NU 372 MIDTERM EXAM 50 QUESTIONS AND
ANSWERS WITH RATIONALE 2026 UPDATE
Instructions: Choose the best answer. Some questions are “Select all that apply.
One, some, or all responses may be correct.”
1. Which data would the nurse document for a client who returns to the clinic with
induration of the skin 48 hours after receiving a purified protein derivative (PPD)
test? (Select all that apply)
A. Size of induration in millimeters
B. Presence and amount of erythema
C. Client’s report of pain or itching at the site
D. Date and time the test was read
E. Client’s history of BCG vaccination
2. Which action would the nurse take when a client receiving an infusion of
penicillin reports having an anaphylactic reaction to penicillin in the past? (Select
all that apply)
A. Stop the infusion immediately
B. Notify the rapid response team
C. Measure oxygen saturation level
,D. Administer epinephrine as ordered
E. Insert an indwelling urinary catheter
3. Which intervention would the nurse recommend to decrease tuberculosis (TB) in
the community? (Select all that apply)
A. Improving financial resources for at-risk populations
B. Eliminating overcrowded housing
C. Initiating needle-sharing education programs
D. Improving access to food pantries
E. Providing barrier contraceptive devices
4. The nurse understands which vaccine is administered through the intranasal
route?
A. Inactivated influenza vaccine
B. Live attenuated influenza vaccine
C. Pneumococcal conjugate vaccine
D. Hepatitis B recombinant vaccine
5. Which strategies would the nurse use to reduce pain during or after vaccination
in a child? (Select all that apply)
A. Applying topical anesthetic cream
B. Providing tactile stimulation (rubbing the site)
C. Holding the child upright during vaccination
, D. Administering oral acetaminophen beforehand
E. Using a large-bore needle for faster injection
6. A client has a history of persistent cough, hemoptysis, unexplained weight loss,
and fatigue. Which condition should the nurse suspect?
A. Community-acquired pneumonia
B. Pulmonary tuberculosis
C. Acute bronchitis
D. Chronic obstructive pulmonary disease
7. The nurse is caring for a client with suspected active TB. What type of room is
most appropriate?
A. Standard private room
B. Negative-airflow (airborne isolation) room
C. Positive-pressure room
D. Semi-private room
8. Which findings would the nurse expect in a client with pyelonephritis? (Select
all that apply)
A. Flank pain
B. High fever and chills
C. Dysuria
D. Costovertebral angle tenderness
ANSWERS WITH RATIONALE 2026 UPDATE
Instructions: Choose the best answer. Some questions are “Select all that apply.
One, some, or all responses may be correct.”
1. Which data would the nurse document for a client who returns to the clinic with
induration of the skin 48 hours after receiving a purified protein derivative (PPD)
test? (Select all that apply)
A. Size of induration in millimeters
B. Presence and amount of erythema
C. Client’s report of pain or itching at the site
D. Date and time the test was read
E. Client’s history of BCG vaccination
2. Which action would the nurse take when a client receiving an infusion of
penicillin reports having an anaphylactic reaction to penicillin in the past? (Select
all that apply)
A. Stop the infusion immediately
B. Notify the rapid response team
C. Measure oxygen saturation level
,D. Administer epinephrine as ordered
E. Insert an indwelling urinary catheter
3. Which intervention would the nurse recommend to decrease tuberculosis (TB) in
the community? (Select all that apply)
A. Improving financial resources for at-risk populations
B. Eliminating overcrowded housing
C. Initiating needle-sharing education programs
D. Improving access to food pantries
E. Providing barrier contraceptive devices
4. The nurse understands which vaccine is administered through the intranasal
route?
A. Inactivated influenza vaccine
B. Live attenuated influenza vaccine
C. Pneumococcal conjugate vaccine
D. Hepatitis B recombinant vaccine
5. Which strategies would the nurse use to reduce pain during or after vaccination
in a child? (Select all that apply)
A. Applying topical anesthetic cream
B. Providing tactile stimulation (rubbing the site)
C. Holding the child upright during vaccination
, D. Administering oral acetaminophen beforehand
E. Using a large-bore needle for faster injection
6. A client has a history of persistent cough, hemoptysis, unexplained weight loss,
and fatigue. Which condition should the nurse suspect?
A. Community-acquired pneumonia
B. Pulmonary tuberculosis
C. Acute bronchitis
D. Chronic obstructive pulmonary disease
7. The nurse is caring for a client with suspected active TB. What type of room is
most appropriate?
A. Standard private room
B. Negative-airflow (airborne isolation) room
C. Positive-pressure room
D. Semi-private room
8. Which findings would the nurse expect in a client with pyelonephritis? (Select
all that apply)
A. Flank pain
B. High fever and chills
C. Dysuria
D. Costovertebral angle tenderness
