NUR 138 QUIZ 1 QUESTIONS AND ANSWERS | NUR 138 STUDY GUIDE
& PRACTICE TEST 2026/2027
A nurse is caring for a client who is experiencing leukocytosis. When providing care to this client, which
action by the nurse is the most appropriate?
A. Place the patient in reverse isolation precautions.
B. Assess for bleeding and bruising.
C. Instruct the client on the use of an electric razor and soft toothbrush.
D. Assess for source of infection. - correct answer ✔✔Answer: D
A client with leukocytosis has a white blood cell (WBC) count that is elevated above normal (>10,000
mm3) which is an indication of infection. The appropriate action by the nurse is to assess the client for a
source of the infection. Instructing the client on the use of an electric razor and soft toothbrush and
assessing for bleeding and bruising would be appropriate actions for a client with decreased platelet
levels, or thrombocytopenia. Placing the client in reverse isolation precautions would be appropriate for
the client with neutropenia, a decrease in the number of neutrophils
Page Ref: 438
A nurse is caring for a client who was admitted to the hospital with an exacerbation of rheumatoid
arthritis (RA). The client reports pain is a 3 on a scale from 1 to 10 today. Which non-pharmacological
interventions can the nurse provide to enhance the client's comfort? Select all that apply.
A. Discourage any position changes.
B. Provide diversion activities.
C. Encourage relaxation techniques
D. Offer a massage
E. Immobilize the extremity. - correct answer ✔✔Answer: B, C, D.
Non-pharmacological activities for pain relief include massage, relaxation, and diversion. Position
changes are encouraged along with supportive equipment. Immobilization would likely cause
contractures in the joints.
Page Ref: 504
A nurse educator is explaining the term hyperplasia to a group of nursing students. Which statement,
made by a nursing student, indicates an understanding of why hyperplasia occurs with myocardial
infarction?
A. "The cells of the heart muscle have lost fluid."
B. "The cells of the heart muscle are responding to metabolic needs."
C. "The cells of the muscle experience hyperplasia with the prolonged need for oxygen."
D. "The cells of the heart are rigid in response to muscle damage." - correct answer ✔✔Answer: C
(Answer B was also accepted)
Hyperplasia is an increase in density or number of normal cells in response to stress-in this case, the
increased demand for oxygen. Cells that lose fluid will shrink in size. The cells of a person's heart do not
enlarge as a metabolic response. Metaplasia is a change in the normal pattern of differentiation of cells.
Page Ref: 32
The nurse is caring for a client who is being discharged following an appendectomy. Which instruction is
the most important for the nurse to teach this client regarding wound healing?
A. "Add more fruits and vegetables to your diet."
& PRACTICE TEST 2026/2027
A nurse is caring for a client who is experiencing leukocytosis. When providing care to this client, which
action by the nurse is the most appropriate?
A. Place the patient in reverse isolation precautions.
B. Assess for bleeding and bruising.
C. Instruct the client on the use of an electric razor and soft toothbrush.
D. Assess for source of infection. - correct answer ✔✔Answer: D
A client with leukocytosis has a white blood cell (WBC) count that is elevated above normal (>10,000
mm3) which is an indication of infection. The appropriate action by the nurse is to assess the client for a
source of the infection. Instructing the client on the use of an electric razor and soft toothbrush and
assessing for bleeding and bruising would be appropriate actions for a client with decreased platelet
levels, or thrombocytopenia. Placing the client in reverse isolation precautions would be appropriate for
the client with neutropenia, a decrease in the number of neutrophils
Page Ref: 438
A nurse is caring for a client who was admitted to the hospital with an exacerbation of rheumatoid
arthritis (RA). The client reports pain is a 3 on a scale from 1 to 10 today. Which non-pharmacological
interventions can the nurse provide to enhance the client's comfort? Select all that apply.
A. Discourage any position changes.
B. Provide diversion activities.
C. Encourage relaxation techniques
D. Offer a massage
E. Immobilize the extremity. - correct answer ✔✔Answer: B, C, D.
Non-pharmacological activities for pain relief include massage, relaxation, and diversion. Position
changes are encouraged along with supportive equipment. Immobilization would likely cause
contractures in the joints.
Page Ref: 504
A nurse educator is explaining the term hyperplasia to a group of nursing students. Which statement,
made by a nursing student, indicates an understanding of why hyperplasia occurs with myocardial
infarction?
A. "The cells of the heart muscle have lost fluid."
B. "The cells of the heart muscle are responding to metabolic needs."
C. "The cells of the muscle experience hyperplasia with the prolonged need for oxygen."
D. "The cells of the heart are rigid in response to muscle damage." - correct answer ✔✔Answer: C
(Answer B was also accepted)
Hyperplasia is an increase in density or number of normal cells in response to stress-in this case, the
increased demand for oxygen. Cells that lose fluid will shrink in size. The cells of a person's heart do not
enlarge as a metabolic response. Metaplasia is a change in the normal pattern of differentiation of cells.
Page Ref: 32
The nurse is caring for a client who is being discharged following an appendectomy. Which instruction is
the most important for the nurse to teach this client regarding wound healing?
A. "Add more fruits and vegetables to your diet."
