NUR 163 Exam 1 Review Weeks 1-4
Complete Study Guide & Nursing
Review Notes Exam Prep Summary |
Verified Questions
NUR 163 Exam 1 Review Weeks 1-4 | Comprehensive Examination
NUR 163 Exam 1 Review Weeks 1-4 Complete Study Guide &
Nursing Review Notes Exam Prep Summary actual exam
preparation document with verified questions, complete
INTRODUCTION
This document is an important and very helpful preparation
resource for NUR 163 Exam 1 Review Weeks 1-4 Complete
Study Guide & Nursing Review Notes Exam Prep Summary.
Every item uses a focused exam stem, four response options, a
keyed response, and a clear rationale, making it easier to
understand the subject, spot distractors, and build real exam
confidence.
Page 1
, Question 1
A patient reports a sudden onset of sharp, unilateral flank pain radiating to the
groin. Which assessment technique should the nurse use first to differentiate
renal colic from musculoskeletal pain?
A. Perform deep palpation of the abdomen to assess for rebound
tenderness.
B. Auscultate the abdomen for renal bruits before palpation.
C. Ask the patient to perform a straight-leg raise test.
D. Inspect the urine for hematuria and obtain a urine sample for analysis.
Correct Answer: D - Inspect the urine for hematuria and obtain a
urine sample for analysis.
RATIONALE
Renal colic often presents with hematuria; urinalysis is a rapid,
non-invasive first step to differentiate renal from musculoskeletal
causes. Deep palpation (A) may worsen pain and is not diagnostic.
Auscultation (B) assesses vascular flow, not colic. Straight-leg raise
(C) tests for nerve root irritation, not renal origin.
Question 2
Which action by the nurse best demonstrates the principle of surgical asepsis
when preparing a sterile field?
A. Opening the sterile package with clean gloves and placing it on the
bedside table.
B. Holding sterile items close to the body to prevent contamination.
C. Pouring sterile solution from a height of 6 inches above the sterile
field.
D. Considering the outer 1-inch border of the sterile drape as
contaminated.
Correct Answer: D - Considering the outer 1-inch border of the
sterile drape as contaminated.
Page 2
, RATIONALE
The outer 1-inch edge of a sterile field is considered contaminated
because it may come into contact with unsterile surfaces. Clean gloves
(A) are not sterile and can contaminate the field. Holding items close
to the body (B) increases contamination risk from clothing. Pouring
from a height (C) can cause splashing and contamination.
Question 3
A provider orders 0.5 mg of digoxin IV for a patient with heart failure. The
pharmacy supplies digoxin 0.25 mg/mL. How many mL should the nurse
administer?
A. 0.5 mL
B. 1 mL
C. 2 mL
D. 2.5 mL
Correct Answer: C - 2 mL
RATIONALE
Using the formula: Volume = Dose ordered / Dose available × Volume
available. 0.5 mg / 0.25 mg × 1 mL = 2 mL. Options A, B, and D are
incorrect calculations and could lead to under- or over-dosing of a
high-alert medication.
Question 4
Which statement by the nurse indicates correct understanding of
transmission-based precautions for a patient with Clostridioides difficile
infection?
A. I will wear a gown and gloves and perform hand hygiene with
alcohol-based rub after care.
B. I will place the patient in a negative-pressure room and wear an N95
respirator.
C. I will wear a gown and gloves and perform hand hygiene with soap
Page 3
, and water after care.
D. I will wear a mask and eye protection when within 3 feet of the
patient.
Correct Answer: C - I will wear a gown and gloves and perform
hand hygiene with soap and water after care.
RATIONALE
C. difficile requires contact precautions, and soap and water is
necessary because alcohol does not kill spores. Alcohol-based rub (A)
is ineffective against spores. Negative-pressure room and N95 (B) are
for airborne precautions. Mask and eye protection (D) are for droplet
precautions.
Question 5
During a preoperative assessment, which finding most significantly increases
the patient's risk for postoperative respiratory complications?
A. A history of well-controlled asthma.
B. A body mass index (BMI) of 32 kg/m².
C. A 20-pack-year smoking history.
D. Recent use of a bronchodilator inhaler.
Correct Answer: C - A 20-pack-year smoking history.
RATIONALE
Smoking impairs mucociliary clearance and increases secretions,
significantly raising the risk of postoperative pneumonia and
atelectasis. Well-controlled asthma (A) and bronchodilator use (D) are
not as strongly predictive. Obesity (B) increases risk but is less
impactful than active smoking.
Question 6
A patient is prescribed enoxaparin 40 mg subcutaneously daily for DVT
prophylaxis. Which administration technique is correct?
Page 4
Complete Study Guide & Nursing
Review Notes Exam Prep Summary |
Verified Questions
NUR 163 Exam 1 Review Weeks 1-4 | Comprehensive Examination
NUR 163 Exam 1 Review Weeks 1-4 Complete Study Guide &
Nursing Review Notes Exam Prep Summary actual exam
preparation document with verified questions, complete
INTRODUCTION
This document is an important and very helpful preparation
resource for NUR 163 Exam 1 Review Weeks 1-4 Complete
Study Guide & Nursing Review Notes Exam Prep Summary.
Every item uses a focused exam stem, four response options, a
keyed response, and a clear rationale, making it easier to
understand the subject, spot distractors, and build real exam
confidence.
Page 1
, Question 1
A patient reports a sudden onset of sharp, unilateral flank pain radiating to the
groin. Which assessment technique should the nurse use first to differentiate
renal colic from musculoskeletal pain?
A. Perform deep palpation of the abdomen to assess for rebound
tenderness.
B. Auscultate the abdomen for renal bruits before palpation.
C. Ask the patient to perform a straight-leg raise test.
D. Inspect the urine for hematuria and obtain a urine sample for analysis.
Correct Answer: D - Inspect the urine for hematuria and obtain a
urine sample for analysis.
RATIONALE
Renal colic often presents with hematuria; urinalysis is a rapid,
non-invasive first step to differentiate renal from musculoskeletal
causes. Deep palpation (A) may worsen pain and is not diagnostic.
Auscultation (B) assesses vascular flow, not colic. Straight-leg raise
(C) tests for nerve root irritation, not renal origin.
Question 2
Which action by the nurse best demonstrates the principle of surgical asepsis
when preparing a sterile field?
A. Opening the sterile package with clean gloves and placing it on the
bedside table.
B. Holding sterile items close to the body to prevent contamination.
C. Pouring sterile solution from a height of 6 inches above the sterile
field.
D. Considering the outer 1-inch border of the sterile drape as
contaminated.
Correct Answer: D - Considering the outer 1-inch border of the
sterile drape as contaminated.
Page 2
, RATIONALE
The outer 1-inch edge of a sterile field is considered contaminated
because it may come into contact with unsterile surfaces. Clean gloves
(A) are not sterile and can contaminate the field. Holding items close
to the body (B) increases contamination risk from clothing. Pouring
from a height (C) can cause splashing and contamination.
Question 3
A provider orders 0.5 mg of digoxin IV for a patient with heart failure. The
pharmacy supplies digoxin 0.25 mg/mL. How many mL should the nurse
administer?
A. 0.5 mL
B. 1 mL
C. 2 mL
D. 2.5 mL
Correct Answer: C - 2 mL
RATIONALE
Using the formula: Volume = Dose ordered / Dose available × Volume
available. 0.5 mg / 0.25 mg × 1 mL = 2 mL. Options A, B, and D are
incorrect calculations and could lead to under- or over-dosing of a
high-alert medication.
Question 4
Which statement by the nurse indicates correct understanding of
transmission-based precautions for a patient with Clostridioides difficile
infection?
A. I will wear a gown and gloves and perform hand hygiene with
alcohol-based rub after care.
B. I will place the patient in a negative-pressure room and wear an N95
respirator.
C. I will wear a gown and gloves and perform hand hygiene with soap
Page 3
, and water after care.
D. I will wear a mask and eye protection when within 3 feet of the
patient.
Correct Answer: C - I will wear a gown and gloves and perform
hand hygiene with soap and water after care.
RATIONALE
C. difficile requires contact precautions, and soap and water is
necessary because alcohol does not kill spores. Alcohol-based rub (A)
is ineffective against spores. Negative-pressure room and N95 (B) are
for airborne precautions. Mask and eye protection (D) are for droplet
precautions.
Question 5
During a preoperative assessment, which finding most significantly increases
the patient's risk for postoperative respiratory complications?
A. A history of well-controlled asthma.
B. A body mass index (BMI) of 32 kg/m².
C. A 20-pack-year smoking history.
D. Recent use of a bronchodilator inhaler.
Correct Answer: C - A 20-pack-year smoking history.
RATIONALE
Smoking impairs mucociliary clearance and increases secretions,
significantly raising the risk of postoperative pneumonia and
atelectasis. Well-controlled asthma (A) and bronchodilator use (D) are
not as strongly predictive. Obesity (B) increases risk but is less
impactful than active smoking.
Question 6
A patient is prescribed enoxaparin 40 mg subcutaneously daily for DVT
prophylaxis. Which administration technique is correct?
Page 4
