NP1 EXAM 1 REVIEWED
PREP QUESTIONS AND
CORRECT ANSWERS
GRADED A+ 2025-2026
A 3 year old patient has an intramuscular medication ordered. What is the most
appropriate approach to gain the child's cooperation?
a. engage the help of a second nurse to hold the child
b. give a pretend injection to a toy animal
c. restrain the patient's upper extremities
d. ask family member to leave the room - ANS-B
A 50 year old woman weights 95 kg and has a history of tobacco use, high blood
pressure, high sodium intake, and sedentary lifestyle. When developing an
individualized care plan for her, the nurse determines that the most important risk
factors for peripheral artery disease (PAD) that must be modifies are:
A. Weight and diet
B. Activity level and sodium intake
C. Tobacco use and high blood pressure
D. Sententary lifestyle and exercise training - ANS-C
A 52-year-old woman is admitted with dyspnea and discomfort in her left chest with
deep breaths. She has smoked for 35 years and recently lost over 10 lbs. Her vital signs
,on admission are: HR 112, BP 138/82, RR 22, tympanic temperature 36.8 degrees C
(98.2 degrees F), and oxygen saturation 94%. She is receiving oxygen at 2 L via a nasal
cannula. Which vital sign reflects a positive outcome of the oxygen therapy?
a. temperature: 37 degrees C (98.6 degrees F)
b. Radial pulse: 112
c. respiratory rate: 24
d. oxygenation saturation: 96%
e. blood pressure: 134/78 - ANS-D
A 55-year old female patient was in a motor vehicle accident and is admitted to a
surgical unit after repair of a fractured left arm and left leg. She also has a laceration
on her forehead. An intravenous (IV) line is infusing in the right antecubital fossa, and
pneumonia compression stockings are on the right lower leg. She is receiving oxygen
via a simple face mask. Which sites do you instruct the nursing assistant to use for
obtaining the patient's blood pressure and temperature?
a. right antecubital and tympanic membrane
b. right popliteal and rectal
c. left antecubital and oral
d. left popliteal and temporal artery - ANS-A
A 86-year old woman is admitted to the unit with chills and a fever of 104 degrees F.
What physiological process explains why she is at risk for dyspnea?
a. fever increases metabolic demands, requiring increased oxygen
b. blood glucose stores are depleted and the cells do not have energy to use oxygen
c. carbon dioxide production increases due to hyperventilation
d. carbon dioxide production decreases due to hypoventilation - ANS-A
A child is taking albuterol through a pressurized metered-dose inhaler (pMDI) that
contains a total of 64 puffs. The dose is 2 puffs every 6 hours. How many days will the
pMDI last? ___________ days. - ANS-8
,A child's immunization may cause discomfort during administration, but the benefits,
of protection of disease, both for the individual and society, outweigh the temporary
discomforts. Which principle is involved in this situation?
a. fidelity
b. beneficence
c. nonmaleficence
d. respect for autonomy - ANS-B
A community center is presenting a nurse-led program on the Patient Protection and
Affordable Care Act. Which statement made by a participate indicates a need for the
further teaching?
a. "my small company will now have to offer the 75 employees health insurance or pay
a penalty"
b. "as long as my son is a full-time student in college, I will be able to keep him on my
health insurance until he is 26 year olds"
c. "I signed up for the state health insurance exchange before the designated deadline
to make sure I had health insurance"
d. "since I have now been diagnosed with diabetes, my health insurance plan cannot
charge me higher premiums" - ANS-B
A compensatory mechanism involved in HF that leas to inappropriate fluid retention
and additional workload of the heart is:
A. Ventricular dilation
B. Ventricular hypertrophy
C. Neurohormonal response
D. Sympathetic nervous system activation - ANS-C
, A couple who is caring for their aging parents are concerned about factors that put
them at risk for falls. Which factors are most likely to contribute to an increase in falls
in the elderly? (Select all that apply.)
a. Inadequate lighting
b. Throw rugs
c. Multiple medications
d. Doorway thresholds
e. Cords covered by carpets
f. Staircases with handrails - ANS-A, B, C, D, E
A critical care nurse is using a computerized decision support system to correctly
position her ventilated patients to reduce pneumonia caused by accumulated
respiratory secretions. This is an example of which Quality and Safety in the Education
of Nurses (QSEN) competency?
a. patient-centered care
b. safety
c. teamwork and collaboration
d. informatics - ANS-D
A family member is providing care to a loved one who has an infected leg wound. What
would you instruct the family member to do after providing care and handling
contaminated equipment or organic material?
a. Wear gloves before eating or handling food.
b. Place any soiled materials into a bag and double bag it.
c. Have the family member check with the doctor about need for immunization.
d. Perform hand hygiene after care and/or handling contaminated equipment or
material. - ANS-D
A group of staff nurses notice an increased incidence of medication errors on their
unit. After further investigation it is determined that the nurses are not consistently
PREP QUESTIONS AND
CORRECT ANSWERS
GRADED A+ 2025-2026
A 3 year old patient has an intramuscular medication ordered. What is the most
appropriate approach to gain the child's cooperation?
a. engage the help of a second nurse to hold the child
b. give a pretend injection to a toy animal
c. restrain the patient's upper extremities
d. ask family member to leave the room - ANS-B
A 50 year old woman weights 95 kg and has a history of tobacco use, high blood
pressure, high sodium intake, and sedentary lifestyle. When developing an
individualized care plan for her, the nurse determines that the most important risk
factors for peripheral artery disease (PAD) that must be modifies are:
A. Weight and diet
B. Activity level and sodium intake
C. Tobacco use and high blood pressure
D. Sententary lifestyle and exercise training - ANS-C
A 52-year-old woman is admitted with dyspnea and discomfort in her left chest with
deep breaths. She has smoked for 35 years and recently lost over 10 lbs. Her vital signs
,on admission are: HR 112, BP 138/82, RR 22, tympanic temperature 36.8 degrees C
(98.2 degrees F), and oxygen saturation 94%. She is receiving oxygen at 2 L via a nasal
cannula. Which vital sign reflects a positive outcome of the oxygen therapy?
a. temperature: 37 degrees C (98.6 degrees F)
b. Radial pulse: 112
c. respiratory rate: 24
d. oxygenation saturation: 96%
e. blood pressure: 134/78 - ANS-D
A 55-year old female patient was in a motor vehicle accident and is admitted to a
surgical unit after repair of a fractured left arm and left leg. She also has a laceration
on her forehead. An intravenous (IV) line is infusing in the right antecubital fossa, and
pneumonia compression stockings are on the right lower leg. She is receiving oxygen
via a simple face mask. Which sites do you instruct the nursing assistant to use for
obtaining the patient's blood pressure and temperature?
a. right antecubital and tympanic membrane
b. right popliteal and rectal
c. left antecubital and oral
d. left popliteal and temporal artery - ANS-A
A 86-year old woman is admitted to the unit with chills and a fever of 104 degrees F.
What physiological process explains why she is at risk for dyspnea?
a. fever increases metabolic demands, requiring increased oxygen
b. blood glucose stores are depleted and the cells do not have energy to use oxygen
c. carbon dioxide production increases due to hyperventilation
d. carbon dioxide production decreases due to hypoventilation - ANS-A
A child is taking albuterol through a pressurized metered-dose inhaler (pMDI) that
contains a total of 64 puffs. The dose is 2 puffs every 6 hours. How many days will the
pMDI last? ___________ days. - ANS-8
,A child's immunization may cause discomfort during administration, but the benefits,
of protection of disease, both for the individual and society, outweigh the temporary
discomforts. Which principle is involved in this situation?
a. fidelity
b. beneficence
c. nonmaleficence
d. respect for autonomy - ANS-B
A community center is presenting a nurse-led program on the Patient Protection and
Affordable Care Act. Which statement made by a participate indicates a need for the
further teaching?
a. "my small company will now have to offer the 75 employees health insurance or pay
a penalty"
b. "as long as my son is a full-time student in college, I will be able to keep him on my
health insurance until he is 26 year olds"
c. "I signed up for the state health insurance exchange before the designated deadline
to make sure I had health insurance"
d. "since I have now been diagnosed with diabetes, my health insurance plan cannot
charge me higher premiums" - ANS-B
A compensatory mechanism involved in HF that leas to inappropriate fluid retention
and additional workload of the heart is:
A. Ventricular dilation
B. Ventricular hypertrophy
C. Neurohormonal response
D. Sympathetic nervous system activation - ANS-C
, A couple who is caring for their aging parents are concerned about factors that put
them at risk for falls. Which factors are most likely to contribute to an increase in falls
in the elderly? (Select all that apply.)
a. Inadequate lighting
b. Throw rugs
c. Multiple medications
d. Doorway thresholds
e. Cords covered by carpets
f. Staircases with handrails - ANS-A, B, C, D, E
A critical care nurse is using a computerized decision support system to correctly
position her ventilated patients to reduce pneumonia caused by accumulated
respiratory secretions. This is an example of which Quality and Safety in the Education
of Nurses (QSEN) competency?
a. patient-centered care
b. safety
c. teamwork and collaboration
d. informatics - ANS-D
A family member is providing care to a loved one who has an infected leg wound. What
would you instruct the family member to do after providing care and handling
contaminated equipment or organic material?
a. Wear gloves before eating or handling food.
b. Place any soiled materials into a bag and double bag it.
c. Have the family member check with the doctor about need for immunization.
d. Perform hand hygiene after care and/or handling contaminated equipment or
material. - ANS-D
A group of staff nurses notice an increased incidence of medication errors on their
unit. After further investigation it is determined that the nurses are not consistently
