NURSING 121 MIDTERM SET 2026 UPDATED EXAM QUESTIONS
& ANSWERS WITH DETAILED RATIONALES | INSTANT PDF
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A patient who is hospitalized with C. Diff asks you to explain what he should know about this
organism. What is the most appropriate information to include in pt teaching? (select all that
apply)
1. The organism is usually transmitted through the fecal-oral route
2. Hands should always be cleaned with soap and water vs. alcohol based hand sanitizer.
3. Everyone coming into the room must be wearing a gown and gloves.
4. While pt. is in contact precautions, he cannot leave the room. - 1. The organism is usually
transmitted through the fecal-oral route
2. Hands should always be cleaned with soap and water vs. alcohol based hand sanitizer.
3. Everyone coming into the room must be wearing a gown and gloves.
The nurse is performing an abdominal assessment on a patient. In which order does she
perform the assessment steps? - Inspection, Auscultation, Palpation, Percussion
During the assessment a nurse notices a lesion on the arm of the pt. The lesion is irregularly
shaped, elevated with edema, and about 3 cm. What type of lesion is this?
1. Nodule
2. Macule
3. Wheal
4. Pustule - 3. Wheal
A toddler is to receive 2.5 mL of an antipyretic by mouth. Which equipment is most appropriate
for for medication administration for this child?
1. A medication cup
,2. A teaspoon
3. A 5-mL syringe
4. An oral-dosing syringe - 4. An oral-dosing syringe
A client with atrial fibrillation who is receiving maintenance therapy of warfarin sodium has a
prothrombin time (PT) of 35 seconds. On the basis of these laboratory values, the nurse
anticipates which prescription?
1. Adding a dose of Heparin sodium
2. Holding the next dose of warfarin
3. Increasing the next dose of warfarin
4. Administering the next dose of warfarin - 2. Holding warfarin - normal PT is 11 - 12.5 seconds,
therapeutic PT level is 1.5 -2x that.
A client has been admitted to the hospital for gastroenteritis and dehydration. The nurse
determines that the client has received adequate volume replacement if the blood urea
nitrogen (BUN) level drops to which value?
1. 3 mg/dL
2. 15 mg/dL
3. 29 mg/dL
4. 35 mg/dL - 2. 15 mg/dL - normal BUN level is 10-20 mg/dL
Values of 29 & 35 mg/dL reflect continued dehydration
A client is receiving a continuous intravenous infusion of heparin to treat DVT. The client's aPTT
is 65 seconds. The nurse anticipates that which action is needed?
1. Discontinuing the heparin infusion
2. Increasing the rate of the heparin infusion
3. Decreasing the rate of the heparin infusion
, 4. Leaving the heparin infusion as it is - 4. Leaving the heparin infusion as it is.
Normal aPTT is 30-40 seconds. Therapeutic value for DVT treatment is up to 100 seconds, so the
pt is within acceptable limits.
A client with a history of heart failure is due for a morning dose of furosemide. Which serum
potassium level, if noted in the client's lab report, should be reported before administering the
furosemide?
A. 3.2 mEq/L (3.2 mmol/L)
B. 3.8 mEq/L (3.8 mmol/L)
C. 2 mEq/L (4.2 mmol/L)
D. 8 mEq/L (4.8 mmol/L) - 1. 3.2 mEq/L (3.2 mmol/L)
Normal serum potassium level in adults is 3.5-5.0 mEq/L (3.5 - 5.0 mmol/L)
Several lab tests are prescribed for a client, and the nurse reviews the results of the test. Which
lab tests should the nurse report? (select all that apply)
1. Platelets 35,000 mm3
2. Sodium 150 mEq/L
3. Potassium 5.0 mEq/L
4. Segmented neutrophils 40%
5. Serum creatinine, 1 mg/dL
6. WBC, 3,000 mm3 - 1. Platelets - normal range 150,000 - 400,000
2. Sodium - normal range 135 - 145 mEq/L
4. Segmented Neutrophils - normal range 62-68%
6. WBC - normal range 5,000 - 10,000
& ANSWERS WITH DETAILED RATIONALES | INSTANT PDF
DOWNLOAD
A patient who is hospitalized with C. Diff asks you to explain what he should know about this
organism. What is the most appropriate information to include in pt teaching? (select all that
apply)
1. The organism is usually transmitted through the fecal-oral route
2. Hands should always be cleaned with soap and water vs. alcohol based hand sanitizer.
3. Everyone coming into the room must be wearing a gown and gloves.
4. While pt. is in contact precautions, he cannot leave the room. - 1. The organism is usually
transmitted through the fecal-oral route
2. Hands should always be cleaned with soap and water vs. alcohol based hand sanitizer.
3. Everyone coming into the room must be wearing a gown and gloves.
The nurse is performing an abdominal assessment on a patient. In which order does she
perform the assessment steps? - Inspection, Auscultation, Palpation, Percussion
During the assessment a nurse notices a lesion on the arm of the pt. The lesion is irregularly
shaped, elevated with edema, and about 3 cm. What type of lesion is this?
1. Nodule
2. Macule
3. Wheal
4. Pustule - 3. Wheal
A toddler is to receive 2.5 mL of an antipyretic by mouth. Which equipment is most appropriate
for for medication administration for this child?
1. A medication cup
,2. A teaspoon
3. A 5-mL syringe
4. An oral-dosing syringe - 4. An oral-dosing syringe
A client with atrial fibrillation who is receiving maintenance therapy of warfarin sodium has a
prothrombin time (PT) of 35 seconds. On the basis of these laboratory values, the nurse
anticipates which prescription?
1. Adding a dose of Heparin sodium
2. Holding the next dose of warfarin
3. Increasing the next dose of warfarin
4. Administering the next dose of warfarin - 2. Holding warfarin - normal PT is 11 - 12.5 seconds,
therapeutic PT level is 1.5 -2x that.
A client has been admitted to the hospital for gastroenteritis and dehydration. The nurse
determines that the client has received adequate volume replacement if the blood urea
nitrogen (BUN) level drops to which value?
1. 3 mg/dL
2. 15 mg/dL
3. 29 mg/dL
4. 35 mg/dL - 2. 15 mg/dL - normal BUN level is 10-20 mg/dL
Values of 29 & 35 mg/dL reflect continued dehydration
A client is receiving a continuous intravenous infusion of heparin to treat DVT. The client's aPTT
is 65 seconds. The nurse anticipates that which action is needed?
1. Discontinuing the heparin infusion
2. Increasing the rate of the heparin infusion
3. Decreasing the rate of the heparin infusion
, 4. Leaving the heparin infusion as it is - 4. Leaving the heparin infusion as it is.
Normal aPTT is 30-40 seconds. Therapeutic value for DVT treatment is up to 100 seconds, so the
pt is within acceptable limits.
A client with a history of heart failure is due for a morning dose of furosemide. Which serum
potassium level, if noted in the client's lab report, should be reported before administering the
furosemide?
A. 3.2 mEq/L (3.2 mmol/L)
B. 3.8 mEq/L (3.8 mmol/L)
C. 2 mEq/L (4.2 mmol/L)
D. 8 mEq/L (4.8 mmol/L) - 1. 3.2 mEq/L (3.2 mmol/L)
Normal serum potassium level in adults is 3.5-5.0 mEq/L (3.5 - 5.0 mmol/L)
Several lab tests are prescribed for a client, and the nurse reviews the results of the test. Which
lab tests should the nurse report? (select all that apply)
1. Platelets 35,000 mm3
2. Sodium 150 mEq/L
3. Potassium 5.0 mEq/L
4. Segmented neutrophils 40%
5. Serum creatinine, 1 mg/dL
6. WBC, 3,000 mm3 - 1. Platelets - normal range 150,000 - 400,000
2. Sodium - normal range 135 - 145 mEq/L
4. Segmented Neutrophils - normal range 62-68%
6. WBC - normal range 5,000 - 10,000
