NUR164 EXAM 2 (CH 25 & 32) NCLEX QUESTIONS WITH
VERIFIED ANSWERS
Correct 52
Incorrect 00
Your answers
1 of 52
Term
The nurse is reviewing the plan of care for assigned clients. Which
client has the highest risk for development infection?
Give this one a try later!
A middle-aged adult who takes
an older adult client with a
prescribed medication to control
history of heart failure
blood pressure
A school-age child who is current An adolescent who has a right radial
with immunizations fracture
Don't know?
2 of 52
,Term
Nursing students enrolled in a medical-surgical nursing course are
learning about infection control measures. They have learned that
nurses use droplet precautions for patients with which infections?
Select all that apply.
a. Rubella
b. Herpes simplex
c. Varicella
d. Tuberculosis
e. MRSA
f. Adenovirus
Give this one a try later!
A. Before providing a bed bath.
C. Removing gloves after patient care.
D. Inserting a urinary catheter.
F. Removing old magazines from a patient's table.
B. Decontaminating the hands with alcohol-based hand sanitizer.
D. Keeping hands higher than elbows when placing under the faucet.
a. Rubella
b. Herpes simplex
f. Adenovirus
, - increased respiratory rate
- lymph node enlargement
- fever
Don't know?
3 of 52
Term
The nurse is caring for a 27-year-old client who presents with possible
signs of an infected abdominal wound. Which action should the nurse
prioritize and initiate after receiving the results of the laboratory test
indicating the client has methicillin-resistant Staphylococcus aureus
(MRSA) infection?
Give this one a try later!
Airborne Droplet
Reverse isolation Contact
Don't know?
4 of 52
Term
When performing sterile wound irrigation and dressing change for a
postoperative patient, a new graduate nurse creates a sterile field.
Which actions require correction by the preceptor? Select all that
, apply.
a. Placing the bottle cap for the irrigating solution off the sterile field
with the edges down.
b. Holding the bottle of irrigating solution inside the edge of the sterile
field.
c. Applying the second sterile glove by lifting it from beneath the cuff
with the thumb held away from the glove.
d. Pouring the irrigating solution into a sterile container from a height
of 4 to 6 inches (10 to 15 cm)
e. Opening packages of sterile gauze dressings, prior to applying
sterile gloves.
Give this one a try later!
Discard the bottle and get a new one because the saline has expired.
D. Pouring the irrigating solution into a sterile container from a height of 4 to 6
inches (10 to 15 cm)
e. Opening packages of sterile gauze dressings, prior to applying sterile
gloves.
A. Before providing a bed bath.
C. Removing gloves after patient care.
D. Inserting a urinary catheter.
F. Removing old magazines from a patient's table.
B. Decontaminating the hands with alcohol-based hand sanitizer.
D. Keeping hands higher than elbows when placing under the faucet.
VERIFIED ANSWERS
Correct 52
Incorrect 00
Your answers
1 of 52
Term
The nurse is reviewing the plan of care for assigned clients. Which
client has the highest risk for development infection?
Give this one a try later!
A middle-aged adult who takes
an older adult client with a
prescribed medication to control
history of heart failure
blood pressure
A school-age child who is current An adolescent who has a right radial
with immunizations fracture
Don't know?
2 of 52
,Term
Nursing students enrolled in a medical-surgical nursing course are
learning about infection control measures. They have learned that
nurses use droplet precautions for patients with which infections?
Select all that apply.
a. Rubella
b. Herpes simplex
c. Varicella
d. Tuberculosis
e. MRSA
f. Adenovirus
Give this one a try later!
A. Before providing a bed bath.
C. Removing gloves after patient care.
D. Inserting a urinary catheter.
F. Removing old magazines from a patient's table.
B. Decontaminating the hands with alcohol-based hand sanitizer.
D. Keeping hands higher than elbows when placing under the faucet.
a. Rubella
b. Herpes simplex
f. Adenovirus
, - increased respiratory rate
- lymph node enlargement
- fever
Don't know?
3 of 52
Term
The nurse is caring for a 27-year-old client who presents with possible
signs of an infected abdominal wound. Which action should the nurse
prioritize and initiate after receiving the results of the laboratory test
indicating the client has methicillin-resistant Staphylococcus aureus
(MRSA) infection?
Give this one a try later!
Airborne Droplet
Reverse isolation Contact
Don't know?
4 of 52
Term
When performing sterile wound irrigation and dressing change for a
postoperative patient, a new graduate nurse creates a sterile field.
Which actions require correction by the preceptor? Select all that
, apply.
a. Placing the bottle cap for the irrigating solution off the sterile field
with the edges down.
b. Holding the bottle of irrigating solution inside the edge of the sterile
field.
c. Applying the second sterile glove by lifting it from beneath the cuff
with the thumb held away from the glove.
d. Pouring the irrigating solution into a sterile container from a height
of 4 to 6 inches (10 to 15 cm)
e. Opening packages of sterile gauze dressings, prior to applying
sterile gloves.
Give this one a try later!
Discard the bottle and get a new one because the saline has expired.
D. Pouring the irrigating solution into a sterile container from a height of 4 to 6
inches (10 to 15 cm)
e. Opening packages of sterile gauze dressings, prior to applying sterile
gloves.
A. Before providing a bed bath.
C. Removing gloves after patient care.
D. Inserting a urinary catheter.
F. Removing old magazines from a patient's table.
B. Decontaminating the hands with alcohol-based hand sanitizer.
D. Keeping hands higher than elbows when placing under the faucet.
