NRS 3025 EXAM 1 LATEST OAKLAND
UNIVERSITY 2026.2027 100%
VERIFIED FALL-WINTER Q&A
(GUARANTEED PASS)
An obtunded client is admitted to the emergency department after ingesting bleach. The
nurse should anticipate which of the following interventions?
a. Prompt administration of an antidote
b. Gastric lavage
c. Administration of activated charcoal
d. Helping the client drink large amounts of water
d
A patient with trauma is breathing on their own. There are no obvious signs of active
bleeding. However, the nurse suspects internal bleeding due to which of the following
findings?
a. Elevated BP and widened QRS complexes
b. Increased urine output and increased thirst
c. Tachycardia and pallor
d. Severe pain in the bilateral extremities
c
A nurse is caring for a client who is receiving chemotherapy to treat cancer. Which of the
following adverse effects should the nurse anticipate from the chemotherapy?
a. Gingival hyperplasia
b. Hirsutism
c. Pancytopenia
d. Weight gain
c
,A nurse is planning care for a client who has cancer and has developed thrombocytopenia
following chemotherapy. Which of the following precautions should the nurse offer to
minimize the adverse effects of thrombocytopenia?
a. Monitor visitors for manifestations of infection.
b. Remind the client to use an electric razor.
c. Encourage frequent rest periods.
d. Instruct the client to rinse mouth with normal saline.
b
A nurse is caring for a client who has lung cancer that has metastasized. Which of the
following findings indicates the client is developing superior vena cava syndrome?
a. Irregular cardiac rhythm
b. Numbness in the hands
c. Muscle cramps
d. Facial edema
d
A nurse is caring for a client who has testicular cancer and is experiencing peripheral
neuropathy as an adverse effect of chemotherapy. Which of the following client
manifestations is an expected finding of peripheral neuropathy?
a. Thinning of the scalp hair
b. Tingling of the hands and feet
c. Reduced ability to concentrate
d. Sores in the mucous membranes
b
A nurse on an oncology unit is providing discharge teaching to an adolescent female client
who receieved a bone marrow transplant for leukemia. Which of the following information
should the nurse include in the teaching? (Select all that apply.)
a. "Take you temperature twice each day."
b. "You may return to school if you feel strong enough."
c. "It is important to always wear shoes."
d. "Clean your toothbrush weekly with isopropyl alcohol."
e. "Avoid using tampons."
a, c, e
,A nurse is providing discharge teaching to a client who is postoperative following a right
mastectomy for breast cancer. The client will be discharged with two Jackson-Pratt drains.
Which of the following information should the nurse include in the teaching?
a. "Empty the drainage tubes once per day."
b. "Showering is permitted before the drainage tubes are removed."
c. "The drainage tubes often are removed at the same time as the stitches."
d. "Do not begin exercising the arm until the provider removes the drainage tubes."
c
A nurse is providing discharge teaching to a client following open radical prostatectomy. The
client is going home with an indwelling urinary catheter. Which of the following statements
by the client indicates an understanding of teaching?
a. "I will be able to take a tub bath in 1 week."
b. "I will change the catheter drainage bag once each week."
c. "I will use suppositories to prevent constipation."
d. "I will regain my bladder control once the catheter is removed."
b
A nurse is monitoring a client who has cancer and is receiving chemotherapy by peripheral
IV infusion. The client reports pain at the insertion site and the nurse notes fluid leaking
around the catheter. Which of the following actions should the nurse take first?
a. Take a photograph of the peripheral IV site.
b. Obtain and record the client's vital signs.
c. Stop the infusion.
d. Identify all medications administered through the IV site for the past 24 hr.
c
Which of the following actions are part of the secondary survey? (Select all that apply.)
a. Complete a head-to-toe exam
b. Establishing an airway
c. Inserting a foley catheter
d. Assessing for signs of shock
a, c
, A nurse is assessing a client who is receiving a unit of whole blood. Which of the following
findings should the nurse identify as a manifestation of a hemolytic transfusion reaction?
a. Bradycardia
b. Paresthesia
c. Hypertension
d. Low back pain
d
A nurse is preparing to administer packed RBCs to a client who is anemic. Which of the
following actions should the nurse take? (Select all that apply.)
a. Insert a 23-gauge angiocatheter with an IV adaptor
b. Check to determine the packed RBCs are less than 1 week old
c. Administer the packed RBCs over a 6-hour period
d. Ask another nurse to check the packed RBCs' label against the medical record
e. Prime the transfusion tubing with 0.9% sodium chloride
b, d, e
A nurse is assessing a child who is postoperative and received a unit of packed RBCs during a
surgical procedure. Which of the following findings indicates the child is experiencing a
hemolytic transfusion reaction?
a. Chills and flank pain
b. Pruritus and flushing
c. Rales and cyanosis
d. Bradycardia and diarrhea
a
A patient who has suffered a sexual assault enters the emergency department. What is the
SANE nurse's priority?
a. Shave all pubic hair for laboratory analysis.
b. Respect the patient's privacy during assessment.
c. Place items for evidence in plastic bags.
d. Bathe the patient prior to the examination.
b
UNIVERSITY 2026.2027 100%
VERIFIED FALL-WINTER Q&A
(GUARANTEED PASS)
An obtunded client is admitted to the emergency department after ingesting bleach. The
nurse should anticipate which of the following interventions?
a. Prompt administration of an antidote
b. Gastric lavage
c. Administration of activated charcoal
d. Helping the client drink large amounts of water
d
A patient with trauma is breathing on their own. There are no obvious signs of active
bleeding. However, the nurse suspects internal bleeding due to which of the following
findings?
a. Elevated BP and widened QRS complexes
b. Increased urine output and increased thirst
c. Tachycardia and pallor
d. Severe pain in the bilateral extremities
c
A nurse is caring for a client who is receiving chemotherapy to treat cancer. Which of the
following adverse effects should the nurse anticipate from the chemotherapy?
a. Gingival hyperplasia
b. Hirsutism
c. Pancytopenia
d. Weight gain
c
,A nurse is planning care for a client who has cancer and has developed thrombocytopenia
following chemotherapy. Which of the following precautions should the nurse offer to
minimize the adverse effects of thrombocytopenia?
a. Monitor visitors for manifestations of infection.
b. Remind the client to use an electric razor.
c. Encourage frequent rest periods.
d. Instruct the client to rinse mouth with normal saline.
b
A nurse is caring for a client who has lung cancer that has metastasized. Which of the
following findings indicates the client is developing superior vena cava syndrome?
a. Irregular cardiac rhythm
b. Numbness in the hands
c. Muscle cramps
d. Facial edema
d
A nurse is caring for a client who has testicular cancer and is experiencing peripheral
neuropathy as an adverse effect of chemotherapy. Which of the following client
manifestations is an expected finding of peripheral neuropathy?
a. Thinning of the scalp hair
b. Tingling of the hands and feet
c. Reduced ability to concentrate
d. Sores in the mucous membranes
b
A nurse on an oncology unit is providing discharge teaching to an adolescent female client
who receieved a bone marrow transplant for leukemia. Which of the following information
should the nurse include in the teaching? (Select all that apply.)
a. "Take you temperature twice each day."
b. "You may return to school if you feel strong enough."
c. "It is important to always wear shoes."
d. "Clean your toothbrush weekly with isopropyl alcohol."
e. "Avoid using tampons."
a, c, e
,A nurse is providing discharge teaching to a client who is postoperative following a right
mastectomy for breast cancer. The client will be discharged with two Jackson-Pratt drains.
Which of the following information should the nurse include in the teaching?
a. "Empty the drainage tubes once per day."
b. "Showering is permitted before the drainage tubes are removed."
c. "The drainage tubes often are removed at the same time as the stitches."
d. "Do not begin exercising the arm until the provider removes the drainage tubes."
c
A nurse is providing discharge teaching to a client following open radical prostatectomy. The
client is going home with an indwelling urinary catheter. Which of the following statements
by the client indicates an understanding of teaching?
a. "I will be able to take a tub bath in 1 week."
b. "I will change the catheter drainage bag once each week."
c. "I will use suppositories to prevent constipation."
d. "I will regain my bladder control once the catheter is removed."
b
A nurse is monitoring a client who has cancer and is receiving chemotherapy by peripheral
IV infusion. The client reports pain at the insertion site and the nurse notes fluid leaking
around the catheter. Which of the following actions should the nurse take first?
a. Take a photograph of the peripheral IV site.
b. Obtain and record the client's vital signs.
c. Stop the infusion.
d. Identify all medications administered through the IV site for the past 24 hr.
c
Which of the following actions are part of the secondary survey? (Select all that apply.)
a. Complete a head-to-toe exam
b. Establishing an airway
c. Inserting a foley catheter
d. Assessing for signs of shock
a, c
, A nurse is assessing a client who is receiving a unit of whole blood. Which of the following
findings should the nurse identify as a manifestation of a hemolytic transfusion reaction?
a. Bradycardia
b. Paresthesia
c. Hypertension
d. Low back pain
d
A nurse is preparing to administer packed RBCs to a client who is anemic. Which of the
following actions should the nurse take? (Select all that apply.)
a. Insert a 23-gauge angiocatheter with an IV adaptor
b. Check to determine the packed RBCs are less than 1 week old
c. Administer the packed RBCs over a 6-hour period
d. Ask another nurse to check the packed RBCs' label against the medical record
e. Prime the transfusion tubing with 0.9% sodium chloride
b, d, e
A nurse is assessing a child who is postoperative and received a unit of packed RBCs during a
surgical procedure. Which of the following findings indicates the child is experiencing a
hemolytic transfusion reaction?
a. Chills and flank pain
b. Pruritus and flushing
c. Rales and cyanosis
d. Bradycardia and diarrhea
a
A patient who has suffered a sexual assault enters the emergency department. What is the
SANE nurse's priority?
a. Shave all pubic hair for laboratory analysis.
b. Respect the patient's privacy during assessment.
c. Place items for evidence in plastic bags.
d. Bathe the patient prior to the examination.
b
