HNN227 Hurdle Test 2026 | Questions & Answers | Latest
Update | Guaranteed Success
1. How long do you stay at bedside and monitor for a reaction after starting a
transfusion?
30 minutes
60 minutes
15 minutes
90 minutes
2. Why is it important to assess a wound for signs of infection before changing
the dressing?
Assessing for signs of infection ensures that appropriate
interventions can be taken to prevent complications.
It is not important; dressing changes can be done without assessment.
Infection signs are irrelevant to the dressing change process.
Wound assessment is only necessary after the dressing change.
3. What is the main rationale for aspirating stomach contents and checking pH
after the insertion of an NG tube?
Testing pH is a way to determine location of the tube
Testing pH is part of the routine assessment process
Testing pH is government policy
You are never supposed to aspirate stomach contents
,4. If a nurse notices increased redness and discharge from a patient's wound
during assessment, what should be the next step in patient care?
Ignore the signs and proceed with the dressing change.
Change the dressing immediately without further assessment.
Document the findings and wait for the next scheduled assessment.
Notify the healthcare provider for further evaluation and possible
intervention.
5. What is the greatest risk for a client with an NG tube?
aspiration
constipation
large bowel movements
decreased appetite
6. Which statement describes a benefit of patient-controlled analgesia (PCA)?
Acupuncture
Patients can self-administer and manage their pain medication
Two or more medications are used to relieve pain.
Safer for the patient
7. What are the key nursing assessments necessary for patient safety during
medical procedures?
Performing physical therapy, scheduling follow-up appointments, and
educating patients.
Conducting laboratory tests, managing dietary needs, and
coordinating with specialists.
, Monitoring vital signs, assessing for adverse reactions, and ensuring
proper equipment usage.
Administering medications, documenting patient history, and
providing emotional support.
8. What are some signs of infection to look for when assessing a wound?
Color changes to blue or purple
Increased redness, swelling, or discharge
Dryness and scabbing
Decreased temperature and pain
9. What are three potential risks associated with central venous catheter
placement?
Thrombosis, hypertension, and pneumothorax.
Infection, thrombosis, and pneumothorax.
Infection, hypotension, and air embolism.
Hemorrhage, dehydration, and infection.
10. If a patient begins to show signs of an allergic reaction during a blood
transfusion, what immediate action should the nurse take?
Continue the transfusion and monitor closely.
Notify the physician after the transfusion is completed.
Stop the transfusion and assess the patient.
Administer pain medication immediately.
, 11. What is the recommended first-line test to confirm correct nasogastric tube
(NGT) placement prior to administering food or medication?
Measurement of aspirate pH
Observation of aspirate appearance
Carbon dioxide monitoring
Measurement of tube length and tube marking
12. In a scenario where a patient with an indwelling urinary catheter develops a
fever and abdominal pain, what nursing assessment should be prioritized?
Evaluate the patient's pain level.
Monitor the patient's respiratory rate.
Assess for signs of urinary tract infection.
Check the patient's blood pressure.
13. Which of the following is a potential complication of blood transfusion?
Clot formation
Infection transmission
Allergic Reaction
All of the above
14. In a scenario where a patient undergoing a blood transfusion shows signs of
dehydration, what should be the immediate nursing intervention regarding
fluid replacement?
Monitor the patient's vital signs without any intervention.
Increase the rate of the blood transfusion.
Update | Guaranteed Success
1. How long do you stay at bedside and monitor for a reaction after starting a
transfusion?
30 minutes
60 minutes
15 minutes
90 minutes
2. Why is it important to assess a wound for signs of infection before changing
the dressing?
Assessing for signs of infection ensures that appropriate
interventions can be taken to prevent complications.
It is not important; dressing changes can be done without assessment.
Infection signs are irrelevant to the dressing change process.
Wound assessment is only necessary after the dressing change.
3. What is the main rationale for aspirating stomach contents and checking pH
after the insertion of an NG tube?
Testing pH is a way to determine location of the tube
Testing pH is part of the routine assessment process
Testing pH is government policy
You are never supposed to aspirate stomach contents
,4. If a nurse notices increased redness and discharge from a patient's wound
during assessment, what should be the next step in patient care?
Ignore the signs and proceed with the dressing change.
Change the dressing immediately without further assessment.
Document the findings and wait for the next scheduled assessment.
Notify the healthcare provider for further evaluation and possible
intervention.
5. What is the greatest risk for a client with an NG tube?
aspiration
constipation
large bowel movements
decreased appetite
6. Which statement describes a benefit of patient-controlled analgesia (PCA)?
Acupuncture
Patients can self-administer and manage their pain medication
Two or more medications are used to relieve pain.
Safer for the patient
7. What are the key nursing assessments necessary for patient safety during
medical procedures?
Performing physical therapy, scheduling follow-up appointments, and
educating patients.
Conducting laboratory tests, managing dietary needs, and
coordinating with specialists.
, Monitoring vital signs, assessing for adverse reactions, and ensuring
proper equipment usage.
Administering medications, documenting patient history, and
providing emotional support.
8. What are some signs of infection to look for when assessing a wound?
Color changes to blue or purple
Increased redness, swelling, or discharge
Dryness and scabbing
Decreased temperature and pain
9. What are three potential risks associated with central venous catheter
placement?
Thrombosis, hypertension, and pneumothorax.
Infection, thrombosis, and pneumothorax.
Infection, hypotension, and air embolism.
Hemorrhage, dehydration, and infection.
10. If a patient begins to show signs of an allergic reaction during a blood
transfusion, what immediate action should the nurse take?
Continue the transfusion and monitor closely.
Notify the physician after the transfusion is completed.
Stop the transfusion and assess the patient.
Administer pain medication immediately.
, 11. What is the recommended first-line test to confirm correct nasogastric tube
(NGT) placement prior to administering food or medication?
Measurement of aspirate pH
Observation of aspirate appearance
Carbon dioxide monitoring
Measurement of tube length and tube marking
12. In a scenario where a patient with an indwelling urinary catheter develops a
fever and abdominal pain, what nursing assessment should be prioritized?
Evaluate the patient's pain level.
Monitor the patient's respiratory rate.
Assess for signs of urinary tract infection.
Check the patient's blood pressure.
13. Which of the following is a potential complication of blood transfusion?
Clot formation
Infection transmission
Allergic Reaction
All of the above
14. In a scenario where a patient undergoing a blood transfusion shows signs of
dehydration, what should be the immediate nursing intervention regarding
fluid replacement?
Monitor the patient's vital signs without any intervention.
Increase the rate of the blood transfusion.
