NUR2115/NUR 2115 Exam 2 V3 |
Fundamentals of Professional
Nursing Q&A with Rationale |
Rasmussen University
1. Which phase of the nursing process involves the systematic collection of subjective and
objective data?
A. Planning
B. Assessment
C. Implementation
D. Evaluation
Correct Answer: B
Expert Explanation: Assessment is the foundational first step of the nursing process. It
involves gathering comprehensive data through observation, interviewing, and physical
examination. This information is essential for identifying patient needs and developing an
accurate nursing diagnosis.
2. A patient is placed on droplet precautions. Which of the following conditions requires this
type of isolation?
A. Influenza
,B. Tuberculosis
C. C. difficile
D. Disseminated Herpes Zoster
Correct Answer: A
Expert Explanation: Droplet precautions are used for pathogens transmitted by large
respiratory droplets, such as Influenza. These droplets do not remain suspended in the air
and travel only short distances. Healthcare providers must wear a surgical mask when
entering the patient’s room to prevent transmission.
3. While preparing a sterile field, the nurse notes that a portion of the sterile drape has hung
over the edge of the table. What should the nurse do?
A. Pull the drape back onto the table.
B. Continue the procedure if the center is still sterile.
C. Consider the overhanging portion contaminated.
D. Discard the entire drape and start over.
Correct Answer: C
Expert Explanation: Any part of a sterile drape that hangs below the level of the table
surface is considered contaminated. The nurse must not touch or pull that portion back
into the sterile field. Maintaining strict boundaries is necessary to prevent the introduction
of microorganisms to the sterile area.
, 4. Which nursing intervention is most effective in preventing the formation of deep vein
thrombosis (DVT) in an immobile patient?
A. Keeping the patient in a supine position
B. Limiting fluid intake to reduce edema
C. Massaging the patient’s calves daily
D. Applying sequential compression devices (SCDs)
Correct Answer: D
Expert Explanation: Sequential compression devices (SCDs) promote venous return by
applying intermittent pressure to the lower extremities. This mechanical intervention
helps prevent blood stasis, which is a primary risk factor for DVT. It is a standard
prophylactic measure for patients with limited mobility.
5. A nurse is assessing a pressure injury that shows partial-thickness loss of dermis and a
shallow, open ulcer with a red-pink wound bed. How should this be staged?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Correct Answer: B
Fundamentals of Professional
Nursing Q&A with Rationale |
Rasmussen University
1. Which phase of the nursing process involves the systematic collection of subjective and
objective data?
A. Planning
B. Assessment
C. Implementation
D. Evaluation
Correct Answer: B
Expert Explanation: Assessment is the foundational first step of the nursing process. It
involves gathering comprehensive data through observation, interviewing, and physical
examination. This information is essential for identifying patient needs and developing an
accurate nursing diagnosis.
2. A patient is placed on droplet precautions. Which of the following conditions requires this
type of isolation?
A. Influenza
,B. Tuberculosis
C. C. difficile
D. Disseminated Herpes Zoster
Correct Answer: A
Expert Explanation: Droplet precautions are used for pathogens transmitted by large
respiratory droplets, such as Influenza. These droplets do not remain suspended in the air
and travel only short distances. Healthcare providers must wear a surgical mask when
entering the patient’s room to prevent transmission.
3. While preparing a sterile field, the nurse notes that a portion of the sterile drape has hung
over the edge of the table. What should the nurse do?
A. Pull the drape back onto the table.
B. Continue the procedure if the center is still sterile.
C. Consider the overhanging portion contaminated.
D. Discard the entire drape and start over.
Correct Answer: C
Expert Explanation: Any part of a sterile drape that hangs below the level of the table
surface is considered contaminated. The nurse must not touch or pull that portion back
into the sterile field. Maintaining strict boundaries is necessary to prevent the introduction
of microorganisms to the sterile area.
, 4. Which nursing intervention is most effective in preventing the formation of deep vein
thrombosis (DVT) in an immobile patient?
A. Keeping the patient in a supine position
B. Limiting fluid intake to reduce edema
C. Massaging the patient’s calves daily
D. Applying sequential compression devices (SCDs)
Correct Answer: D
Expert Explanation: Sequential compression devices (SCDs) promote venous return by
applying intermittent pressure to the lower extremities. This mechanical intervention
helps prevent blood stasis, which is a primary risk factor for DVT. It is a standard
prophylactic measure for patients with limited mobility.
5. A nurse is assessing a pressure injury that shows partial-thickness loss of dermis and a
shallow, open ulcer with a red-pink wound bed. How should this be staged?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Correct Answer: B
