NUR 301 Exam 1 Latest 2025-2026
Accurate Spring The University Of
Maine Graded A+
The nurse admits a pt who was rescued from a smokey upstairs bedroom during a
home fire. The pt reports headache, nausea, and drowsiness, and skin is red-purple.
the nurse recognizes these symptoms are usually associated with which condition?
a. anxiety following a catastrophic event
b. superficial partial thickness burns
c. carbon monoxide poisoning
d. lactic acidosis
c. carbon monoxide poisoning
which route of administration does the nurse use when giving a mantoux test?
a. intradermal injection
b. subcutaneous injection
c. local implanation
d. im injection
a. intradermal injection
albuterol and beclomethason by metered dose inhaler are prescribed for a pt
diagnosed with asthma. the pt asks why she has to be concerned about which
medication to take first and waiting in between meds. the nurse's best response is
which?
a. that is how your doctor wrote the prescription
b. you do not have to be concerned
c. that is the standard way these are administered
d. the albuterol will open up the airway so the beclomethasone can be better
absorbed. you wait to allow the albuterol to have its full effect
d. the albuterol will open up the airway so the beclomethasone can be better absorbed. you
wait to allow the albuterol to have its full effect
,the nurse identifies which client is most at risk for developing pneumonia?
a. a client with a urinary catheter
b. a client with an ng tube
c. a client with psoriasis
d. a client with paget disease
b. a client with an ng tube
the nurse in a clinic obtains a pt history during the initial visit. the pt tells about
recently beginning to take isoniazid daily. the nurse recognizes this medication is
used to treat what problem?
a. HTN
B. liver failure
c. TB
D. peripheral neuropathy
c. TB
the nurse prepares a client for a thoracentesis. the nurse places the pt in which
position?
a. semi-fowlers
b. upright
c. on the affected side
d. prone
b. upright
when assessing a client for tactile remitUs, which part of the hand does the nurse
use?
a. fingertips and finger pads
b. dorsal surface of the hand
c. ulnar and palmar surface of the hand
d. dorsiflexed surface of the wrist
c. ulnar and palmar surface of the hand
rationale: the nurse asks the pt to say the number "99". tactile remits is palpable vibrations
that will increase when lung consolidation exists such as with pneumonia, and decreased
with pleural effusion, pneumothorax, bronchial obstruction or air trapping occurs
,to facilitate communication with a tracheostomy, which nursing approach is best?
a. tell the pt to nod head for 'yes' and shake head for 'no'
b. tell the pt to mouth words
c. have someone who knows the pt to stay at bedside and act as an interpreter
d. ask pt to anctipate needs and write them down
a. tell the pt to nod head for 'yes' and shake head for 'no'
a pt is diagnosed with tension pneumothorax resulting from the chest hitting the
steering wheel during an automobile accident. the ER nurse knows the highest
priority is which intervention?
a. oxygenation
b. chest tube insertion
c. ABG determination
d. attach a cardiac monitor
b. chest tube insertion
the nurse teaches a pt diagnosed with tb. the nurse explains which as the cause for
tb?
a. virus
b. poor sanitation
c. poor nutrition
d. a bacterium
d. a bacterium
a pt is experiencing an acute asthma attack. the nurse auscultates which
characteristic sound of breathing for this client?
a. murmuring with lubb dub sounds
b. high-pitched musical like squeaky sounds
c. high-pitched harsh, loud, blowing sounds
d. low-pitched rubbing or grating sounds
b. high-pitched musical like squeaky sounds
rationale: this finding describes wheezes. wheezes are caused by air passing through
narrowed airways. this is heard in acute ashma or chronic emphysema`
, the home healthcare nurse visits a client diagnosed with chronic bronchitis. the
nurse notes the client is weak and congested. it is most important for the nurse to
make which statement?
a. cough as much as you can. the secretions have to come out.
b. if you hold a pillow against your abdomen, the coughing will be easier.
c. take 3 or 4 deep breaths, and as your exhale the last breath, cough 3 times
d. it doesn't not matter when you cough just do it
c. take 3 or 4 deep breaths, and as your exhale the last breath, cough 3 times
an adult pt is eating lunch and suddenly starts to choke, gasp for breath, and grab the
throat. which action does the nurse take first?
a. instruct the pt to lean forward and administer back blows
b. offers the client water to drink
c. asks the pt to speak
d. finger sweep the pt's mouth
c. asks the pt to speak
a pt is admitted into the hospital with a diagnosis of acute right upper lobe
pneumonia. the pt has a history of chronic bronchitis. which symptom does the nurse
expect to see?
a. moist, cool skin
b. rust-colored sputum
c. bradycardia
d. decreased respiratory rate
b. rust-colored sputum
rationale: rust colored sputum, or blood-tinged due to inflammation is a typical finding for
pneumonia. the pt may also have increased respirations, dyspnea, coughing, and pleuritic
pain. treatment includes antibiotics, supplemental oxygen, and chest pt. the nurse should
assess breath sounds, VS including pulse oximetry. the nurse should encourage coughing
and deep breathing every 2 hours and increased fluids
the nurse places a pulse oximetry probe on a pt. the pt asks "why do i have this thing
on me?" which response by the nurse is the best?
a. it enables your IV fluids to run
b. it monitors your pulse rate
c it tells us if your BP is within normal limits
d it measures the amount of oxygen circulating in your blood
d it measures the amount of oxygen circulating in your blood
Accurate Spring The University Of
Maine Graded A+
The nurse admits a pt who was rescued from a smokey upstairs bedroom during a
home fire. The pt reports headache, nausea, and drowsiness, and skin is red-purple.
the nurse recognizes these symptoms are usually associated with which condition?
a. anxiety following a catastrophic event
b. superficial partial thickness burns
c. carbon monoxide poisoning
d. lactic acidosis
c. carbon monoxide poisoning
which route of administration does the nurse use when giving a mantoux test?
a. intradermal injection
b. subcutaneous injection
c. local implanation
d. im injection
a. intradermal injection
albuterol and beclomethason by metered dose inhaler are prescribed for a pt
diagnosed with asthma. the pt asks why she has to be concerned about which
medication to take first and waiting in between meds. the nurse's best response is
which?
a. that is how your doctor wrote the prescription
b. you do not have to be concerned
c. that is the standard way these are administered
d. the albuterol will open up the airway so the beclomethasone can be better
absorbed. you wait to allow the albuterol to have its full effect
d. the albuterol will open up the airway so the beclomethasone can be better absorbed. you
wait to allow the albuterol to have its full effect
,the nurse identifies which client is most at risk for developing pneumonia?
a. a client with a urinary catheter
b. a client with an ng tube
c. a client with psoriasis
d. a client with paget disease
b. a client with an ng tube
the nurse in a clinic obtains a pt history during the initial visit. the pt tells about
recently beginning to take isoniazid daily. the nurse recognizes this medication is
used to treat what problem?
a. HTN
B. liver failure
c. TB
D. peripheral neuropathy
c. TB
the nurse prepares a client for a thoracentesis. the nurse places the pt in which
position?
a. semi-fowlers
b. upright
c. on the affected side
d. prone
b. upright
when assessing a client for tactile remitUs, which part of the hand does the nurse
use?
a. fingertips and finger pads
b. dorsal surface of the hand
c. ulnar and palmar surface of the hand
d. dorsiflexed surface of the wrist
c. ulnar and palmar surface of the hand
rationale: the nurse asks the pt to say the number "99". tactile remits is palpable vibrations
that will increase when lung consolidation exists such as with pneumonia, and decreased
with pleural effusion, pneumothorax, bronchial obstruction or air trapping occurs
,to facilitate communication with a tracheostomy, which nursing approach is best?
a. tell the pt to nod head for 'yes' and shake head for 'no'
b. tell the pt to mouth words
c. have someone who knows the pt to stay at bedside and act as an interpreter
d. ask pt to anctipate needs and write them down
a. tell the pt to nod head for 'yes' and shake head for 'no'
a pt is diagnosed with tension pneumothorax resulting from the chest hitting the
steering wheel during an automobile accident. the ER nurse knows the highest
priority is which intervention?
a. oxygenation
b. chest tube insertion
c. ABG determination
d. attach a cardiac monitor
b. chest tube insertion
the nurse teaches a pt diagnosed with tb. the nurse explains which as the cause for
tb?
a. virus
b. poor sanitation
c. poor nutrition
d. a bacterium
d. a bacterium
a pt is experiencing an acute asthma attack. the nurse auscultates which
characteristic sound of breathing for this client?
a. murmuring with lubb dub sounds
b. high-pitched musical like squeaky sounds
c. high-pitched harsh, loud, blowing sounds
d. low-pitched rubbing or grating sounds
b. high-pitched musical like squeaky sounds
rationale: this finding describes wheezes. wheezes are caused by air passing through
narrowed airways. this is heard in acute ashma or chronic emphysema`
, the home healthcare nurse visits a client diagnosed with chronic bronchitis. the
nurse notes the client is weak and congested. it is most important for the nurse to
make which statement?
a. cough as much as you can. the secretions have to come out.
b. if you hold a pillow against your abdomen, the coughing will be easier.
c. take 3 or 4 deep breaths, and as your exhale the last breath, cough 3 times
d. it doesn't not matter when you cough just do it
c. take 3 or 4 deep breaths, and as your exhale the last breath, cough 3 times
an adult pt is eating lunch and suddenly starts to choke, gasp for breath, and grab the
throat. which action does the nurse take first?
a. instruct the pt to lean forward and administer back blows
b. offers the client water to drink
c. asks the pt to speak
d. finger sweep the pt's mouth
c. asks the pt to speak
a pt is admitted into the hospital with a diagnosis of acute right upper lobe
pneumonia. the pt has a history of chronic bronchitis. which symptom does the nurse
expect to see?
a. moist, cool skin
b. rust-colored sputum
c. bradycardia
d. decreased respiratory rate
b. rust-colored sputum
rationale: rust colored sputum, or blood-tinged due to inflammation is a typical finding for
pneumonia. the pt may also have increased respirations, dyspnea, coughing, and pleuritic
pain. treatment includes antibiotics, supplemental oxygen, and chest pt. the nurse should
assess breath sounds, VS including pulse oximetry. the nurse should encourage coughing
and deep breathing every 2 hours and increased fluids
the nurse places a pulse oximetry probe on a pt. the pt asks "why do i have this thing
on me?" which response by the nurse is the best?
a. it enables your IV fluids to run
b. it monitors your pulse rate
c it tells us if your BP is within normal limits
d it measures the amount of oxygen circulating in your blood
d it measures the amount of oxygen circulating in your blood
