NURS 318 EXAM 1 (2026-2027) QUESTIONS
AND CORRECT ANSWERS GRADED A+
A client is admitted to the ED who is vomiting bright red blood. The vital signs
include T 99, P 130, R 34, and BP 110/74. Which of the following interventions
should the nurse implement FIRST?
1. Draw blood for a CBC.
2. Prepare the patient for EGD.
3. Obtain the pulse oximetry reading.
4. Infused 1000mL of LR over 30 minutes.
3
A nurse is administering a drug to a client through an implanted port. Before
giving the medication, what does the nurse do to ensure safety?
1. Administers 5mL of a heparinized solution.
2. Checks for blood return.
3. Flushes the port with 10mL of NS.
4. Palpates the port for stability.
2
,A nurse is revising an agency's recommended CLABSI bundle. Which actions
decrease the patients risk for this complication. SELECT ALL THAT APPLY.
1. During insertion, draping the area around the site with a sterile barrier.
2. Immediately removing the client's venous access device (VAD) when it is no
longer needed.
3. Making certain that observers of the insertion are instructed to look away during
the procedure.
4. Thorough hand hygiene before insertion.
5. Using chlorhexidine for skin disinfection.
1, 2, 4, 5
A client has a primary problem of inadequate nutrition caused by the effects of
chemotherapy. The client is receiving continuous enteral feedings through a
nasogastric tube (NG) tube. What does the RN ask the LPN/LVN to do for this
client?
1. Assess nutritional parameters on the client every 3 days.
2. Check the residual volume of the NG tube every 4 hours.
3. Monitor the client for signs and symptoms of pneumonia.
4. Teach the client about the purpose of enteral feedings.
2
, When an RN delegates to another RN, where does the accountability rest?
The delegatee
A patient who is receiving Dobutamine and Norepinephrine for the treatment of
cardiogenic shock has the following nursing interventions included in the plan of
care. Which action will be MOST APPROPRIATE for the RN to delegate to an
experienced LPN?
1. Assess the patient for S/S of adequate tissue perfusion.
2. Teach the patient and the family the reasons for the medications.
3. Monitor the patient's BP and HR every hour.
4. Titrate the medications to keep the mean arterial pressure (MAP) >65mmHg.
2
Which client would you attend FIRST?
1. Patient with fever of 101.9
2. Patient with BP 176/94
3. Patient with O2 sat of 88%
4. Patient with pain 7/10
3
AND CORRECT ANSWERS GRADED A+
A client is admitted to the ED who is vomiting bright red blood. The vital signs
include T 99, P 130, R 34, and BP 110/74. Which of the following interventions
should the nurse implement FIRST?
1. Draw blood for a CBC.
2. Prepare the patient for EGD.
3. Obtain the pulse oximetry reading.
4. Infused 1000mL of LR over 30 minutes.
3
A nurse is administering a drug to a client through an implanted port. Before
giving the medication, what does the nurse do to ensure safety?
1. Administers 5mL of a heparinized solution.
2. Checks for blood return.
3. Flushes the port with 10mL of NS.
4. Palpates the port for stability.
2
,A nurse is revising an agency's recommended CLABSI bundle. Which actions
decrease the patients risk for this complication. SELECT ALL THAT APPLY.
1. During insertion, draping the area around the site with a sterile barrier.
2. Immediately removing the client's venous access device (VAD) when it is no
longer needed.
3. Making certain that observers of the insertion are instructed to look away during
the procedure.
4. Thorough hand hygiene before insertion.
5. Using chlorhexidine for skin disinfection.
1, 2, 4, 5
A client has a primary problem of inadequate nutrition caused by the effects of
chemotherapy. The client is receiving continuous enteral feedings through a
nasogastric tube (NG) tube. What does the RN ask the LPN/LVN to do for this
client?
1. Assess nutritional parameters on the client every 3 days.
2. Check the residual volume of the NG tube every 4 hours.
3. Monitor the client for signs and symptoms of pneumonia.
4. Teach the client about the purpose of enteral feedings.
2
, When an RN delegates to another RN, where does the accountability rest?
The delegatee
A patient who is receiving Dobutamine and Norepinephrine for the treatment of
cardiogenic shock has the following nursing interventions included in the plan of
care. Which action will be MOST APPROPRIATE for the RN to delegate to an
experienced LPN?
1. Assess the patient for S/S of adequate tissue perfusion.
2. Teach the patient and the family the reasons for the medications.
3. Monitor the patient's BP and HR every hour.
4. Titrate the medications to keep the mean arterial pressure (MAP) >65mmHg.
2
Which client would you attend FIRST?
1. Patient with fever of 101.9
2. Patient with BP 176/94
3. Patient with O2 sat of 88%
4. Patient with pain 7/10
3
