NU 201 FINAL EXAM QUESTIONS &
ANSWERS VERIFIED 100% CORRECT!!
You are assessing a client's vital signs and they ask you what is a good blood
pressure. You reply by recalling the normal range for blood pressure for a
patient of this age. This is an example of what level of critical thinking? Answer
- Remember
Strategies to improve critical thinking include: Answer - 1. Debrief with a
colleague
2. Review articles to find the most up to date evidence based practices
3. Write a journal entry about a recent clinical experience, what you learned
and how you will use this experience in the future.
A 62 year old Chinese woman is admitted with abdominal pain and the
provider orders a nasogastric tube (NG tube) to be inserted. During the
assessment, the nurse determines that the patient does not speak English.
Which action should the nurse do in regard to this order? Answer - Request an
interpreter
A patient returns from surgery experiencing nausea and vomiting. You need to
provide discharge instructions. What is the most effective way to do this?
Answer - Provide anti-nausea medication as ordered and reassess patient. If
they are feeling better proceed with the education.
A nurse is working with a young adult at a college health clinic. Which of the
following actions should the nurse take first? Answer - Determine the clients
health risk
,A nurse is setting up a packaged sterile field, which of the following flaps
should the nurse unfold first? Answer - The flap farthest from the body,
moving the flap away from the nurse.
When entering a client's room to change a surgical dressing, a nurse notes that
the client is coughing and sneezing. Which of the following actions should the
nurse take when preparing the sterile field? Answer - Place a mask on the
client to limit the spread of micro-organisms into the surgical wound.
What is known as clean technique which includes procedures used to reduce
the number of organisms on hands? Answer - Medical Asepsis
To institute appropriate isolation precautions, the nurse must first know the:
Answer - Organism's mode of transmission
The best way to decrease the risk of transferring pathogens to a patient when
removing contaminated gloves is to: Answer - Gently pull just below the cuff
and invert the gloves when removing them.
What type of immunity is achieved when a person receives antibodies that
come from someone else rather than producing them through your own
immune system, as in immunizations and mother's milk. Answer - Passive
Immunity
When is okay to use alcohol based sanitizer to clean hands? Answer - After
providing oral care while wearing gloves
Name three education points you can give your patient to help prevent
resistant organisms? Answer - 1. Finish the entire course of antibiotics
2. Don't share antibiotics with others
, 3. Antibiotics are not effective against viruses
A nurse is caring for a client who reports a severe sore throat, pain when
swallowing, and swollen lymph nodes. The client is experiencing which of the
following stages of infection? Answer - illness
A nurse is helping the provider with a sterile procedure. What is correct
concerning this? Answer - The nurse drops sterile items onto the sterile field 6-
8 inches above the field
Inflammation due to friction is Answer - chafing
breakdown of skin caused by fluid is Answer - maceration
You are caring for a client who had a stroke two days ago that left her with
paralysis on her left side and altered ability to communicate. What bathing
option would be the best choice for this patient? Answer - complete bed bath
Which of the following are correct in relation to shaving a patient? Select all
that apply Answer - Obtain consent from the patient to shave a beard or
mustache,
Document any nicks or cuts and any assessment findings following the
procedure,
Keep the skin taut and use short strokes
Which of the following are correct for care of the eyes and ears? Answer - The
eyes are cleaned from the inner canthus to the outer canthus
A massage technique that employs long hand movement along the length of
the back is called Answer - effleurage
ANSWERS VERIFIED 100% CORRECT!!
You are assessing a client's vital signs and they ask you what is a good blood
pressure. You reply by recalling the normal range for blood pressure for a
patient of this age. This is an example of what level of critical thinking? Answer
- Remember
Strategies to improve critical thinking include: Answer - 1. Debrief with a
colleague
2. Review articles to find the most up to date evidence based practices
3. Write a journal entry about a recent clinical experience, what you learned
and how you will use this experience in the future.
A 62 year old Chinese woman is admitted with abdominal pain and the
provider orders a nasogastric tube (NG tube) to be inserted. During the
assessment, the nurse determines that the patient does not speak English.
Which action should the nurse do in regard to this order? Answer - Request an
interpreter
A patient returns from surgery experiencing nausea and vomiting. You need to
provide discharge instructions. What is the most effective way to do this?
Answer - Provide anti-nausea medication as ordered and reassess patient. If
they are feeling better proceed with the education.
A nurse is working with a young adult at a college health clinic. Which of the
following actions should the nurse take first? Answer - Determine the clients
health risk
,A nurse is setting up a packaged sterile field, which of the following flaps
should the nurse unfold first? Answer - The flap farthest from the body,
moving the flap away from the nurse.
When entering a client's room to change a surgical dressing, a nurse notes that
the client is coughing and sneezing. Which of the following actions should the
nurse take when preparing the sterile field? Answer - Place a mask on the
client to limit the spread of micro-organisms into the surgical wound.
What is known as clean technique which includes procedures used to reduce
the number of organisms on hands? Answer - Medical Asepsis
To institute appropriate isolation precautions, the nurse must first know the:
Answer - Organism's mode of transmission
The best way to decrease the risk of transferring pathogens to a patient when
removing contaminated gloves is to: Answer - Gently pull just below the cuff
and invert the gloves when removing them.
What type of immunity is achieved when a person receives antibodies that
come from someone else rather than producing them through your own
immune system, as in immunizations and mother's milk. Answer - Passive
Immunity
When is okay to use alcohol based sanitizer to clean hands? Answer - After
providing oral care while wearing gloves
Name three education points you can give your patient to help prevent
resistant organisms? Answer - 1. Finish the entire course of antibiotics
2. Don't share antibiotics with others
, 3. Antibiotics are not effective against viruses
A nurse is caring for a client who reports a severe sore throat, pain when
swallowing, and swollen lymph nodes. The client is experiencing which of the
following stages of infection? Answer - illness
A nurse is helping the provider with a sterile procedure. What is correct
concerning this? Answer - The nurse drops sterile items onto the sterile field 6-
8 inches above the field
Inflammation due to friction is Answer - chafing
breakdown of skin caused by fluid is Answer - maceration
You are caring for a client who had a stroke two days ago that left her with
paralysis on her left side and altered ability to communicate. What bathing
option would be the best choice for this patient? Answer - complete bed bath
Which of the following are correct in relation to shaving a patient? Select all
that apply Answer - Obtain consent from the patient to shave a beard or
mustache,
Document any nicks or cuts and any assessment findings following the
procedure,
Keep the skin taut and use short strokes
Which of the following are correct for care of the eyes and ears? Answer - The
eyes are cleaned from the inner canthus to the outer canthus
A massage technique that employs long hand movement along the length of
the back is called Answer - effleurage
