NURS 226 exam #2 Questions and Correct
Answers
The nurse is using medical asepsis when providing client care. Which action did the nurse
demonstrate?
a. Administering parenteral medications
b. Changing a dressing
c. Performing a urinary catheterization
d. Using personal protective equipment
d. Using Personal protective equipment
The nurse determines that a client has adequate physiological barriers to defend the body
against infection. What did the nurse assess in this client? (Select all that apply.)
a. Intact and dry skin
b. Intact oral mucous membranes
c. Bowel sounds present in all four quadrants
d. Nasal congestion
e. Urinary retention
a, b, c
,A client diagnosed with an infectious disease asks the nurse how the infection "got inside"
her body. Which responses would be appropriate for the nurse to make? (Select all that
apply.)
a. "It depends on the number of organisms present to cause a disease."
b. "It depends on how aggressive the organisms are to cause a disease."
c. "It depends on how the organisms get inside the body to cause a disease."
d. "It depends on where the person is at the time the disease is present."
e. "It depends on where the person works."
b, c
The nurse determines that a client has active immunity to a microorganism. What did the
nurse assess that caused the client to develop this type of immunity?
a. Becoming ill with tetanus and receiving tetanus toxoid
b. Having chickenpox
c. Receiving a rabies shot after being bitten by a rabid dog
d. Receiving an injection of gamma globulin
b
The nurse is caring for a client with hepatitis A. Which technique should the nurse use to
promote proper handwashing technique with this client?
a. Allow the water to splatter forcibly when it is turned on.
, b. Clean the faucet after use.
c. Hold the hands upward under the faucet.
d. Use approximately a teaspoon of soap.
d.
A patient is diagnosed with a systemic infection. What will the nurse most likely assess
inthis client? a. Edema, rubor, heat, and pain b. Fever, malaise, anorexia, and nausea and
vomiting c. Palpitations, irritability, and heat intolerance d. Tingling, numbness, and
cramping of the extremities
b
The nurse is preparing to measure a client's temperature. What is the first thing that the
nurse should do to ensure an accurate temperature reading?
a. Assess that the equipment used is working properly.
b. Place the client in a position that is most comfortable for the healthcare provider.
c. Take the temperature with a chemical disposable thermometer when the client is
perspiring.
d. Wait at least 10 minutes before taking the temperature after a client has been smoking.
a
The nurse is going to assess the apical-radial pulse of a client with a cardiovascular
disorder. Which rationale did the nurse use to make this decision?
a. A forceful radial pulse is much too difficult to count correctly.
Answers
The nurse is using medical asepsis when providing client care. Which action did the nurse
demonstrate?
a. Administering parenteral medications
b. Changing a dressing
c. Performing a urinary catheterization
d. Using personal protective equipment
d. Using Personal protective equipment
The nurse determines that a client has adequate physiological barriers to defend the body
against infection. What did the nurse assess in this client? (Select all that apply.)
a. Intact and dry skin
b. Intact oral mucous membranes
c. Bowel sounds present in all four quadrants
d. Nasal congestion
e. Urinary retention
a, b, c
,A client diagnosed with an infectious disease asks the nurse how the infection "got inside"
her body. Which responses would be appropriate for the nurse to make? (Select all that
apply.)
a. "It depends on the number of organisms present to cause a disease."
b. "It depends on how aggressive the organisms are to cause a disease."
c. "It depends on how the organisms get inside the body to cause a disease."
d. "It depends on where the person is at the time the disease is present."
e. "It depends on where the person works."
b, c
The nurse determines that a client has active immunity to a microorganism. What did the
nurse assess that caused the client to develop this type of immunity?
a. Becoming ill with tetanus and receiving tetanus toxoid
b. Having chickenpox
c. Receiving a rabies shot after being bitten by a rabid dog
d. Receiving an injection of gamma globulin
b
The nurse is caring for a client with hepatitis A. Which technique should the nurse use to
promote proper handwashing technique with this client?
a. Allow the water to splatter forcibly when it is turned on.
, b. Clean the faucet after use.
c. Hold the hands upward under the faucet.
d. Use approximately a teaspoon of soap.
d.
A patient is diagnosed with a systemic infection. What will the nurse most likely assess
inthis client? a. Edema, rubor, heat, and pain b. Fever, malaise, anorexia, and nausea and
vomiting c. Palpitations, irritability, and heat intolerance d. Tingling, numbness, and
cramping of the extremities
b
The nurse is preparing to measure a client's temperature. What is the first thing that the
nurse should do to ensure an accurate temperature reading?
a. Assess that the equipment used is working properly.
b. Place the client in a position that is most comfortable for the healthcare provider.
c. Take the temperature with a chemical disposable thermometer when the client is
perspiring.
d. Wait at least 10 minutes before taking the temperature after a client has been smoking.
a
The nurse is going to assess the apical-radial pulse of a client with a cardiovascular
disorder. Which rationale did the nurse use to make this decision?
a. A forceful radial pulse is much too difficult to count correctly.
