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NUR 1140 Exam Questions & Answers 2026/2027 | 200+ Questions | Pain Management, Gerontology, End-of-Life Care, Fluid Balance, Mobility & Patient Safety

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This NUR /2027 Exam Questions with Correct Answers study resource contains 200+ exam-style questions with answers and rationales across 121 pages, offering comprehensive preparation in adult nursing, pain management, gerontological nursing, end-of-life and hospice care, fluid and acid-base balance, cognition, mobility, nutrition, immunity, tissue integrity, patient safety, health promotion, and clinical prioritization. The document combines multiple-choice and select-all-that-apply questions with detailed explanations for the correct responses, allowing students to practice clinical reasoning rather than relying solely on answer memorization. The uploaded document identifies NUR 1140 and the 2026/2027 academic period but does not state a university, so no institution can be accurately added to the title. A major portion of the material focuses on gerontological nursing and care of older adults. Students review age-related functional changes, comprehensive geriatric assessment, nutrition and hydration, constipation, oral health, exercise, independence, social isolation, depression, medication management, fall prevention, home safety, cognition, delirium, assisted living, caregiver support, elder abuse, informed consent, and culturally appropriate care. The questions emphasize maintaining functional ability and independence while recognizing older adults' increased vulnerability to medication-related problems, dehydration, malnutrition, impaired mobility, and cognitive changes. Pain assessment and pain management are extensively represented. The document examines acute, chronic, breakthrough, neuropathic, somatic, and referred pain; self-report as a key component of pain assessment; pain assessment in cognitively impaired and nonverbal patients; acceptable comfort-function goals; and prioritization of patients experiencing new or severe pain. Pharmacological content includes opioids, NSAIDs, acetaminophen, hydromorphone, morphine, fentanyl, ketorolac, duloxetine, amitriptyline, and multimodal analgesia. Students also review patient-controlled analgesia, opioid-related respiratory depression, the Pasero Opioid-Induced Sedation Scale, intraspinal analgesia, medication contraindications, and appropriate monitoring of patients receiving analgesics. The resource gives substantial attention to PCA and opioid safety. Questions reinforce monitoring respiratory rate and sedation, recognizing dangerously reduced respirations, understanding that only the patient should activate a PCA dose, and identifying situations requiring immediate nursing assessment. It also explores analgesic selection for neuropathic and postoperative pain and the management of breakthrough pain in patients already receiving long-acting medications. Another prominent area is hospice, palliative care, death, dying, grief, and advance directives. Students review patient preferences for end-of-life care, comfort-focused symptom management, hospice philosophy, palliative care, withdrawal of treatment, advance directives, family communication, grief responses, culturally competent end-of-life care, respiratory changes near death, reduced appetite, terminal secretions, complementary therapies, and nursing care immediately following death. The material emphasizes individualized care and assessment of the patient's wishes when planning end-of-life interventions. The exam resource also incorporates fluid balance, acid-base regulation, gas exchange, clotting, cognition, immunity, mobility, nutrition, and tissue integrity. Early questions address respiratory compensation during acidosis, thromboembolism prevention during prolonged travel, cognition following stroke, postoperative pain assessment, urinary incontinence and skin integrity, daily weight as an indicator of fluid status, gas-exchange risk following opioid overdose, and nutritional assessment using laboratory findings. Additional content addresses complications of immobility such as pressure injuries, constipation, urinary calculi, muscle atrophy, and depression, as well as the importance of protein and vitamin C for wound healing. Health promotion, disease prevention, immunity, and cellular regulation are integrated into clinical scenarios. Students distinguish primary, secondary, and tertiary prevention and review measures associated with cancer risk reduction, including minimizing excessive sunlight exposure, smoking cessation, and dietary considerations. The guide also identifies factors associated with impaired immunity, including advanced age, chronic disease, corticosteroid therapy, and socioeconomic barriers. The document places strong emphasis on nursing prioritization and clinical judgment. Numerous questions ask which patient should be assessed first, which finding represents the greatest safety concern, what intervention should be performed initially, and which assessment finding requires escalation. These scenarios integrate physiologic priorities with patient safety, medication effects, respiratory status, pain, cognition, functional ability, and end-of-life preferences, making the resource particularly useful for students practicing application-style nursing questions. Relevant students: This document is particularly relevant for NUR 1140 students, practical nursing students, LPN/LVN students, pre-licensure nursing students, associate degree nursing students, nursing fundamentals students, adult health students, medical-surgical nursing students, gerontological nursing students, and students reviewing pain management, hospice care, patient safety, mobility, cognition, nutrition, and clinical prioritization. Its extensive rationales also make it suitable for students practicing NCLEX-style clinical judgment and strengthening their understanding of why one nursing intervention takes priority over another. Referenced academic source: Harding, M. M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems. Elsevier. This established medical-surgical nursing reference is relevant to many of the document's central themes, including pain management, fluid and acid-base regulation, gas exchange, cognition, mobility, nutrition, gerontological nursing, patient safety, and end-of-life care. Keywords: NUR 1140 exam, NUR 1140 questions and answers, NUR 2027, NUR 1140 study guide, NUR 1140 test bank, nursing exam questions, nursing questions with rationales, adult health nursing, medical surgical nursing, gerontological nursing, older adult nursing, geriatric assessment, pain management nursing, pain assessment, acute pain, chronic pain, breakthrough pain, neuropathic pain, PCA pump nursing, opioid safety, Pasero sedation scale, fentanyl patch, hydromorphone nursing, NSAIDs nursing, end of life nursing, hospice nursing, palliative care, advance directives, death and dying nursing, grief and loss nursing, fluid balance, acid base balance, respiratory compensation, gas exchange nursing, thromboembolism prevention, impaired cognition, delirium nursing, mobility nursing, immobility complications, pressure injury prevention, tissue integrity, wound healing nutrition, impaired immunity, malnutrition nursing, older adult nutrition, fall prevention nursing, elder abuse nursing, patient safety, nursing prioritization, clinical judgment nursing, NCLEX style questions, practical nursing exam, LPN exam preparation

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NUR 1140 2026/2027 Exam
Questions with 100% Correct
Answers | Latest Update



A nurse is caring for a client who is acidotic. The nurse asks the charge

nurse why the client is breathing rapidly. What response by

the charge nurse is best?




a. Anxiety is causing the client to breathe rapidly.

b. The client is trying to get rid of excess body acids.

c. The rapid respirations cause buildup of bicarbonate.

d. An increased respiratory rate is due to increased metabolism. -

ANSWER ✔✔ANS: B

,The client is acidotic, and the respiratory system is attempting to

compensate by "blowing off" excess acid in the form of carbon

dioxide. The increased respiratory rate is not due to anxiety or increased

metabolism. An increased respiratory rate does not cause a

buildup of bicarbonate.

A client had a recent thromboembolism and must resume work which

requires frequent car and plane travel. What self-care

measure does the nurse teach to reduce the risk of impaired clotting in

this client?




a. Get up and walk around at least every 2 hours while traveling.

b. Use a soft toothbrush and an electric razor for safety.

c. Be sure to sit with the legs elevated as much as possible.

d. Increase fiber in the diet so as not to strain to move the bowels. -

ANSWER ✔✔ANS: A

,Clients who are at risk of increased clotting (as evidenced by prior

thromboembolic event) can take several measures to reduce their risk of

further problems. One measure is to get up and walk frequently when

sitting for a long period of time. Using a soft toothbrush and an electric

razor and needing to prevent constipation would be important for a client

at risk of bleeding. Elevating the legs is not as beneficial as ambulating.

A nurse is caring for four clients. Which client does the nurse assess first

for impaired cognition?




a. A 28-year-old client 2 days post-open cholecystectomy

b. An 88-year-old client 3 days post-hemorrhagic stroke

c. A 32-year-old client with a 20-pack-year history of smoking

d. A 42-year-old client with a serum sodium of 134 mEq/L (134 mmol/L) -

ANSWER ✔✔ANS: B




There are many risk factors for impaired cognition including advanced

age and diseases and disorders that affect the brain. The

88-year-old client who is recovering from a stroke has two such risk

factors and is at highest risk for impaired cognition. The nurse


COPYRIGHT©PROFFKERRYMARTIN 2026/2027. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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, assesses this client first. The other clients have a much lower risk of

developing impaired cognition.

The assistive personnel (AP) reports to the registered nurse that a

postoperative client has a pulse of 132 beats/min and a blood

pressure of 168/90 mm Hg. What response by the nurse is most

appropriate?




a. Ask the AP to repeat the client's vital signs in 15 minutes.

b. Assess the client for pain.

c. Ask the client if something is bothersome.


d. Instruct the AP to reposition the client - ANSWER ✔✔ANS: B




The "fight-or-flight" syndrome can occur from sympathetic nervous

stimulation due to acute pain. Symptoms can include nausea, vomiting,

diaphoresis, tachycardia, tachypnea, hypertension, and dilated pupils.

Since this client is postoperative, it is reasonable to believe that he or

she might be in pain. The nurse first assesses for pain or discomfort and

treats it. If the client is not in pain, the nurse would conduct further

assessments to determine the cause of the abnormal vital signs.

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