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NUR 1140 Nursing Concepts I | 87 Exam Questions & Answers | Geriatrics, Pain, EOL Care | 2025/2026

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This document contains 87 carefully selected multiple-choice and SATA (Select All That Apply) exam questions with correct answers, tailored for the NUR 1140 – Nursing Concepts I course for the 2025/2026 academic year. It is an ideal study aid for students seeking to master foundational and advanced nursing principles in preparation for class exams, clinicals, and licensure assessments. The content focuses on high-priority topics such as geriatric nursing, pain assessment and management, impaired cognition, end-of-life care, urinary incontinence, impaired mobility, patient safety, fluid and electrolyte balance, and nutritional considerations. Each question is paired with a correct answer and rationale, supporting both knowledge reinforcement and critical thinking development. This resource is especially useful for: First and second-year nursing students Learners in Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) programs Candidates preparing for the NCLEX-RN or NCLEX-PN exams Healthcare students reviewing adult health, fundamentals, and community nursing concepts Additionally, the material can support courses such as: Fundamentals of Nursing Medical-Surgical Nursing Geriatric Nursing Community and Home Health Nursing Keywords: NUR 1140, nursing exam questions, geriatric nursing, pain management, end-of-life care, impaired cognition, NCLEX practice, nursing interventions, patient safety, urinary incontinence, fluid balance, malnutrition, mobility issues, nursing care planning, clinical decision-making, medication management, postoperative nursing, cellular regulation

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NUR 1140 2025/2026 Exam Questions
and Correct Answers | New Update



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. - 🧠

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. - 🧠

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) - 🧠

ANSWER ✔✔ANS: B




There are many risk factors for impaired cognition including advanced age

and diseases and disorders that affect the brain. The




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, 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 - 🧠 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.

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