NURS 230 EXAM 1 QUESTIONS/ANSWE
GUARANTEED PASS
4. cIdentify cpatients cat crisk c- cCORRECT cANS✔✔The cnurse cis ccaring cfor ca cgroup cof chospitaliz
cnurse cdo cfirst cto cprevent cpatient cinfections? c
1. cProvide csmall cbedside cbags cto cdispose cof cused ctissues
c2. cEncourage cstaff cto cavoid ccoughing cnear cpatients c
3. cAdminister cantibiotics cas cordered c
4. cIdentify cpatients cat crisk
1. cFever c- cCORRECT cANS✔✔The cnurse cidentifi ces cthat ca cpatient chas can cinfl cammatory cresp
cadaptation csupports cthis cconclusion? c
1. cFever c
2. cErythema c
3. cBradypnea c
4. cTachycardi
3. cNormal csaline cand capply ca cwet-to-damp cdressing." c- cCORRECT cANS✔✔A cpatient chas ca cw
csecondary cintention. cTo cbest csupport chealing cof cthe cwound, cthe cnurse cshould cexpect cthe cpra
c"Clean cwound cwith:
c1. cBetadine cand capply ca cdry csterile cdressing." c
2. cNormal csaline cand ccover cwith ca cgauze cdressing." c
3. cNormal csaline cand capply ca cwet-to-damp cdressing." c
4. cHalf cperoxide cand chalf cnormal csaline cand capply ca cwet cto cdry cdressing."
3. cPuncture cof cthe cfoot cby ca cnail c- cCORRECT cANS✔✔The cnurse cidentifi ces cthat cthe cgreates
cexists cfor ca cpatient cwith ca: c
1. cSurgical ccreation cof ca ccolostomy
c2. cFirst-degree cburn con cthe cback c
3. cPuncture cof cthe cfoot cby ca cnail c
4. cPaper ccut con cthe cfinger
1. cCells cof cthe cskin care cconstantly cbeing creplaced, cthereby celiminating cexternal cpathogens c- cC
cunderstands cthat cthe cskin cprotects cthe cbody cfrom cinfections cbecause cthe: c
1. cCells cof cthe cskin care cconstantly cbeing creplaced, cthereby celiminating cexternal cpathogens c
2. cEpithelial ccells care cloosely ccompacted con cskin, cproviding ca cbarrier cagainst cpathogens c3. cM
cprevents ccolonization cof cpathogens c
4. cAlkalinity cof cthe cskin climits cthe cgrowth cof cpathogens
,4. cPain
1. cWash cthe chands cbefore cand cafter cproviding ccare cto ca cpatient c- cCORRECT cANS✔✔To cinte
cthe cchain cof cinfection, cthe cnurse cshould: c
1. cWash cthe chands cbefore cand cafter cproviding ccare cto ca cpatient
c2. cPosition ca ccommode cnext cto ca cpatient's cbed
c3. cProvide ceducation cabout ca cbalanced cdiet
c4. cChange ca cdressing cwhen cit cis csoiled
3. cPneumonia c- cCORRECT cANS✔✔The cnurse cis cproviding cfor cthe cnutrition cneeds cof cseveral
cthe cneed cfor can cincrease cin ccaloric cintake cabove caverage crequirements cfor cthe cpatient cwho c
1. cNausea c
2. cDysphagia c
3. cPneumonia c
4. cDepression
1. cCuts cin cthe cskin cfrom ca ckitchen cknife c- cCORRECT cANS✔✔The cnurse cis ccaring cfor cpatient
cThe cnurse cunderstands cthat chealing cby cprimary cintention cmost clikely coccurs cwith: c
1. cCuts cin cthe cskin cfrom ca ckitchen cknife c
2. cExcoriated cperianal careas c
3. cAbrasions cof cthe cskin
c4. cPressure culcers
3. cHarbor cmicroorganisms c- cCORRECT cANS✔✔The cprimary creason cwhy cthe cnurse cshould cav
cbecause cthey: c
1. cInterfere cwith cdexterity cof cthe cfingers c
2. cCould cfall coff cin ca cpatient's cbed c
3. cHarbor cmicroorganisms c
4. cCan cscratch ca cpatient
3. cOlder cadults c- cCORRECT cANS✔✔The cnurse cunderstands cthat csubclinical cinfections cmost c
1. cInfants c
2. cAdolescents
c3. cOlder cadults c
4. cChildren cof cschool cage
3. cBurns cmore cthan ctwenty cpercent cof cthe cbody c- cCORRECT cANS✔✔The cnurse cunderstands
cpatient cat cthe cgreatest crisk cfor cdeveloping can cinfection cis: c
1. cImplantation cof ca cprosthetic cdevice c
2. cPresence cof can cindwelling curinary ccatheter c
3. cBurns cmore cthan ctwenty cpercent cof cthe cbody
c4. cMultiple cpuncture csites cfrom claparoscopic csurgery
4. cImmune cresponse c- cCORRECT cANS✔✔The cnurse cunderstands cthat ca csecondary cline cof cd
cthe: c
1. cMucous cmembranes cof cthe crespiratory ctract c
2. cUrinary ctract cenvironment c
3. cIntegumentary csystem c
4. cImmune cresponse
2. cAdministering cchildhood cimmunizations c- cCORRECT cANS✔✔Which cnursing caction cprotects
chost cin cthe cchain cof cinfection? c
1. cWearing cpersonal cprotective cequipment c
2. cAdministering cchildhood cimmunizations c
3. cRecapping ca cused cneedle cbefore cdiscarding
,3. cBile cin cthe cgastrointestinal csystem c
4. cMoist cenvironment cof cthe cepidermis
4. cPediculosis c- cCORRECT cANS✔✔When cbrushing ca cpatient's chair, cthe cnurse cnotes cwhite cov
chair cbehind cthe cears. cThe cnurse cshould cassess cthe cpatient cfurther cfor csigns cof: c
1. cScabies c
2. cDandruff
c3. cHirsutism c
4. cPediculosis
4. cPhagocytic ccells crelease cpyrogens cthat cstimulate cthe chypothalamus c- cCORRECT cANS✔✔T
crise cin cbody ctemperature cis cassociated cwith cthe cpresence cof cinfection cbecause:
c1. cPain cactivates cthe csympathetic cnervous csystem c
2. cErythema cincreases cthe cflow cof cblood cthroughout cthe cbody c
3. cLeukocyte cmigration cprecipitates cthe cinflammatory cresponse c
4. cPhagocytic ccells crelease cpyrogens cthat cstimulate cthe chypothalamus
4. cWound cinfection ccaused cby cunwashed chands cof ca ccaregiver c- cCORRECT cANS✔✔. cThe cn
cexample cof can ciatrogenic cinfection cis ca:
c1. cVaginal cinfection cin ca cpostmenopausal cwoman c
2. cRespiratory cinfection ccontracted cfrom ca cgrandchild
c3. cUrinary ctract cinfection cin ca cpatient cwho cis csedentary c
4. cWound cinfection ccaused cby cunwashed chands cof ca ccaregiver
2. cFacilitate cthe chealing cprocess c- cCORRECT cANS✔✔The cphysician corders ca cwound cto cbe cp
cgauze cdressing. cThe cnurse cunderstands cthat cthis cis cdone cprimarily cto: c
1. cMinimize cthe closs cof cprotein c
2. cFacilitate cthe chealing cprocess
c3. cIncrease cresistance cto cinfection c
4. cPrevent cthe centry cof cmicroorganisms
3. cCilia cin cthe crespiratory ctract c- cCORRECT cANS✔✔The cnurse cunderstands cthat ca cprimary c(n
cprotects cthe cbody cfrom cinfection cis: c
1. cAntibiotic ctherapy c
2. cThe chigh cpH cof cthe cskin c
3. cCilia cin cthe crespiratory ctract
c4. cThe calkaline cenvironment cof cthe cvagina
4. cEdema c- cCORRECT cANS✔✔A cpatient chas ca cwound cinfection. cWhich clocal chuman crespons
cidentify? c
1. cHyperthermia c
2. cNeutropenia c
3. cMalaise c
4. cEdema
3. cConduction c- cCORRECT cANS✔✔The cnurse cis ccaring cfor ca cpatient cwith ca chigh cfever cseco
cthe cphysician corders ca ccooling cblanket, cthe cnurse cunderstands cthat cit cis cused cto cachieve che
1. cRadiation
c2. cConvection c
3. cConduction c
4. cEvaporation
4. cDecreased cmetabolic cactivity c- cCORRECT cANS✔✔The cnurse cidentifies cthat ca cpatient ccond
1. cCatabolism
c2. cHyperglycemia c
, 3. cConvection c- cCORRECT cANS✔✔The cnurse ccovers cthe cpatient cwith ca ccotton cblanket cdurin
cprevent cheat closs cvia: c
1. cVasodilation c
2. cConduction c
3. cConvection c
4. cDiffusion
1. cDetermine cthe cpatient's cpreferences cabout chygiene cpractices c- cCORRECT cANS✔✔The cnur
chygiene cneeds cof ca cpatient. cWhich cis cthe cfirst cassessment cto cbe cperformed cby cthe cnurse? c
1. cDetermine cthe cpatient's cpreferences cabout chygiene cpractices c
2. cAssess cthe cpatient's cability cto cassist cin chygiene cactivities c
3. cCollect cthe cpatient's ctoiletries cneeded cfor cthe cbath c
4. cRecognize cthe cpatient's cdevelopmental cstage
2. cRemove cexcess coil, cperspiration, cand cbacteria cby cmechanical ccleansing c- cCORRECT cANS
bound cpatient ca cbed cbath. cThe cprimary creason cthe cnurse cprovides chygiene cto cthis cpatient cis
1. cSupport ca csense cof cwell-being cby cincreasing cself-esteem c
2. cRemove cexcess coil, cperspiration, cand cbacteria cby cmechanical ccleansing c
3. cPromote ccirculation cby cstimulating cthe cskin's cperipheral cnerve cendings c
4. cExercise cmuscles cby ccontraction cand crelaxation cof cmuscles cwhen cbathing
2. cInability cto cwash cbody cparts c- cCORRECT cANS✔✔Which chuman cresponse, cidentified cby cth
cconcern cthat ca cpatient chas ca creduced ccapacity cto cprovide cfor cactivities cof cdaily cliving? c
1. cPresence cof cjoint ccontractures c
2. cInability cto cwash cbody cparts
c3. cPostoperative clethargy c
4. cVisual cdisorders
2. cAn coversecretion cof csebum c- cCORRECT cANS✔✔The cnurse cis cperforming ca cphysical casse
cpatient cand cidentifies cthe cpresence cof cacne. cThe cnurse cunderstands cthat cacne cis ccaused cby
1. cDry, cflaking cskin c
2. cAn coversecretion cof csebum c
3. cMicroorganisms con cthe cskin c
4. cInadequate chygienic cpractices
3. cStimulate cvenous creturn c- cCORRECT cANS✔✔When cgiving ca cpatient ca cbed cbath, cthe cnurs
cextremities cfrom cdistal cto cproximal. cThe cnurse cdoes cthis cto: c
1. cDecrease cthe cchance cof cinfection c
2. cFacilitate cremoval cof cdry cskin c
3. cStimulate cvenous creturn c
4. cMinimize cskin ctears
1. cSordes c- cCORRECT cANS✔✔During coral ccare cthe cnurse csoftens cand cremoves ca cpatch cof c
cadhered cto cthe chard cpalate cof cthe cpatient's cmouth. cWhen cdocumenting, cthe cnurse cidentifies c
c1. cSordes c
2. cPlaque c
3. cGlossitis
c4. cStomatitis
1. c4 ctimes ca cday c- cCORRECT cANS✔✔The cnurse cteaches ca cpatient cthat cfor cbrushing cthe ctee
cbe cdone: c
1. c4 ctimes ca cday c
2. c6 ctimes ca cday
c3. c3 ctimes ca cday
c4. c2 ctimes ca cday
GUARANTEED PASS
4. cIdentify cpatients cat crisk c- cCORRECT cANS✔✔The cnurse cis ccaring cfor ca cgroup cof chospitaliz
cnurse cdo cfirst cto cprevent cpatient cinfections? c
1. cProvide csmall cbedside cbags cto cdispose cof cused ctissues
c2. cEncourage cstaff cto cavoid ccoughing cnear cpatients c
3. cAdminister cantibiotics cas cordered c
4. cIdentify cpatients cat crisk
1. cFever c- cCORRECT cANS✔✔The cnurse cidentifi ces cthat ca cpatient chas can cinfl cammatory cresp
cadaptation csupports cthis cconclusion? c
1. cFever c
2. cErythema c
3. cBradypnea c
4. cTachycardi
3. cNormal csaline cand capply ca cwet-to-damp cdressing." c- cCORRECT cANS✔✔A cpatient chas ca cw
csecondary cintention. cTo cbest csupport chealing cof cthe cwound, cthe cnurse cshould cexpect cthe cpra
c"Clean cwound cwith:
c1. cBetadine cand capply ca cdry csterile cdressing." c
2. cNormal csaline cand ccover cwith ca cgauze cdressing." c
3. cNormal csaline cand capply ca cwet-to-damp cdressing." c
4. cHalf cperoxide cand chalf cnormal csaline cand capply ca cwet cto cdry cdressing."
3. cPuncture cof cthe cfoot cby ca cnail c- cCORRECT cANS✔✔The cnurse cidentifi ces cthat cthe cgreates
cexists cfor ca cpatient cwith ca: c
1. cSurgical ccreation cof ca ccolostomy
c2. cFirst-degree cburn con cthe cback c
3. cPuncture cof cthe cfoot cby ca cnail c
4. cPaper ccut con cthe cfinger
1. cCells cof cthe cskin care cconstantly cbeing creplaced, cthereby celiminating cexternal cpathogens c- cC
cunderstands cthat cthe cskin cprotects cthe cbody cfrom cinfections cbecause cthe: c
1. cCells cof cthe cskin care cconstantly cbeing creplaced, cthereby celiminating cexternal cpathogens c
2. cEpithelial ccells care cloosely ccompacted con cskin, cproviding ca cbarrier cagainst cpathogens c3. cM
cprevents ccolonization cof cpathogens c
4. cAlkalinity cof cthe cskin climits cthe cgrowth cof cpathogens
,4. cPain
1. cWash cthe chands cbefore cand cafter cproviding ccare cto ca cpatient c- cCORRECT cANS✔✔To cinte
cthe cchain cof cinfection, cthe cnurse cshould: c
1. cWash cthe chands cbefore cand cafter cproviding ccare cto ca cpatient
c2. cPosition ca ccommode cnext cto ca cpatient's cbed
c3. cProvide ceducation cabout ca cbalanced cdiet
c4. cChange ca cdressing cwhen cit cis csoiled
3. cPneumonia c- cCORRECT cANS✔✔The cnurse cis cproviding cfor cthe cnutrition cneeds cof cseveral
cthe cneed cfor can cincrease cin ccaloric cintake cabove caverage crequirements cfor cthe cpatient cwho c
1. cNausea c
2. cDysphagia c
3. cPneumonia c
4. cDepression
1. cCuts cin cthe cskin cfrom ca ckitchen cknife c- cCORRECT cANS✔✔The cnurse cis ccaring cfor cpatient
cThe cnurse cunderstands cthat chealing cby cprimary cintention cmost clikely coccurs cwith: c
1. cCuts cin cthe cskin cfrom ca ckitchen cknife c
2. cExcoriated cperianal careas c
3. cAbrasions cof cthe cskin
c4. cPressure culcers
3. cHarbor cmicroorganisms c- cCORRECT cANS✔✔The cprimary creason cwhy cthe cnurse cshould cav
cbecause cthey: c
1. cInterfere cwith cdexterity cof cthe cfingers c
2. cCould cfall coff cin ca cpatient's cbed c
3. cHarbor cmicroorganisms c
4. cCan cscratch ca cpatient
3. cOlder cadults c- cCORRECT cANS✔✔The cnurse cunderstands cthat csubclinical cinfections cmost c
1. cInfants c
2. cAdolescents
c3. cOlder cadults c
4. cChildren cof cschool cage
3. cBurns cmore cthan ctwenty cpercent cof cthe cbody c- cCORRECT cANS✔✔The cnurse cunderstands
cpatient cat cthe cgreatest crisk cfor cdeveloping can cinfection cis: c
1. cImplantation cof ca cprosthetic cdevice c
2. cPresence cof can cindwelling curinary ccatheter c
3. cBurns cmore cthan ctwenty cpercent cof cthe cbody
c4. cMultiple cpuncture csites cfrom claparoscopic csurgery
4. cImmune cresponse c- cCORRECT cANS✔✔The cnurse cunderstands cthat ca csecondary cline cof cd
cthe: c
1. cMucous cmembranes cof cthe crespiratory ctract c
2. cUrinary ctract cenvironment c
3. cIntegumentary csystem c
4. cImmune cresponse
2. cAdministering cchildhood cimmunizations c- cCORRECT cANS✔✔Which cnursing caction cprotects
chost cin cthe cchain cof cinfection? c
1. cWearing cpersonal cprotective cequipment c
2. cAdministering cchildhood cimmunizations c
3. cRecapping ca cused cneedle cbefore cdiscarding
,3. cBile cin cthe cgastrointestinal csystem c
4. cMoist cenvironment cof cthe cepidermis
4. cPediculosis c- cCORRECT cANS✔✔When cbrushing ca cpatient's chair, cthe cnurse cnotes cwhite cov
chair cbehind cthe cears. cThe cnurse cshould cassess cthe cpatient cfurther cfor csigns cof: c
1. cScabies c
2. cDandruff
c3. cHirsutism c
4. cPediculosis
4. cPhagocytic ccells crelease cpyrogens cthat cstimulate cthe chypothalamus c- cCORRECT cANS✔✔T
crise cin cbody ctemperature cis cassociated cwith cthe cpresence cof cinfection cbecause:
c1. cPain cactivates cthe csympathetic cnervous csystem c
2. cErythema cincreases cthe cflow cof cblood cthroughout cthe cbody c
3. cLeukocyte cmigration cprecipitates cthe cinflammatory cresponse c
4. cPhagocytic ccells crelease cpyrogens cthat cstimulate cthe chypothalamus
4. cWound cinfection ccaused cby cunwashed chands cof ca ccaregiver c- cCORRECT cANS✔✔. cThe cn
cexample cof can ciatrogenic cinfection cis ca:
c1. cVaginal cinfection cin ca cpostmenopausal cwoman c
2. cRespiratory cinfection ccontracted cfrom ca cgrandchild
c3. cUrinary ctract cinfection cin ca cpatient cwho cis csedentary c
4. cWound cinfection ccaused cby cunwashed chands cof ca ccaregiver
2. cFacilitate cthe chealing cprocess c- cCORRECT cANS✔✔The cphysician corders ca cwound cto cbe cp
cgauze cdressing. cThe cnurse cunderstands cthat cthis cis cdone cprimarily cto: c
1. cMinimize cthe closs cof cprotein c
2. cFacilitate cthe chealing cprocess
c3. cIncrease cresistance cto cinfection c
4. cPrevent cthe centry cof cmicroorganisms
3. cCilia cin cthe crespiratory ctract c- cCORRECT cANS✔✔The cnurse cunderstands cthat ca cprimary c(n
cprotects cthe cbody cfrom cinfection cis: c
1. cAntibiotic ctherapy c
2. cThe chigh cpH cof cthe cskin c
3. cCilia cin cthe crespiratory ctract
c4. cThe calkaline cenvironment cof cthe cvagina
4. cEdema c- cCORRECT cANS✔✔A cpatient chas ca cwound cinfection. cWhich clocal chuman crespons
cidentify? c
1. cHyperthermia c
2. cNeutropenia c
3. cMalaise c
4. cEdema
3. cConduction c- cCORRECT cANS✔✔The cnurse cis ccaring cfor ca cpatient cwith ca chigh cfever cseco
cthe cphysician corders ca ccooling cblanket, cthe cnurse cunderstands cthat cit cis cused cto cachieve che
1. cRadiation
c2. cConvection c
3. cConduction c
4. cEvaporation
4. cDecreased cmetabolic cactivity c- cCORRECT cANS✔✔The cnurse cidentifies cthat ca cpatient ccond
1. cCatabolism
c2. cHyperglycemia c
, 3. cConvection c- cCORRECT cANS✔✔The cnurse ccovers cthe cpatient cwith ca ccotton cblanket cdurin
cprevent cheat closs cvia: c
1. cVasodilation c
2. cConduction c
3. cConvection c
4. cDiffusion
1. cDetermine cthe cpatient's cpreferences cabout chygiene cpractices c- cCORRECT cANS✔✔The cnur
chygiene cneeds cof ca cpatient. cWhich cis cthe cfirst cassessment cto cbe cperformed cby cthe cnurse? c
1. cDetermine cthe cpatient's cpreferences cabout chygiene cpractices c
2. cAssess cthe cpatient's cability cto cassist cin chygiene cactivities c
3. cCollect cthe cpatient's ctoiletries cneeded cfor cthe cbath c
4. cRecognize cthe cpatient's cdevelopmental cstage
2. cRemove cexcess coil, cperspiration, cand cbacteria cby cmechanical ccleansing c- cCORRECT cANS
bound cpatient ca cbed cbath. cThe cprimary creason cthe cnurse cprovides chygiene cto cthis cpatient cis
1. cSupport ca csense cof cwell-being cby cincreasing cself-esteem c
2. cRemove cexcess coil, cperspiration, cand cbacteria cby cmechanical ccleansing c
3. cPromote ccirculation cby cstimulating cthe cskin's cperipheral cnerve cendings c
4. cExercise cmuscles cby ccontraction cand crelaxation cof cmuscles cwhen cbathing
2. cInability cto cwash cbody cparts c- cCORRECT cANS✔✔Which chuman cresponse, cidentified cby cth
cconcern cthat ca cpatient chas ca creduced ccapacity cto cprovide cfor cactivities cof cdaily cliving? c
1. cPresence cof cjoint ccontractures c
2. cInability cto cwash cbody cparts
c3. cPostoperative clethargy c
4. cVisual cdisorders
2. cAn coversecretion cof csebum c- cCORRECT cANS✔✔The cnurse cis cperforming ca cphysical casse
cpatient cand cidentifies cthe cpresence cof cacne. cThe cnurse cunderstands cthat cacne cis ccaused cby
1. cDry, cflaking cskin c
2. cAn coversecretion cof csebum c
3. cMicroorganisms con cthe cskin c
4. cInadequate chygienic cpractices
3. cStimulate cvenous creturn c- cCORRECT cANS✔✔When cgiving ca cpatient ca cbed cbath, cthe cnurs
cextremities cfrom cdistal cto cproximal. cThe cnurse cdoes cthis cto: c
1. cDecrease cthe cchance cof cinfection c
2. cFacilitate cremoval cof cdry cskin c
3. cStimulate cvenous creturn c
4. cMinimize cskin ctears
1. cSordes c- cCORRECT cANS✔✔During coral ccare cthe cnurse csoftens cand cremoves ca cpatch cof c
cadhered cto cthe chard cpalate cof cthe cpatient's cmouth. cWhen cdocumenting, cthe cnurse cidentifies c
c1. cSordes c
2. cPlaque c
3. cGlossitis
c4. cStomatitis
1. c4 ctimes ca cday c- cCORRECT cANS✔✔The cnurse cteaches ca cpatient cthat cfor cbrushing cthe ctee
cbe cdone: c
1. c4 ctimes ca cday c
2. c6 ctimes ca cday
c3. c3 ctimes ca cday
c4. c2 ctimes ca cday
