NUR 505-Exam 2 Questions & Answers 100% Verified
solutions 125 Questions with Correct Answers 202
latest update!! 2026 Exam UPDATED EXAM
ACTUAL LATEST VERSIONS 125 QUESTIONS
AND CORRECT VERIFIED ANSWERS WITH
RATIONALES (100% CORRECT) A+ GRADED
ASSURED
. A nurse caring for patients in a long-term care facility is often required to collect urine
specimens from patients for laboratory testing. Which techniques for urine collection are
performed correctly? Select all that apply.
a. The nurse catheterizes a patient to collect a sterile urine sample for routine urinalysis.
b. The nurse collects a clean-catch urine specimen in the morning from a patient and stores it at
room temperature until an afternoon pick-up.
c. The nurse collects a sterile urine specimen from the collec- tion receptacle of a patient's
indwelling catheter.
d. The nurse collects about 3 mL of urine from a patient's indwelling catheter to send for a urine
culture.
e. The nurse collects a urine specimen from a patient with a urinary diversion by catheterizing
the stoma.
f. The nurse discards the first urine of the day when perform- ing a 24-hour urine specimen
collection on a patient. - CORRECT ANSWER: d, e, f. A urine culture requires about 3 mL of
urine, whereas routine urinalysis requires at least 10 mL of urine. The preferred method of
collecting a urine specimen from a urinary diversion is to catheterize the stoma. For a 24-hour
urine specimen, the nurse should discard the first voiding, then collect all urine voided for the
next 24 hours. A sterile urine specimen is not required for a routine urinalysis. Urine chemistry is
altered after urine stands at room temperature for a long period of time. A specimen from the
collecting recep- tacle (drainage bag) may not be fresh urine and could result in an inaccurate
analysis.
,A 49-year-old who injured his spine in a motorcycle accident is receiving rehabilitation services
in a short-term rehabilita- tion center. The nurse caring for him correctly tells the aide not to
place him in which position?
a. Side-lying
b. Fowler's
c. Sims'
d. Prone - CORRECT ANSWER: d. The prone position is contraindicated in patients who have
spinal problems because the pull of gravity on the trunk when the patient lies prone produces a
marked lordosis, or forward curvature of the lumbar spine.
A 76-year-old patient states, "I have been experiencing com- plications of diabetes." The nurse
needs to direct the patient to gain more information. What is the most appropriate com- ment or
question to elicit additional information?
a. "Do you take two injections of insulin to decrease the complications?"
b. "Most physicians recommend diet and exercise to regulate blood sugar."
c. "Most complications of diabetes are related to neuropathy."
d. "What specific complications have you experienced?" - CORRECT ANSWER: d. Requesting
specific information regarding complications of diabetes will elicit specific information to guide
the nurse in further interview questions and specific assessment techniques.
A medication order reads: "K-Dur, 20 mEq po b.i.d." When and how does the nurse correctly
give this drug?
a. Daily at bedtime by subcutaneous route
b. Every other day by mouth
c. Twice a day by the oral routed.
d. Once a week by transdermal patch - CORRECT ANSWER: c.
The abbreviation "b.i.d." refers to twice-a-day administra- tion. po (by mouth) refers to
administration by the oral route.
A nurse carefully assesses the acid-base balance of a patient who is unable to effectively control
his carbonic acid supply. This is most likely a patient with damage to which of the following?
,a. Kidneys
b. Lungs
c. Adrenal glands
d. Blood vessels - CORRECT ANSWER: b. The lungs are the primary controller of the body's
carbonic acid supply and thus, if damaged, can affect acid-base balance. The kidneys are the
primary controller of the body's bicarbonate supply. The adrenal glands secrete catecholamines
and steroid hormones. The blood vessels act only as a transport system.
A nurse caring for a patient who is hospitalized following a double mastectomy is preparing a
discharge plan for the patient. Which action should be the focus of this termination phase of the
helping relationship?
a. Determining the progress made in achieving established goals
b. Clarifying when the patient should take medications
c. Reporting the progress made in teaching to the staff
d. Including all family members in the teaching session - CORRECT ANSWER: a. The
termination phase occurs when the conclusion of the initial agreement is acknowledged.
Discharge planning coor- dinates with the termination phase of a helping relationship. The nurse
should determine the progress made in achieving the goals related to the patient's care.
A nurse caring for patients in the PACU teaches a novice nurse how to assess and document
wound drainage. Which statements accurately describe a characteristic of wound drainage?
Select all that apply.
a. Serous drainage is composed of the clear portion of the blood and serous membranes.
b. Sanguineous drainage is composed of a large number of red blood cells and looks like blood.
c. Bright red sanguineous drainage indicates fresh bleeding and darker drainage indicates older
bleeding.
d. Purulent drainage is composed of white blood cells, dead tissue, and bacteria.
e. Purulent drainage is thin, cloudy, and watery and may have a musty or foul odor.
f. Serosanguineous drainage can be dark yellow or green depending on the causative organism. -
CORRECT ANSWER: a, b, c, d.
, Serous drainage is composed primarily of the clear, serous portion of the blood and serous
membranes. Serous drainage is clear and watery. Sanguineous drainage consists of large numbers
of red blood cells and looks like blood. Bright-red sanguineous drainage is indicative of fresh
bleeding, whereas darker drainage indicates older bleeding. Purulent drainage is made up of
white blood cells, liquefied dead tissue debris, and both dead and live bacteria. Purulent drainage
is thick, often has a musty or foul odor, and varies in color (such as dark yellow or green),
depending on the causative organism. Serosanguineous drainage is a mixture of serum and red
blood cells. It is light pink to blood tinged.
A nurse concludes that a patient's elevated temperature, pulse, and respirations are significant.
Which step of the nursing process is being used when the nurse comes to this conclusion?
1. Implementation
2. Assessment
3. Evaluation
4. Analysis - CORRECT ANSWER: 4
1.This is not an example of the implementation step of the nursing process. It is during the
implementation step that planned nursing care is delivered.
2. This is not an example of the assessment step of the nursing process. Although data may be
gathered during the assessment step, the manipulation of the data is conducted in a different step
of the nursing process.
3. This is not an example of the evaluation step of the nursing process. Evaluation occurs when
actual outcomes are compared with expected outcomes, which reflect attainment or
nonattainment of the goal.
4. During the analysis step of the nursing process, data are critically explored and interpreted,
significance of data is determined, inferences are made and validated, cues and clusters of cues
are compared with the defining characteristics of nursing diagnoses, contributing factors are
identified, and nursing diagnoses are identified and organized in order of priority.
A nurse discovers that she made a medication error. What should be the nurse's first response?
a Record the error on the medication sheet.
b Notify the physician regarding course of action.
solutions 125 Questions with Correct Answers 202
latest update!! 2026 Exam UPDATED EXAM
ACTUAL LATEST VERSIONS 125 QUESTIONS
AND CORRECT VERIFIED ANSWERS WITH
RATIONALES (100% CORRECT) A+ GRADED
ASSURED
. A nurse caring for patients in a long-term care facility is often required to collect urine
specimens from patients for laboratory testing. Which techniques for urine collection are
performed correctly? Select all that apply.
a. The nurse catheterizes a patient to collect a sterile urine sample for routine urinalysis.
b. The nurse collects a clean-catch urine specimen in the morning from a patient and stores it at
room temperature until an afternoon pick-up.
c. The nurse collects a sterile urine specimen from the collec- tion receptacle of a patient's
indwelling catheter.
d. The nurse collects about 3 mL of urine from a patient's indwelling catheter to send for a urine
culture.
e. The nurse collects a urine specimen from a patient with a urinary diversion by catheterizing
the stoma.
f. The nurse discards the first urine of the day when perform- ing a 24-hour urine specimen
collection on a patient. - CORRECT ANSWER: d, e, f. A urine culture requires about 3 mL of
urine, whereas routine urinalysis requires at least 10 mL of urine. The preferred method of
collecting a urine specimen from a urinary diversion is to catheterize the stoma. For a 24-hour
urine specimen, the nurse should discard the first voiding, then collect all urine voided for the
next 24 hours. A sterile urine specimen is not required for a routine urinalysis. Urine chemistry is
altered after urine stands at room temperature for a long period of time. A specimen from the
collecting recep- tacle (drainage bag) may not be fresh urine and could result in an inaccurate
analysis.
,A 49-year-old who injured his spine in a motorcycle accident is receiving rehabilitation services
in a short-term rehabilita- tion center. The nurse caring for him correctly tells the aide not to
place him in which position?
a. Side-lying
b. Fowler's
c. Sims'
d. Prone - CORRECT ANSWER: d. The prone position is contraindicated in patients who have
spinal problems because the pull of gravity on the trunk when the patient lies prone produces a
marked lordosis, or forward curvature of the lumbar spine.
A 76-year-old patient states, "I have been experiencing com- plications of diabetes." The nurse
needs to direct the patient to gain more information. What is the most appropriate com- ment or
question to elicit additional information?
a. "Do you take two injections of insulin to decrease the complications?"
b. "Most physicians recommend diet and exercise to regulate blood sugar."
c. "Most complications of diabetes are related to neuropathy."
d. "What specific complications have you experienced?" - CORRECT ANSWER: d. Requesting
specific information regarding complications of diabetes will elicit specific information to guide
the nurse in further interview questions and specific assessment techniques.
A medication order reads: "K-Dur, 20 mEq po b.i.d." When and how does the nurse correctly
give this drug?
a. Daily at bedtime by subcutaneous route
b. Every other day by mouth
c. Twice a day by the oral routed.
d. Once a week by transdermal patch - CORRECT ANSWER: c.
The abbreviation "b.i.d." refers to twice-a-day administra- tion. po (by mouth) refers to
administration by the oral route.
A nurse carefully assesses the acid-base balance of a patient who is unable to effectively control
his carbonic acid supply. This is most likely a patient with damage to which of the following?
,a. Kidneys
b. Lungs
c. Adrenal glands
d. Blood vessels - CORRECT ANSWER: b. The lungs are the primary controller of the body's
carbonic acid supply and thus, if damaged, can affect acid-base balance. The kidneys are the
primary controller of the body's bicarbonate supply. The adrenal glands secrete catecholamines
and steroid hormones. The blood vessels act only as a transport system.
A nurse caring for a patient who is hospitalized following a double mastectomy is preparing a
discharge plan for the patient. Which action should be the focus of this termination phase of the
helping relationship?
a. Determining the progress made in achieving established goals
b. Clarifying when the patient should take medications
c. Reporting the progress made in teaching to the staff
d. Including all family members in the teaching session - CORRECT ANSWER: a. The
termination phase occurs when the conclusion of the initial agreement is acknowledged.
Discharge planning coor- dinates with the termination phase of a helping relationship. The nurse
should determine the progress made in achieving the goals related to the patient's care.
A nurse caring for patients in the PACU teaches a novice nurse how to assess and document
wound drainage. Which statements accurately describe a characteristic of wound drainage?
Select all that apply.
a. Serous drainage is composed of the clear portion of the blood and serous membranes.
b. Sanguineous drainage is composed of a large number of red blood cells and looks like blood.
c. Bright red sanguineous drainage indicates fresh bleeding and darker drainage indicates older
bleeding.
d. Purulent drainage is composed of white blood cells, dead tissue, and bacteria.
e. Purulent drainage is thin, cloudy, and watery and may have a musty or foul odor.
f. Serosanguineous drainage can be dark yellow or green depending on the causative organism. -
CORRECT ANSWER: a, b, c, d.
, Serous drainage is composed primarily of the clear, serous portion of the blood and serous
membranes. Serous drainage is clear and watery. Sanguineous drainage consists of large numbers
of red blood cells and looks like blood. Bright-red sanguineous drainage is indicative of fresh
bleeding, whereas darker drainage indicates older bleeding. Purulent drainage is made up of
white blood cells, liquefied dead tissue debris, and both dead and live bacteria. Purulent drainage
is thick, often has a musty or foul odor, and varies in color (such as dark yellow or green),
depending on the causative organism. Serosanguineous drainage is a mixture of serum and red
blood cells. It is light pink to blood tinged.
A nurse concludes that a patient's elevated temperature, pulse, and respirations are significant.
Which step of the nursing process is being used when the nurse comes to this conclusion?
1. Implementation
2. Assessment
3. Evaluation
4. Analysis - CORRECT ANSWER: 4
1.This is not an example of the implementation step of the nursing process. It is during the
implementation step that planned nursing care is delivered.
2. This is not an example of the assessment step of the nursing process. Although data may be
gathered during the assessment step, the manipulation of the data is conducted in a different step
of the nursing process.
3. This is not an example of the evaluation step of the nursing process. Evaluation occurs when
actual outcomes are compared with expected outcomes, which reflect attainment or
nonattainment of the goal.
4. During the analysis step of the nursing process, data are critically explored and interpreted,
significance of data is determined, inferences are made and validated, cues and clusters of cues
are compared with the defining characteristics of nursing diagnoses, contributing factors are
identified, and nursing diagnoses are identified and organized in order of priority.
A nurse discovers that she made a medication error. What should be the nurse's first response?
a Record the error on the medication sheet.
b Notify the physician regarding course of action.
