V1 Exam Questions and
Complete Solutions
Graded A+
Which information is a priority for the RN to reinforce to an older client after intravenous pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2 days
D) Measure the urine output for the next day and immediately notify the health care provider if it
should decrease. - Answer: D) Measure the urine output for the next day and immediately notify the
health care provider if it should decrease.
A client has altered renal function and is being treated at home. The nurse recognizes that the most
accurate indicator of fluid balance during the weekly visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight - Answer: D) weekly weight
A client has been diagnosed with Zollinger-Ellison syndrome.Which information is most important for
the nurse to reinforce with the client?
A) It is a condition in which one or more tumors called gastrinomas form in the pancreas or in the upper
part of the small intestine (duodenum)
B) It is critical to report promptly to your health care provider any findings of peptic ulcers
c) Treatment consists of medications to reduce acid and heal any peptic ulcers and, if possible, surgery
to remove any tumors
D) With the average age at diagnosis at 50 years the peptic ulcers may occur at unusual areas of the
stomach or intestine - Answer: B) It is critical to report promptly to your health care provider any
findings of peptic ulcers
,A primigravida in the third trimester is hospitalized for preeclampsia. The nurse determines that the
client's blood pressure is increasing. Which action should the nurse take first?
A) Check the protein level in urine
B) Have the client turn to the left side
C) Take the temperature
D) Monitor the urine output - Answer: B) Have the client turn to the left side
The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the ventricular rate is
controlled at 75. Which of the following findings is cause for the most
concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea - Answer: C) A cold, pale lower leg
The client with infective endocarditis must be assessed frequently by the home health nurse. Which
finding suggests that antibiotic therapy is not effective, and must be reported by the nurse immediately
to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness - Answer: B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Which of these points is
most important to be reinforced by the nurse?
A) Until the health care provider has determined that your ejaculate doesn't contain sperm, continue to
use another form of contraception.
B) This procedure doesn't impede the production of male hormones or the production of sperm in the
testicles. The sperm can no longer enter your semen and no sperm are in
your ejaculate.
,C) After your vasectomy, strenuous activity needs to be avoided for at least 48 hours. If your work
doesn't involve hard physical labor, you can return to your job as soon as you
feel up to it. The stitches generally dissolve in seven to ten days.
D)The health care provider at this clinic recommends rest, ice, an athletic supporter or over-the-counter
pain medication to relieve any discomfort. - Answer: A) Until the health care provider has determined
that your ejaculate doesn't contain sperm, continue to use another form of contraception.
A client who is to have antineoplastic chemotherapy tells the nurses of a fear of being sick all the time
and wishes to try acupuncture. Which of these beliefs stated by the client
would be incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending on where they're placed in the body and what the
treatment is for. The needles usually are left in for 15 to 30 minutes.
B) In traditional Chinese medicine, imbalances in the basic energetic flow of life — known as qi or chi —
are thought to cause illness.
C) The flow of life is believed to flow through major pathways or nerve clusters in your body.
D) By inserting extremely fine needles into some of the over 400 acupuncture points in various
combinations it is believed that energy flow will rebalance to allow the body's natural healing
mechanisms to take over. - Answer: C) The flow of life is believed to flow through major pathways or
nerve clusters in your body.
The nurse is discussing with a group of students the disease Kawasaki. What statement made by a
student about Kawasaki disease is incorrect?
A) It also called mucocutaneous lymph node syndrome because it affects the mucous membranes (inside
the mouth, throat and nose), skin and lymph nodes.
B) In the second phase of the disease, findings include peeling of the skin on the hands and feet with
joint and abdominal pain
C) Kawasaki disease occurs most often in boys, children younger than age 5 and children of Hispanic
descent
D) Initially findings are a sudden high fever, usually above 104 degrees Fahrenheit, which lasts 1 to2
weeks - Answer: C) Kawasaki disease occurs most often in boys, children younger than age 5 and
children of Hispanic descent
A client has viral pneumonia affecting 2/3 of the right lung. What would be the best position to teach
the client to lie in every other hour during first 12 hours after admission?
, A) Side-lying on the left with the head elevated 10 degrees
B) Side-lying on the left with the head elevated 35 degrees
C) Side-lying on the right wil the head elevated 10 degrees
D) Side-lying on the right with the head elevated 35 degrees - Answer: A) Side-lying on the left with the
head elevated 10 degrees
A client has an indwelling catheter with continuous bladder irrigation after undergoing a transurethral
resection of the prostate (TURP) 12 hours ago. Which finding at this time should be reported to the
health care provider?
A) Light, pink urine
B) occasional suprapubic cramping
C) minimal drainage into the urinary collection bag
D) complaints of the feeling of pulling on the urinary catheter - Answer: C) minimal drainage into the
urinary collection bag
A nurse is performing CPR on an adult who went into cardiopulmonary arrest. Another nurse enters the
room in response to the call. After checking the client's pulse
and respirations, what should be the function of the second nurse?
A) Relieve the nurse performing CPR
B) Go get the code cart
C) Participate with the compressions or breathing
D) Validate the client's advanced directive - Answer: C) Participate with the compressions or breathing
The nurse assesses a 72 year-old client who was admitted for right sided congestive heart failure. Which
of the following would the nurse anticipate finding?
A) Decreased urinary output
B) Jugular vein distention
C) Pleural effusion
D) Bibasilar crackles - Answer: B) Jugular vein distention
Complete Solutions
Graded A+
Which information is a priority for the RN to reinforce to an older client after intravenous pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2 days
D) Measure the urine output for the next day and immediately notify the health care provider if it
should decrease. - Answer: D) Measure the urine output for the next day and immediately notify the
health care provider if it should decrease.
A client has altered renal function and is being treated at home. The nurse recognizes that the most
accurate indicator of fluid balance during the weekly visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight - Answer: D) weekly weight
A client has been diagnosed with Zollinger-Ellison syndrome.Which information is most important for
the nurse to reinforce with the client?
A) It is a condition in which one or more tumors called gastrinomas form in the pancreas or in the upper
part of the small intestine (duodenum)
B) It is critical to report promptly to your health care provider any findings of peptic ulcers
c) Treatment consists of medications to reduce acid and heal any peptic ulcers and, if possible, surgery
to remove any tumors
D) With the average age at diagnosis at 50 years the peptic ulcers may occur at unusual areas of the
stomach or intestine - Answer: B) It is critical to report promptly to your health care provider any
findings of peptic ulcers
,A primigravida in the third trimester is hospitalized for preeclampsia. The nurse determines that the
client's blood pressure is increasing. Which action should the nurse take first?
A) Check the protein level in urine
B) Have the client turn to the left side
C) Take the temperature
D) Monitor the urine output - Answer: B) Have the client turn to the left side
The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the ventricular rate is
controlled at 75. Which of the following findings is cause for the most
concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea - Answer: C) A cold, pale lower leg
The client with infective endocarditis must be assessed frequently by the home health nurse. Which
finding suggests that antibiotic therapy is not effective, and must be reported by the nurse immediately
to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness - Answer: B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Which of these points is
most important to be reinforced by the nurse?
A) Until the health care provider has determined that your ejaculate doesn't contain sperm, continue to
use another form of contraception.
B) This procedure doesn't impede the production of male hormones or the production of sperm in the
testicles. The sperm can no longer enter your semen and no sperm are in
your ejaculate.
,C) After your vasectomy, strenuous activity needs to be avoided for at least 48 hours. If your work
doesn't involve hard physical labor, you can return to your job as soon as you
feel up to it. The stitches generally dissolve in seven to ten days.
D)The health care provider at this clinic recommends rest, ice, an athletic supporter or over-the-counter
pain medication to relieve any discomfort. - Answer: A) Until the health care provider has determined
that your ejaculate doesn't contain sperm, continue to use another form of contraception.
A client who is to have antineoplastic chemotherapy tells the nurses of a fear of being sick all the time
and wishes to try acupuncture. Which of these beliefs stated by the client
would be incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending on where they're placed in the body and what the
treatment is for. The needles usually are left in for 15 to 30 minutes.
B) In traditional Chinese medicine, imbalances in the basic energetic flow of life — known as qi or chi —
are thought to cause illness.
C) The flow of life is believed to flow through major pathways or nerve clusters in your body.
D) By inserting extremely fine needles into some of the over 400 acupuncture points in various
combinations it is believed that energy flow will rebalance to allow the body's natural healing
mechanisms to take over. - Answer: C) The flow of life is believed to flow through major pathways or
nerve clusters in your body.
The nurse is discussing with a group of students the disease Kawasaki. What statement made by a
student about Kawasaki disease is incorrect?
A) It also called mucocutaneous lymph node syndrome because it affects the mucous membranes (inside
the mouth, throat and nose), skin and lymph nodes.
B) In the second phase of the disease, findings include peeling of the skin on the hands and feet with
joint and abdominal pain
C) Kawasaki disease occurs most often in boys, children younger than age 5 and children of Hispanic
descent
D) Initially findings are a sudden high fever, usually above 104 degrees Fahrenheit, which lasts 1 to2
weeks - Answer: C) Kawasaki disease occurs most often in boys, children younger than age 5 and
children of Hispanic descent
A client has viral pneumonia affecting 2/3 of the right lung. What would be the best position to teach
the client to lie in every other hour during first 12 hours after admission?
, A) Side-lying on the left with the head elevated 10 degrees
B) Side-lying on the left with the head elevated 35 degrees
C) Side-lying on the right wil the head elevated 10 degrees
D) Side-lying on the right with the head elevated 35 degrees - Answer: A) Side-lying on the left with the
head elevated 10 degrees
A client has an indwelling catheter with continuous bladder irrigation after undergoing a transurethral
resection of the prostate (TURP) 12 hours ago. Which finding at this time should be reported to the
health care provider?
A) Light, pink urine
B) occasional suprapubic cramping
C) minimal drainage into the urinary collection bag
D) complaints of the feeling of pulling on the urinary catheter - Answer: C) minimal drainage into the
urinary collection bag
A nurse is performing CPR on an adult who went into cardiopulmonary arrest. Another nurse enters the
room in response to the call. After checking the client's pulse
and respirations, what should be the function of the second nurse?
A) Relieve the nurse performing CPR
B) Go get the code cart
C) Participate with the compressions or breathing
D) Validate the client's advanced directive - Answer: C) Participate with the compressions or breathing
The nurse assesses a 72 year-old client who was admitted for right sided congestive heart failure. Which
of the following would the nurse anticipate finding?
A) Decreased urinary output
B) Jugular vein distention
C) Pleural effusion
D) Bibasilar crackles - Answer: B) Jugular vein distention
