NUR 3028 Final Exam-Sample Questions
and answers
Clients in healthcare settings are at increased risks for infections due to: (mark ALL that apply)
A. More disease causing microorganisms
B. Invasive procedures
C. Lower resistance to microorganisms
D. Longer hospital stays
E. Open visiting hours
F. Nurses' increased resistance - ANSWER>>A. More disease causing microorganisms
B. Invasive procedures
C. Lower resistance to microorganisms
D. Longer hospital stays
The nurse can best minimize the risk for infection when initiating an intravenous site by:
A. Proper vein selection
B. Hand hygiene prior to procedure
C. Appropriate site dressing
D. Gloving for procedure - ANSWER>>B. Hand hygiene prior to procedure
A nurse must display understanding of the mental implications of a client on isolation
precautions when planning to control the risk of:
A. Denial
B. Aggression
C. Regression
D. Isolation - ANSWER>>D. Isolation
You are caring for a patient who underwent surgery 48 hours ago. The patient's WBC are
elevated. You should:
A. Start antibiotics
B. Assess wound
C. Document the findings and reassess in 2 hours
D. Place the patient on isolation precautions - ANSWER>>B. Assess wound
Which of the following clients who is experiencing the heat of mid-August is at greatest risk for
heatstroke heat exhaustion?
A. 65 year old diagnosed with COPD
,B. 34 year old novice marathon runner
C. 15 year old playing in an outdoor tennis tournament
D. 9 month old whose bedroom is cooled with a mechanical fan - ANSWER>>A. 65 year old
diagnosed with COPD
While caring for a child, you identify that additional safety teaching is needed when a young
and inexperienced mother states that:
A. Teenagers need to practice safe sex
B. A 3 year old can safely sit in the front seat of the car
C. Children need to wear safety equipment when bike riding
D. Children need to learn to swim even if they do not have a pool - ANSWER>>B. A 3 year old
can safely sit in the front seat of the car
The nurse is conducting an admission interview and assessment on a cognitively impaired,
uncooperative client for the risk of injury. Which of the following options will most likely
provide the information to confirm the diagnosis?
A. Base degree of risk on observable data at the time of the client's current hospital admission
B. Closely monitor the client's behavior and habits until risk for injury can be
reasonable determined
C. Make certain critically sound assumptions are based on the client's
developmental stage and current cognitive status
D. Interview the client's family, friends and/or caregivers regarding prehospitalization risk
factors - ANSWER>>D. Interview the client's family, friends and/or caregivers regarding
prehospitalization risk factors
A nurse floats to a busy surgical unit and administers a wrong medication to a patient. This
error can be classified as:
A. A poisoning accident
B. An equipment-related accident
C. A procedure-related accident
D. An accident relates to time management - ANSWER>>C. A procedure-related accident
A newly admitted client was found wandering the hallways for the past two nights. The most
appropriate nursing interventions to prevent a fall for this client would include:
A. Raise all four side rails when darkness falls
B. Use an electronic bed-monitoring device
C. Place the client in a room close to the nursing station
, D. Use a loose-fitting vest-type jacket restraint - ANSWER>>B. Use an electronic bed-monitoring
device
A confused client on a ventilator was restrained to prevent him from pulling out his
endotracheal tube. Which of the following could be a possible alternative measure that the
nurse could use to avoid the use of the restraints?
A. Orient client to the environment and explain the need to the endotracheal tube
B. Provide a trained sitter to continuously supervise client
C. Camouflage the endotracheal tube with tockinette dressing
D. Promote relaxation techniques - ANSWER>>B. Provide a trained sitter to continuously
supervise client
You are caring for a non-English speaking male patient. When preparing to assist him with
personal hygiene, you should:
A. Use soap and water on all types of skin
B. Ensure that culture and ethnicity influence hygiene practices
C. Shave facial hair to make the patient more comfortable
D. Know that all patients need to be bathed daily - ANSWER>>B. Ensure that culture and
ethnicity influence hygiene practices
The nurse is preparing to delegate the changing of the linen on an unoccupied bed to assistant
personnel. Which of the following statements by the assistive personnel requires follow-up by
the nurse?
A. "I'll use gloves if I see that the sheets have been soiled with urine or feces"
B. "She said her daughter was bringing in her special pillow. I'll see if it's here yet."
C. "I noticed some read areas on her back, so I'll be extra careful to remove all the wrinkles"
D. "The family usually walks her out to the lounge after breakfast. I'll change the linen then." -
ANSWER>>A. "I'll use gloves if I see that the sheets have been soiled with urine or feces"
When preparing to provide foot care for a patient diagnosed with type 2 diabetes mellitus, the
nurse best ensures patient safety by first:
A. Inspecting the feet for signs of impaired peripheral circulation
B. Reviewing the patient's medical history for the risk of infection
C. Wearing treatment gloves to minimizes the risk of cross-contamination
D. Securing the patient's consent for and cooperation with the act of nail care - ANSWER>>C.
Wearing treatment gloves to minimizes the risk of cross-contamination
and answers
Clients in healthcare settings are at increased risks for infections due to: (mark ALL that apply)
A. More disease causing microorganisms
B. Invasive procedures
C. Lower resistance to microorganisms
D. Longer hospital stays
E. Open visiting hours
F. Nurses' increased resistance - ANSWER>>A. More disease causing microorganisms
B. Invasive procedures
C. Lower resistance to microorganisms
D. Longer hospital stays
The nurse can best minimize the risk for infection when initiating an intravenous site by:
A. Proper vein selection
B. Hand hygiene prior to procedure
C. Appropriate site dressing
D. Gloving for procedure - ANSWER>>B. Hand hygiene prior to procedure
A nurse must display understanding of the mental implications of a client on isolation
precautions when planning to control the risk of:
A. Denial
B. Aggression
C. Regression
D. Isolation - ANSWER>>D. Isolation
You are caring for a patient who underwent surgery 48 hours ago. The patient's WBC are
elevated. You should:
A. Start antibiotics
B. Assess wound
C. Document the findings and reassess in 2 hours
D. Place the patient on isolation precautions - ANSWER>>B. Assess wound
Which of the following clients who is experiencing the heat of mid-August is at greatest risk for
heatstroke heat exhaustion?
A. 65 year old diagnosed with COPD
,B. 34 year old novice marathon runner
C. 15 year old playing in an outdoor tennis tournament
D. 9 month old whose bedroom is cooled with a mechanical fan - ANSWER>>A. 65 year old
diagnosed with COPD
While caring for a child, you identify that additional safety teaching is needed when a young
and inexperienced mother states that:
A. Teenagers need to practice safe sex
B. A 3 year old can safely sit in the front seat of the car
C. Children need to wear safety equipment when bike riding
D. Children need to learn to swim even if they do not have a pool - ANSWER>>B. A 3 year old
can safely sit in the front seat of the car
The nurse is conducting an admission interview and assessment on a cognitively impaired,
uncooperative client for the risk of injury. Which of the following options will most likely
provide the information to confirm the diagnosis?
A. Base degree of risk on observable data at the time of the client's current hospital admission
B. Closely monitor the client's behavior and habits until risk for injury can be
reasonable determined
C. Make certain critically sound assumptions are based on the client's
developmental stage and current cognitive status
D. Interview the client's family, friends and/or caregivers regarding prehospitalization risk
factors - ANSWER>>D. Interview the client's family, friends and/or caregivers regarding
prehospitalization risk factors
A nurse floats to a busy surgical unit and administers a wrong medication to a patient. This
error can be classified as:
A. A poisoning accident
B. An equipment-related accident
C. A procedure-related accident
D. An accident relates to time management - ANSWER>>C. A procedure-related accident
A newly admitted client was found wandering the hallways for the past two nights. The most
appropriate nursing interventions to prevent a fall for this client would include:
A. Raise all four side rails when darkness falls
B. Use an electronic bed-monitoring device
C. Place the client in a room close to the nursing station
, D. Use a loose-fitting vest-type jacket restraint - ANSWER>>B. Use an electronic bed-monitoring
device
A confused client on a ventilator was restrained to prevent him from pulling out his
endotracheal tube. Which of the following could be a possible alternative measure that the
nurse could use to avoid the use of the restraints?
A. Orient client to the environment and explain the need to the endotracheal tube
B. Provide a trained sitter to continuously supervise client
C. Camouflage the endotracheal tube with tockinette dressing
D. Promote relaxation techniques - ANSWER>>B. Provide a trained sitter to continuously
supervise client
You are caring for a non-English speaking male patient. When preparing to assist him with
personal hygiene, you should:
A. Use soap and water on all types of skin
B. Ensure that culture and ethnicity influence hygiene practices
C. Shave facial hair to make the patient more comfortable
D. Know that all patients need to be bathed daily - ANSWER>>B. Ensure that culture and
ethnicity influence hygiene practices
The nurse is preparing to delegate the changing of the linen on an unoccupied bed to assistant
personnel. Which of the following statements by the assistive personnel requires follow-up by
the nurse?
A. "I'll use gloves if I see that the sheets have been soiled with urine or feces"
B. "She said her daughter was bringing in her special pillow. I'll see if it's here yet."
C. "I noticed some read areas on her back, so I'll be extra careful to remove all the wrinkles"
D. "The family usually walks her out to the lounge after breakfast. I'll change the linen then." -
ANSWER>>A. "I'll use gloves if I see that the sheets have been soiled with urine or feces"
When preparing to provide foot care for a patient diagnosed with type 2 diabetes mellitus, the
nurse best ensures patient safety by first:
A. Inspecting the feet for signs of impaired peripheral circulation
B. Reviewing the patient's medical history for the risk of infection
C. Wearing treatment gloves to minimizes the risk of cross-contamination
D. Securing the patient's consent for and cooperation with the act of nail care - ANSWER>>C.
Wearing treatment gloves to minimizes the risk of cross-contamination
