Practice Exam NUR 388 Exam #1 Questions with
Complete Solutions
A nurse speaks to the previous nurse on the shift about the patient she is
about to receive. Which stage of the nurse patient relationship is this?
a. pre interaction
b. orientation
c. working
d. termination
e. assessment Correct Answer-a
A nurse should use soap and water to wash hands instead of alcohol
based during which of the following situations? Select all that apply.
a. After using the bathroom
b. After taking a patients pulse
c. After known exposure to Bacillus anthracis
d. Coming in contact with non-intact skin
e. Before and after removing gloves Correct Answer-A and C
Describe the importance of hand hygiene: Correct Answer-Hand
hygiene decreases the spread of deadly germs to patients and decreases
health care provider colonization. Also, it decreases healthcare
associated infections.
,Describe at least 5 times nurses should practice hand hygiene Correct
Answer-Before eating, after using the bathroom, after coughing or
blowing nose, before and after direct contact with patients intact skin,
after contact of objects in the patients vicinity, moving hands from
contaminated site to uncontaminated sit, before applying and after
removing gloves, after contact with blood, body fluids or excretions,
mucous membrane, non-intact skin, or wound dressings
Which of the following is a time where a nurse should don gloves?
Select all that apply
a. Dealing with intact skin
b. Actual or risk of exposure to patient's blood or bodily fluid
c. If the patient is in precautions
d. Before taking vital signs or patient
e. Dealing with non-intact skin or mucous membrane Correct Answer-B,
C, and E
Describe the importance of measuring vital signs. Correct Answer-Vital
signs allow you to get a baseline of your patient, observe trends, can
indicate illness, can help indicate a treatment plan, can tell you how a
patient is responding to meds, and is an early indicator of an issue
Which of the following is correct in it's relationship to vital sign
variation?
a. Heart rate decreases when the client is stressed or anxious
b. BP is higher during the night and is lower between 10am and 6pm
, c. Exercise can reduce BP for several hours following the activity, but
during exercise BP increases because the O2 demand increases
d. African Americans tend to have a lower blood pressure than the
average patient Correct Answer-C
Select all the situations where the vital signs are out of range for their
age group.
a. A newborn baby with a respiratory rate of 45 breathes per minute
b. An adult with a heart rate of 45 beats per minute
c. A teenage with a blood pressure of 130/80
d. A 4 year old with a respiratory rate of 35 breathes per minute Correct
Answer-B and D
Which of these vitals is the most concerning for a 45 year old adult.
a. Heart rate of 105bpm
b. Temperature of 39.5 C
c. Respiratory rate of 22
d. Blood pressure of 122/88mmHg Correct Answer-B. Temperature is
likely to cause change in the rest of the vitals
Which is correct about collecting a rectal temperature? Select all that
apply.
Complete Solutions
A nurse speaks to the previous nurse on the shift about the patient she is
about to receive. Which stage of the nurse patient relationship is this?
a. pre interaction
b. orientation
c. working
d. termination
e. assessment Correct Answer-a
A nurse should use soap and water to wash hands instead of alcohol
based during which of the following situations? Select all that apply.
a. After using the bathroom
b. After taking a patients pulse
c. After known exposure to Bacillus anthracis
d. Coming in contact with non-intact skin
e. Before and after removing gloves Correct Answer-A and C
Describe the importance of hand hygiene: Correct Answer-Hand
hygiene decreases the spread of deadly germs to patients and decreases
health care provider colonization. Also, it decreases healthcare
associated infections.
,Describe at least 5 times nurses should practice hand hygiene Correct
Answer-Before eating, after using the bathroom, after coughing or
blowing nose, before and after direct contact with patients intact skin,
after contact of objects in the patients vicinity, moving hands from
contaminated site to uncontaminated sit, before applying and after
removing gloves, after contact with blood, body fluids or excretions,
mucous membrane, non-intact skin, or wound dressings
Which of the following is a time where a nurse should don gloves?
Select all that apply
a. Dealing with intact skin
b. Actual or risk of exposure to patient's blood or bodily fluid
c. If the patient is in precautions
d. Before taking vital signs or patient
e. Dealing with non-intact skin or mucous membrane Correct Answer-B,
C, and E
Describe the importance of measuring vital signs. Correct Answer-Vital
signs allow you to get a baseline of your patient, observe trends, can
indicate illness, can help indicate a treatment plan, can tell you how a
patient is responding to meds, and is an early indicator of an issue
Which of the following is correct in it's relationship to vital sign
variation?
a. Heart rate decreases when the client is stressed or anxious
b. BP is higher during the night and is lower between 10am and 6pm
, c. Exercise can reduce BP for several hours following the activity, but
during exercise BP increases because the O2 demand increases
d. African Americans tend to have a lower blood pressure than the
average patient Correct Answer-C
Select all the situations where the vital signs are out of range for their
age group.
a. A newborn baby with a respiratory rate of 45 breathes per minute
b. An adult with a heart rate of 45 beats per minute
c. A teenage with a blood pressure of 130/80
d. A 4 year old with a respiratory rate of 35 breathes per minute Correct
Answer-B and D
Which of these vitals is the most concerning for a 45 year old adult.
a. Heart rate of 105bpm
b. Temperature of 39.5 C
c. Respiratory rate of 22
d. Blood pressure of 122/88mmHg Correct Answer-B. Temperature is
likely to cause change in the rest of the vitals
Which is correct about collecting a rectal temperature? Select all that
apply.
