NUR 131 EXAM 1 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
The nurse is caring for a client who had surgery for the formation of a
continent urostomy. The nurse engages the client in early postoperative
ambulation to prevent which complication?
- Wound infection
- Urinary retention
- Abdominal distention
- Incisional evisceration - ANSWERS-- Abdominal distention
Rationale:
Best rest weakens the perineal and abdominal muscles used in
defecating; ambulation promotes peristalsis and improved muscle tone,
thereby facilitating expulsion of flatus and promoting defecation.
Which actions will the nurse take after noticing bibasilar crackles in a
client who has an open cholecystectomy on the previous day? Select all
that apply.
- Encourage turning, coughing, and deep-breathing exercises.
END OF
PAGE
1
, NUR 131 EXAM 1 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
- Perform frequent breath sounds assessment.
- Decrease by mouth fluid intake.
- Offer a high-potassium diet.
- Ask the HCP to prescribe a chest x-ray. - ANSWERS-- Encourage
turning, coughing, and deep-breathing exercises.
- Perform frequent breath sounds assessment.
Rationale:
The client likely has postoperative atelectasis and requires frequent
breath sounds assessment because of the presence of adventitious breath
sounds. Also, the client should turn, cough, and deep breathe to improve
ventilation and resolve atelectasis.
After a TKA, a client will be using a continuous passive motion device.
Which therapy goal identifies by the client would indicate to the nurse
that teaching was effective?
- Improve joint flexion
- Maintain muscle tone
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PAGE
2
, NUR 131 EXAM 1 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
- Prevent tissue breakdown
- Prevent formation of a blood clot - ANSWERS-- Improve joint flexion
Rationale:
A continuous passive motion device is used most commonly after knee
replacement to gradually increase knee flexion without weight bearing
or strain.
The nurse is caring for a client with a fractured hip. Which is the nurse
trying to prevent by placing pillows around the injured area?
- Abduction
- Adduction
- Traction
- Elevation - ANSWERS-- Abduction
Rationale: In care of the client with a fractured hip, the legs and hip must
be aligned in an abducted position to prevent internal rotation, reduce
the risk of dislocation, and decrease pain.
END OF
PAGE
3
, NUR 131 EXAM 1 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
Which information would the nurse provide a client being discharged
from the health care facility with a surgical wound? Select all that apply.
- Prescribed drug-drug interactions
- Care of the surgical wound
- Safe and effective use of medications
- List of appropriate community resources
- Need to report any change in the surgical area - ANSWERS-- Care of
the surgical wound
- Safe and effective use of medications
- List of appropriate community resources
Rationale:
The nurse would teach the client and family how to care for the surgical
wound while at home. The nurse would seek a return demonstration of
the teaching to confirm the client has understood the teaching. The nurse
would teach the client to take all medications as prescribed for
effectiveness. The client may not be fully independent on discharge. The
END OF
PAGE
4
QUESTIONS AND
ANSWERS 2026 - 2027
The nurse is caring for a client who had surgery for the formation of a
continent urostomy. The nurse engages the client in early postoperative
ambulation to prevent which complication?
- Wound infection
- Urinary retention
- Abdominal distention
- Incisional evisceration - ANSWERS-- Abdominal distention
Rationale:
Best rest weakens the perineal and abdominal muscles used in
defecating; ambulation promotes peristalsis and improved muscle tone,
thereby facilitating expulsion of flatus and promoting defecation.
Which actions will the nurse take after noticing bibasilar crackles in a
client who has an open cholecystectomy on the previous day? Select all
that apply.
- Encourage turning, coughing, and deep-breathing exercises.
END OF
PAGE
1
, NUR 131 EXAM 1 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
- Perform frequent breath sounds assessment.
- Decrease by mouth fluid intake.
- Offer a high-potassium diet.
- Ask the HCP to prescribe a chest x-ray. - ANSWERS-- Encourage
turning, coughing, and deep-breathing exercises.
- Perform frequent breath sounds assessment.
Rationale:
The client likely has postoperative atelectasis and requires frequent
breath sounds assessment because of the presence of adventitious breath
sounds. Also, the client should turn, cough, and deep breathe to improve
ventilation and resolve atelectasis.
After a TKA, a client will be using a continuous passive motion device.
Which therapy goal identifies by the client would indicate to the nurse
that teaching was effective?
- Improve joint flexion
- Maintain muscle tone
END OF
PAGE
2
, NUR 131 EXAM 1 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
- Prevent tissue breakdown
- Prevent formation of a blood clot - ANSWERS-- Improve joint flexion
Rationale:
A continuous passive motion device is used most commonly after knee
replacement to gradually increase knee flexion without weight bearing
or strain.
The nurse is caring for a client with a fractured hip. Which is the nurse
trying to prevent by placing pillows around the injured area?
- Abduction
- Adduction
- Traction
- Elevation - ANSWERS-- Abduction
Rationale: In care of the client with a fractured hip, the legs and hip must
be aligned in an abducted position to prevent internal rotation, reduce
the risk of dislocation, and decrease pain.
END OF
PAGE
3
, NUR 131 EXAM 1 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
Which information would the nurse provide a client being discharged
from the health care facility with a surgical wound? Select all that apply.
- Prescribed drug-drug interactions
- Care of the surgical wound
- Safe and effective use of medications
- List of appropriate community resources
- Need to report any change in the surgical area - ANSWERS-- Care of
the surgical wound
- Safe and effective use of medications
- List of appropriate community resources
Rationale:
The nurse would teach the client and family how to care for the surgical
wound while at home. The nurse would seek a return demonstration of
the teaching to confirm the client has understood the teaching. The nurse
would teach the client to take all medications as prescribed for
effectiveness. The client may not be fully independent on discharge. The
END OF
PAGE
4
