NUR 209 Exam 1 Medical Surgical Nursing II
Fortis 2026/2027 Test Bank with Verified
Answers and Detailed Rationales Grade A
1. The occupational health nurse is planning a safety in service for a
group of clerical workers. Which of the following topics would be most
beneficial?
A) Principles of body alignment
B) The use of protective clothing
C) The use of ear plugs
D) Appropriate storage of combustible cleaning solutions
Correct Answer: A) Principles of body alignment
Rationale:
1. Rationales help students to understand the concept, not just the answer.
2. Clerical workers spend prolonged periods sitting at desks, making
musculoskeletal injuries from poor posture a primary risk.
3. Principles of body alignment directly address ergonomics and proper sitting
posture, which prevent back and neck strain.
,2|Page
4. Protective clothing, ear plugs, and combustible storage are less relevant to
typical clerical office environments.
2. A patient has presented to the Emergency Department after splashing
a chemical in the eyes. When managing the injury, which of the following
should be included in the plan of care?
A) Wash the eyes with a hypertonic solution for at least 30 minutes.
B) Advise the patient to avoid blinking until after the eyes are irrigated.
C) Flush the eyes with water for 10 minutes.
D) Flush the eyes with a cool saline solution for a 10-minute period.
Correct Answer: C) Flush the eyes with water for 10 minutes.
Rationale:
1. Immediate and copious irrigation with water is the standard first aid for
chemical eye injuries.
2. A 10-minute flush is sufficient for most non-penetrating chemical splashes,
though longer may be needed for alkalis.
3. Hypertonic solutions are not used for emergency eye irrigation.
4. Avoiding blinking is impractical and unnecessary; blinking helps tear flow.
5. Cool saline is acceptable but water is more readily available in emergency
settings.
,3|Page
3. The nurse is discussing car safety with the mother of a 6-year-old
child. The child's mother questions the need for the use of special car
seats for her child. What information can be provided to her?
A) "Car seats are only recommended until children are 3 years old."
B) "At the age of 6 your child should be using a booster seat."
C) "Car seats are recommended until children are at least 10 years old."
D) "Your child will be safe in the car using the provided shoulder harness and
lap belts."
Correct Answer: B) "At the age of 6 your child should be using a booster
seat."
Rationale:
1. Children aged 4 to 8 years who are under 4 feet 9 inches tall should use
booster seats.
2. Standard seat belts do not fit young children properly, increasing injury risk.
3. A 6-year-old typically is not tall enough for adult seat belts alone.
4. Option A is incorrect; car seats are recommended beyond age 3.
5. Option C is incorrect; age 10 is too broad and not standard.
6. Option D is incorrect because lap/shoulder belts alone are unsafe for a 6-
year-old without a booster.
, 4|Page
4. After identifying a medication error, the nurse completes an incident
report. The nurse correctly recognizes which of the following about the
use of these documents? Select all that apply.
A) The incident report should be placed with the patient's medical records.
B) Incident reports provide a clear, concise recording of the situation that can
be provided to the patient's legal representative in the event of a lawsuit.
C) The incident report should include factual information about the incident.
D) The nurse should include their own personal perception about the cause of
the incident in the report.
E) Completion of the incident report should be noted in the nurse's notes.
Correct Answer: B) Incident reports provide a clear, concise recording of
the situation that can be provided to the patient's legal representative in
the event of a lawsuit. and C) The incident report should include factual
information about the incident.
Rationale:
1. Incident reports are factual, objective documents not placed in the medical
record.
2. They are used for risk management and quality improvement.
3. Personal perceptions or opinions should not be included.