NURS 1150 MIDTERM EXAM
QUESTIONS AND ANSWERS 2026/2027
VERIFIED
1. A nurse is assessing a client’s vital signs. The blood pressure is 150/92 mmHg. According to
the current AHA guidelines, how should the nurse classify this reading?
A. Stage 2 Hypertension
B. Stage 1 Hypertension
C. Elevated
D. Hypertensive Crisis
Answer: A
Conceptual Explanation: Stage 2 Hypertension is defined as a systolic pressure of at least
140 mmHg or a diastolic pressure of at least 90 mmHg. 150/92 fits this criteria.
2. When applying the nursing process, which action should the nurse perform first when a
client reports sudden shortness of breath?
A. Administer oxygen via nasal cannula
B. Notify the healthcare provider immediately
C. Auscultate the client’s lung sounds
D. Elevate the head of the bed to High-Fowler’s
,Answer: C
Conceptual Explanation: Assessment is the first step of the nursing process. Auscultating
lung sounds provides data to identify the cause and severity before intervention.
3. A nurse is caring for a client with Clostridioides difficile (C. diff). Which infection control
measure is most critical?
A. Performing hand hygiene with soap and water
B. Using alcohol-based hand sanitizer after care
C. Wearing an N95 respirator mask
D. Placing the client in a negative-pressure room
Answer: A
Conceptual Explanation: C. diff spores are resistant to alcohol-based sanitizers; physical
removal via soap and water is mandatory.
4. A nurse respects a client’s decision to refuse a scheduled blood transfusion despite the
potential risks. Which ethical principle is the nurse upholding?
A. Beneficence
B. Autonomy
C. Nonmaleficence
D. Justice
Answer: B
, Conceptual Explanation: Autonomy refers to the right of the patient to make their own
decisions regarding their healthcare, even if the nurse disagrees.
5. Which assessment finding indicates a Stage 2 pressure injury?
A. Non-blanchable erythema of intact skin
B. Full-thickness tissue loss with exposed bone or muscle
C. Full-thickness tissue loss with visible subcutaneous fat
D. Partial-thickness loss of dermis presenting as a shallow open ulcer
Answer: D
Conceptual Explanation: Stage 2 pressure injuries involve partial-thickness loss of
dermis, often appearing as a blister or shallow ulcer.
6. The nurse is preparing to transfer a client from the bed to a chair. Which action best
demonstrates proper body mechanics?
A. Bending at the waist to lift the client
B. Keeping the feet close together for stability
C. Flexing the knees and keeping the back straight
D. Twisting the torso while moving the client
Answer: C
Conceptual Explanation: Proper body mechanics include using the large muscles of the
legs (flexing knees) and maintaining a straight spine to prevent injury.
QUESTIONS AND ANSWERS 2026/2027
VERIFIED
1. A nurse is assessing a client’s vital signs. The blood pressure is 150/92 mmHg. According to
the current AHA guidelines, how should the nurse classify this reading?
A. Stage 2 Hypertension
B. Stage 1 Hypertension
C. Elevated
D. Hypertensive Crisis
Answer: A
Conceptual Explanation: Stage 2 Hypertension is defined as a systolic pressure of at least
140 mmHg or a diastolic pressure of at least 90 mmHg. 150/92 fits this criteria.
2. When applying the nursing process, which action should the nurse perform first when a
client reports sudden shortness of breath?
A. Administer oxygen via nasal cannula
B. Notify the healthcare provider immediately
C. Auscultate the client’s lung sounds
D. Elevate the head of the bed to High-Fowler’s
,Answer: C
Conceptual Explanation: Assessment is the first step of the nursing process. Auscultating
lung sounds provides data to identify the cause and severity before intervention.
3. A nurse is caring for a client with Clostridioides difficile (C. diff). Which infection control
measure is most critical?
A. Performing hand hygiene with soap and water
B. Using alcohol-based hand sanitizer after care
C. Wearing an N95 respirator mask
D. Placing the client in a negative-pressure room
Answer: A
Conceptual Explanation: C. diff spores are resistant to alcohol-based sanitizers; physical
removal via soap and water is mandatory.
4. A nurse respects a client’s decision to refuse a scheduled blood transfusion despite the
potential risks. Which ethical principle is the nurse upholding?
A. Beneficence
B. Autonomy
C. Nonmaleficence
D. Justice
Answer: B
, Conceptual Explanation: Autonomy refers to the right of the patient to make their own
decisions regarding their healthcare, even if the nurse disagrees.
5. Which assessment finding indicates a Stage 2 pressure injury?
A. Non-blanchable erythema of intact skin
B. Full-thickness tissue loss with exposed bone or muscle
C. Full-thickness tissue loss with visible subcutaneous fat
D. Partial-thickness loss of dermis presenting as a shallow open ulcer
Answer: D
Conceptual Explanation: Stage 2 pressure injuries involve partial-thickness loss of
dermis, often appearing as a blister or shallow ulcer.
6. The nurse is preparing to transfer a client from the bed to a chair. Which action best
demonstrates proper body mechanics?
A. Bending at the waist to lift the client
B. Keeping the feet close together for stability
C. Flexing the knees and keeping the back straight
D. Twisting the torso while moving the client
Answer: C
Conceptual Explanation: Proper body mechanics include using the large muscles of the
legs (flexing knees) and maintaining a straight spine to prevent injury.
