FINAL EXAMS 177 QUESTIONS & ANSWERS
UPDATED 2024 GRADED A+
A nurse is planning care for a group of patients. Which of the following tasks
should the nurse delegate to an assistive personnel?
a. Changing the dressing for a patient who has a stage 3 pressure injury
b. Determining a patient's response to a diuretic
c. Comparing radial pulses for a patient who is postoperative d.Providing
postmortem care to a patient - CORRECT ANSWERS d
A nurse is conducting a health assessment for a patient who takes herbal
supplements. Which of the following statements by the patient indicates an
understanding of the use of the supplements?
A. I take ginkgo biloba for a headache
B. I take echinacea to control my cholesterol
C. I use ginger when I get car sick
D. I use garlic for my menopausal symptoms - CORRECT ANSWERS c
A nurse is caring for a patient who has influenza and isolation precautions in
place. Which of the following actions should the nurse take to prevent the spread
of infection?
A. Wear a mask when working within 3 feet of the patient
B. Administer metronidazole
C. Don protective eyewear before entering the room.
,D. Place the patient in a negative airflow room. - CORRECT ANSWERS a
A nurse obtains a prescription for wrist restraints for a patient who is trying to
pull out his NG tube. Which of the following actions should the nurse take?
A. Attach the restraints securely to the side rails of the patient's bed.
B. Apply the restraints to allow as little movement as possible
C.Allow room for two fingers to fit between the patients skin and the restraints
d. remove the restraints every 4 hours - CORRECT ANSWERS c
A nurse is admitting a patient who has tuberculosis. Which of the following types
of transmission precautions should the nurse plan to initiate?
A. Droplet
B. Airbornes
c. protective environment
d. contact - CORRECT ANSWERS b
A nurse in a well-child clinic receives a telephone call from a parent who states
that their child accidentally swallowed paint thinner. The child is awake and alert.
Which of the following responses should the nurse make?
A. Have your child drink one large glass of water.
B. Hang up and call a poison control center hotline.
C. Bring your child into the clinic later today.
D. Induce vomiting in your child with syrup of ipecac. - CORRECT ANSWERS
a
,A nurse is documenting a patient's medical record. Which of the following entries
should the nurse record.
A. Oral temperature slightly elevated at 0800
B. Administered pain medication
C. Incision without redness or drainage
D. Drank adequate amounts of fluid with meals. - CORRECT ANSWERS b
A nurse is providing oral care for a patient who is unconscious. Which of the
following actions should the nurse take?
A. Place the patient in a side-lying position.
B. Brush the patients teeth daily
C. Apply mineral oil to the patient's lips
D. Rinse the patient's mouth with an alcohol-based mouthwash - CORRECT
ANSWERS a
A nurse is collaborating with a risk management team about potential legal issues
involving patient care. The nurse should identify which of the following situations
is an example of negligence?
A. A nurse administers a medication without first identifying the patient.
B. An assistive personnel discusses patient care in the facility cafeteria with
visitors
present.
C. A nurse begins a blood transfusion without obtaining consent.
D. An assistive personnel prevents a patient from leaving the facility. -
CORRECT ANSWERS c
, A nurse is collecting a sputum specimen for culture from a patient who has a
respiratory infection. Which of the following actions should the nurse take?
A. Wear sterile gloves when collecting the specimen.
B. Offer the patient oral hygiene after the collection
C. Collect the specimen in the evening.
D Collect 1 ml of sputum. - CORRECT ANSWERS b
A nurse is assessing an older patient. Which of the following findings should the
nurse expect?
a. Decreased sense of balanced
b. Increased nighttime sleeping
c. Heightened sense of pain
d. Nighttime urinary incontinence - CORRECT ANSWERS a
A nurse is completing discharge teaching about ostomy care with a patient who
has a new stoma. Which of the following instructions should the nurse include in
the teaching? (select all that apply)
a. "Cut the opening of the pouch 1⁄8 of an inch larger than the stoma "
b. "Place a piece a gauze over the stoma while changing the pouch"
c. "Use povidone-iodine to clean around the stoma"
d. "Empty the ostomy pouch when it becomes one-third full of contents"
e. expect the stoma to turn a purple-blue color as its heals" - CORRECT
ANSWERS a, b, c, d