NUR 215 Final Exam
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1. What are the considerations for oral care for an un- a) Reverse Trendelenburg
conscious patient? (Select all that apply.) position
a) Reverse Trendelenburg position b) Suction setup
b) Suction setup c) Turn the pt head to the
c) Turn the pt head to the side side
d) Lemon glycerin swabs
e) Oral care daily
2. The nurse observes a UAP caring for a pt. Which of b) UAP administers med-
the following observations requires the nurse to inter- ication the nurse left at the
vene? ( Select all that apply.) bedside to the pt
a) The UAP repositions a pt and offers a back massage d) The UAP shakes the
b) UAP administers medication the nurse left at the dirty bed linens out in-
bedside to the pt stead of changing the
c) The UAP performs hand hygiene before and after pt sheets
care
d) The UAP shakes the dirty bed linens out instead of
changing the sheets
3. A pt with a possible infection has lab tests ordered. a) Elevated WBC
Which lab result indicated infection? (Select all that c) Elevated ESR
apply.)
a) Elevated WBC
b) Negative Blood Culture
c) Elevated ESR
d) Decreased Neutrophil count
4. What are signs of a local infection? (Select all that a) Pain
apply.) b) Purulent drng
a) Pain f) Redness
b) Purulent drng
c) Swollen lymph nodes
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d) Temp of 38.9c
e) HR 112
f) Redness
5. Who should adhere to cough etiquette: d) Everyone
a) Only pts
b) Only visitors
c) Only staff
d) Everyone
6. To which substances do standard precautions apply: b) All body fluids, except
a) All body fluids, including sweat sweat
b) All body fluids, except sweat
c) Only mucous membranes
d) Only non-intact skin and mucous membranes
7. The nurse failed to wash their hands before giving the b) Mode of transmission
Pt their food tray, resulting in the pt contracting an
infection. Which chain of infection does this scenario
illustrate?
a) Causative agent
b) Mode of transmission
c) Reservoir
d) Port of exit
8. True or False True
Another name to describe health-care-associated in-
fections (HAI's) is nosocomial infections.
9. A nurse is preparing to administer heparin subcuta- b) Select a site on the pt's
neously to a patient. Which action should the nurse abdomen
take?
a) Use an 18 gauge needle
, NUR 215 Final Exam
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b) Select a site on the pt's abdomen
c) Utilize the Z-track technique
d) Observe for the formation of a wheal
10. Which oxygen delivery device delivers the most pre- b) Venturi mask
cise amount of O2?
a) Simple face mask
b) Venturi mask
c) Nasal cannula
d) Non-rebreather
11. Put in order the oxygen delivery devices from least a) Nasal cannula (1-6
oxygen needed to most oxygen needed for use. lpm/24-44%)
a) Nasal cannula b) Simple mask (5-10
b) Simple mask lpm/35-50%)
c) Partial Rebreather c) Partial Rebreather (6-16
d) Non-Rebreather lpm/60-90%)
d) Non-Rebreather (10-15
lpm/90%)
12. True or False False
Hospice care and palliative care are the same things.
13. A nurse is caring for a pt in the hospital. Which state- a) A prescription is re-
ment is true regarding antiembolic stockings? quires
a) A prescription is requires
b) The stockings should be removed every 12 hours to
assess the skin
c) To select the correct size, the nurse should measure
ankle circumference
d) They can be worn 3 times in a row before washing
14. c) Airborne
, NUR 215 Final Exam
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A pt diagnosis with measles should be placed on
which type of precautions?
a) Protective
b) Contact
c) Airborne
d) Droplet
15. True or False False
Families should not help with postmortem care, such
as dressing or bathing the pt, because it can be dis-
tressing.
16. True or False False
A pt with protective environment precautions requires
negative pressure airflow exchange in the room.
17. Which action demonstrates improper ergonomics by a) Twisting while lifting
the nurse?
a) Twisting while lifting
b) Facing the direction of movement
c) Widening the base of support
d) Bending at the knees
18. An incontinent pt is at risk for pressure ulcers. What a) Reposition every 2
interventions should the nurse implement? (Select all hours
that apply.) b) Keep linens clean wrin-
a) Reposition every 2 hours kle free
b) Keep linens clean wrinkle free
c) Cleanse skin with soap and hot water
d) Insert an indwelling catheter
19. A nurse is caring for a client receiving tube feedings. b) Semi-Fowler's with
Which position should the pt be in to prevent aspira- HOB min 30 degrees
Study online at https://quizlet.com/_exf8ek
1. What are the considerations for oral care for an un- a) Reverse Trendelenburg
conscious patient? (Select all that apply.) position
a) Reverse Trendelenburg position b) Suction setup
b) Suction setup c) Turn the pt head to the
c) Turn the pt head to the side side
d) Lemon glycerin swabs
e) Oral care daily
2. The nurse observes a UAP caring for a pt. Which of b) UAP administers med-
the following observations requires the nurse to inter- ication the nurse left at the
vene? ( Select all that apply.) bedside to the pt
a) The UAP repositions a pt and offers a back massage d) The UAP shakes the
b) UAP administers medication the nurse left at the dirty bed linens out in-
bedside to the pt stead of changing the
c) The UAP performs hand hygiene before and after pt sheets
care
d) The UAP shakes the dirty bed linens out instead of
changing the sheets
3. A pt with a possible infection has lab tests ordered. a) Elevated WBC
Which lab result indicated infection? (Select all that c) Elevated ESR
apply.)
a) Elevated WBC
b) Negative Blood Culture
c) Elevated ESR
d) Decreased Neutrophil count
4. What are signs of a local infection? (Select all that a) Pain
apply.) b) Purulent drng
a) Pain f) Redness
b) Purulent drng
c) Swollen lymph nodes
, NUR 215 Final Exam
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d) Temp of 38.9c
e) HR 112
f) Redness
5. Who should adhere to cough etiquette: d) Everyone
a) Only pts
b) Only visitors
c) Only staff
d) Everyone
6. To which substances do standard precautions apply: b) All body fluids, except
a) All body fluids, including sweat sweat
b) All body fluids, except sweat
c) Only mucous membranes
d) Only non-intact skin and mucous membranes
7. The nurse failed to wash their hands before giving the b) Mode of transmission
Pt their food tray, resulting in the pt contracting an
infection. Which chain of infection does this scenario
illustrate?
a) Causative agent
b) Mode of transmission
c) Reservoir
d) Port of exit
8. True or False True
Another name to describe health-care-associated in-
fections (HAI's) is nosocomial infections.
9. A nurse is preparing to administer heparin subcuta- b) Select a site on the pt's
neously to a patient. Which action should the nurse abdomen
take?
a) Use an 18 gauge needle
, NUR 215 Final Exam
Study online at https://quizlet.com/_exf8ek
b) Select a site on the pt's abdomen
c) Utilize the Z-track technique
d) Observe for the formation of a wheal
10. Which oxygen delivery device delivers the most pre- b) Venturi mask
cise amount of O2?
a) Simple face mask
b) Venturi mask
c) Nasal cannula
d) Non-rebreather
11. Put in order the oxygen delivery devices from least a) Nasal cannula (1-6
oxygen needed to most oxygen needed for use. lpm/24-44%)
a) Nasal cannula b) Simple mask (5-10
b) Simple mask lpm/35-50%)
c) Partial Rebreather c) Partial Rebreather (6-16
d) Non-Rebreather lpm/60-90%)
d) Non-Rebreather (10-15
lpm/90%)
12. True or False False
Hospice care and palliative care are the same things.
13. A nurse is caring for a pt in the hospital. Which state- a) A prescription is re-
ment is true regarding antiembolic stockings? quires
a) A prescription is requires
b) The stockings should be removed every 12 hours to
assess the skin
c) To select the correct size, the nurse should measure
ankle circumference
d) They can be worn 3 times in a row before washing
14. c) Airborne
, NUR 215 Final Exam
Study online at https://quizlet.com/_exf8ek
A pt diagnosis with measles should be placed on
which type of precautions?
a) Protective
b) Contact
c) Airborne
d) Droplet
15. True or False False
Families should not help with postmortem care, such
as dressing or bathing the pt, because it can be dis-
tressing.
16. True or False False
A pt with protective environment precautions requires
negative pressure airflow exchange in the room.
17. Which action demonstrates improper ergonomics by a) Twisting while lifting
the nurse?
a) Twisting while lifting
b) Facing the direction of movement
c) Widening the base of support
d) Bending at the knees
18. An incontinent pt is at risk for pressure ulcers. What a) Reposition every 2
interventions should the nurse implement? (Select all hours
that apply.) b) Keep linens clean wrin-
a) Reposition every 2 hours kle free
b) Keep linens clean wrinkle free
c) Cleanse skin with soap and hot water
d) Insert an indwelling catheter
19. A nurse is caring for a client receiving tube feedings. b) Semi-Fowler's with
Which position should the pt be in to prevent aspira- HOB min 30 degrees
