NUR 301 EXAM 1 PRACTICE QUESTIONS 2026/2027 – STUDY GUIDE &
COMPREHENSIVE EXAM REVIEW
A patient with cancer is receiving radiation & chemotherapy. A nurse finds that the patient has
developed iron deficiency anemia as a side effect. How should the nurse manage anemia in this patient?
(SELECT ALL THAT APPLY)
A. Monitor hemoglobin & hematocrit.
B. Monitor WBC count, especially neutrophils
C. Administer iron supplements and erythropoietin
D. Anticipate preparation for a bone marrow aspiration
E. Teach the patient to avoid large crowds and people with infections - ✔✔A, C
A 42-year-old patient with osteoarthritis of the knees has been taking celecoxib (Celebrex) 200 mg every
12 hours. The patient states that the drug does not seem to work as well as it used to in controlling the
pain. The nurse's response to the patient is based on the knowledge that:
A. Doubling the dose may be indicated as there is no ceiling effect with this medication
B. If NSAIDs are not effective in controlling symptoms, the next line of therapy is systemic corticosteroids
C. It may take several months for NSAIDs to reach maximal effectiveness
D. This patient may respond better to an alternate non-steroidal anti-inflammatory drug (NSAIDs) -
✔✔D
A patient with polycythemia is admitted to the health care facility every 2 months for phlebotomy.
Which intervention should the nurse perform when caring for this patient?
A. Restrict PO fluid intake per HCP order
B. Administer supplemental iron
C. Encourage leg exercises
D. Institute protective precautions - ✔✔C
, A patient with cancer has a right subclavian central venous catheter in place. The nurse who is caring for
the patient is teaching a student nurse about CVC care. How often should the nurse instruct the student
to change the dressing? (SELECT ALL THAT APPLY)
A. When the dressing is soiled
B. Every 72 hours
C. Per hospital policy
D. With every IV tubing change
E. When the dressing becomes loose - ✔✔A, C, E
The nurse who has converted to a + Mantoux test is placed on isoniazid (INH) for 6 months. Which lab
value(s) must be monitored regularly?
A. BUN & Cr (blood urea nitrogen & hematocrit)
B. INR (international normalized ratio)
C. ABG's (arterial blood gases)
D. LFT's (liver function tests) - ✔✔D
hepatotoxicity
A nurse is taking care of two patients who have a prescription to receive a blood transfusion of packed
red blood cells at the same time. The first patient's blood pressure dropped from preop + 120/80 - to
postop = 100/50. The second patient is hospitalized because he developed dehydration and anemia
following pneumonia. After checking the patency of their IV lines and vital signs, what should the nurse
do next?
A. Call for both blood transfusions at the same time
B. Ask another nurse to verify compatibility of both units at the same time
C. Call for and hang the first patient's blood transfusion
D. Ask another nurse to call for and hang the second patient's blood - ✔✔C
A patient is on oral iron for the treatment of anemia. The nurse should instruct the patient about what
side effects of oral iron preparations? (SELECT ALL THAT APPLY?)
COMPREHENSIVE EXAM REVIEW
A patient with cancer is receiving radiation & chemotherapy. A nurse finds that the patient has
developed iron deficiency anemia as a side effect. How should the nurse manage anemia in this patient?
(SELECT ALL THAT APPLY)
A. Monitor hemoglobin & hematocrit.
B. Monitor WBC count, especially neutrophils
C. Administer iron supplements and erythropoietin
D. Anticipate preparation for a bone marrow aspiration
E. Teach the patient to avoid large crowds and people with infections - ✔✔A, C
A 42-year-old patient with osteoarthritis of the knees has been taking celecoxib (Celebrex) 200 mg every
12 hours. The patient states that the drug does not seem to work as well as it used to in controlling the
pain. The nurse's response to the patient is based on the knowledge that:
A. Doubling the dose may be indicated as there is no ceiling effect with this medication
B. If NSAIDs are not effective in controlling symptoms, the next line of therapy is systemic corticosteroids
C. It may take several months for NSAIDs to reach maximal effectiveness
D. This patient may respond better to an alternate non-steroidal anti-inflammatory drug (NSAIDs) -
✔✔D
A patient with polycythemia is admitted to the health care facility every 2 months for phlebotomy.
Which intervention should the nurse perform when caring for this patient?
A. Restrict PO fluid intake per HCP order
B. Administer supplemental iron
C. Encourage leg exercises
D. Institute protective precautions - ✔✔C
, A patient with cancer has a right subclavian central venous catheter in place. The nurse who is caring for
the patient is teaching a student nurse about CVC care. How often should the nurse instruct the student
to change the dressing? (SELECT ALL THAT APPLY)
A. When the dressing is soiled
B. Every 72 hours
C. Per hospital policy
D. With every IV tubing change
E. When the dressing becomes loose - ✔✔A, C, E
The nurse who has converted to a + Mantoux test is placed on isoniazid (INH) for 6 months. Which lab
value(s) must be monitored regularly?
A. BUN & Cr (blood urea nitrogen & hematocrit)
B. INR (international normalized ratio)
C. ABG's (arterial blood gases)
D. LFT's (liver function tests) - ✔✔D
hepatotoxicity
A nurse is taking care of two patients who have a prescription to receive a blood transfusion of packed
red blood cells at the same time. The first patient's blood pressure dropped from preop + 120/80 - to
postop = 100/50. The second patient is hospitalized because he developed dehydration and anemia
following pneumonia. After checking the patency of their IV lines and vital signs, what should the nurse
do next?
A. Call for both blood transfusions at the same time
B. Ask another nurse to verify compatibility of both units at the same time
C. Call for and hang the first patient's blood transfusion
D. Ask another nurse to call for and hang the second patient's blood - ✔✔C
A patient is on oral iron for the treatment of anemia. The nurse should instruct the patient about what
side effects of oral iron preparations? (SELECT ALL THAT APPLY?)
