NURSING 301 EXAM 1 PRACTICE QUESTIONS 2026/2027 – STUDY GUIDE &
COMPREHENSIVE EXAM REVIEW
D. The client expresses concerns about the next generation
Expressing strong concern for others - correct answer ✔✔A nursing instructor is explaining the various
stages of the lifespan to a group of nursing students. The nurse should offer which of the following
behaviors by a young adult as an example of accomplishing Erikson's tasks for psychosocial development
during middle adulthood?
A. The client evaluates his behavior after a social interaction
B. The client states he is learning to trust others
C. The client wishes to find meaningful friendships
D. The client expresses concerns about the next generation
A. Assessment
Collecting data for how many to take - correct answer ✔✔A nurse identifies that a patient is unable to
identify the correct number of oral medications to take each morning. Which step of the nursing process
does this problem involve?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
D. All of the above - correct answer ✔✔Which of the following roles do nurses play in health promotion?
A. Initiate health promotion and health screening
B. Participate with other healthcare personnel in providing health promotion services
C. Promote activities that foster well being
D. All of the above
A. Notify the surgeon - correct answer ✔✔While witnessing a preoperative consent, the nurse learns
that the client does not understand the risks of the surgery. The nurse's best action is to:
A. Notify the surgeon
B. Notify the surgical unit
C. Notify the anesthetist
D. Notify the client's family
A. Potassium level 2.8 mEq/L - correct answer ✔✔A nurse is reviewing the medical record of a client who
is scheduled for a surgical procedure. Which of the following laboratory results should the nurse report
to the provider?
,A. Potassium level 2.8 mEq/L
B. Sodium level 140 mEq/L
C. INR 1.0
D. BUN 12 mg/dL
C. "Tell me more about your concerns" - correct answer ✔✔A patient expresses fear about a planned
surgical procedure. Which of the following is the most appropriate response by the nurse?
A. "You have an excellent surgery"
B. "Your surgery is not a big deal"
C. "Tell me more about your concerns"
D. "Don't worry, everything will be fine"
C. Ask the patient to describe the nature and severity of any allergic responses experienced from these
agents - correct answer ✔✔When the nurse asks a preoperative patient about allergies, the patient
reports a history of seasonal environmental allergies and allergies to a variety of fruits. What should the
nurse do next?
A. Note this information in the patient's records as hay fever and food allergies
B. Place an allergy alert wristband that identifies the specific allergies on the patient
C. Ask the patient to describe the nature and severity of any allergic responses experienced from these
agents.
D. Notify the anesthesia care provider because the patient may have an increased risk for allergies to
anesthetics
A. how pain will be controlled
B. any food and fluid restrictions
E. Technique and practice of coughing and deep breathing, if appropriate - correct answer ✔✔What type
of procedural information should be given to a patient in preparation for ambulatory surgery? Select all
that apply
A. How pain will be controlled
B. Any food and fluid restrictions
C. Characteristics of monitoring equipment
D. What odors may be experienced
E. Technique and practice of coughing and deep breathing, if appropriate
A. Contact and inform the provider about the temperature - correct answer ✔✔A nurse records a
patient's temperature just prior to transferring a patient into the preanesthesia unit. The patient's
temperature is 102.2 degrees. What actions should the nurse take?
A. Contact and inform the provider about the temperature
B. Transfer the client to the unit and notify the nurse receiving the patient
C. Administer 650mg of acetaminophen and recheck the temperature in 1 hour
D. Apply a cooling blanket and recheck the client's temperature in 30 min
, A. Avoiding any type of injury to the patient - correct answer ✔✔What is the primary goal of the
circulating nurse during preparation of the operating room, transferring and positioning the patient, and
assisting the anesthesia team?
A. Avoiding any type of injury to the patient
B. Maintaining a clean environment for the patient
C. Providing for patient comfort and sense of well-being
D. Preventing breaks in aseptic technique by the sterile members of the team
D. a surgical timeout is performed just before the procedure is started to verify patient identity, surgical
procedure, and surgical site - correct answer ✔✔Goals for patient safety in the OR include the Universal
protocol. What is included in this protocol?
A. All surgical centers of any type must submit reports on patient safety infractions to the accreditation
agencies
B. Members of the surgical team stop whatever they are doing to check that all sterile items have been
prepared properly
C. Members of the surgical team pause right before surgery to mediate for 1 minute to decrease stress
and possible errors
D. A surgical timeout is performed just before the procedure is started to verify patient identity, surgical
procedure, and surgical site
D. Patients remain responsive and breathe without assistance - correct answer ✔✔The patient will be
places under moderate sedation to allow realignment of a fracture in the emergency department. When
the family asks about this anesthesia, what should the nurse tell them?
A. includes inhalation agents
B. induces high levels of sedation
C. frequently used for traumatic injuries
D. patients remain responsive and breathe without assistance
D. Hypovolemic Shock - correct answer ✔✔A nurse assess a postoperative client who has a rapid, weak
pulse; urine output less than 30 mL/hr and decreased blood pressure. The client's skin is cool and
clammy. What complication should the nurse suspect?
A. thrombophlebitis
B. aspiration pneumonia
C. wound dehiscence
D. hypovolemic shock
B. Notify the physician, and continue to closely monitor the hourly urine output - correct answer
✔✔Your patient is 2 hours postoperative with a Foley catheter in. The last hourly urine output you
recorded for this patient was 10 mL. The tubing of the Foley is patent. What should you do next?
A. Irrigate the Foley with 30mL normal saline
B. Notify the physician, and continue to closely monitor the hourly urine output
C. Decrease the IV fluid rate
D. Have the patient sit in the high-Fowler's position
COMPREHENSIVE EXAM REVIEW
D. The client expresses concerns about the next generation
Expressing strong concern for others - correct answer ✔✔A nursing instructor is explaining the various
stages of the lifespan to a group of nursing students. The nurse should offer which of the following
behaviors by a young adult as an example of accomplishing Erikson's tasks for psychosocial development
during middle adulthood?
A. The client evaluates his behavior after a social interaction
B. The client states he is learning to trust others
C. The client wishes to find meaningful friendships
D. The client expresses concerns about the next generation
A. Assessment
Collecting data for how many to take - correct answer ✔✔A nurse identifies that a patient is unable to
identify the correct number of oral medications to take each morning. Which step of the nursing process
does this problem involve?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
D. All of the above - correct answer ✔✔Which of the following roles do nurses play in health promotion?
A. Initiate health promotion and health screening
B. Participate with other healthcare personnel in providing health promotion services
C. Promote activities that foster well being
D. All of the above
A. Notify the surgeon - correct answer ✔✔While witnessing a preoperative consent, the nurse learns
that the client does not understand the risks of the surgery. The nurse's best action is to:
A. Notify the surgeon
B. Notify the surgical unit
C. Notify the anesthetist
D. Notify the client's family
A. Potassium level 2.8 mEq/L - correct answer ✔✔A nurse is reviewing the medical record of a client who
is scheduled for a surgical procedure. Which of the following laboratory results should the nurse report
to the provider?
,A. Potassium level 2.8 mEq/L
B. Sodium level 140 mEq/L
C. INR 1.0
D. BUN 12 mg/dL
C. "Tell me more about your concerns" - correct answer ✔✔A patient expresses fear about a planned
surgical procedure. Which of the following is the most appropriate response by the nurse?
A. "You have an excellent surgery"
B. "Your surgery is not a big deal"
C. "Tell me more about your concerns"
D. "Don't worry, everything will be fine"
C. Ask the patient to describe the nature and severity of any allergic responses experienced from these
agents - correct answer ✔✔When the nurse asks a preoperative patient about allergies, the patient
reports a history of seasonal environmental allergies and allergies to a variety of fruits. What should the
nurse do next?
A. Note this information in the patient's records as hay fever and food allergies
B. Place an allergy alert wristband that identifies the specific allergies on the patient
C. Ask the patient to describe the nature and severity of any allergic responses experienced from these
agents.
D. Notify the anesthesia care provider because the patient may have an increased risk for allergies to
anesthetics
A. how pain will be controlled
B. any food and fluid restrictions
E. Technique and practice of coughing and deep breathing, if appropriate - correct answer ✔✔What type
of procedural information should be given to a patient in preparation for ambulatory surgery? Select all
that apply
A. How pain will be controlled
B. Any food and fluid restrictions
C. Characteristics of monitoring equipment
D. What odors may be experienced
E. Technique and practice of coughing and deep breathing, if appropriate
A. Contact and inform the provider about the temperature - correct answer ✔✔A nurse records a
patient's temperature just prior to transferring a patient into the preanesthesia unit. The patient's
temperature is 102.2 degrees. What actions should the nurse take?
A. Contact and inform the provider about the temperature
B. Transfer the client to the unit and notify the nurse receiving the patient
C. Administer 650mg of acetaminophen and recheck the temperature in 1 hour
D. Apply a cooling blanket and recheck the client's temperature in 30 min
, A. Avoiding any type of injury to the patient - correct answer ✔✔What is the primary goal of the
circulating nurse during preparation of the operating room, transferring and positioning the patient, and
assisting the anesthesia team?
A. Avoiding any type of injury to the patient
B. Maintaining a clean environment for the patient
C. Providing for patient comfort and sense of well-being
D. Preventing breaks in aseptic technique by the sterile members of the team
D. a surgical timeout is performed just before the procedure is started to verify patient identity, surgical
procedure, and surgical site - correct answer ✔✔Goals for patient safety in the OR include the Universal
protocol. What is included in this protocol?
A. All surgical centers of any type must submit reports on patient safety infractions to the accreditation
agencies
B. Members of the surgical team stop whatever they are doing to check that all sterile items have been
prepared properly
C. Members of the surgical team pause right before surgery to mediate for 1 minute to decrease stress
and possible errors
D. A surgical timeout is performed just before the procedure is started to verify patient identity, surgical
procedure, and surgical site
D. Patients remain responsive and breathe without assistance - correct answer ✔✔The patient will be
places under moderate sedation to allow realignment of a fracture in the emergency department. When
the family asks about this anesthesia, what should the nurse tell them?
A. includes inhalation agents
B. induces high levels of sedation
C. frequently used for traumatic injuries
D. patients remain responsive and breathe without assistance
D. Hypovolemic Shock - correct answer ✔✔A nurse assess a postoperative client who has a rapid, weak
pulse; urine output less than 30 mL/hr and decreased blood pressure. The client's skin is cool and
clammy. What complication should the nurse suspect?
A. thrombophlebitis
B. aspiration pneumonia
C. wound dehiscence
D. hypovolemic shock
B. Notify the physician, and continue to closely monitor the hourly urine output - correct answer
✔✔Your patient is 2 hours postoperative with a Foley catheter in. The last hourly urine output you
recorded for this patient was 10 mL. The tubing of the Foley is patent. What should you do next?
A. Irrigate the Foley with 30mL normal saline
B. Notify the physician, and continue to closely monitor the hourly urine output
C. Decrease the IV fluid rate
D. Have the patient sit in the high-Fowler's position
