NURS 318 Exam 1 Practice Questions With Complete
Solutions
A "Do not resuscitate" (DNR) client has a non-rebreather
oxygen mask, and breathing appears to be labored. What does
the nurse do FIRST?
1. Ensures that the tubing is patent and that oxygen flow is high.
2. Notifies the chaplain and the family member of record.
3. Calls the Rapid Response Team and prepares to intubate.
4. Comforts the client and confirms that signed DNR
prescriptions are in the client. Correct Answer 1
A client has a primary problem of inadequate nutrition caused
by the effects of chemotherapy. The client is receiving
continuous enteral feedings through a nasogastric tube (NG)
tube. What does the RN ask the LPN/LVN to do for this client?
1. Assess nutritional parameters on the client every 3 days.
2. Check the residual volume of the NG tube every 4 hours.
3. Monitor the client for signs and symptoms of pneumonia.
4. Teach the client about the purpose of enteral feedings.
Correct Answer 2
A client is admitted to the ED who is vomiting bright red blood.
The vital signs include T 99, P 130, R 34, and BP 110/74.
Which of the following interventions should the nurse
implement FIRST?
1. Draw blood for a CBC.
2. Prepare the patient for EGD.
,3. Obtain the pulse oximetry reading.
4. Infused 1000mL of LR over 30 minutes. Correct Answer 3
A client is discharged home with an enteral feeding tube. What
does the home health nurse do to determine the patency of the
client's enteral tube?
1. Arranges for the client to have an x-ray performed
periodically.
2. Auscultates the client's abdomen for bowel sounds before
each feeding.
3. Instills air into the tube to check for placement and patency
before each feeding.
4. Tests aspirated tube contents for pH level before each feeding.
Correct Answer 4
A client is receiving enteral nutrition to restore nutritional status.
What does the nurse do to assess the effectiveness of the EN for
the client?
1. Keeps an accurate and precise fluid intake record daily.
2. Makes certain the client is weighed daily at the same time.
3. Monitors vital signs every 4 hours and as needed.
4. Weekly assess the client's skin for evidence(s) of breakdown.
Correct Answer 2
A client is scheduled for a colonoscopy. What does the nurse tell
the client to do BEFORE the procedure is performed?
1. "Begin a clear liquid diet the day before the test."
2. "Do not eat or drink anything for 12 hours before the test."
, 3. "Give yourself tap water enemas until the fluid returns are
clear."
4. "You will have to drink a contrast liquid 2 hours before the
test." Correct Answer 1
A client who has been diagnosed with gastroesophageal reflux
disease (GERD) complains of heartburn. To decrease the
heartburn, the nurse should instruct the client to eliminate which
of the following items from the diet?
1. Lean beef
2. Air-popped popcorn
3. Hot chocolate
4. Raw vegetables Correct Answer 3
A client who has had ulcerative colitis for the past 5 years is
admitted to the hospital with an exacerbation of the disease.
Which of the following factors was most likely of GREATEST
significance in causing an exacerbation of ulcerative colitis?
1. A demanding and stressful job
2. Changing to a modified vegetarian diet
3. Beginning a weight-training program
4. Walking 2 miles every day Correct Answer 1
A client's ulcerative colitis signs and symptoms have been
present for longer than 1 week. The nurse should assess the
client for signs and symptoms of which of the following
complications?
1. Heart failure.
Solutions
A "Do not resuscitate" (DNR) client has a non-rebreather
oxygen mask, and breathing appears to be labored. What does
the nurse do FIRST?
1. Ensures that the tubing is patent and that oxygen flow is high.
2. Notifies the chaplain and the family member of record.
3. Calls the Rapid Response Team and prepares to intubate.
4. Comforts the client and confirms that signed DNR
prescriptions are in the client. Correct Answer 1
A client has a primary problem of inadequate nutrition caused
by the effects of chemotherapy. The client is receiving
continuous enteral feedings through a nasogastric tube (NG)
tube. What does the RN ask the LPN/LVN to do for this client?
1. Assess nutritional parameters on the client every 3 days.
2. Check the residual volume of the NG tube every 4 hours.
3. Monitor the client for signs and symptoms of pneumonia.
4. Teach the client about the purpose of enteral feedings.
Correct Answer 2
A client is admitted to the ED who is vomiting bright red blood.
The vital signs include T 99, P 130, R 34, and BP 110/74.
Which of the following interventions should the nurse
implement FIRST?
1. Draw blood for a CBC.
2. Prepare the patient for EGD.
,3. Obtain the pulse oximetry reading.
4. Infused 1000mL of LR over 30 minutes. Correct Answer 3
A client is discharged home with an enteral feeding tube. What
does the home health nurse do to determine the patency of the
client's enteral tube?
1. Arranges for the client to have an x-ray performed
periodically.
2. Auscultates the client's abdomen for bowel sounds before
each feeding.
3. Instills air into the tube to check for placement and patency
before each feeding.
4. Tests aspirated tube contents for pH level before each feeding.
Correct Answer 4
A client is receiving enteral nutrition to restore nutritional status.
What does the nurse do to assess the effectiveness of the EN for
the client?
1. Keeps an accurate and precise fluid intake record daily.
2. Makes certain the client is weighed daily at the same time.
3. Monitors vital signs every 4 hours and as needed.
4. Weekly assess the client's skin for evidence(s) of breakdown.
Correct Answer 2
A client is scheduled for a colonoscopy. What does the nurse tell
the client to do BEFORE the procedure is performed?
1. "Begin a clear liquid diet the day before the test."
2. "Do not eat or drink anything for 12 hours before the test."
, 3. "Give yourself tap water enemas until the fluid returns are
clear."
4. "You will have to drink a contrast liquid 2 hours before the
test." Correct Answer 1
A client who has been diagnosed with gastroesophageal reflux
disease (GERD) complains of heartburn. To decrease the
heartburn, the nurse should instruct the client to eliminate which
of the following items from the diet?
1. Lean beef
2. Air-popped popcorn
3. Hot chocolate
4. Raw vegetables Correct Answer 3
A client who has had ulcerative colitis for the past 5 years is
admitted to the hospital with an exacerbation of the disease.
Which of the following factors was most likely of GREATEST
significance in causing an exacerbation of ulcerative colitis?
1. A demanding and stressful job
2. Changing to a modified vegetarian diet
3. Beginning a weight-training program
4. Walking 2 miles every day Correct Answer 1
A client's ulcerative colitis signs and symptoms have been
present for longer than 1 week. The nurse should assess the
client for signs and symptoms of which of the following
complications?
1. Heart failure.
