NURS 202- Application based
prepatory questions
Since nursing is a caring profession, Maylie does not need to be concerned about
budgets and rising costs when it comes to caring for her patients.
A. True
B. False - CORRECT ANSWER-B. False
Trevor is assigned to the immunization station at the health drive where he is
responsible for administering vaccines to the children. Immunizations are an example of
_________________ and _____________ prevention. - CORRECT ANSWER-This is
an example of "primary" and "illness" prevention.
Trevor knows that receiving an immunization is included in which hierarchy of need
according to Maslow?
A. Physiological
B. Safety and security
C. Love and belonging needs
D. Self-esteem
E. Self-actualization - CORRECT ANSWER-B. Safety and security
Immunizations are not an objective as defined by Healthy People 2010 because
immunizations are largely for children and children are not included in the Healthy
People 2010 initiative.
A. True
B. False - CORRECT ANSWER-B. False
Emmanuel is caring for Mr. Natik, a 61-year-old Caucasian male who has just
undergone cataract surgery in his right eye. Emmanuel teaches Mr. Natik safety
precautions, including preventing the risk of burns while cooking. A self-inflicted burn is
referred to as a ________-____________ accident. - CORRECT ANSWER-"Patient-
Inherent" accident.
Emmanuel is reminded by his preceptor to be diligent in preventing procedure-related
accidents. Which of the following is an example of a procedure-related accident?
(Select all that apply.)
A. Medication administration error
B. Improper insertion of a urinary catheter
C. Application of an incorrect bandage to a wound
D. Incorrect transcription of a telephone order - CORRECT ANSWER-A, B, & C.
,Maylie learns about the hospital's protocols regarding bioterrorism. Which of the
following are examples of public health simulation exercises that help train nurses for
threats of bioterrorism? (Select all that apply.)
A. Vaccine research
B. Prioritization
C. Decontamination
D. Triage - CORRECT ANSWER-A, C, & D.
The hospital in which Maylie is employed is a large county health care facility that cares
for thousands of medically underserved patients. Which of the following contribute to
increases in the medically underserved population? (Select all that apply.)
A. Government funding
B. Mental illness
C. Homelessness
D. Rising health care costs - CORRECT ANSWER-B, C, & D.
The intravenous (IV) pump that Emmanuel is using on a patient malfunctions. The
screen on the pump goes blank and cannot be reset. What should Emmanuel do with
the pump?
A. Tag it and report the malfunction
B. Put it in the soiled linen room
C. Discontinue the patient's IV infusion
D. Bang on the pump until function is restored - CORRECT ANSWER-A. Tag it and
report the malfunction
Mr. Stan Kercheval is being admitted to the medical-surgical unit after oral surgery. He
is 57 years old and had his mandible reset and wired after he sustained a blow to the
face in a bar fight. He is resting quietly in his room.
Given Mr. Kercheval's condition, which site is most appropriate for Byung-soon to
measure his temperature?
A. Oral
B. Axillary
C. Rectal
D. Tympanic membrane - CORRECT ANSWER-Answer: D
Rationale: Since Mr. Kercheval has undergone oral surgery, he should not have his
temperature taken by the oral route. The axillary route takes too long, and the rectal
route is invasive. The tympanic membrane route is easily accessible and fast.
Byung-soon measures Mr. Kercheval's apical pulse by listening to heart sounds. The S2
heart sound is low pitched and dull.
A. True
B. False - CORRECT ANSWER-Answer: B
Rationale: The S2 heart sound is high pitched and short ("dub" sound), whereas the S1
heart sound is low pitched and dull ("lub" sound).
, Byung-soon measures Mr. Kercheval's respiratory rate. The normal respiratory rate for
an adult is ____ to ____ breaths/min. - CORRECT ANSWER-Answer: 12 to 20
Rationale: The normal respiratory rate for an adult is 12 to 20 breaths/min.
Byung-soon takes Mr. Kercheval's blood pressure, which is 118/76 mm Hg. What is
Byung-soon's priority action?
A. Elevate the head of the bed
B. Notify the health care provider
C. Provide cardiopulmonary resuscitation (CPR)
D. Continue taking vital signs - CORRECT ANSWER-Answer: D
Rationale: A blood pressure of 118/76 mm Hg is normal in an adult; therefore Byung-
soon may continue taking vital signs. Elevating the head of the bed, notifying the health
care provider, and providing CPR are not necessary.
Ms. Ortega is a 16-year-old teen mother admitted to the mother-baby unit after the
delivery of her second child. Her pregnancy was a difficult one; she was placed on bed
rest for the last 2 months because of pregnancy-induced hypertension (PIH) to reduce
the workload of her heart to help sustain her pregnancy.
Ms. Ortega gave birth to healthy baby boy whom she is learning to breastfeed. Abiamu
is the nursing student assigned to Ms. Ortega and her infant.
Abiamu enters Ms. Ortega's room to perform a physical assessment. Rank in order the
four techniques used in a physical examination.
A. Palpation
B. Auscultation
C. Inspection
D. Percussion - CORRECT ANSWER-Answer: C, A, D, B
Rationale: The order of the four techniques used in physical examination is inspection,
palpation, percussion, and auscultation.
Abiamu needs to weigh Ms. Ortega's son. Which device should she use to weigh the
infant?
A. Platform scale
B. Sliding scale
C. Water chamber
D. Bariatric chamber - CORRECT ANSWER-Answer: A
Rationale: To weigh an infant, remove the clothing and weigh in a dry disposable diaper
using a basket or platform scale.
Abiamu performs an assessment of Ms. Ortega's cardiac system. List the six anatomical
sites for assessment of cardiac function, starting on the patient's upper right side and
moving in a clockwise direction. - CORRECT ANSWER-Answer: Aortic, pulmonic,
second pulmonic area, tricuspid, mitral, and epigastric
Rationale: The six anatomical sites for assessment of cardiac function starting on the
patient's upper right side and moving in a clockwise direction are aortic, pulmonic,
second pulmonic area, tricuspid, mitral, and epigastric.
prepatory questions
Since nursing is a caring profession, Maylie does not need to be concerned about
budgets and rising costs when it comes to caring for her patients.
A. True
B. False - CORRECT ANSWER-B. False
Trevor is assigned to the immunization station at the health drive where he is
responsible for administering vaccines to the children. Immunizations are an example of
_________________ and _____________ prevention. - CORRECT ANSWER-This is
an example of "primary" and "illness" prevention.
Trevor knows that receiving an immunization is included in which hierarchy of need
according to Maslow?
A. Physiological
B. Safety and security
C. Love and belonging needs
D. Self-esteem
E. Self-actualization - CORRECT ANSWER-B. Safety and security
Immunizations are not an objective as defined by Healthy People 2010 because
immunizations are largely for children and children are not included in the Healthy
People 2010 initiative.
A. True
B. False - CORRECT ANSWER-B. False
Emmanuel is caring for Mr. Natik, a 61-year-old Caucasian male who has just
undergone cataract surgery in his right eye. Emmanuel teaches Mr. Natik safety
precautions, including preventing the risk of burns while cooking. A self-inflicted burn is
referred to as a ________-____________ accident. - CORRECT ANSWER-"Patient-
Inherent" accident.
Emmanuel is reminded by his preceptor to be diligent in preventing procedure-related
accidents. Which of the following is an example of a procedure-related accident?
(Select all that apply.)
A. Medication administration error
B. Improper insertion of a urinary catheter
C. Application of an incorrect bandage to a wound
D. Incorrect transcription of a telephone order - CORRECT ANSWER-A, B, & C.
,Maylie learns about the hospital's protocols regarding bioterrorism. Which of the
following are examples of public health simulation exercises that help train nurses for
threats of bioterrorism? (Select all that apply.)
A. Vaccine research
B. Prioritization
C. Decontamination
D. Triage - CORRECT ANSWER-A, C, & D.
The hospital in which Maylie is employed is a large county health care facility that cares
for thousands of medically underserved patients. Which of the following contribute to
increases in the medically underserved population? (Select all that apply.)
A. Government funding
B. Mental illness
C. Homelessness
D. Rising health care costs - CORRECT ANSWER-B, C, & D.
The intravenous (IV) pump that Emmanuel is using on a patient malfunctions. The
screen on the pump goes blank and cannot be reset. What should Emmanuel do with
the pump?
A. Tag it and report the malfunction
B. Put it in the soiled linen room
C. Discontinue the patient's IV infusion
D. Bang on the pump until function is restored - CORRECT ANSWER-A. Tag it and
report the malfunction
Mr. Stan Kercheval is being admitted to the medical-surgical unit after oral surgery. He
is 57 years old and had his mandible reset and wired after he sustained a blow to the
face in a bar fight. He is resting quietly in his room.
Given Mr. Kercheval's condition, which site is most appropriate for Byung-soon to
measure his temperature?
A. Oral
B. Axillary
C. Rectal
D. Tympanic membrane - CORRECT ANSWER-Answer: D
Rationale: Since Mr. Kercheval has undergone oral surgery, he should not have his
temperature taken by the oral route. The axillary route takes too long, and the rectal
route is invasive. The tympanic membrane route is easily accessible and fast.
Byung-soon measures Mr. Kercheval's apical pulse by listening to heart sounds. The S2
heart sound is low pitched and dull.
A. True
B. False - CORRECT ANSWER-Answer: B
Rationale: The S2 heart sound is high pitched and short ("dub" sound), whereas the S1
heart sound is low pitched and dull ("lub" sound).
, Byung-soon measures Mr. Kercheval's respiratory rate. The normal respiratory rate for
an adult is ____ to ____ breaths/min. - CORRECT ANSWER-Answer: 12 to 20
Rationale: The normal respiratory rate for an adult is 12 to 20 breaths/min.
Byung-soon takes Mr. Kercheval's blood pressure, which is 118/76 mm Hg. What is
Byung-soon's priority action?
A. Elevate the head of the bed
B. Notify the health care provider
C. Provide cardiopulmonary resuscitation (CPR)
D. Continue taking vital signs - CORRECT ANSWER-Answer: D
Rationale: A blood pressure of 118/76 mm Hg is normal in an adult; therefore Byung-
soon may continue taking vital signs. Elevating the head of the bed, notifying the health
care provider, and providing CPR are not necessary.
Ms. Ortega is a 16-year-old teen mother admitted to the mother-baby unit after the
delivery of her second child. Her pregnancy was a difficult one; she was placed on bed
rest for the last 2 months because of pregnancy-induced hypertension (PIH) to reduce
the workload of her heart to help sustain her pregnancy.
Ms. Ortega gave birth to healthy baby boy whom she is learning to breastfeed. Abiamu
is the nursing student assigned to Ms. Ortega and her infant.
Abiamu enters Ms. Ortega's room to perform a physical assessment. Rank in order the
four techniques used in a physical examination.
A. Palpation
B. Auscultation
C. Inspection
D. Percussion - CORRECT ANSWER-Answer: C, A, D, B
Rationale: The order of the four techniques used in physical examination is inspection,
palpation, percussion, and auscultation.
Abiamu needs to weigh Ms. Ortega's son. Which device should she use to weigh the
infant?
A. Platform scale
B. Sliding scale
C. Water chamber
D. Bariatric chamber - CORRECT ANSWER-Answer: A
Rationale: To weigh an infant, remove the clothing and weigh in a dry disposable diaper
using a basket or platform scale.
Abiamu performs an assessment of Ms. Ortega's cardiac system. List the six anatomical
sites for assessment of cardiac function, starting on the patient's upper right side and
moving in a clockwise direction. - CORRECT ANSWER-Answer: Aortic, pulmonic,
second pulmonic area, tricuspid, mitral, and epigastric
Rationale: The six anatomical sites for assessment of cardiac function starting on the
patient's upper right side and moving in a clockwise direction are aortic, pulmonic,
second pulmonic area, tricuspid, mitral, and epigastric.
