2026/2027
NR 565 Week III Advanced Nursing
Pharmacology Exam Review, Quiz
Practice, and Study Resource Guide
2026/2027
Question 1
A nurse is caring for four clients. Which client is at the highest risk for developing a
hospital-acquired (nosocomial) infection?
A. Client with alcohol use disorder admitted for detox
B. Client with Type 1 diabetes and neuropathy
C. Client 1 day post-appendectomy
D. Client with full-thickness burns, NG tube, and Foley catheter
Correct Answer: D. Client with full-thickness burns, NG tube, and Foley
catheter
Rationale: Burn patients have severely compromised skin integrity, making them
highly susceptible to infection. Additional invasive devices such as NG tubes and
Foley catheters further increase infection risk. The other clients may have chronic or
acute conditions but do not have multiple major infection pathways or severe
immunocompromise.
Question 2
Which client should the nurse assess first after receiving shift report?
A. COPD client with SpO₂ of 90% from previous shift
B. Asthma client reporting shortness of breath after bronchodilator use
C. Client with pneumonia awaiting IV antibiotics
D. Ventilated client needing sputum specimen
Correct Answer: B. Asthma client reporting shortness of breath after
bronchodilator use
Rationale: Shortness of breath after a bronchodilator indicates worsening airway
obstruction and potential respiratory failure. This is an immediate ABC concern. The
other clients are stable or planned interventions.
,2026/2027
Question 3
Which client should be seen first in the emergency department?
A. 78-year-old with uncontrolled nosebleed
B. Child with arm pain after fall
C. Adult with nausea and vomiting
D. Child with mild fever
Correct Answer: A. 78-year-old with uncontrolled nosebleed
Rationale: Active uncontrolled bleeding represents a circulation emergency and can
quickly lead to hypovolemic shock, making it the priority.
Question 4
Which client can be safely discharged first during a mass casualty situation?
A. 24 hours post-hysterectomy
B. 5 days post-total hip replacement
C. Newly admitted pyelonephritis
D. Stage 3 pressure ulcer admission
Correct Answer: B. 5 days post-total hip replacement
Rationale: This client is most stable and likely near baseline recovery, making
discharge appropriate during resource limitation.
Question 5
Which finding should be reported immediately in a COPD client?
A. Heart rate 92 bpm
B. RR 27 breaths/min
C. BP 152/84 mmHg
D. Temp 38.4°C
Correct Answer: D. Temp 38.4°C
Rationale: Fever suggests infection, a major COPD exacerbation trigger and risk for
respiratory decline.
,2026/2027
Question 6
A post-transfusion client has respiratory rate of 38 and SpO₂ of 90% on oxygen. What
is the priority action?
A. Increase nasal cannula oxygen to 10 L/min
B. Encourage coughing and incentive spirometry
C. Administer morphine for anxiety
D. Apply non-rebreather mask and notify provider
Correct Answer: D. Apply non-rebreather mask and notify provider
Rationale: The client is in acute respiratory distress. A non-rebreather delivers high-
concentration oxygen immediately, and provider notification is required.
Question 7
Which prenatal client requires immediate follow-up?
A. 12 weeks with discharge
B. 15 weeks with no fetal movement
C. 22 weeks with dizziness when supine
D. 34 weeks with headache and blurred vision
Correct Answer: D. 34 weeks with headache and blurred vision
Rationale: These are classic signs of preeclampsia, a life-threatening condition.
Question 8
Which client should be assessed first in a rural hospital?
A. Post-tonsillectomy sore throat
B. Postpartum breastfeeding discomfort
C. Leg cast pain unrelieved by opioids
D. Post-liver biopsy pain
Correct Answer: C. Leg cast pain unrelieved by opioids
Rationale: This may indicate compartment syndrome, a surgical emergency.
Question 9
, 2026/2027
Which client should the nurse assess first on a surgical unit?
A. Headache 2/10
B. Femur fracture in cast
C. 5 hours post-laryngectomy
D. 1 day post-lobectomy
Correct Answer: C. 5 hours post-laryngectomy
Rationale: Airway is at highest risk after laryngectomy; obstruction can be life-
threatening.
Question 10
Which client takes highest priority in triage?
A. Nosebleed
B. Vomiting child
C. Arm injury
D. Mild fever
Correct Answer: A. Nosebleed
Rationale: Airway and circulation risk due to uncontrolled bleeding makes this
priority.
Question 11
Which client is at highest risk for Legionella infection?
A. ESRD client
B. Alzheimer’s client
C. Stroke client
D. Fracture client
Correct Answer: A. ESRD client
Rationale: Immunocompromised patients (like ESRD) are at highest infection risk.
Question 12
Which task can be delegated to a UAP?
NR 565 Week III Advanced Nursing
Pharmacology Exam Review, Quiz
Practice, and Study Resource Guide
2026/2027
Question 1
A nurse is caring for four clients. Which client is at the highest risk for developing a
hospital-acquired (nosocomial) infection?
A. Client with alcohol use disorder admitted for detox
B. Client with Type 1 diabetes and neuropathy
C. Client 1 day post-appendectomy
D. Client with full-thickness burns, NG tube, and Foley catheter
Correct Answer: D. Client with full-thickness burns, NG tube, and Foley
catheter
Rationale: Burn patients have severely compromised skin integrity, making them
highly susceptible to infection. Additional invasive devices such as NG tubes and
Foley catheters further increase infection risk. The other clients may have chronic or
acute conditions but do not have multiple major infection pathways or severe
immunocompromise.
Question 2
Which client should the nurse assess first after receiving shift report?
A. COPD client with SpO₂ of 90% from previous shift
B. Asthma client reporting shortness of breath after bronchodilator use
C. Client with pneumonia awaiting IV antibiotics
D. Ventilated client needing sputum specimen
Correct Answer: B. Asthma client reporting shortness of breath after
bronchodilator use
Rationale: Shortness of breath after a bronchodilator indicates worsening airway
obstruction and potential respiratory failure. This is an immediate ABC concern. The
other clients are stable or planned interventions.
,2026/2027
Question 3
Which client should be seen first in the emergency department?
A. 78-year-old with uncontrolled nosebleed
B. Child with arm pain after fall
C. Adult with nausea and vomiting
D. Child with mild fever
Correct Answer: A. 78-year-old with uncontrolled nosebleed
Rationale: Active uncontrolled bleeding represents a circulation emergency and can
quickly lead to hypovolemic shock, making it the priority.
Question 4
Which client can be safely discharged first during a mass casualty situation?
A. 24 hours post-hysterectomy
B. 5 days post-total hip replacement
C. Newly admitted pyelonephritis
D. Stage 3 pressure ulcer admission
Correct Answer: B. 5 days post-total hip replacement
Rationale: This client is most stable and likely near baseline recovery, making
discharge appropriate during resource limitation.
Question 5
Which finding should be reported immediately in a COPD client?
A. Heart rate 92 bpm
B. RR 27 breaths/min
C. BP 152/84 mmHg
D. Temp 38.4°C
Correct Answer: D. Temp 38.4°C
Rationale: Fever suggests infection, a major COPD exacerbation trigger and risk for
respiratory decline.
,2026/2027
Question 6
A post-transfusion client has respiratory rate of 38 and SpO₂ of 90% on oxygen. What
is the priority action?
A. Increase nasal cannula oxygen to 10 L/min
B. Encourage coughing and incentive spirometry
C. Administer morphine for anxiety
D. Apply non-rebreather mask and notify provider
Correct Answer: D. Apply non-rebreather mask and notify provider
Rationale: The client is in acute respiratory distress. A non-rebreather delivers high-
concentration oxygen immediately, and provider notification is required.
Question 7
Which prenatal client requires immediate follow-up?
A. 12 weeks with discharge
B. 15 weeks with no fetal movement
C. 22 weeks with dizziness when supine
D. 34 weeks with headache and blurred vision
Correct Answer: D. 34 weeks with headache and blurred vision
Rationale: These are classic signs of preeclampsia, a life-threatening condition.
Question 8
Which client should be assessed first in a rural hospital?
A. Post-tonsillectomy sore throat
B. Postpartum breastfeeding discomfort
C. Leg cast pain unrelieved by opioids
D. Post-liver biopsy pain
Correct Answer: C. Leg cast pain unrelieved by opioids
Rationale: This may indicate compartment syndrome, a surgical emergency.
Question 9
, 2026/2027
Which client should the nurse assess first on a surgical unit?
A. Headache 2/10
B. Femur fracture in cast
C. 5 hours post-laryngectomy
D. 1 day post-lobectomy
Correct Answer: C. 5 hours post-laryngectomy
Rationale: Airway is at highest risk after laryngectomy; obstruction can be life-
threatening.
Question 10
Which client takes highest priority in triage?
A. Nosebleed
B. Vomiting child
C. Arm injury
D. Mild fever
Correct Answer: A. Nosebleed
Rationale: Airway and circulation risk due to uncontrolled bleeding makes this
priority.
Question 11
Which client is at highest risk for Legionella infection?
A. ESRD client
B. Alzheimer’s client
C. Stroke client
D. Fracture client
Correct Answer: A. ESRD client
Rationale: Immunocompromised patients (like ESRD) are at highest infection risk.
Question 12
Which task can be delegated to a UAP?
