NUR 207 Exam 1: Critical Care & Med-
Surg exam (2026/2027) 70+ Actual
Questions & Answers | Comprehensive
Study Guide – WVJC
Description:
Ace your first Health Assessment and Fundamentals exam! This comprehensive, verified study
package contains over 90+ actual exam questions and complete, correct answers
specifically curated for NUR 207 Exam 1.
Stop wasting hours highlighting textbooks. Get the exact edge you need to pass with an A+ and
master critical nursing concepts.
What’s Inside:
• 90+ Actual Exam Questions: Real-style test questions covering fundamentals of
nursing, health assessment, and clinical reasoning.
• Verified Answers: Every answer is fully researched and verified for accuracy.
• Key Topics Covered:
o Chain of Infection, Standard Precautions, and PPE (Donning & Doffing).
o Cultural Assessment, Therapeutic Communication, and Patient Rights.
o Health History, Physical Exam Techniques (Inspection, Palpation, Percussion,
Auscultation).
o ADPIE (Assessment, Diagnosis, Planning, Implementation, Evaluation).
Why Choose This Document:
• Exam-Ready: Format matches actual nursing school exams to reduce test anxiety.
• Instant Download: Access immediately in high-quality PDF format right after
purchase.
• Proven Success: Used by top-performing students to consistently score 90% and
higher.
Note: Use this document as a primary study guide to test your knowledge, prepare for NCLEX-style
questions, and master your clinical rotations. Good luck, future nurse!
,Q1. How is an autologous transfusion defined in the notes? [Multiple Choice]
A) Transfusion of blood from a compatible unrelated donor
B) Use of fresh frozen plasma to reverse anticoagulation
C) Transfusion of the patient’s own blood that was collected and reinfused
D) Blood donated and tagged for a specific recipient
Answer: Transfusion of the patient’s own blood that was collected and reinfused
Explanation: Autologous transfusion means the patient receives their own blood, which can be
collected preoperatively, intraoperatively, or postoperatively and then reinfused — this reduces
immune reactions and disease-transmission risk. Receiving blood from another donor is
allogenic; directed donation is blood given for a particular recipient but is still donor blood; FFP is
a product used for clotting issues, not a definition of autologous transfusion.
Q2. Why are irradiated blood products used, per the study notes? [Multiple Choice]
A) To remove donor white blood cells and prevent febrile reactions
B) To reverse anticoagulant therapy emergently
C) To expand plasma volume in patients with low albumin
D) To prevent transfusion-associated graft-versus-host disease
Answer: To prevent transfusion-associated graft-versus-host disease
Explanation: Irradiation inactivates donor lymphocytes that could engraft and attack the
recipient, which prevents transfusion-associated graft-versus-host disease. Removing WBCs to
reduce febrile reactions is achieved by washing or leukoreduction, not irradiation. Expanding
plasma volume is the role of albumin, and reversing anticoagulation emergently is an indication
for FFP — neither relates to irradiation.
Q3. What are the typical signs of a mild allergic transfusion reaction and its
initial management as listed in the notes? [Multiple Choice]
A) Acute jaundice and hemoglobinuria treated with immediate dialysis
B) Sudden fever and headache treated only with antipyretics
C) Itching and hives treated with antihistamines, steroids, and possibly restarting the
transfusion
D) Tachycardia and hypotension treated with IV normal saline
Answer: Itching and hives treated with antihistamines, steroids, and possibly restarting
the transfusion
, Explanation: Mild allergic reactions present with itching and hives and are managed with
antihistamines and sometimes steroids; after treatment they may allow restarting the
transfusion. Fever/headache is typical of febrile non-hemolytic reactions and is managed with
antipyretics, not the full allergic-reaction approach. Jaundice/hemoglobinuria and dialysis are
linked to hemolytic reactions. Tachycardia and hypotension requiring IV fluids indicate severe
reactions or shock, not a mild allergic reaction.
Q4. Which of the following must the nurse verify before starting a transfusion
according to the checklist in the notes? [Multiple Choice]
A) Start at 50 mL/hr and stay with patient for the first 15 minutes
B) Use LR or dextrose solutions to prime the line
C) Baseline vital signs and set up with Normal Saline only
D) Order, signed consent, blood unit identification, ABO/Rh compatibility, and
expiration date — contact blood bank for discrepancies
Answer: Order, signed consent, blood unit identification, ABO/Rh compatibility, and
expiration date — contact blood bank for discrepancies
Explanation: Prior to transfusion the nurse's responsibilities are administrative and safety
checks: confirming the order and consent, verifying the blood unit ID and ABO/Rh compatibility,
checking expiration, and notifying the blood bank if anything is wrong. Baseline vitals and NS
priming are part of intra-transfusion care; starting rate and staying with the patient are
procedural steps during initiation; LR and dextrose solutions are contraindicated for priming
because they can cause clumping or hemolysis — so those latter options are not the pre-
transfusion verification tasks.
Q5. Which of the following best describes the presentation of a febrile non-
hemolytic transfusion reaction per the notes? [Multiple Choice]
A) Sudden onset of fever and chills with headache and anxiety
B) Hypotension and shock requiring IV normal saline
C) Acute jaundice with hemoglobinuria and DIC
D) Itching and hives without fever
Answer: Sudden onset of fever and chills with headache and anxiety
Explanation: Febrile non-hemolytic reactions typically present acutely with fever, chills,
headache, and anxiety. Itching and hives indicate an allergic reaction, while
jaundice/hemoglobinuria and DIC are features of hemolytic transfusion reactions. Hypotension
and shock are also more consistent with severe hemolytic or other major reactions and require
aggressive resuscitation rather than being features of simple febrile non-hemolytic events.
, Q6. What is the main purpose of washed or leukoreduced packed red blood cells
according to the notes? [Multiple Choice]
A) They primarily expand plasma volume in hypoalbuminemia
B) They are irradiated to prevent graft-versus-host disease
C) They remove white blood cells and are indicated for transplant recipients, prior
febrile non-hemolytic reactions, CMV infections, and immunosuppressed patients
D) They are used to replace fibrinogen when levels are ~100 mg/dL
Answer: They remove white blood cells and are indicated for transplant recipients, prior
febrile non-hemolytic reactions, CMV infections, and immunosuppressed patients
Explanation: Washed or leukoreduced PRBCs remove donor white cells to reduce febrile reactions
and reduce risks for CMV transmission — so they are appropriate for transplant recipients and
immunosuppressed patients or those with prior febrile non-hemolytic transfusion reactions.
Irradiation (not washing) is used to prevent transfusion-associated graft-versus-host disease.
Albumin expands plasma volume, and cryoprecipitate addresses low fibrinogen; those are not
purposes of washed/leukoreduced PRBCs.
Q7. What immediate steps are recommended for managing an acute hemolytic
transfusion reaction in the notes? [Multiple Choice]
A) Treat with antihistamines and steroids and consider restarting the transfusion
B) Treat shock with IV normal saline, send blood and urine labs, establish a patent new
IV, track intake/output, and arrange dialysis if needed
C) Prime the line with lactated Ringer's and continue at 50 mL/hr
D) Give antipyretics and continue the transfusion unless told to stop
Answer: Treat shock with IV normal saline, send blood and urine labs, establish a patent
new IV, track intake/output, and arrange dialysis if needed
Explanation: Management focuses on treating shock and the consequences of hemolysis:
aggressive IV fluids (normal saline), diagnostic blood and urine testing to confirm hemolysis,
ensuring intravenous access for treatment, careful monitoring of fluid balance, and dialysis if
renal failure occurs. Antipyretics/continuing transfusion is a strategy for some febrile non-
hemolytic events only under instruction; antihistamines/steroids and possible restart refer to mild
allergic reactions; LR or other fluids are contraindicated for priming because they can cause
complications, and continuing the transfusion would be unsafe in acute hemolytic reactions.
Q8. Which of the following correctly describes directed donor transfusion per
the notes? [Multiple Choice]
Surg exam (2026/2027) 70+ Actual
Questions & Answers | Comprehensive
Study Guide – WVJC
Description:
Ace your first Health Assessment and Fundamentals exam! This comprehensive, verified study
package contains over 90+ actual exam questions and complete, correct answers
specifically curated for NUR 207 Exam 1.
Stop wasting hours highlighting textbooks. Get the exact edge you need to pass with an A+ and
master critical nursing concepts.
What’s Inside:
• 90+ Actual Exam Questions: Real-style test questions covering fundamentals of
nursing, health assessment, and clinical reasoning.
• Verified Answers: Every answer is fully researched and verified for accuracy.
• Key Topics Covered:
o Chain of Infection, Standard Precautions, and PPE (Donning & Doffing).
o Cultural Assessment, Therapeutic Communication, and Patient Rights.
o Health History, Physical Exam Techniques (Inspection, Palpation, Percussion,
Auscultation).
o ADPIE (Assessment, Diagnosis, Planning, Implementation, Evaluation).
Why Choose This Document:
• Exam-Ready: Format matches actual nursing school exams to reduce test anxiety.
• Instant Download: Access immediately in high-quality PDF format right after
purchase.
• Proven Success: Used by top-performing students to consistently score 90% and
higher.
Note: Use this document as a primary study guide to test your knowledge, prepare for NCLEX-style
questions, and master your clinical rotations. Good luck, future nurse!
,Q1. How is an autologous transfusion defined in the notes? [Multiple Choice]
A) Transfusion of blood from a compatible unrelated donor
B) Use of fresh frozen plasma to reverse anticoagulation
C) Transfusion of the patient’s own blood that was collected and reinfused
D) Blood donated and tagged for a specific recipient
Answer: Transfusion of the patient’s own blood that was collected and reinfused
Explanation: Autologous transfusion means the patient receives their own blood, which can be
collected preoperatively, intraoperatively, or postoperatively and then reinfused — this reduces
immune reactions and disease-transmission risk. Receiving blood from another donor is
allogenic; directed donation is blood given for a particular recipient but is still donor blood; FFP is
a product used for clotting issues, not a definition of autologous transfusion.
Q2. Why are irradiated blood products used, per the study notes? [Multiple Choice]
A) To remove donor white blood cells and prevent febrile reactions
B) To reverse anticoagulant therapy emergently
C) To expand plasma volume in patients with low albumin
D) To prevent transfusion-associated graft-versus-host disease
Answer: To prevent transfusion-associated graft-versus-host disease
Explanation: Irradiation inactivates donor lymphocytes that could engraft and attack the
recipient, which prevents transfusion-associated graft-versus-host disease. Removing WBCs to
reduce febrile reactions is achieved by washing or leukoreduction, not irradiation. Expanding
plasma volume is the role of albumin, and reversing anticoagulation emergently is an indication
for FFP — neither relates to irradiation.
Q3. What are the typical signs of a mild allergic transfusion reaction and its
initial management as listed in the notes? [Multiple Choice]
A) Acute jaundice and hemoglobinuria treated with immediate dialysis
B) Sudden fever and headache treated only with antipyretics
C) Itching and hives treated with antihistamines, steroids, and possibly restarting the
transfusion
D) Tachycardia and hypotension treated with IV normal saline
Answer: Itching and hives treated with antihistamines, steroids, and possibly restarting
the transfusion
, Explanation: Mild allergic reactions present with itching and hives and are managed with
antihistamines and sometimes steroids; after treatment they may allow restarting the
transfusion. Fever/headache is typical of febrile non-hemolytic reactions and is managed with
antipyretics, not the full allergic-reaction approach. Jaundice/hemoglobinuria and dialysis are
linked to hemolytic reactions. Tachycardia and hypotension requiring IV fluids indicate severe
reactions or shock, not a mild allergic reaction.
Q4. Which of the following must the nurse verify before starting a transfusion
according to the checklist in the notes? [Multiple Choice]
A) Start at 50 mL/hr and stay with patient for the first 15 minutes
B) Use LR or dextrose solutions to prime the line
C) Baseline vital signs and set up with Normal Saline only
D) Order, signed consent, blood unit identification, ABO/Rh compatibility, and
expiration date — contact blood bank for discrepancies
Answer: Order, signed consent, blood unit identification, ABO/Rh compatibility, and
expiration date — contact blood bank for discrepancies
Explanation: Prior to transfusion the nurse's responsibilities are administrative and safety
checks: confirming the order and consent, verifying the blood unit ID and ABO/Rh compatibility,
checking expiration, and notifying the blood bank if anything is wrong. Baseline vitals and NS
priming are part of intra-transfusion care; starting rate and staying with the patient are
procedural steps during initiation; LR and dextrose solutions are contraindicated for priming
because they can cause clumping or hemolysis — so those latter options are not the pre-
transfusion verification tasks.
Q5. Which of the following best describes the presentation of a febrile non-
hemolytic transfusion reaction per the notes? [Multiple Choice]
A) Sudden onset of fever and chills with headache and anxiety
B) Hypotension and shock requiring IV normal saline
C) Acute jaundice with hemoglobinuria and DIC
D) Itching and hives without fever
Answer: Sudden onset of fever and chills with headache and anxiety
Explanation: Febrile non-hemolytic reactions typically present acutely with fever, chills,
headache, and anxiety. Itching and hives indicate an allergic reaction, while
jaundice/hemoglobinuria and DIC are features of hemolytic transfusion reactions. Hypotension
and shock are also more consistent with severe hemolytic or other major reactions and require
aggressive resuscitation rather than being features of simple febrile non-hemolytic events.
, Q6. What is the main purpose of washed or leukoreduced packed red blood cells
according to the notes? [Multiple Choice]
A) They primarily expand plasma volume in hypoalbuminemia
B) They are irradiated to prevent graft-versus-host disease
C) They remove white blood cells and are indicated for transplant recipients, prior
febrile non-hemolytic reactions, CMV infections, and immunosuppressed patients
D) They are used to replace fibrinogen when levels are ~100 mg/dL
Answer: They remove white blood cells and are indicated for transplant recipients, prior
febrile non-hemolytic reactions, CMV infections, and immunosuppressed patients
Explanation: Washed or leukoreduced PRBCs remove donor white cells to reduce febrile reactions
and reduce risks for CMV transmission — so they are appropriate for transplant recipients and
immunosuppressed patients or those with prior febrile non-hemolytic transfusion reactions.
Irradiation (not washing) is used to prevent transfusion-associated graft-versus-host disease.
Albumin expands plasma volume, and cryoprecipitate addresses low fibrinogen; those are not
purposes of washed/leukoreduced PRBCs.
Q7. What immediate steps are recommended for managing an acute hemolytic
transfusion reaction in the notes? [Multiple Choice]
A) Treat with antihistamines and steroids and consider restarting the transfusion
B) Treat shock with IV normal saline, send blood and urine labs, establish a patent new
IV, track intake/output, and arrange dialysis if needed
C) Prime the line with lactated Ringer's and continue at 50 mL/hr
D) Give antipyretics and continue the transfusion unless told to stop
Answer: Treat shock with IV normal saline, send blood and urine labs, establish a patent
new IV, track intake/output, and arrange dialysis if needed
Explanation: Management focuses on treating shock and the consequences of hemolysis:
aggressive IV fluids (normal saline), diagnostic blood and urine testing to confirm hemolysis,
ensuring intravenous access for treatment, careful monitoring of fluid balance, and dialysis if
renal failure occurs. Antipyretics/continuing transfusion is a strategy for some febrile non-
hemolytic events only under instruction; antihistamines/steroids and possible restart refer to mild
allergic reactions; LR or other fluids are contraindicated for priming because they can cause
complications, and continuing the transfusion would be unsafe in acute hemolytic reactions.
Q8. Which of the following correctly describes directed donor transfusion per
the notes? [Multiple Choice]
