NUR 164 EXAM 2 (Textbook
Questions) Latest Update 2025-2026.
Questions & Correct Verified Answers.
Graded A
A charge nurse working on a medical-surgical unit stops the AP from taking
rectal temperatures on patients with which problems? Select all that apply.
A. Hypothermia
B. Pneumonia
C. Bradycardia
D. Leukemia
E. Thrombocytopenia
F. Pancreatitis - ANSc, d, e. The rectal site should not be used in
newborns, children with diarrhea, and in patients who have undergone
rectal or vaginal surgery. Inserting a rectal thermometer can stimulate the
vagus nerve causing or worsening bradycardia; this route may be
contraindicated in certain cardiac patients. The rectal route is also
contraindicated in patients who have neutropenia (low white blood cell
counts, such as in leukemia or those receiving chemotherapy),
thrombocytopenia (low platelet counts), and certain neurologic disorders.
A home health nurse teaches a patient to a change the dressing for a
chronic venous stasis ulcer using clean technique. Which principle of
asepsis will the nurse consider when preparing the teaching plan?
1
,A. The nurse chooses clean or sterile technique based on personal
preference.
B. The use of clean technique is considered safe in the home setting.
C. Surgical asepsis is the safest method to use in a home setting.
D.The patient can use clean technique; their partner must wear sterile
gloves. - ANSb. Medical asepsis, or clean technique, involves procedures
and practices that reduce the number and transfer of pathogens. This is
usually recommended in the home setting, where the patient's environment
is more controlled. Injections require surgical asepsis. The patient and
partner share the same home; medical asepsis is appropriate.
A new graduate nurse tells the preceptor they want to obtain recognition in
wound care, a specialty area of nursing. What credential will this nurse
need to seek?
A. Accreditation
B. Licensure
C. Certification
D. Board approval - ANSC. Certification is the process by which a person
who has met certain criteria established by a nongovernmental association
is granted recognition in a specified practice area. Nursing is one of the
groups operating under state laws that promote the general welfare by
determining minimum standards of education through accreditation of
schools of nursing. Licensure is a legal document that permits a person to
offer to the public skills and knowledge in a particular jurisdiction, where
such practice would otherwise be unlawful without a license. State board of
2
, approval ensures that nurses have received the proper training to practice
nursing.
A nurse administering an injection to a patient who tested positive for HIV
sustains a needlestick. What action should the nurse take first?
A. Report the incident to the nurse manager and file an injury report
B. Wash the exposed area with warm water and soap
C. Consent to postexposure prophylaxis (PEP) at the appropriate time
D. Set up counseling sessions regarding safe practice to protect self -
ANSb. When a needlestick injury occurs, the nurse should wash the
affected area immediately with warm water and soap, report the incident to
the nurse manager or appropriate person and complete an injury report,
consent to and await the results of blood tests, consent to PEP, and attend
counseling sessions regarding safe practice to protect self and others.
A nurse and health care provider are preparing for insertion of a central
venous catheter when the patient accidentally touches the sterile field.
What action will the nurse take next?
A. Ask another nurse to hold the patient's hand and continue setting up the
field
B. Remove any objects the patient touched and resume setting up the
sterile field
C. Have someone hold the patient's hand, discard the supplies, and
prepare a new sterile field
3
Questions) Latest Update 2025-2026.
Questions & Correct Verified Answers.
Graded A
A charge nurse working on a medical-surgical unit stops the AP from taking
rectal temperatures on patients with which problems? Select all that apply.
A. Hypothermia
B. Pneumonia
C. Bradycardia
D. Leukemia
E. Thrombocytopenia
F. Pancreatitis - ANSc, d, e. The rectal site should not be used in
newborns, children with diarrhea, and in patients who have undergone
rectal or vaginal surgery. Inserting a rectal thermometer can stimulate the
vagus nerve causing or worsening bradycardia; this route may be
contraindicated in certain cardiac patients. The rectal route is also
contraindicated in patients who have neutropenia (low white blood cell
counts, such as in leukemia or those receiving chemotherapy),
thrombocytopenia (low platelet counts), and certain neurologic disorders.
A home health nurse teaches a patient to a change the dressing for a
chronic venous stasis ulcer using clean technique. Which principle of
asepsis will the nurse consider when preparing the teaching plan?
1
,A. The nurse chooses clean or sterile technique based on personal
preference.
B. The use of clean technique is considered safe in the home setting.
C. Surgical asepsis is the safest method to use in a home setting.
D.The patient can use clean technique; their partner must wear sterile
gloves. - ANSb. Medical asepsis, or clean technique, involves procedures
and practices that reduce the number and transfer of pathogens. This is
usually recommended in the home setting, where the patient's environment
is more controlled. Injections require surgical asepsis. The patient and
partner share the same home; medical asepsis is appropriate.
A new graduate nurse tells the preceptor they want to obtain recognition in
wound care, a specialty area of nursing. What credential will this nurse
need to seek?
A. Accreditation
B. Licensure
C. Certification
D. Board approval - ANSC. Certification is the process by which a person
who has met certain criteria established by a nongovernmental association
is granted recognition in a specified practice area. Nursing is one of the
groups operating under state laws that promote the general welfare by
determining minimum standards of education through accreditation of
schools of nursing. Licensure is a legal document that permits a person to
offer to the public skills and knowledge in a particular jurisdiction, where
such practice would otherwise be unlawful without a license. State board of
2
, approval ensures that nurses have received the proper training to practice
nursing.
A nurse administering an injection to a patient who tested positive for HIV
sustains a needlestick. What action should the nurse take first?
A. Report the incident to the nurse manager and file an injury report
B. Wash the exposed area with warm water and soap
C. Consent to postexposure prophylaxis (PEP) at the appropriate time
D. Set up counseling sessions regarding safe practice to protect self -
ANSb. When a needlestick injury occurs, the nurse should wash the
affected area immediately with warm water and soap, report the incident to
the nurse manager or appropriate person and complete an injury report,
consent to and await the results of blood tests, consent to PEP, and attend
counseling sessions regarding safe practice to protect self and others.
A nurse and health care provider are preparing for insertion of a central
venous catheter when the patient accidentally touches the sterile field.
What action will the nurse take next?
A. Ask another nurse to hold the patient's hand and continue setting up the
field
B. Remove any objects the patient touched and resume setting up the
sterile field
C. Have someone hold the patient's hand, discard the supplies, and
prepare a new sterile field
3
