NURS 230 EXAM 1 Questions and Answers | Latest
Update 2026/2027 | Graded A+ | 100% Correct.
4. Identify patients at risk correct answers The nurse is caring for a group of hospitalized
patients. What should the nurse do first to prevent patient infections?
1. Provide small bedside bags to dispose of used tissues
2. Encourage staff to avoid coughing near patients
3. Administer antibiotics as ordered
4. Identify patients at risk
1. Fever correct answers The nurse identifi es that a patient has an infl ammatory response.
Which local patient adaptation supports this conclusion?
1. Fever
2. Erythema
3. Bradypnea
4. Tachycardi
3. Normal saline and apply a wet-to-damp dressing." correct answers A patient has a wound that
is healing by secondary intention. To best support healing of the wound, the nurse should expect
the practitioner's order to state, "Clean wound with: 1. Betadine and apply a dry sterile
dressing."
2. Normal saline and cover with a gauze dressing."
3. Normal saline and apply a wet-to-damp dressing."
4. Half peroxide and half normal saline and apply a wet to dry dressing."
3. Puncture of the foot by a nail correct answers The nurse identifi es that the greatest risk for a
wound infection exists for a patient with a:
,1. Surgical creation of a colostomy
2. First-degree burn on the back
3. Puncture of the foot by a nail
4. Paper cut on the finger
1. Stool for ova and parasites correct answers The nurse must collect the following specimens.
Which specimen collection does not require the use of surgical aseptic technique?
1. Stool for ova and parasites
2. Specimen for a throat culture
3. Urine from a retention catheter
4. Exudate from a wound for culture and sensitivity
2. Contact correct answers A patient is positive for Clostridium difficile. The nurse should
institute the isolation precaution known as:
1. Droplet
2. Contact
3. Reverse
4. Airborne
1. Hyperthermia correct answers Which patient information collected by the nurse reflects a
systemic adaptation to a wound infection?
1. Hyperthermia
2. Exudate
3. Edema
4. Pain
,3. Pneumonia correct answers The nurse is providing for the nutrition needs of several patients.
The nurse identifies the need for an increase in caloric intake above average requirements for the
patient who has: 1. Nausea
2. Dysphagia
3. Pneumonia
4. Depression
1. Cells of the skin are constantly being replaced, thereby eliminating external pathogens correct
answers .The nurse understands that the skin protects the body from infections because the:
1. Cells of the skin are constantly being replaced, thereby eliminating external pathogens
2. Epithelial cells are loosely compacted on skin, providing a barrier against pathogens 3.
Moisture on the skin surface prevents colonization of pathogens
4. Alkalinity of the skin limits the growth of pathogens
1. Cuts in the skin from a kitchen knife correct answers The nurse is caring for patients with a
variety of wounds. The nurse understands that healing by primary intention most likely occurs
with:
1. Cuts in the skin from a kitchen knife
2. Excoriated perianal areas
3. Abrasions of the skin
4. Pressure ulcers
3. Harbor microorganisms correct answers The primary reason why the nurse should avoid
glued-on artificial nails is because they:
1. Interfere with dexterity of the fingers
2. Could fall off in a patient's bed
3. Harbor microorganisms
, 4. Can scratch a patient
3. Older adults correct answers The nurse understands that subclinical infections most commonly
occur in:
1. Infants
2. Adolescents
3. Older adults
4. Children of school age
1.
4. Immune response correct answers The nurse understands that a secondary line of defense
against infection is the:
1. Mucous membranes of the respiratory tract
2. Urinary tract environment
3. Integumentary system
4. Immune response
2. Neutrophils correct answers The nurse is concerned about a patient's ability to withstand
exposure to pathogens. What blood component should the nurse monitor?
1. Platelets
2. Neutrophils
3. Hemoglobin
4. Erythrocytes
1. Tears in the eyes correct answers The nurse understands which primary (nonspecific) defense
protects the body from infection?
Update 2026/2027 | Graded A+ | 100% Correct.
4. Identify patients at risk correct answers The nurse is caring for a group of hospitalized
patients. What should the nurse do first to prevent patient infections?
1. Provide small bedside bags to dispose of used tissues
2. Encourage staff to avoid coughing near patients
3. Administer antibiotics as ordered
4. Identify patients at risk
1. Fever correct answers The nurse identifi es that a patient has an infl ammatory response.
Which local patient adaptation supports this conclusion?
1. Fever
2. Erythema
3. Bradypnea
4. Tachycardi
3. Normal saline and apply a wet-to-damp dressing." correct answers A patient has a wound that
is healing by secondary intention. To best support healing of the wound, the nurse should expect
the practitioner's order to state, "Clean wound with: 1. Betadine and apply a dry sterile
dressing."
2. Normal saline and cover with a gauze dressing."
3. Normal saline and apply a wet-to-damp dressing."
4. Half peroxide and half normal saline and apply a wet to dry dressing."
3. Puncture of the foot by a nail correct answers The nurse identifi es that the greatest risk for a
wound infection exists for a patient with a:
,1. Surgical creation of a colostomy
2. First-degree burn on the back
3. Puncture of the foot by a nail
4. Paper cut on the finger
1. Stool for ova and parasites correct answers The nurse must collect the following specimens.
Which specimen collection does not require the use of surgical aseptic technique?
1. Stool for ova and parasites
2. Specimen for a throat culture
3. Urine from a retention catheter
4. Exudate from a wound for culture and sensitivity
2. Contact correct answers A patient is positive for Clostridium difficile. The nurse should
institute the isolation precaution known as:
1. Droplet
2. Contact
3. Reverse
4. Airborne
1. Hyperthermia correct answers Which patient information collected by the nurse reflects a
systemic adaptation to a wound infection?
1. Hyperthermia
2. Exudate
3. Edema
4. Pain
,3. Pneumonia correct answers The nurse is providing for the nutrition needs of several patients.
The nurse identifies the need for an increase in caloric intake above average requirements for the
patient who has: 1. Nausea
2. Dysphagia
3. Pneumonia
4. Depression
1. Cells of the skin are constantly being replaced, thereby eliminating external pathogens correct
answers .The nurse understands that the skin protects the body from infections because the:
1. Cells of the skin are constantly being replaced, thereby eliminating external pathogens
2. Epithelial cells are loosely compacted on skin, providing a barrier against pathogens 3.
Moisture on the skin surface prevents colonization of pathogens
4. Alkalinity of the skin limits the growth of pathogens
1. Cuts in the skin from a kitchen knife correct answers The nurse is caring for patients with a
variety of wounds. The nurse understands that healing by primary intention most likely occurs
with:
1. Cuts in the skin from a kitchen knife
2. Excoriated perianal areas
3. Abrasions of the skin
4. Pressure ulcers
3. Harbor microorganisms correct answers The primary reason why the nurse should avoid
glued-on artificial nails is because they:
1. Interfere with dexterity of the fingers
2. Could fall off in a patient's bed
3. Harbor microorganisms
, 4. Can scratch a patient
3. Older adults correct answers The nurse understands that subclinical infections most commonly
occur in:
1. Infants
2. Adolescents
3. Older adults
4. Children of school age
1.
4. Immune response correct answers The nurse understands that a secondary line of defense
against infection is the:
1. Mucous membranes of the respiratory tract
2. Urinary tract environment
3. Integumentary system
4. Immune response
2. Neutrophils correct answers The nurse is concerned about a patient's ability to withstand
exposure to pathogens. What blood component should the nurse monitor?
1. Platelets
2. Neutrophils
3. Hemoglobin
4. Erythrocytes
1. Tears in the eyes correct answers The nurse understands which primary (nonspecific) defense
protects the body from infection?
