NRS 3015 - Nursing Care of Adults I
NRS 3015 EXAM 2 OAKLAND
UNIVERSITY 2026/2027 UPDATE 100%
VERIFIED Q& A GUARANTEED PASS
A nurse observes tachycardia, dyspnea, a cough, and distended neck veins in a client who is receiving
a transfusion of packed red blood cells (RBCs). Which of the following interventions should the nurse
use to prevent these manifestations with the client's next transfusion?
a. Warm the unit of blood to room temperature before administering it
b. Administer acetaminophen prior to the blood transfusion
c. Give an antihistamine prior to the transfusion
d. Use a transfusion pump to regulate and maintain the transfusion at a slower rate
d
A nurse is assessing a client who is receiving a transfusion of packed red blood cells (RBCs). Which of
the following findings should the nurse identify as an indication of an acute intravascular hemolytic
reaction?
a. Severe hypertension
b. Low body temperature
c. Sudden oliguria
d. Decreased respirations
c
A nurse is transfusing a unit of B-positive fresh frozen plasma to a client whose blood type is O-
negative. Which of the following actions should the nurse take?
a. Continue to monitor for manifestations of a transfusion reaction
b. Remove the unit of plasma immediately start an IV infusion of normal saline solution
c. Continue the transfusion and repeat the type and corssmatch
d. Prepare to administer diphenhydramine IV
b
,NRS 3015 - Nursing Care of Adults I
A nurse is reviewing laboratory values for an adult client who has sickle cell anemia and a history of
receiving blood transfusions. For which of the following complications should the nurse monitor?
a. Hypokalemia
b. Lead poisoning
c. Hypercalcemia
d. Iron toxicity
d
A nurse is preparing to administer packed RBCs to a client who is anemic. Which of the following
actions should the nurse take? (Select all that apply.)
a. Insert a 23-gauge angiocatheter with an IV adaptor
b. Check to determine the packed RBCs are less than 1 week old
c. Administer the packed RBCs oveer a 6-hour period
d. Ask another nurse to check the packed RBCs' label against the medical record
e. Prime the transfusion tubing with 0.9% sodium chloride
b, d, e
A nurse is assessing a client who is receiving a unit of whole blood. Which of the following findings
should the nurse identify as a manifestation of a hemolytic transfusion reaction?
a. Bradycardia
b. Paresthesia
c. Hypertension
d. Low back pain
d
A nurse is preparing to transfuse a unit of packed red blood cells (RBCs) for a client who has anemia.
Which of the following actions should the nurse take first?
a. Hang an IV infusion of 0.9% sodium chloride with the blood
b. Compare the client's identification number with the number on the blood
c. Witness the informed consent document
d. Obtain pretransfusion vital signs
c
,NRS 3015 - Nursing Care of Adults I
A nurse in a clinic is caring for a client who is to receive an immunization. The client asks about
contraindications to immunizations. Which of the following responses should the nurse make?
a. "The use of insulin is a contraindication."
b. "An anaphylactic reaction is a contraindication for administration of any type of immunization."
c. "The common cold is a contraindication for receiving an immunization."
d. "Your provider will weight the risks if you have experienced any adverse effects."
d
A nurse is preparing to document administration of a meningococcal vaccine to a client. Which of the
following information should the nurse include in the documentation? (Select all that apply.)
a. Age of client receiving the vaccine
b. Name of the vaccine manufacturer
c. Vaccine expiration date
d. Date of administration
e. Serial number of the vaccine
b, c, d
A nurse is reviewing to promote comfort with a client who received an immunization. Which of the
following information should the nurse include? (Select all that apply.)
a. Massage the injection site
b. Apply a cool compress @ the injection site
c. Take acetaminophen or ibuprofen
d. Use the affected extremitye. Apply an antimicrobial ointment to the injection site
b, c, d
A nurse is preparing to administer a varicella immunization to a client. Which of the following
questions by the nurse is appropriate?
a. "Are you allergic to eggs?"
b. "Are you allergic to baker's yeast?"
c. "Are you pregnant?"
d. "Do you have a history of Guillain-Barre syndrome?"
c
, NRS 3015 - Nursing Care of Adults I
A nurse is preparing to administer an IM injection of immune globulin to a client who has been
exposed to hepatitis A. Which of the following statements by the nurse is appropriate?
a. "This medication offers permanent immunity to hepatitis A."
b. "This medication involves three injections over several months."
c. "This medication provides you with an immune response more quickly than your body can produce
it."
d. "This medication contains an attenuated virus to help your body create antibodies."
c
A nurse is teaching a client who has AIDS about the transmission of Pneumocystis jiroveci pneumonia
(PCP). Which of the following pieces of information should the nurse include in the teaching?
a. "PCP is sexually transmitted from person to person."
b. "You were most likely exposed to a contaminated surface such as a drinking glass."
c. "PCP results from an impaired immune system."
d. "You might have contracted PCP from a family pet."
c
A nurse is providing teaching about antiretroviral medication therapy to a client who has a new
diagnosis of AIDS. Which of the following statements should the nurse include in the teaching?
a. "Your provider will prescribe a single antiretroviral medication at a time."
b. "You should take antiretroviral medications on a routine schedule."
c. "You should increase your intake of raw fruits and vegetables while taking antiretroviral
medications."
d. "Your provider will prescribe antiretroviral therapy to kill the HIV."
b
A nurse is caring for a client who has human immunodeficiency virus (HIV). The client asks the nurse,
"Should I tell my partner that I am HIV positive?" Which of the following statements should the nurse
provide?
a. "That is your decision alone."
b. "I would if I were you."
c. "It sounds like you are unsure what to say to your partner."
d. "Your provider is required by law to notify your partner."
c
NRS 3015 EXAM 2 OAKLAND
UNIVERSITY 2026/2027 UPDATE 100%
VERIFIED Q& A GUARANTEED PASS
A nurse observes tachycardia, dyspnea, a cough, and distended neck veins in a client who is receiving
a transfusion of packed red blood cells (RBCs). Which of the following interventions should the nurse
use to prevent these manifestations with the client's next transfusion?
a. Warm the unit of blood to room temperature before administering it
b. Administer acetaminophen prior to the blood transfusion
c. Give an antihistamine prior to the transfusion
d. Use a transfusion pump to regulate and maintain the transfusion at a slower rate
d
A nurse is assessing a client who is receiving a transfusion of packed red blood cells (RBCs). Which of
the following findings should the nurse identify as an indication of an acute intravascular hemolytic
reaction?
a. Severe hypertension
b. Low body temperature
c. Sudden oliguria
d. Decreased respirations
c
A nurse is transfusing a unit of B-positive fresh frozen plasma to a client whose blood type is O-
negative. Which of the following actions should the nurse take?
a. Continue to monitor for manifestations of a transfusion reaction
b. Remove the unit of plasma immediately start an IV infusion of normal saline solution
c. Continue the transfusion and repeat the type and corssmatch
d. Prepare to administer diphenhydramine IV
b
,NRS 3015 - Nursing Care of Adults I
A nurse is reviewing laboratory values for an adult client who has sickle cell anemia and a history of
receiving blood transfusions. For which of the following complications should the nurse monitor?
a. Hypokalemia
b. Lead poisoning
c. Hypercalcemia
d. Iron toxicity
d
A nurse is preparing to administer packed RBCs to a client who is anemic. Which of the following
actions should the nurse take? (Select all that apply.)
a. Insert a 23-gauge angiocatheter with an IV adaptor
b. Check to determine the packed RBCs are less than 1 week old
c. Administer the packed RBCs oveer a 6-hour period
d. Ask another nurse to check the packed RBCs' label against the medical record
e. Prime the transfusion tubing with 0.9% sodium chloride
b, d, e
A nurse is assessing a client who is receiving a unit of whole blood. Which of the following findings
should the nurse identify as a manifestation of a hemolytic transfusion reaction?
a. Bradycardia
b. Paresthesia
c. Hypertension
d. Low back pain
d
A nurse is preparing to transfuse a unit of packed red blood cells (RBCs) for a client who has anemia.
Which of the following actions should the nurse take first?
a. Hang an IV infusion of 0.9% sodium chloride with the blood
b. Compare the client's identification number with the number on the blood
c. Witness the informed consent document
d. Obtain pretransfusion vital signs
c
,NRS 3015 - Nursing Care of Adults I
A nurse in a clinic is caring for a client who is to receive an immunization. The client asks about
contraindications to immunizations. Which of the following responses should the nurse make?
a. "The use of insulin is a contraindication."
b. "An anaphylactic reaction is a contraindication for administration of any type of immunization."
c. "The common cold is a contraindication for receiving an immunization."
d. "Your provider will weight the risks if you have experienced any adverse effects."
d
A nurse is preparing to document administration of a meningococcal vaccine to a client. Which of the
following information should the nurse include in the documentation? (Select all that apply.)
a. Age of client receiving the vaccine
b. Name of the vaccine manufacturer
c. Vaccine expiration date
d. Date of administration
e. Serial number of the vaccine
b, c, d
A nurse is reviewing to promote comfort with a client who received an immunization. Which of the
following information should the nurse include? (Select all that apply.)
a. Massage the injection site
b. Apply a cool compress @ the injection site
c. Take acetaminophen or ibuprofen
d. Use the affected extremitye. Apply an antimicrobial ointment to the injection site
b, c, d
A nurse is preparing to administer a varicella immunization to a client. Which of the following
questions by the nurse is appropriate?
a. "Are you allergic to eggs?"
b. "Are you allergic to baker's yeast?"
c. "Are you pregnant?"
d. "Do you have a history of Guillain-Barre syndrome?"
c
, NRS 3015 - Nursing Care of Adults I
A nurse is preparing to administer an IM injection of immune globulin to a client who has been
exposed to hepatitis A. Which of the following statements by the nurse is appropriate?
a. "This medication offers permanent immunity to hepatitis A."
b. "This medication involves three injections over several months."
c. "This medication provides you with an immune response more quickly than your body can produce
it."
d. "This medication contains an attenuated virus to help your body create antibodies."
c
A nurse is teaching a client who has AIDS about the transmission of Pneumocystis jiroveci pneumonia
(PCP). Which of the following pieces of information should the nurse include in the teaching?
a. "PCP is sexually transmitted from person to person."
b. "You were most likely exposed to a contaminated surface such as a drinking glass."
c. "PCP results from an impaired immune system."
d. "You might have contracted PCP from a family pet."
c
A nurse is providing teaching about antiretroviral medication therapy to a client who has a new
diagnosis of AIDS. Which of the following statements should the nurse include in the teaching?
a. "Your provider will prescribe a single antiretroviral medication at a time."
b. "You should take antiretroviral medications on a routine schedule."
c. "You should increase your intake of raw fruits and vegetables while taking antiretroviral
medications."
d. "Your provider will prescribe antiretroviral therapy to kill the HIV."
b
A nurse is caring for a client who has human immunodeficiency virus (HIV). The client asks the nurse,
"Should I tell my partner that I am HIV positive?" Which of the following statements should the nurse
provide?
a. "That is your decision alone."
b. "I would if I were you."
c. "It sounds like you are unsure what to say to your partner."
d. "Your provider is required by law to notify your partner."
c
