4/4/25, 7:50 NR224 Exam 2 |
PM
NR224 EXAM 2 QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (124)
What is the removal of devitalized tissue from a wound called?
a.debridement
a. debridement b. pressure reduction
c. negative pressure wound therapy
d. sanitization
Which of the following skills can the nurse delegate to nursing assistive
personnel? Select all that apply.
b. oropharyngeal suctioning of a stable
a.nasotracheal suctioning
patient
b. oropharyngeal suctioning of a stable patient
d. permanent tracheostomy tube
c. suctioning a new artificial airway
suctioning
d. permanent tracheostomy tube suctioning
e.care of an endotracheal tube
4. verify functioning of suction device and Place the following in correct sequence for suctioning a patient.
pressure 1. open kit and basin
6. increased supplemental oxygen 2.apply gloves
1. open kit and basin 3.lubricate catheter
3. lubricate catheter 4.verify functioning of suction device and pressure
2. apply gloves 5.connect suction tubing to suction catheter
5. connect suction tubing to suction 6.increased supplemental oxygen
catheter 7. reapply oxygen
8. suction airway 8.suction airway
7. reapply oxygen
A patient was admitted following a motor vehicle accident with multiple
fractured ribs. Respiratory assessment includes signs/symptoms of secondary
a. sharp pleuritic pain that worsens on pneumothorax. Which are the most common assessment findings associated
inspiration with a pneumothorax? Select all that apply.
d. worsening dyspnea a.sharp pleuritic pain that worsens on inspiration
e. absent lung sounds to auscultation on b. crackles over lung bases of affected lung
affected side c. tracheal deviation toward the affected lung
d. worsening dyspnea
e.absent lung sounds to auscultation on affected side
1/14
, 4/4/25, 7:50 NR224 Exam 2 |
PM
The nurse is caring for a patient who has decreased mobility. Which intervention
B (Frequent change of position)
is a simple and cost-effective method for reducing the risks of pulmonary
complication?
(Movement not only mobilizes secretions
a.antibiotics
but helps strengthen respiratory muscles
b. frequent change of position
by impacting the effectiveness of gas
c. oxygen humidification
exchange processes.)
d. chest physiotherapy
A nurse in a provider's office is evaluating a client who reports losing control of
urine whenever she coughs, laughs, or sneezes. THe client relates a history of
three vaginal births, but no serious accidents or illnesses. Which of the following
interventions should the nurse suggest for helping to control or eliminate the
B. Decrease or avoid caffeine client's incontinence? Select all that apply.
D. Avoid drinking alcohol A. limit total daily fluid intake
B.decrease or avoid caffeine
C. take calcium supplements
D.avoid drinking alcohol
E. use the Crede maneuver.
A client who has an indwelling catheter reports a need to urinate. which of the
following actions should the nurse take?
A. Check to see whether the catheter is a) check to see whether to catheter is patent
patent. b) reassure the client that it is not possible for her to urinate
c) recatheterize the bladder with a larger-gauge catheter
d) collect a urine specimen for analysis
A nurse is caring for a client who has a prescription for a 24-hr urine collection.
Which of the following actions should the nurse take?
A. discard the first voiding.
A. discard the first voiding. B.keep the urine in a single container at room temperature.
C. ask the client to urinate and pour the urine into a specimen container.
D.ask the client to urinate into the toilet, stop midstream, and finish urinating into
the specimen container.
A nurse is reviewing factors that increase the risk of urinary tract infections with a
client who has recurrent UTIs. Which of the following factors should the
A. frequent sexual intercourse nurse
D. location of the urethra in relation to include? Select all that apply.
the anus. A. frequent sexual intercourse.
E. frequent catheterization B.lowering of testosterone levels.
C. wiping from front to back.
D.location of urethra in relation to the anus.
E.frequent catheterization.
A nurse is preparing to initiate a bladder-retraining program for a client who
has incontinence. Which for the following actions should the nurse take? Select
B. have the client record urination times.
all that apply.
C. gradually increase the
A. Establish a schedule of urinating prior to meal times.
urination intervals.
B.Have the client record urination times.
D. remind the client to hold urine until
C. Gradually increase the urination intervals.
the next scheduled urination time.
D.remind the client to hold urine until the next scheduled urination time.
E. provide a sterile container for urine.
A nurse is assessing a client who has an acute respiratory infection that puts her
at risk for hypoxemia. Which of the following findings are early indications
that
A. restlessness
should alert the nurse that the client is developing hypoxemia? Select all that
B.tachypnea
apply.
D.confusion
A. restlessness
E. pallor
B.tachypnea
C. bradycardia
D.confusion
E. pallor
2/14
PM
NR224 EXAM 2 QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (124)
What is the removal of devitalized tissue from a wound called?
a.debridement
a. debridement b. pressure reduction
c. negative pressure wound therapy
d. sanitization
Which of the following skills can the nurse delegate to nursing assistive
personnel? Select all that apply.
b. oropharyngeal suctioning of a stable
a.nasotracheal suctioning
patient
b. oropharyngeal suctioning of a stable patient
d. permanent tracheostomy tube
c. suctioning a new artificial airway
suctioning
d. permanent tracheostomy tube suctioning
e.care of an endotracheal tube
4. verify functioning of suction device and Place the following in correct sequence for suctioning a patient.
pressure 1. open kit and basin
6. increased supplemental oxygen 2.apply gloves
1. open kit and basin 3.lubricate catheter
3. lubricate catheter 4.verify functioning of suction device and pressure
2. apply gloves 5.connect suction tubing to suction catheter
5. connect suction tubing to suction 6.increased supplemental oxygen
catheter 7. reapply oxygen
8. suction airway 8.suction airway
7. reapply oxygen
A patient was admitted following a motor vehicle accident with multiple
fractured ribs. Respiratory assessment includes signs/symptoms of secondary
a. sharp pleuritic pain that worsens on pneumothorax. Which are the most common assessment findings associated
inspiration with a pneumothorax? Select all that apply.
d. worsening dyspnea a.sharp pleuritic pain that worsens on inspiration
e. absent lung sounds to auscultation on b. crackles over lung bases of affected lung
affected side c. tracheal deviation toward the affected lung
d. worsening dyspnea
e.absent lung sounds to auscultation on affected side
1/14
, 4/4/25, 7:50 NR224 Exam 2 |
PM
The nurse is caring for a patient who has decreased mobility. Which intervention
B (Frequent change of position)
is a simple and cost-effective method for reducing the risks of pulmonary
complication?
(Movement not only mobilizes secretions
a.antibiotics
but helps strengthen respiratory muscles
b. frequent change of position
by impacting the effectiveness of gas
c. oxygen humidification
exchange processes.)
d. chest physiotherapy
A nurse in a provider's office is evaluating a client who reports losing control of
urine whenever she coughs, laughs, or sneezes. THe client relates a history of
three vaginal births, but no serious accidents or illnesses. Which of the following
interventions should the nurse suggest for helping to control or eliminate the
B. Decrease or avoid caffeine client's incontinence? Select all that apply.
D. Avoid drinking alcohol A. limit total daily fluid intake
B.decrease or avoid caffeine
C. take calcium supplements
D.avoid drinking alcohol
E. use the Crede maneuver.
A client who has an indwelling catheter reports a need to urinate. which of the
following actions should the nurse take?
A. Check to see whether the catheter is a) check to see whether to catheter is patent
patent. b) reassure the client that it is not possible for her to urinate
c) recatheterize the bladder with a larger-gauge catheter
d) collect a urine specimen for analysis
A nurse is caring for a client who has a prescription for a 24-hr urine collection.
Which of the following actions should the nurse take?
A. discard the first voiding.
A. discard the first voiding. B.keep the urine in a single container at room temperature.
C. ask the client to urinate and pour the urine into a specimen container.
D.ask the client to urinate into the toilet, stop midstream, and finish urinating into
the specimen container.
A nurse is reviewing factors that increase the risk of urinary tract infections with a
client who has recurrent UTIs. Which of the following factors should the
A. frequent sexual intercourse nurse
D. location of the urethra in relation to include? Select all that apply.
the anus. A. frequent sexual intercourse.
E. frequent catheterization B.lowering of testosterone levels.
C. wiping from front to back.
D.location of urethra in relation to the anus.
E.frequent catheterization.
A nurse is preparing to initiate a bladder-retraining program for a client who
has incontinence. Which for the following actions should the nurse take? Select
B. have the client record urination times.
all that apply.
C. gradually increase the
A. Establish a schedule of urinating prior to meal times.
urination intervals.
B.Have the client record urination times.
D. remind the client to hold urine until
C. Gradually increase the urination intervals.
the next scheduled urination time.
D.remind the client to hold urine until the next scheduled urination time.
E. provide a sterile container for urine.
A nurse is assessing a client who has an acute respiratory infection that puts her
at risk for hypoxemia. Which of the following findings are early indications
that
A. restlessness
should alert the nurse that the client is developing hypoxemia? Select all that
B.tachypnea
apply.
D.confusion
A. restlessness
E. pallor
B.tachypnea
C. bradycardia
D.confusion
E. pallor
2/14
