NUR1020C Term 1 Exam 2 UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Skin inspection and palpation includes assessment for:
A. Color, uniformity, and symmetry
B. Skin lesions
C. Skin temperature
D. All of the above - CORRECT ANSWER All of the above
The nurse is changing the bed linen of a patient on bed rest. When the nurse is ready to make
the other side of the bed, what will the nurse do before having the patient turn onto the side
that has already been made?
A. Lower the head of the bed
B. Raise the side rails
C. Apply the top sheet
D. Discard the soiled linen in the linen bag - CORRECT ANSWER Raise the side rails
The nurse is preparing to change the soiled linen of a patient's unoccupied bed. Which
precaution minimizes the risk of transmitting microorganisms?
A. Perform hand hygiene and apply clean gloves.
B. Place fresh linen on a clean bedside table or chair.
C. Put soiled linen in a pillow case before placing in a hamper.
D. Roll soiled linen together with the dirty sides toward the center. - CORRECT
ANSWER Perform hand hygiene and apply clean gloves.
Which action ensures that a patient will not have unnecessary pain during a linen change?
,A. Discontinue the bed change if the patient expresses or displays physical signs of pain.
B. Explain the procedure to the patient before beginning the linen change.
C. Administer a prescribed analgesic 30 to 60 minutes before the bed change if needed.
D. Postpone the bed change if the patient reports having physical pain before you begin. -
CORRECT ANSWER Administer a prescribed analgesic 30 to 60 minutes before the
bed change if needed.
A black patient is in the intensive care unit because of impending shock after an accident. The
nurse expects to find what characteristics in this patient's skin?
A.Ruddy blue.
B.Generalized pallor.
C.Ashen, gray, or dull.
D.Patchy areas of pallor. - CORRECT ANSWER Ashen, gray, or dull
A woman is leaving on a trip to Hawaii and has come in for a checkup. During the
examination the nurse learns that she has diabetes and takes oral hypoglycemic agents. The
patient needs to be concerned about which possible effect of her medications?
a.Increased possibility of bruising
b.Skin sensitivity as a result of exposure to salt water
c.Lack of availability of glucose-monitoring supplies
d.Importance of sunscreen and avoiding direct sunlight - CORRECT
ANSWER Importance of sunscreen and avoiding direct sunlight
The nurse is aware that the four areas in the body where lymph nodes are accessible are the:
a.Head, breasts, groin, and abdomen.
b.Arms, breasts, inguinal area, and legs.
c.Head and neck, arms, breasts, and axillae.
,d.Head and neck, arms, inguinal area, and axillae. - CORRECT ANSWER Head and
neck, arms, inguinal area, and axillae.
The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and
dry. This finding would be related to which factor in the older adult?
a.Increased vascularity of the skin
b.Increased numbers of sweat and sebaceous glands
c.An increase in elastin and a decrease in subcutaneous fat
d.An increased loss of elastin and a decrease in subcutaneous fat - CORRECT
ANSWER An increased loss of elastin and a decrease in subcutaneous fat
The nurse is discussing care coordination with a patient. The patient asks the nurse to explain
care coordination. The nurse's best response would be, "Care coordination
a. is a cost effective method created by the community.
b. forces the health care facilities in the community to work together.
c. exists for the children and uninsured in the community.
d. allows health care services to work together in the community." - CORRECT
ANSWER allows health care services to work together in the community."
The nurse is repositioning her patient in the side-lying position. To avoid putting the patient
at risk for pressure ulcers, the HOB should be placed at:
a. flat.
b. 90 degrees.
c. 30 degrees.
d. 45 degrees. - CORRECT ANSWER 30 degrees.
A nurse is conducting a health interview on a newly admitted patient. To establish a trusting
relationship with the patient, the nurse:
, -avoids eye contact to appear less threatening.
-demonstrates professionalism by not smiling.
-sits close and leans in slightly toward the patient.
-speaks in a slow rate of speech and low tone. - CORRECT ANSWER sits close and
leans in slightly toward the patient.
A nursing instructor is talking about care coordination with nursing students. The instructor
stresses which of the following to the students concerning care coordination?
-"The nurse does most of the work in care coordination."
-"A patient must ask for what they need in order to coordinate care."
-"Medical diagnoses are an integral part of care coordination."!
-"Collaboration is a significant part of care coordination." - CORRECT
ANSWER collaboration is a significant part of care coordination
A patient states, "I had a bad nightmare. When I woke up, I felt emotionally drained, as
though I hadn't rested well." Which response by the nurse would be an example of
interpersonal therapeutic communication?
-"It sounds as though you were uncomfortable with the content of your dream."
-"I understand what you're saying. Bad dreams leave me feeling tired, too."
-"Can you give me an example of what you mean by a 'bad nightmare'?"
-"So, all in all, you feel as though you had a rather poor night's sleep?" - CORRECT
ANSWER can you give me an example of what you mean by a bad nightmare
A young wife is talking with the nurse about her husband who is returning from the military.
The wife confides that her husband is physically okay but is behaving differently. What is the
nurse's best response?
-"Many times people need care for emotional trauma."
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Skin inspection and palpation includes assessment for:
A. Color, uniformity, and symmetry
B. Skin lesions
C. Skin temperature
D. All of the above - CORRECT ANSWER All of the above
The nurse is changing the bed linen of a patient on bed rest. When the nurse is ready to make
the other side of the bed, what will the nurse do before having the patient turn onto the side
that has already been made?
A. Lower the head of the bed
B. Raise the side rails
C. Apply the top sheet
D. Discard the soiled linen in the linen bag - CORRECT ANSWER Raise the side rails
The nurse is preparing to change the soiled linen of a patient's unoccupied bed. Which
precaution minimizes the risk of transmitting microorganisms?
A. Perform hand hygiene and apply clean gloves.
B. Place fresh linen on a clean bedside table or chair.
C. Put soiled linen in a pillow case before placing in a hamper.
D. Roll soiled linen together with the dirty sides toward the center. - CORRECT
ANSWER Perform hand hygiene and apply clean gloves.
Which action ensures that a patient will not have unnecessary pain during a linen change?
,A. Discontinue the bed change if the patient expresses or displays physical signs of pain.
B. Explain the procedure to the patient before beginning the linen change.
C. Administer a prescribed analgesic 30 to 60 minutes before the bed change if needed.
D. Postpone the bed change if the patient reports having physical pain before you begin. -
CORRECT ANSWER Administer a prescribed analgesic 30 to 60 minutes before the
bed change if needed.
A black patient is in the intensive care unit because of impending shock after an accident. The
nurse expects to find what characteristics in this patient's skin?
A.Ruddy blue.
B.Generalized pallor.
C.Ashen, gray, or dull.
D.Patchy areas of pallor. - CORRECT ANSWER Ashen, gray, or dull
A woman is leaving on a trip to Hawaii and has come in for a checkup. During the
examination the nurse learns that she has diabetes and takes oral hypoglycemic agents. The
patient needs to be concerned about which possible effect of her medications?
a.Increased possibility of bruising
b.Skin sensitivity as a result of exposure to salt water
c.Lack of availability of glucose-monitoring supplies
d.Importance of sunscreen and avoiding direct sunlight - CORRECT
ANSWER Importance of sunscreen and avoiding direct sunlight
The nurse is aware that the four areas in the body where lymph nodes are accessible are the:
a.Head, breasts, groin, and abdomen.
b.Arms, breasts, inguinal area, and legs.
c.Head and neck, arms, breasts, and axillae.
,d.Head and neck, arms, inguinal area, and axillae. - CORRECT ANSWER Head and
neck, arms, inguinal area, and axillae.
The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and
dry. This finding would be related to which factor in the older adult?
a.Increased vascularity of the skin
b.Increased numbers of sweat and sebaceous glands
c.An increase in elastin and a decrease in subcutaneous fat
d.An increased loss of elastin and a decrease in subcutaneous fat - CORRECT
ANSWER An increased loss of elastin and a decrease in subcutaneous fat
The nurse is discussing care coordination with a patient. The patient asks the nurse to explain
care coordination. The nurse's best response would be, "Care coordination
a. is a cost effective method created by the community.
b. forces the health care facilities in the community to work together.
c. exists for the children and uninsured in the community.
d. allows health care services to work together in the community." - CORRECT
ANSWER allows health care services to work together in the community."
The nurse is repositioning her patient in the side-lying position. To avoid putting the patient
at risk for pressure ulcers, the HOB should be placed at:
a. flat.
b. 90 degrees.
c. 30 degrees.
d. 45 degrees. - CORRECT ANSWER 30 degrees.
A nurse is conducting a health interview on a newly admitted patient. To establish a trusting
relationship with the patient, the nurse:
, -avoids eye contact to appear less threatening.
-demonstrates professionalism by not smiling.
-sits close and leans in slightly toward the patient.
-speaks in a slow rate of speech and low tone. - CORRECT ANSWER sits close and
leans in slightly toward the patient.
A nursing instructor is talking about care coordination with nursing students. The instructor
stresses which of the following to the students concerning care coordination?
-"The nurse does most of the work in care coordination."
-"A patient must ask for what they need in order to coordinate care."
-"Medical diagnoses are an integral part of care coordination."!
-"Collaboration is a significant part of care coordination." - CORRECT
ANSWER collaboration is a significant part of care coordination
A patient states, "I had a bad nightmare. When I woke up, I felt emotionally drained, as
though I hadn't rested well." Which response by the nurse would be an example of
interpersonal therapeutic communication?
-"It sounds as though you were uncomfortable with the content of your dream."
-"I understand what you're saying. Bad dreams leave me feeling tired, too."
-"Can you give me an example of what you mean by a 'bad nightmare'?"
-"So, all in all, you feel as though you had a rather poor night's sleep?" - CORRECT
ANSWER can you give me an example of what you mean by a bad nightmare
A young wife is talking with the nurse about her husband who is returning from the military.
The wife confides that her husband is physically okay but is behaving differently. What is the
nurse's best response?
-"Many times people need care for emotional trauma."
