Which action should the nurse take first? - ANSWER- notify the rapid response team
and provide vent support - primary trigger for respiration in a client with chronic
respiratory acidosis is a decreased arterial oxygen level (hypoxic drive). Oxygen therapy
can inhibit respiratory efforts in this case, eventually causing respiratory arrest and
death.
What actions by the circulating nurse are important to promote client comfort? (Select
all that apply.) - ANSWER- Correct positioning, Introducing ones self, Providing warmth,
Removing hearing aids
tourniquet
through the renal system.
The postanesthesia care unit (PACU) charge nurse notes vital signs on four
postoperative clients. Which client should the nurse assess first? - ANSWER- Client
with a respiratory rate of 6 breaths/min - respiratory rate is the most critical vital sign for
any client who has undergone general anesthesia or
The perioperative nurse manager and the postoperative unit manager are concerned
about the increasing number of surgical infections in their hospital. What action by the
managers is best? - ANSWER- Audit charts to see if the Surgical Care Improvement
Project (SCIP) outcomes were met - project contains core measures that are mandatory
for all surgical clients and focuses on preventing infection, serious cardiac events, and
venous thromboembolism.
The nursing student observing in the perioperative area notes the unique functions of
the circulating nurse, which include which roles? (SATA) - ANSWER- Ensuring the
clients safety, Monitoring traffic in the room - including maintaining client safety and
privacy, monitoring traffic in and out of the operating room, assessing fluid losses,
reporting findings to the surgeon and anesthesia provider, anticipating needs of the
team, and communicating to the family.
The circulating nurse reviews the days schedule and notes clients who are at higher risk
of anesthetic overdose and other anesthesia-related complications. Which clients does
this include? (Select all that apply.) - ANSWER- A 75-year-old client scheduled for an
elective procedure, Client who drinks a 6-pack of beer each day, Client with a serum
creatinine of 3.8 mg/dL, Client who is taking birth control pills - Drinking a 6-pack of beer
per day possibly indicates some liver disease; a creatinine of 3.8 is high, indicating renal
disease; and the genetic mutation increases the chance of malignant hyperthermia.
Taking birth control pills is not a risk factor.
The circulating nurse is plugging in a piece of equipment and notes that the cord is
frayed. What action by the nurse is best? - ANSWER- get another piece of equipment
The circulating nurse is in the operating room and sees the surgeon don gown and
gloves using appropriate sterile procedure. The surgeon then folds the hands together
and places them down below the hips. What action by the nurse is most appropriate? -
ANSWER- Inform the surgeon that the sterile field has been broken
The circulating nurse and preoperative nurse are reviewing the chart of a client
scheduled for minimally invasive surgery (MIS). What information on the chart needs to
be reported to the surgeon as a priority? - ANSWER- Consent for MIS procedure only -
all MIS procedures have the potential for becoming open procedures depending on
findings and complications.
,Ten hours after surgery, a postoperative client reports that the antiembolism stockings
and sequential compression devices itch and are too hot. The client asks the nurse to
remove them. What response by the nurse is best? - ANSWER- To prevent blood clots
you need them a few more hours
response by the nurse is best? - ANSWER- Sometimes older people take longer to
wake up - it may take longer for an older adult to metabolize anesthetic agents and pain
medications, making it appear that they are taking too long to wake up and return to
their normal baseline cognitive status.
pH = 7.28 Pulse rate = 96 beats/min
PaO2 = 85 mm Hg Blood pressure = 135/45
PaCO2 = 55 mm Hg Respiratory rate = 6 breaths/min
NUR 130 Exam One Questions With
Correct Detailed Answers 2025 .
muscle contractions and no gas exchange.
moderate sedation, or has received opioid analgesia. This respiratory rate is too low
and indicates respiratory
hyperventilation.
HCO3 = 26 mEq/L O2 saturation = 88%
diarrhea.
depression.
catheter or occlude the lumen.
blood
Arterial Blood Gases Vital Signs
and in eye-readable format? (Select all that apply.) - ANSWER- Unique facility identifier,
Lot number related to the donor, Blood type of the client receiving
An older client is hospitalized after an operation. When assessing the client for
postoperative infection, the nurse places priority on which assessment? - ANSWER-
Change in behavior
An older client had hip replacement surgery and the surgeon prescribed morphine
sulfate for pain. The client is allergic to morphine and reports pain and muscle spasms.
When the nurse calls the surgeon, which medication should he or she suggest in place
of the morphine? - ANSWER- Hydromorphone hydrochloride (Dilaudid)
An older adult recently retired and reports being depressed and lonely. What
information should the nurse assess as a priority? - ANSWER- Role of work in the
adults life
An older adult is brought to the emergency department because of sudden onset of
confusion. After the client is stabilized and comfortable, what assessment by the nurse
is most important? - ANSWER- Determine if there are new medications
An older adult has been transferred to the postoperative inpatient unit after surgery. The
family is concerned that the client is not waking up quickly and states She needs to get
back to her old self! What
An older adult client takes medication three times a day and becomes confused about
which medication should be taken at which time. The client refuses to use a pill sorter
, with slots for different times, saying Those are for old people. What action by the nurse
would be most helpful? - ANSWER- Putting color coded stickers on the bottle caps
An older adult client is in the hospital. The client is ambulatory and independent. What
intervention by the nurse would be most helpful in preventing falls in this client? -
ANSWER- Keeping the light on in the bathroom
An interdisciplinary team is caring for a client on a rehabilitation unit. Which team
members are paired with the correct roles and responsibilities? (Select all that apply.) -
ANSWER- Speech-language pathologist Evaluates and retrains clients with swallowing
problems, Physical therapist Assists clients with ambulation and walker training,
Vocational counselor Works with clients who have experienced head injuries
An inpatient nurse brings an informed consent form to a client for an operation
scheduled for tomorrow. The client asks about possible complications from the
operation. What response by the nurse is best? - ANSWER- do not have the client sign
the consent and call the surgeon
After teaching a client who was malnourished and is being discharged, a nurse
assesses the clients understanding. Which statement indicates the client correctly
understood teaching to decrease risk for the development of metabolic acidosis? -
ANSWER- I will eat three well balanced meals and snacks daily
After teaching a client who is prescribed a restricted sodium diet, a nurse assesses the
clients understanding. Which food choice indicates the clients understanding? -
ANSWER- Grilled chicken breast with glazed carrots
After teaching a client who is being treated for dehydration, a nurse assesses the clients
understanding. Which statement indicates the client correctly understood the teaching?
- ANSWER- i will weigh myself each morning before i eat or drink
After teaching a client to increase dietary potassium intake, a nurse assesses the clients
understanding. Which dietary meal selection indicates the client correctly understands
the teaching? - ANSWER- Sausage, one slice of whole wheat toast, half cup of raisins,
and a glass of milk - Meat, dairy products, and dried fruit have high concentrations of
potassium.
After providing discharge teaching, a nurse assesses the clients understanding
regarding increased risk for metabolic alkalosis. Which statement indicates the client
needs additional teaching? - ANSWER- I take sodium bicarbonate after every meal to
prevent heart burn
After administering 40 mEq of potassium chloride, a nurse evaluates the clients
response. Which manifestations indicate that treatment is improving the clients
hypokalemia? (Select all that apply.) - ANSWER- Strong productive cough, active bowel
sounds - productive cough indicates an increase in muscle strength and improved
potassium imbalance and active bowel sounds indicate treatment is working
A visiting nurse is in the home of an older adult and notes a 7-pound weight loss since
last months visit. Which actions should the nurse perform first? (Select all that apply) -
ANSWER- assess the clients ability to drive or transportation alternatives, determine in
the client has dentures that fit properly, have a client complete a 3-day diet recall
A student nurse observing in the operating room notes that the functions of the Certified
Registered Nurse First Assistant (CRNFA) include which activities? (Select all that
apply.) - ANSWER- Dressing the surgical wound, Suctioning the surgical site, Suturing
the surgical wound - can perform tasks under the direction of the surgeon
and provide vent support - primary trigger for respiration in a client with chronic
respiratory acidosis is a decreased arterial oxygen level (hypoxic drive). Oxygen therapy
can inhibit respiratory efforts in this case, eventually causing respiratory arrest and
death.
What actions by the circulating nurse are important to promote client comfort? (Select
all that apply.) - ANSWER- Correct positioning, Introducing ones self, Providing warmth,
Removing hearing aids
tourniquet
through the renal system.
The postanesthesia care unit (PACU) charge nurse notes vital signs on four
postoperative clients. Which client should the nurse assess first? - ANSWER- Client
with a respiratory rate of 6 breaths/min - respiratory rate is the most critical vital sign for
any client who has undergone general anesthesia or
The perioperative nurse manager and the postoperative unit manager are concerned
about the increasing number of surgical infections in their hospital. What action by the
managers is best? - ANSWER- Audit charts to see if the Surgical Care Improvement
Project (SCIP) outcomes were met - project contains core measures that are mandatory
for all surgical clients and focuses on preventing infection, serious cardiac events, and
venous thromboembolism.
The nursing student observing in the perioperative area notes the unique functions of
the circulating nurse, which include which roles? (SATA) - ANSWER- Ensuring the
clients safety, Monitoring traffic in the room - including maintaining client safety and
privacy, monitoring traffic in and out of the operating room, assessing fluid losses,
reporting findings to the surgeon and anesthesia provider, anticipating needs of the
team, and communicating to the family.
The circulating nurse reviews the days schedule and notes clients who are at higher risk
of anesthetic overdose and other anesthesia-related complications. Which clients does
this include? (Select all that apply.) - ANSWER- A 75-year-old client scheduled for an
elective procedure, Client who drinks a 6-pack of beer each day, Client with a serum
creatinine of 3.8 mg/dL, Client who is taking birth control pills - Drinking a 6-pack of beer
per day possibly indicates some liver disease; a creatinine of 3.8 is high, indicating renal
disease; and the genetic mutation increases the chance of malignant hyperthermia.
Taking birth control pills is not a risk factor.
The circulating nurse is plugging in a piece of equipment and notes that the cord is
frayed. What action by the nurse is best? - ANSWER- get another piece of equipment
The circulating nurse is in the operating room and sees the surgeon don gown and
gloves using appropriate sterile procedure. The surgeon then folds the hands together
and places them down below the hips. What action by the nurse is most appropriate? -
ANSWER- Inform the surgeon that the sterile field has been broken
The circulating nurse and preoperative nurse are reviewing the chart of a client
scheduled for minimally invasive surgery (MIS). What information on the chart needs to
be reported to the surgeon as a priority? - ANSWER- Consent for MIS procedure only -
all MIS procedures have the potential for becoming open procedures depending on
findings and complications.
,Ten hours after surgery, a postoperative client reports that the antiembolism stockings
and sequential compression devices itch and are too hot. The client asks the nurse to
remove them. What response by the nurse is best? - ANSWER- To prevent blood clots
you need them a few more hours
response by the nurse is best? - ANSWER- Sometimes older people take longer to
wake up - it may take longer for an older adult to metabolize anesthetic agents and pain
medications, making it appear that they are taking too long to wake up and return to
their normal baseline cognitive status.
pH = 7.28 Pulse rate = 96 beats/min
PaO2 = 85 mm Hg Blood pressure = 135/45
PaCO2 = 55 mm Hg Respiratory rate = 6 breaths/min
NUR 130 Exam One Questions With
Correct Detailed Answers 2025 .
muscle contractions and no gas exchange.
moderate sedation, or has received opioid analgesia. This respiratory rate is too low
and indicates respiratory
hyperventilation.
HCO3 = 26 mEq/L O2 saturation = 88%
diarrhea.
depression.
catheter or occlude the lumen.
blood
Arterial Blood Gases Vital Signs
and in eye-readable format? (Select all that apply.) - ANSWER- Unique facility identifier,
Lot number related to the donor, Blood type of the client receiving
An older client is hospitalized after an operation. When assessing the client for
postoperative infection, the nurse places priority on which assessment? - ANSWER-
Change in behavior
An older client had hip replacement surgery and the surgeon prescribed morphine
sulfate for pain. The client is allergic to morphine and reports pain and muscle spasms.
When the nurse calls the surgeon, which medication should he or she suggest in place
of the morphine? - ANSWER- Hydromorphone hydrochloride (Dilaudid)
An older adult recently retired and reports being depressed and lonely. What
information should the nurse assess as a priority? - ANSWER- Role of work in the
adults life
An older adult is brought to the emergency department because of sudden onset of
confusion. After the client is stabilized and comfortable, what assessment by the nurse
is most important? - ANSWER- Determine if there are new medications
An older adult has been transferred to the postoperative inpatient unit after surgery. The
family is concerned that the client is not waking up quickly and states She needs to get
back to her old self! What
An older adult client takes medication three times a day and becomes confused about
which medication should be taken at which time. The client refuses to use a pill sorter
, with slots for different times, saying Those are for old people. What action by the nurse
would be most helpful? - ANSWER- Putting color coded stickers on the bottle caps
An older adult client is in the hospital. The client is ambulatory and independent. What
intervention by the nurse would be most helpful in preventing falls in this client? -
ANSWER- Keeping the light on in the bathroom
An interdisciplinary team is caring for a client on a rehabilitation unit. Which team
members are paired with the correct roles and responsibilities? (Select all that apply.) -
ANSWER- Speech-language pathologist Evaluates and retrains clients with swallowing
problems, Physical therapist Assists clients with ambulation and walker training,
Vocational counselor Works with clients who have experienced head injuries
An inpatient nurse brings an informed consent form to a client for an operation
scheduled for tomorrow. The client asks about possible complications from the
operation. What response by the nurse is best? - ANSWER- do not have the client sign
the consent and call the surgeon
After teaching a client who was malnourished and is being discharged, a nurse
assesses the clients understanding. Which statement indicates the client correctly
understood teaching to decrease risk for the development of metabolic acidosis? -
ANSWER- I will eat three well balanced meals and snacks daily
After teaching a client who is prescribed a restricted sodium diet, a nurse assesses the
clients understanding. Which food choice indicates the clients understanding? -
ANSWER- Grilled chicken breast with glazed carrots
After teaching a client who is being treated for dehydration, a nurse assesses the clients
understanding. Which statement indicates the client correctly understood the teaching?
- ANSWER- i will weigh myself each morning before i eat or drink
After teaching a client to increase dietary potassium intake, a nurse assesses the clients
understanding. Which dietary meal selection indicates the client correctly understands
the teaching? - ANSWER- Sausage, one slice of whole wheat toast, half cup of raisins,
and a glass of milk - Meat, dairy products, and dried fruit have high concentrations of
potassium.
After providing discharge teaching, a nurse assesses the clients understanding
regarding increased risk for metabolic alkalosis. Which statement indicates the client
needs additional teaching? - ANSWER- I take sodium bicarbonate after every meal to
prevent heart burn
After administering 40 mEq of potassium chloride, a nurse evaluates the clients
response. Which manifestations indicate that treatment is improving the clients
hypokalemia? (Select all that apply.) - ANSWER- Strong productive cough, active bowel
sounds - productive cough indicates an increase in muscle strength and improved
potassium imbalance and active bowel sounds indicate treatment is working
A visiting nurse is in the home of an older adult and notes a 7-pound weight loss since
last months visit. Which actions should the nurse perform first? (Select all that apply) -
ANSWER- assess the clients ability to drive or transportation alternatives, determine in
the client has dentures that fit properly, have a client complete a 3-day diet recall
A student nurse observing in the operating room notes that the functions of the Certified
Registered Nurse First Assistant (CRNFA) include which activities? (Select all that
apply.) - ANSWER- Dressing the surgical wound, Suctioning the surgical site, Suturing
the surgical wound - can perform tasks under the direction of the surgeon
