .rate .is .due .to .increased .metabolism. .- .CORRECT
.ANSWER-ANS: .B
The .client .is .acidotic, .and .the .respiratory .system .is .attempting .to .compensate
.by ."blowing .off" .excess .acid .in .the .form .of .carbon
dioxide. .The .increased .respiratory .rate .is .not .due .to .anxiety .or .increased
.metabolism. .An .increased .respiratory .rate .does .not .cause .a
buildup .of .bicarbonate.
A .client .had .a .recent .thromboembolism .and .must .resume .work .which .requires
.frequent .car .and .plane .travel. .What .self-care
measure .does .the .nurse .teach .to .reduce .the .risk .of .impaired .clotting .in .this
.client?
a. .Get .up .and .walk .around .at .least .every .2 .hours .while .traveling.
b. .Use .a .soft .toothbrush .and .an .electric .razor .for .safety.
c. .Be .sure .to .sit .with .the .legs .elevated .as .much .as .possible.
d. .Increase .fiber .in .the .diet .so .as .not .to .strain .to .move .the .bowels. .- .CORRECT
.ANSWER-ANS: .A
Clients .who .are .at .risk .of .increased .clotting .(as .evidenced .by .prior
.thromboembolic .event) .can .take .several .measures .to .reduce .their .risk .of
.further .problems. .One .measure .is .to .get .up .and .walk .frequently .when .sitting
.for .a .long .period .of .time. .Using .a .soft .toothbrush .and .an .electric .razor .and
.needing .to .prevent .constipation .would .be .important .for .a .client .at .risk .of
.bleeding. .Elevating .the .legs .is .not .as .beneficial .as .ambulating.
,A .nurse .is .caring .for .four .clients. .Which .client .does .the .nurse .assess .first .for
.impaired .cognition?
a. .A .28-year-old .client .2 .days .post-open .cholecystectomy
b. .An .88-year-old .client .3 .days .post-hemorrhagic .stroke
c. .A .32-year-old .client .with .a .20-pack-year .history .of .smoking
d. .A .42-year-old .client .with .a .serum .sodium .of .134 .mEq/L .(134 .mmol/L) .-
.CORRECT .ANSWER-ANS: .B
There .are .many .risk .factors .for .impaired .cognition .including .advanced .age .and
.diseases .and .disorders .that .affect .the .brain. .The
88-year-old .client .who .is .recovering .from .a .stroke .has .two .such .risk .factors
.and .is .at .highest .risk .for .impaired .cognition. .The .nurse
assesses .this .client .first. .The .other .clients .have .a .much .lower .risk .of
.developing .impaired .cognition.
The .assistive .personnel .(AP) .reports .to .the .registered .nurse .that .a
.postoperative .client .has .a .pulse .of .132 .beats/min .and .a .blood
pressure .of .168/90 .mm .Hg. .What .response .by .the .nurse .is .most .appropriate?
a. .Ask .the .AP .to .repeat .the .client's .vital .signs .in .15 .minutes.
b. .Assess .the .client .for .pain.
c. .Ask .the .client .if .something .is .bothersome.
d. .Instruct .the .AP .to .reposition .the .client .- .CORRECT .ANSWER-ANS: .B
The ."fight-or-flight" .syndrome .can .occur .from .sympathetic .nervous .stimulation
.due .to .acute .pain. .Symptoms .can .include .nausea, .vomiting, .diaphoresis,
.tachycardia, .tachypnea, .hypertension, .and .dilated .pupils. .Since .this .client .is
.postoperative, .it .is .reasonable .to .believe .that .he .or .she .might .be .in .pain. .The
.nurse .first .assesses .for .pain .or .discomfort .and .treats .it. .If .the .client .is .not .in
.pain, .the .nurse .would .conduct .further .assessments .to .determine .the .cause .of
.the .abnormal .vital .signs.
A .client .has .urinary .incontinence. .Which .assessment .finding .indicates .that
.outcomes .for .a .priority .nursing .diagnosis .have .been
met?
a. .Client .reports .satisfaction .with .undergarments .for .incontinence.
b. .Client .reports .drinking .8 .to .9 .glasses .of .water .each .day.
c. .Skin .in .perineal .area .is .intact .without .redness .on .inspection.
d. .Family .states .that .client .is .more .active .and .socializes .more. .- .CORRECT
.ANSWER-ANS: .C
Urinary .incontinence .can .lead .to .skin .breakdown .and .possibility .of .infection.
.Skin .that .is .intact .without .redness .shows .that .a .major .goal .for .this .client .has
.been .met. .Becoming .more .social .is .a .positive .finding .as .many .adults .with
.incontinence .limit .their .social .activities, .but .this .psychosocial .outcome .is .not
.the .priority .over .a .physical .outcome. .Being .satisfied .with .undergarments .is
.also .not .the .priority. .Drinking .adequate .water .can .sometimes .help .with
,.incontinence .and .is .important .for .general .health, .but .is .not .directly .related .to
.an .important .goal .for .this .client.
The .registered .nurse .asks .the .nursing .assistant .why .a .cardiac .client's .morning
.weight .has .not .yet .been .done. .The .nursing .assistant
says, ."I'll .get .to .it, .what's .the .big .deal?" .When .deciding .how .to .respond, .the
.nurse .considers .what .information .about .weight?
a. .Decisions .on .treatment .often .depend .on .the .daily .weight.
b. .The .nursing .assistant .needs .to .ensure .that .tasks .are .done .on .time.
c. .Weight .is .the .most .accurate .noninvasive .indicator .of .fluid .status.
d. .A .change .in .weight .may .indicate .the .need .to .change .IV .fluids. .- .CORRECT
.ANSWER-ANS: .C
Weight .is .the .best .(noninvasive) .indicator .of .fluid .status. .Primary .health .care
.providers .may .base .treatment .decisions .on .weight, .because .the .weight .reflects
.fluid .balance, .but .this .answer .does .not .explain .why. .IV .fluid .rates .or .solutions
.may .change .for .the .same .reason. .The .nursing .assistant .would .perform .tasks
.on .a .timely .basis, .but .this .is .not .related .to .information .about .weight.
The .nurse .in .the .emergency .department .(ED) .is .caring .for .four .clients. .Which
.client .does .the .nurse .assess .for .gas .exchange
abnormalities .first?
a. .Involved .in .motor .vehicle .crash, .has .broken .femur.
b. .Brought .in .unconscious .by .roommate .after .opioid .overdose.
c. .Asthmatic .client .being .discharged .after .bronchodilator .therapy.
d. .History .of .COPD, .presents .to .ED .after .being .bitten .by .a .dog. .- .CORRECT
.ANSWER-ANS: .B
Opioid .medications .can .cause .respiratory .depression, .so .this .client .is .most .at
.risk .for .gas .exchange .problems. .Diminished .respirations .will .allow .a .buildup .of
.carbon .dioxide .in .the .blood. .The .clients .with .asthma .and .COPD .have .the
.potential .for .gas .exchange .problems .but .this .is .not .indicated .in .answer .option
.as .he .or .she .is .being .discharged. .The .client .with .a .broken .femur .does
not .have .information .suggesting .gas .exchange .problems.
The .nurse .caring .for .a .client .with .malnutrition .assesses .which .laboratory .value
.as .the .priority?
a. .Albumin
b. .Prealbumin
c. .Prothrombin .time
d. .Serum .sodium .- .CORRECT .ANSWER-ANS: .B
Both .albumin .and .prealbumin .are .indicators .for .nutrition. .However, .prealbumin
.changes .more .rapidly .with .decreased .nutrition, .so .it .is .the .better .test.
.Prothrombin .time .and .serum .sodium .are .not .directly .related .to .nutritional
.status.
, A .nurse .is .planning .primary .prevention .measures .for .community-dwelling
.adults .to .prevent .visual .impairment. .What .action .by .the
nurse .will .best .meet .this .objective?
a. .Provide .glaucoma .screening.
b. .Assess .visual .acuity.
c. .Teach .clients .about .instilling .eyedrops.
d. .Offer .a .healthy .lifestyle .class. .- .CORRECT .ANSWER-ANS: .D
Primary .prevention .activities .are .those .designed .to .actually .prevent .the .onset
.of .a .disease .or .health .problem. .Secondary .prevention .focuses .on .screening
.and .early .diagnosis/detection. .Tertiary .measures .are .those .that .offer .treatment
.and .rehabilitation. .Encouraging .a .healthy .lifestyle .through .classes .may .help
.prevent .diabetes, .a .common .cause .of .visual .impairment, .and .is .a .primary
.prevention
measure. .Assessing .for .glaucoma .and .visual .acuity .is .a .secondary .prevention
.measure. .Teaching .clients .how .to .instill .eyedrops .is .tertiary.
The .nurse .tells .the .staff .development .nurse .he/she .is .very .uncomfortable
.discussing .sexuality .with .clients, .especially .those .who .are .older. .What
.suggestion .by .the .staff .development .nurse .is .most .appropriate?
a. ."Find .a .trusted .friend .and .role .play."
b. ."Don't .worry .it .will .get .easier."
c. ."A .sexual .assessment .is .usually .not .needed."
d. ."It's .hard .for .me .to .do, .too." .- .CORRECT .ANSWER-ANS: .A
Discussing .sexuality .and .sex .is .difficult .for .most .people. .Since .it .is .important
.to .be .able .to .assess .this .aspect .of .people's .lives, .the .nurse .needs .to .become
.comfortable. .Role-playing .with .a .trusted .friend .will .build .confidence .and
.comfort. .Saying .that .it .will .get
easier .and .that .it .is .hard .for .the .staff .development .nurse .too .does .not .give .the
.nurse .any .ideas .for .improvement. .Sexuality .is .important .to .assess.
A .nurse .is .planning .a .community .education .event-related .to .impaired .cellular
.regulation. .What .teaching .topics .would .the .nurse
include .in .this .event? .(Select .all .that .apply.)
a. .Ways .to .minimize .exposure .to .sunlight
b. .Resources .available .for .smoking .cessation
c. .Strategies .to .remain .hydrated .during .hot .weather
d. .Use .of .indoor .tanning .beds .instead .of .sunbathing
e. .Creative .cooking .techniques .to .increase .dietary .fiber
f. .How .to .determine .sodium .content .in .food? .- .CORRECT .ANSWER-ANS: .A, .B,
.E
Disrupted .cellular .regulation .can .lead .to .both .benign .and .malignant .tumors
.(cancer). .Ways .to .minimize .the .risk .of .developing .cancer .include .decreasing
Answers A+ Graded (2025)
A .nurse .is .caring .for .a .client .who .is .acidotic. .The .nurse .asks .the .charge .nurse
.why .the .client .is .breathing .rapidly. .What .response .by
the .charge .nurse .is .best?
a. .Anxiety .is .causing .the .client .to .breathe .rapidly.
b. .The .client .is .trying .to .get .rid .of .excess .body .acids.
c. .The .rapid .respirations .cause .buildup .of .bicarbonate.
d. .An .increased .respiratory .rate .is .due .to .increased .metabolism. .- .CORRECT
.ANSWER-ANS: .B
The .client .is .acidotic, .and .the .respiratory .system .is .attempting .to .compensate
.by ."blowing .off" .excess .acid .in .the .form .of .carbon
dioxide. .The .increased .respiratory .rate .is .not .due .to .anxiety .or .increased
.metabolism. .An .increased .respiratory .rate .does .not .cause .a
buildup .of .bicarbonate.
A .client .had .a .recent .thromboembolism .and .must .resume .work .which .requires
.frequent .car .and .plane .travel. .What .self-care
measure .does .the .nurse .teach .to .reduce .the .risk .of .impaired .clotting .in .this
.client?
a. .Get .up .and .walk .around .at .least .every .2 .hours .while .traveling.
b. .Use .a .soft .toothbrush .and .an .electric .razor .for .safety.
c. .Be .sure .to .sit .with .the .legs .elevated .as .much .as .possible.
d. .Increase .fiber .in .the .diet .so .as .not .to .strain .to .move .the .bowels. .- .CORRECT
.ANSWER-ANS: .A
Clients .who .are .at .risk .of .increased .clotting .(as .evidenced .by .prior
.thromboembolic .event) .can .take .several .measures .to .reduce .their .risk .of
.further .problems. .One .measure .is .to .get .up .and .walk .frequently .when .sitting
.for .a .long .period .of .time. .Using .a .soft .toothbrush .and .an .electric .razor .and
.needing .to .prevent .constipation .would .be .important .for .a .client .at .risk .of
.bleeding. .Elevating .the .legs .is .not .as .beneficial .as .ambulating.
,A .nurse .is .caring .for .four .clients. .Which .client .does .the .nurse .assess .first .for
.impaired .cognition?
a. .A .28-year-old .client .2 .days .post-open .cholecystectomy
b. .An .88-year-old .client .3 .days .post-hemorrhagic .stroke
c. .A .32-year-old .client .with .a .20-pack-year .history .of .smoking
d. .A .42-year-old .client .with .a .serum .sodium .of .134 .mEq/L .(134 .mmol/L) .-
.CORRECT .ANSWER-ANS: .B
There .are .many .risk .factors .for .impaired .cognition .including .advanced .age .and
.diseases .and .disorders .that .affect .the .brain. .The
88-year-old .client .who .is .recovering .from .a .stroke .has .two .such .risk .factors
.and .is .at .highest .risk .for .impaired .cognition. .The .nurse
assesses .this .client .first. .The .other .clients .have .a .much .lower .risk .of
.developing .impaired .cognition.
The .assistive .personnel .(AP) .reports .to .the .registered .nurse .that .a
.postoperative .client .has .a .pulse .of .132 .beats/min .and .a .blood
pressure .of .168/90 .mm .Hg. .What .response .by .the .nurse .is .most .appropriate?
a. .Ask .the .AP .to .repeat .the .client's .vital .signs .in .15 .minutes.
b. .Assess .the .client .for .pain.
c. .Ask .the .client .if .something .is .bothersome.
d. .Instruct .the .AP .to .reposition .the .client .- .CORRECT .ANSWER-ANS: .B
The ."fight-or-flight" .syndrome .can .occur .from .sympathetic .nervous .stimulation
.due .to .acute .pain. .Symptoms .can .include .nausea, .vomiting, .diaphoresis,
.tachycardia, .tachypnea, .hypertension, .and .dilated .pupils. .Since .this .client .is
.postoperative, .it .is .reasonable .to .believe .that .he .or .she .might .be .in .pain. .The
.nurse .first .assesses .for .pain .or .discomfort .and .treats .it. .If .the .client .is .not .in
.pain, .the .nurse .would .conduct .further .assessments .to .determine .the .cause .of
.the .abnormal .vital .signs.
A .client .has .urinary .incontinence. .Which .assessment .finding .indicates .that
.outcomes .for .a .priority .nursing .diagnosis .have .been
met?
a. .Client .reports .satisfaction .with .undergarments .for .incontinence.
b. .Client .reports .drinking .8 .to .9 .glasses .of .water .each .day.
c. .Skin .in .perineal .area .is .intact .without .redness .on .inspection.
d. .Family .states .that .client .is .more .active .and .socializes .more. .- .CORRECT
.ANSWER-ANS: .C
Urinary .incontinence .can .lead .to .skin .breakdown .and .possibility .of .infection.
.Skin .that .is .intact .without .redness .shows .that .a .major .goal .for .this .client .has
.been .met. .Becoming .more .social .is .a .positive .finding .as .many .adults .with
.incontinence .limit .their .social .activities, .but .this .psychosocial .outcome .is .not
.the .priority .over .a .physical .outcome. .Being .satisfied .with .undergarments .is
.also .not .the .priority. .Drinking .adequate .water .can .sometimes .help .with
,.incontinence .and .is .important .for .general .health, .but .is .not .directly .related .to
.an .important .goal .for .this .client.
The .registered .nurse .asks .the .nursing .assistant .why .a .cardiac .client's .morning
.weight .has .not .yet .been .done. .The .nursing .assistant
says, ."I'll .get .to .it, .what's .the .big .deal?" .When .deciding .how .to .respond, .the
.nurse .considers .what .information .about .weight?
a. .Decisions .on .treatment .often .depend .on .the .daily .weight.
b. .The .nursing .assistant .needs .to .ensure .that .tasks .are .done .on .time.
c. .Weight .is .the .most .accurate .noninvasive .indicator .of .fluid .status.
d. .A .change .in .weight .may .indicate .the .need .to .change .IV .fluids. .- .CORRECT
.ANSWER-ANS: .C
Weight .is .the .best .(noninvasive) .indicator .of .fluid .status. .Primary .health .care
.providers .may .base .treatment .decisions .on .weight, .because .the .weight .reflects
.fluid .balance, .but .this .answer .does .not .explain .why. .IV .fluid .rates .or .solutions
.may .change .for .the .same .reason. .The .nursing .assistant .would .perform .tasks
.on .a .timely .basis, .but .this .is .not .related .to .information .about .weight.
The .nurse .in .the .emergency .department .(ED) .is .caring .for .four .clients. .Which
.client .does .the .nurse .assess .for .gas .exchange
abnormalities .first?
a. .Involved .in .motor .vehicle .crash, .has .broken .femur.
b. .Brought .in .unconscious .by .roommate .after .opioid .overdose.
c. .Asthmatic .client .being .discharged .after .bronchodilator .therapy.
d. .History .of .COPD, .presents .to .ED .after .being .bitten .by .a .dog. .- .CORRECT
.ANSWER-ANS: .B
Opioid .medications .can .cause .respiratory .depression, .so .this .client .is .most .at
.risk .for .gas .exchange .problems. .Diminished .respirations .will .allow .a .buildup .of
.carbon .dioxide .in .the .blood. .The .clients .with .asthma .and .COPD .have .the
.potential .for .gas .exchange .problems .but .this .is .not .indicated .in .answer .option
.as .he .or .she .is .being .discharged. .The .client .with .a .broken .femur .does
not .have .information .suggesting .gas .exchange .problems.
The .nurse .caring .for .a .client .with .malnutrition .assesses .which .laboratory .value
.as .the .priority?
a. .Albumin
b. .Prealbumin
c. .Prothrombin .time
d. .Serum .sodium .- .CORRECT .ANSWER-ANS: .B
Both .albumin .and .prealbumin .are .indicators .for .nutrition. .However, .prealbumin
.changes .more .rapidly .with .decreased .nutrition, .so .it .is .the .better .test.
.Prothrombin .time .and .serum .sodium .are .not .directly .related .to .nutritional
.status.
, A .nurse .is .planning .primary .prevention .measures .for .community-dwelling
.adults .to .prevent .visual .impairment. .What .action .by .the
nurse .will .best .meet .this .objective?
a. .Provide .glaucoma .screening.
b. .Assess .visual .acuity.
c. .Teach .clients .about .instilling .eyedrops.
d. .Offer .a .healthy .lifestyle .class. .- .CORRECT .ANSWER-ANS: .D
Primary .prevention .activities .are .those .designed .to .actually .prevent .the .onset
.of .a .disease .or .health .problem. .Secondary .prevention .focuses .on .screening
.and .early .diagnosis/detection. .Tertiary .measures .are .those .that .offer .treatment
.and .rehabilitation. .Encouraging .a .healthy .lifestyle .through .classes .may .help
.prevent .diabetes, .a .common .cause .of .visual .impairment, .and .is .a .primary
.prevention
measure. .Assessing .for .glaucoma .and .visual .acuity .is .a .secondary .prevention
.measure. .Teaching .clients .how .to .instill .eyedrops .is .tertiary.
The .nurse .tells .the .staff .development .nurse .he/she .is .very .uncomfortable
.discussing .sexuality .with .clients, .especially .those .who .are .older. .What
.suggestion .by .the .staff .development .nurse .is .most .appropriate?
a. ."Find .a .trusted .friend .and .role .play."
b. ."Don't .worry .it .will .get .easier."
c. ."A .sexual .assessment .is .usually .not .needed."
d. ."It's .hard .for .me .to .do, .too." .- .CORRECT .ANSWER-ANS: .A
Discussing .sexuality .and .sex .is .difficult .for .most .people. .Since .it .is .important
.to .be .able .to .assess .this .aspect .of .people's .lives, .the .nurse .needs .to .become
.comfortable. .Role-playing .with .a .trusted .friend .will .build .confidence .and
.comfort. .Saying .that .it .will .get
easier .and .that .it .is .hard .for .the .staff .development .nurse .too .does .not .give .the
.nurse .any .ideas .for .improvement. .Sexuality .is .important .to .assess.
A .nurse .is .planning .a .community .education .event-related .to .impaired .cellular
.regulation. .What .teaching .topics .would .the .nurse
include .in .this .event? .(Select .all .that .apply.)
a. .Ways .to .minimize .exposure .to .sunlight
b. .Resources .available .for .smoking .cessation
c. .Strategies .to .remain .hydrated .during .hot .weather
d. .Use .of .indoor .tanning .beds .instead .of .sunbathing
e. .Creative .cooking .techniques .to .increase .dietary .fiber
f. .How .to .determine .sodium .content .in .food? .- .CORRECT .ANSWER-ANS: .A, .B,
.E
Disrupted .cellular .regulation .can .lead .to .both .benign .and .malignant .tumors
.(cancer). .Ways .to .minimize .the .risk .of .developing .cancer .include .decreasing
