Page 1 of 129
NU272 Exam 1 ALL 400 Questions and
Verified Solutions Latest Update This
Year
QUESTION: A female client is brought to the emergency department with second- and third-
degree burns on the left arm, left anterior leg, and anterior trunk. Using the Rule of Nines, what
is the total body surface area that has been burned?
A. 18%
B. 27%
C. 30%
D. 36% - ANSWER-D. 36%
QUESTION: A female client with a severe staphylococcal infection is receiving the
aminoglycoside gentamicin sulfate (Garamycin) by the I.V. route. The nurse should assess the
client for which adverse reaction to this drug?
A. Aplastic anemia
B. Ototoxicity
C. Cardiac arrhythmias
D. Seizures - ANSWER-B. Ototoxicity
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QUESTION: The nurse is changing a dressing and providing wound care. Which activity should
she perform first?
A. Assess the drainage in the dressing.
B. Slowly remove the soiled dressing.
C. Wash hands thoroughly.
D. Put on latex gloves. - ANSWER-C. Wash hands thoroughly.
QUESTION: The nurse is assessing a client who presents with abdominal distention and
cramping, vomiting, and inability to pass gas. The nurse should prepare for which collaborative
intervention?
A. Administration of an enema
B. Insertion of a Foley tube
C. Removal of a fecal impaction
D. Insertion of a nasogastric tube - ANSWER-D. Insertion of a nasogastric tube
QUESTION: A nurse has noticed a significant rise in catheter-associated infections on the
medical floor and is designing a series of new initiatives to help reduce their occurrence. Which
current practice should the nurse consider a priority to address with the staff on the medical
floor?
A. Placement of Foley catheters in all admitted bed-bound clients
B. Foley catheters being changed only as needed
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C. Refusal of healthcare providers to order routine bladder irrigation
D. Use of ultrasound to assess bladder volume instead of intermittent catheterization -
ANSWER-D. Use of ultrasound to assess bladder volume instead of intermittent catheterization
QUESTION: The nurse is preparing to provide a newly prescribed laxative medication to a client
with chronic constipation. Which should the nurse assess prior to administering the
medication? (Select all that apply)
A. The client's blood urea nitrogen (BUN) and creatinine values
B. The client's fluid and electrolyte balance
C. Whether the client has recently had abdominal surgery
D. Preventive measures for constipation to avoid overdependence on laxatives
E. Whether the client has been experiencing nausea, vomiting, or cramps - ANSWER-C. Whether
the client has recently had abdominal surgery
D. Preventive measures for constipation to avoid overdependence on laxatives
E. Whether the client has been experiencing nausea, vomiting, or cramps
QUESTION: A nurse is mentoring a new graduate nurse about caring for a Foley catheter. Which
action by the new graduate nurse requires immediate intervention?
A. The nurse washes hands before donning gloves.
B. The nurse puts on a pair of non-sterile gloves before inserting the Foley catheter.
C. The nurse provides regular perineal care.
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D. The nurse checks the collection system to ensure that it has remained closed. - ANSWER-B.
The nurse puts on a pair of non-sterile gloves before inserting the Foley catheter.
QUESTION: When caring for a client with severe dehydration, the nurse should ensure which
results are documented?
A. Oxygen saturation
B. Intake/output
C. Catheter care
D. Respiratory rate - ANSWER-B. Intake/output
When planning care for a male client with burns on the upper torso, which nursing diagnosis
should take the highest priority?
A. Ineffective airway clearance related to edema of the respiratory passages
B. Impaired physical mobility related to the disease process
C. Disturbed sleep pattern related to facility environment
D. Risk for infection related to breaks in the skin - ANSWER-A. Ineffective airway clearance
related to edema of the respiratory passages
QUESTION: A male client comes to the physician's office for treatment of severe sunburn. The
nurse takes this opportunity to discuss the importance of protecting the skin from the sun's
damaging rays. Which instruction would best prevent skin damage?
A. "Minimize sun exposure from 1 to 4 p.m. when the sun is strongest."
NU272 Exam 1 ALL 400 Questions and
Verified Solutions Latest Update This
Year
QUESTION: A female client is brought to the emergency department with second- and third-
degree burns on the left arm, left anterior leg, and anterior trunk. Using the Rule of Nines, what
is the total body surface area that has been burned?
A. 18%
B. 27%
C. 30%
D. 36% - ANSWER-D. 36%
QUESTION: A female client with a severe staphylococcal infection is receiving the
aminoglycoside gentamicin sulfate (Garamycin) by the I.V. route. The nurse should assess the
client for which adverse reaction to this drug?
A. Aplastic anemia
B. Ototoxicity
C. Cardiac arrhythmias
D. Seizures - ANSWER-B. Ototoxicity
, Page 2 of 129
QUESTION: The nurse is changing a dressing and providing wound care. Which activity should
she perform first?
A. Assess the drainage in the dressing.
B. Slowly remove the soiled dressing.
C. Wash hands thoroughly.
D. Put on latex gloves. - ANSWER-C. Wash hands thoroughly.
QUESTION: The nurse is assessing a client who presents with abdominal distention and
cramping, vomiting, and inability to pass gas. The nurse should prepare for which collaborative
intervention?
A. Administration of an enema
B. Insertion of a Foley tube
C. Removal of a fecal impaction
D. Insertion of a nasogastric tube - ANSWER-D. Insertion of a nasogastric tube
QUESTION: A nurse has noticed a significant rise in catheter-associated infections on the
medical floor and is designing a series of new initiatives to help reduce their occurrence. Which
current practice should the nurse consider a priority to address with the staff on the medical
floor?
A. Placement of Foley catheters in all admitted bed-bound clients
B. Foley catheters being changed only as needed
, Page 3 of 129
C. Refusal of healthcare providers to order routine bladder irrigation
D. Use of ultrasound to assess bladder volume instead of intermittent catheterization -
ANSWER-D. Use of ultrasound to assess bladder volume instead of intermittent catheterization
QUESTION: The nurse is preparing to provide a newly prescribed laxative medication to a client
with chronic constipation. Which should the nurse assess prior to administering the
medication? (Select all that apply)
A. The client's blood urea nitrogen (BUN) and creatinine values
B. The client's fluid and electrolyte balance
C. Whether the client has recently had abdominal surgery
D. Preventive measures for constipation to avoid overdependence on laxatives
E. Whether the client has been experiencing nausea, vomiting, or cramps - ANSWER-C. Whether
the client has recently had abdominal surgery
D. Preventive measures for constipation to avoid overdependence on laxatives
E. Whether the client has been experiencing nausea, vomiting, or cramps
QUESTION: A nurse is mentoring a new graduate nurse about caring for a Foley catheter. Which
action by the new graduate nurse requires immediate intervention?
A. The nurse washes hands before donning gloves.
B. The nurse puts on a pair of non-sterile gloves before inserting the Foley catheter.
C. The nurse provides regular perineal care.
, Page 4 of 129
D. The nurse checks the collection system to ensure that it has remained closed. - ANSWER-B.
The nurse puts on a pair of non-sterile gloves before inserting the Foley catheter.
QUESTION: When caring for a client with severe dehydration, the nurse should ensure which
results are documented?
A. Oxygen saturation
B. Intake/output
C. Catheter care
D. Respiratory rate - ANSWER-B. Intake/output
When planning care for a male client with burns on the upper torso, which nursing diagnosis
should take the highest priority?
A. Ineffective airway clearance related to edema of the respiratory passages
B. Impaired physical mobility related to the disease process
C. Disturbed sleep pattern related to facility environment
D. Risk for infection related to breaks in the skin - ANSWER-A. Ineffective airway clearance
related to edema of the respiratory passages
QUESTION: A male client comes to the physician's office for treatment of severe sunburn. The
nurse takes this opportunity to discuss the importance of protecting the skin from the sun's
damaging rays. Which instruction would best prevent skin damage?
A. "Minimize sun exposure from 1 to 4 p.m. when the sun is strongest."
