GNRS 555 EXAM 1 TEST BANK 2025
NEWEST EXAM 2 VERSIONS
COMPLETE 550 EXAM QUESTIONS
WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) /ALREADY
GRADED A+
VERSION A
A patient is admitted to a medical unit for a home-
acquired pressure ulcer. The patient has Alzheimer's
disease and has been incontinent of urine. The nurse
inserts a Foley catheter. Which of the following presents
the biggest risk of infection?
A. Restraints
B. Poor hygiene
C. Foley catheter
D. Improper positioning - ....ANSWER...C. Foley catheter
,Which patient is least stable? Most stable?
A. Temp: 99.1, HR 105, BP 139/99, RR 20, Pain 6
B. Temp: 98.5, HR 110, BP 130/91, RR 19, Pain 1
C. Temp: 98.3, HR 76, BP 119/83, RR 12, Pain 0
D. Temp: 97.3, HR 54, BP 99/83, RR 10, Pain 0 -
....ANSWER...Least: A. Temp: 99.1, HR 105, BP 139/99,
RR 20, Pain 6
Most: C. Temp: 98.3, HR 76, BP 119/83, RR 12, Pain 0
What vital signs are most important to check immediately
prior to giving the BP medication? - ....ANSWER...Blood
pressure and heart rate
Which one of these could cause tachycardia?
A. Receiving pain medication
B. Receiving BP medication
C. O2 saturation of 94%
D. Temperature of 103.2 F. - ....ANSWER...D.
Temperature of 103.2 F.
,What is reflective journaling? - ....ANSWER...A tool used
to clarify concepts through reflection by thinking back or
recalling situations
What is concept mapping? - ....ANSWER...A visual
representation of client problems and interventions that
illustrates an interrelationship
A patient continues to report post-surgical incision pain of
9/10 on a pain scale after pain medication is given. The
next dose of pain medication is not due for another hour.
What should the critically thinking nurse do first?
A. Explain to the patient that nothing else has been
ordered
B. Explore the options for pain relief
C. Offer to notify the health care provider after morning
rounds are completed
D. Discuss the surgical procedure and reason for the pain -
....ANSWER...B. Explore the options for pain relief
The nurse identifies that the patient received Mylanta
(simethicone) instead of the prescribed Pepto-Bismol
, (bismuth subsalicylate) for the problem of indigestion. The
nurse's next intervention is to:
A. Do nothing, no harm has been done
B. Assess and monitor the patient
C. Notify the physician, treat and document
D. Complete an incident report - ....ANSWER...B. Assess
and monitor the patient
You notice that your new admission patient 56 y/o has a
blood pressure (BP) of 157/89. This patient reports to you
he is having some pain in post-surgical site. He has no
blood pressure medication ordered. What would be your
next action as a nurse?
A. Call physician immediately for BP medication
B. Assess patient's pain.
C. Reassess patient in 1 hour
D. Tell patient he will feel better if he just relaxes. -
....ANSWER...B. Assess patient's pain.
What can a nurse not discuss?: (Select all that apply)
A. Examination
NEWEST EXAM 2 VERSIONS
COMPLETE 550 EXAM QUESTIONS
WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) /ALREADY
GRADED A+
VERSION A
A patient is admitted to a medical unit for a home-
acquired pressure ulcer. The patient has Alzheimer's
disease and has been incontinent of urine. The nurse
inserts a Foley catheter. Which of the following presents
the biggest risk of infection?
A. Restraints
B. Poor hygiene
C. Foley catheter
D. Improper positioning - ....ANSWER...C. Foley catheter
,Which patient is least stable? Most stable?
A. Temp: 99.1, HR 105, BP 139/99, RR 20, Pain 6
B. Temp: 98.5, HR 110, BP 130/91, RR 19, Pain 1
C. Temp: 98.3, HR 76, BP 119/83, RR 12, Pain 0
D. Temp: 97.3, HR 54, BP 99/83, RR 10, Pain 0 -
....ANSWER...Least: A. Temp: 99.1, HR 105, BP 139/99,
RR 20, Pain 6
Most: C. Temp: 98.3, HR 76, BP 119/83, RR 12, Pain 0
What vital signs are most important to check immediately
prior to giving the BP medication? - ....ANSWER...Blood
pressure and heart rate
Which one of these could cause tachycardia?
A. Receiving pain medication
B. Receiving BP medication
C. O2 saturation of 94%
D. Temperature of 103.2 F. - ....ANSWER...D.
Temperature of 103.2 F.
,What is reflective journaling? - ....ANSWER...A tool used
to clarify concepts through reflection by thinking back or
recalling situations
What is concept mapping? - ....ANSWER...A visual
representation of client problems and interventions that
illustrates an interrelationship
A patient continues to report post-surgical incision pain of
9/10 on a pain scale after pain medication is given. The
next dose of pain medication is not due for another hour.
What should the critically thinking nurse do first?
A. Explain to the patient that nothing else has been
ordered
B. Explore the options for pain relief
C. Offer to notify the health care provider after morning
rounds are completed
D. Discuss the surgical procedure and reason for the pain -
....ANSWER...B. Explore the options for pain relief
The nurse identifies that the patient received Mylanta
(simethicone) instead of the prescribed Pepto-Bismol
, (bismuth subsalicylate) for the problem of indigestion. The
nurse's next intervention is to:
A. Do nothing, no harm has been done
B. Assess and monitor the patient
C. Notify the physician, treat and document
D. Complete an incident report - ....ANSWER...B. Assess
and monitor the patient
You notice that your new admission patient 56 y/o has a
blood pressure (BP) of 157/89. This patient reports to you
he is having some pain in post-surgical site. He has no
blood pressure medication ordered. What would be your
next action as a nurse?
A. Call physician immediately for BP medication
B. Assess patient's pain.
C. Reassess patient in 1 hour
D. Tell patient he will feel better if he just relaxes. -
....ANSWER...B. Assess patient's pain.
What can a nurse not discuss?: (Select all that apply)
A. Examination
