NR 224 | NR224 EXAM 1 | FUNDAMENTALS EXAM 1 |
QUESTIONS AND VERIFIED ANSWERS RATED A+ |
LATEST 2025/2026 GUIDE | CHAMBERLAIN
While preparing to do a sterile dressing change, a nurse accidentally
sneezes over the sterile field that is on the over-the-bed table. Which of
the following principles of surgical asepsis, if any, has the nurse
violated?
A. When a sterile field comes in contact with a wet surface, the sterile
field is contaminated by capillary action.
B. Fluid flows in the direction of gravity.
C. A sterile field becomes contaminated by prolonged exposure to air.
D. None of the principles were violated.
- Correct Answer - C
A 52-year-old woman is admitted with dyspnea and discomfort in her left
chest with deep breaths. She has smoked for 35 years and recently lost
over 10 pounds. Her vital signs on admission are: HR 112, BP 138/82,
RR 22, tympanic temperature 36.8° C (98.2° F), and oxygen saturation
94%. She is receiving oxygen at 2 L via a nasal cannula. Which vital sign
reflects a positive outcome of the oxygen therapy?
A. Temperature: 37° C (98.6° F)
B. Radial pulse: 112
C. Respiratory rate: 24
D. Oxygen saturation: 96%
D. Blood pressure: 134/78
- Correct Answer - D
,The licensed practice nurse (LPN) provides you with the change-of-shift
vital signs on four of your patients. Which patient do you need to assess
first?
A. 84-year-old man recently admitted with pneumonia, RR 28, SpO2
89%
B. 54-year-old woman admitted after surgery for fractured arm, BP
160/86 mm Hg, HR 72
C. 63-year-old man with venous ulcers from diabetes, temperature 37.3°
C (99.1° F), HR 84
D. 77-year-old woman with left mastectomy 2 days ago, RR 22, BP
148/62
- Correct Answer - A
A 56-year-old patient with diabetes admitted for community-acquired
pneumonia has a temperature of 38.2° C (100.8° F) via the temporal
artery. Which additional assessment data are needed in planning
interventions for the patient's infection? (Select all that apply.)
A. Heart rate
B. Presence of diaphoresis
C. Smoking history
D. Respiratory rate
E. Recent bowel movement
F. Blood pressure in right arm
G. Patient's normal temperature
H. Blood pressure in distal extremity
- Correct Answer - A, B, D, G
A 55-year-old widowed patient was in a motor vehicle accident and is
admitted to a surgical unit after repair of a fractured left arm and left leg.
,She also has a laceration on her forehead. An intravenous (IV) line is
infusing in the right antecubital fossa, and pneumatic compression
stockings are on the right lower leg. She is receiving oxygen via a simple
face mask. What sites do you instruct the nursing assistant to use for
obtaining the patient's blood pressure and temperature
A. Right antecubital and tympanic membrane
B. right popliteal and right axillae
C. left antecubital and oral
D. left popliteal and temporal artery
- Correct Answer - B
A patient has been transferred to your unit from the respiratory intensive
care unit, where he has been for the past 2 weeks recovering from
pneumonia. He is receiving oxygen via 4 L nasal cannula. His respiratory
rate is 26 breaths/min, and his oxygen saturation is 92%. In planning his
care, which information is most helpful in determining your priority
nursing interventions?
A. Activity order
B. Medication list
C. Baseline vital signs
D. Patient's perception of dyspnea
- Correct Answer - C
During a patient's routine annual physical, she tells you that she has
noted that her heart feels like it's "racing," usually in the later morning,
early afternoon, or just before she goes to bed. Her radial pulse rate is
68 beats/min and regular; her blood pressure is 134/82 mm Hg. What
additional information is helpful in evaluating the patient's racing heart?
(Select all that apply.)
, A. Dietary habits
B. Medication list
C. Exercise regimen
D. Age, weight, and height
- Correct Answer - A & B
You observe a nursing student taking a blood pressure (BP) on a patient.
The patient's BP range over the past 24 hours is 132/64 to 126/72 mm
Hg. The student used a BP cuff that was too narrow for the patient.
Which of the following BP readings made by the student is most likely
caused by the incorrect choice of BP cuff?
A. 96/40 mm Hg
B. 110/66 mm Hg
C. 130/70 mm Hg
D. 156/82 mm Hg - Correct Answer - D
As you are obtaining the oxygen saturation on a 19-year-old college
student with severe asthma, you note that she has black nail polish on
her nails. You remove the polish from one nail, and she asks you why
her nail polish had to be removed. Your best reply is:
A. Nail polish attracts microorganisms and contaminates the finger
sensor.
B. Nail polish increases oxygen saturation.
C. Nail polish interferes with sensor function.
D. Nail polish creates excessive heat in sensor probe. - Correct Answer -
C
QUESTIONS AND VERIFIED ANSWERS RATED A+ |
LATEST 2025/2026 GUIDE | CHAMBERLAIN
While preparing to do a sterile dressing change, a nurse accidentally
sneezes over the sterile field that is on the over-the-bed table. Which of
the following principles of surgical asepsis, if any, has the nurse
violated?
A. When a sterile field comes in contact with a wet surface, the sterile
field is contaminated by capillary action.
B. Fluid flows in the direction of gravity.
C. A sterile field becomes contaminated by prolonged exposure to air.
D. None of the principles were violated.
- Correct Answer - C
A 52-year-old woman is admitted with dyspnea and discomfort in her left
chest with deep breaths. She has smoked for 35 years and recently lost
over 10 pounds. Her vital signs on admission are: HR 112, BP 138/82,
RR 22, tympanic temperature 36.8° C (98.2° F), and oxygen saturation
94%. She is receiving oxygen at 2 L via a nasal cannula. Which vital sign
reflects a positive outcome of the oxygen therapy?
A. Temperature: 37° C (98.6° F)
B. Radial pulse: 112
C. Respiratory rate: 24
D. Oxygen saturation: 96%
D. Blood pressure: 134/78
- Correct Answer - D
,The licensed practice nurse (LPN) provides you with the change-of-shift
vital signs on four of your patients. Which patient do you need to assess
first?
A. 84-year-old man recently admitted with pneumonia, RR 28, SpO2
89%
B. 54-year-old woman admitted after surgery for fractured arm, BP
160/86 mm Hg, HR 72
C. 63-year-old man with venous ulcers from diabetes, temperature 37.3°
C (99.1° F), HR 84
D. 77-year-old woman with left mastectomy 2 days ago, RR 22, BP
148/62
- Correct Answer - A
A 56-year-old patient with diabetes admitted for community-acquired
pneumonia has a temperature of 38.2° C (100.8° F) via the temporal
artery. Which additional assessment data are needed in planning
interventions for the patient's infection? (Select all that apply.)
A. Heart rate
B. Presence of diaphoresis
C. Smoking history
D. Respiratory rate
E. Recent bowel movement
F. Blood pressure in right arm
G. Patient's normal temperature
H. Blood pressure in distal extremity
- Correct Answer - A, B, D, G
A 55-year-old widowed patient was in a motor vehicle accident and is
admitted to a surgical unit after repair of a fractured left arm and left leg.
,She also has a laceration on her forehead. An intravenous (IV) line is
infusing in the right antecubital fossa, and pneumatic compression
stockings are on the right lower leg. She is receiving oxygen via a simple
face mask. What sites do you instruct the nursing assistant to use for
obtaining the patient's blood pressure and temperature
A. Right antecubital and tympanic membrane
B. right popliteal and right axillae
C. left antecubital and oral
D. left popliteal and temporal artery
- Correct Answer - B
A patient has been transferred to your unit from the respiratory intensive
care unit, where he has been for the past 2 weeks recovering from
pneumonia. He is receiving oxygen via 4 L nasal cannula. His respiratory
rate is 26 breaths/min, and his oxygen saturation is 92%. In planning his
care, which information is most helpful in determining your priority
nursing interventions?
A. Activity order
B. Medication list
C. Baseline vital signs
D. Patient's perception of dyspnea
- Correct Answer - C
During a patient's routine annual physical, she tells you that she has
noted that her heart feels like it's "racing," usually in the later morning,
early afternoon, or just before she goes to bed. Her radial pulse rate is
68 beats/min and regular; her blood pressure is 134/82 mm Hg. What
additional information is helpful in evaluating the patient's racing heart?
(Select all that apply.)
, A. Dietary habits
B. Medication list
C. Exercise regimen
D. Age, weight, and height
- Correct Answer - A & B
You observe a nursing student taking a blood pressure (BP) on a patient.
The patient's BP range over the past 24 hours is 132/64 to 126/72 mm
Hg. The student used a BP cuff that was too narrow for the patient.
Which of the following BP readings made by the student is most likely
caused by the incorrect choice of BP cuff?
A. 96/40 mm Hg
B. 110/66 mm Hg
C. 130/70 mm Hg
D. 156/82 mm Hg - Correct Answer - D
As you are obtaining the oxygen saturation on a 19-year-old college
student with severe asthma, you note that she has black nail polish on
her nails. You remove the polish from one nail, and she asks you why
her nail polish had to be removed. Your best reply is:
A. Nail polish attracts microorganisms and contaminates the finger
sensor.
B. Nail polish increases oxygen saturation.
C. Nail polish interferes with sensor function.
D. Nail polish creates excessive heat in sensor probe. - Correct Answer -
C
