NMNC 1135 QUIZ REVIEW QUESTIONS AND ANSWERS |
NMNC 1135 STUDY GUIDE & PRACTICE TEST 2026/2027
When taking an adult blood pressure, the onset of the sound the nurse hears is at 138, the muffled
sound the nurse hears is at 70, and the disappearance of the sound the nurse hears is at 62. How should
the nurse record this finding?
A. 68
B. 76
C. 138/62
D. 138/70 - correct answer ✔✔C. 138/62
A nurse is caring for a patient who smokes and drinks caffeine-containing beverages. What should the
nurse understand before assessing the patient's blood pressure (BP)?
A. Smoking results in vasodilation, decreasing BP for up to 3 hours.
B. Caffeine increases BP for up to 15 minutes.
C. Smoking result in vasoconstriction, temporarily increasing BP.
D. Caffeine intake should be avoided 3 hours before BP measurement. - correct answer ✔✔C. Smoking
results in vasoconstriction, temporarily increasing BP.
Rationale: Rationale: Smoking results in vasoconstriction, a narrowing of blood vessels. BP rises when a
person smokes and returns to baseline about 15 to 20 minutes after stopping smoking. Caffeine
increases BP for up to 3 hours. Be sure that patient has not ingested caffeine or smoked 20 to 30 minutes
before BP measurement.
The nurse needs to obtain a radial pulse from a patient. What should the nurse do to obtain a correct
measurement?
A.
Place the tips of the first two fingers over the groove along the thumb side of the patient's wrist.
B.
Place the tips of the first two fingers over the groove along the little finger side of the patient's wrist.
C.
Place the thumb over the groove along the little finger side of the patient's wrist.
D.
Place the thumb over the groove along the thumb side of the patient's wrist. - correct answer ✔✔A.
Place the tips of the first two fingers over the groove along the thumb side of the patient's wrist.
The nurse is assessing the patient's respirations. Which action by the nurse is most appropriate?
A. Inform the patient of counting respirations.
B. Do not touch the patient until completed.
C. Obtain without the patient knowing.
D. Estimate respirations. - correct answer ✔✔C. Obtain without the patient knowing.
A patient is found to be unresponsive and not breathing. Which site should the nurse use to check the
patient's pulse rate?
A. Radial
B. Apical
, C. Carotid
D. Brachial - correct answer ✔✔C. Carotid
An older adult patient is wearing a hearing aid. Which technique would be most helpful to facilitate
communication?
A. Chew gum.
B. Turn off the television.
C. Speak clearly and loudly.
D. Use at least 14-point print. - correct answer ✔✔B. Turn off the television.
A nurse is taking a history on a patient who cannot speak English. Which action should the nurse take to
provide effective care?
A. Find a mental health nurse specialist.
B. Refer to a speech therapist.
C. Obtain an interpreter.
D. Let a close family member explain. - correct answer ✔✔C. Obtain an interpreter.
A nurse asks a patient where their pain is located, and the patient responds by pointing to the area of
pain. Which form of communication did the patient use?
A. Verbal
B. Vocabulary
C. Nonverbal
D. Intonation - correct answer ✔✔C. Nonverbal
When interviewing a client, the nurse wants to use an open-ended question. Which of the following
questions should the nurse use?
A. Do you have any concerns right now?
B. How many times do you get up to go to the bathroom at night?
C. Is your family worried about you being in the hospital?
D. What do you mean when you say, "I don't feel quite right?" - correct answer ✔✔D. What do you
mean when you say, "I don't feel quite right?"
Which types of patients can cause challenging communication situations? (Select all that apply.)
A. A patient who is cooperative with treatments
B. A patient who is outgoing and flirty
C. A patient who is demanding
D. A patient who can clearly see small print
E. A patient frightened by the prospect of impending surgery
F. A patient who is developmentally delayed - correct answer ✔✔B, C, E, F.
Rationale: Challenging communication situations include patients who are flirtatious, demanding,
frightened, or developmentally delayed. A child who has received little environmental stimulation
possibly is behind in language development, thus making communication more challenging. Patients
who are cooperative and have good eyesight (see small print) do not cause challenging communication
situations.
What is a technique to prevent lifting injuries for the nurse?
A. Encourage the patient not to help.
B. Slide patient with a pull sheet.
NMNC 1135 STUDY GUIDE & PRACTICE TEST 2026/2027
When taking an adult blood pressure, the onset of the sound the nurse hears is at 138, the muffled
sound the nurse hears is at 70, and the disappearance of the sound the nurse hears is at 62. How should
the nurse record this finding?
A. 68
B. 76
C. 138/62
D. 138/70 - correct answer ✔✔C. 138/62
A nurse is caring for a patient who smokes and drinks caffeine-containing beverages. What should the
nurse understand before assessing the patient's blood pressure (BP)?
A. Smoking results in vasodilation, decreasing BP for up to 3 hours.
B. Caffeine increases BP for up to 15 minutes.
C. Smoking result in vasoconstriction, temporarily increasing BP.
D. Caffeine intake should be avoided 3 hours before BP measurement. - correct answer ✔✔C. Smoking
results in vasoconstriction, temporarily increasing BP.
Rationale: Rationale: Smoking results in vasoconstriction, a narrowing of blood vessels. BP rises when a
person smokes and returns to baseline about 15 to 20 minutes after stopping smoking. Caffeine
increases BP for up to 3 hours. Be sure that patient has not ingested caffeine or smoked 20 to 30 minutes
before BP measurement.
The nurse needs to obtain a radial pulse from a patient. What should the nurse do to obtain a correct
measurement?
A.
Place the tips of the first two fingers over the groove along the thumb side of the patient's wrist.
B.
Place the tips of the first two fingers over the groove along the little finger side of the patient's wrist.
C.
Place the thumb over the groove along the little finger side of the patient's wrist.
D.
Place the thumb over the groove along the thumb side of the patient's wrist. - correct answer ✔✔A.
Place the tips of the first two fingers over the groove along the thumb side of the patient's wrist.
The nurse is assessing the patient's respirations. Which action by the nurse is most appropriate?
A. Inform the patient of counting respirations.
B. Do not touch the patient until completed.
C. Obtain without the patient knowing.
D. Estimate respirations. - correct answer ✔✔C. Obtain without the patient knowing.
A patient is found to be unresponsive and not breathing. Which site should the nurse use to check the
patient's pulse rate?
A. Radial
B. Apical
, C. Carotid
D. Brachial - correct answer ✔✔C. Carotid
An older adult patient is wearing a hearing aid. Which technique would be most helpful to facilitate
communication?
A. Chew gum.
B. Turn off the television.
C. Speak clearly and loudly.
D. Use at least 14-point print. - correct answer ✔✔B. Turn off the television.
A nurse is taking a history on a patient who cannot speak English. Which action should the nurse take to
provide effective care?
A. Find a mental health nurse specialist.
B. Refer to a speech therapist.
C. Obtain an interpreter.
D. Let a close family member explain. - correct answer ✔✔C. Obtain an interpreter.
A nurse asks a patient where their pain is located, and the patient responds by pointing to the area of
pain. Which form of communication did the patient use?
A. Verbal
B. Vocabulary
C. Nonverbal
D. Intonation - correct answer ✔✔C. Nonverbal
When interviewing a client, the nurse wants to use an open-ended question. Which of the following
questions should the nurse use?
A. Do you have any concerns right now?
B. How many times do you get up to go to the bathroom at night?
C. Is your family worried about you being in the hospital?
D. What do you mean when you say, "I don't feel quite right?" - correct answer ✔✔D. What do you
mean when you say, "I don't feel quite right?"
Which types of patients can cause challenging communication situations? (Select all that apply.)
A. A patient who is cooperative with treatments
B. A patient who is outgoing and flirty
C. A patient who is demanding
D. A patient who can clearly see small print
E. A patient frightened by the prospect of impending surgery
F. A patient who is developmentally delayed - correct answer ✔✔B, C, E, F.
Rationale: Challenging communication situations include patients who are flirtatious, demanding,
frightened, or developmentally delayed. A child who has received little environmental stimulation
possibly is behind in language development, thus making communication more challenging. Patients
who are cooperative and have good eyesight (see small print) do not cause challenging communication
situations.
What is a technique to prevent lifting injuries for the nurse?
A. Encourage the patient not to help.
B. Slide patient with a pull sheet.
