NU 311 NURSING FINAL EXAM QUESTIONS WITH
ACCURATE ANSWERS
3 types of canes correct answer Helps maintain balance by widening base of
support
-standard crook: provides the least support and is used by pt's who require
minimal assistance to walk. It has a half circle handle, to hook over chairs
-tripod cane: has three legs
-quad cane: has four legs for wide base support
21% oxygen is correct answer room air (yellow)
2017 Hospital National Patient Safety Goals correct answer -Identify patient
correctly
-Improve staff communication
-Use medications safely
-Use alarms safely
-Prevent infection
-Identify patient safety risks
-Prevent mistakes in surgery
,A 49-year-old woman is recovering from a pressure injury on her left hip. The
patient refuses lunch and tells the nurse that she fasts at lunchtime as part of her
weight loss plan. How should the nurse respond to this patient?
A. The nurse should explain to the patient that fasting is against the hospital
policy
.
B. The nurse should scold the patient for her choice of diet.
C. The nurse should inform the patient that fasting will hinder her healing
progress.
D. The nurse should respect the patient's choice and not say anything. correct
answer C. The nurse should inform the patient that fasting will hinder her healing
progress.
Rationale: Adequate nutrition helps to prevent and treat pressure ulcers. A diet
high in protein with enough calories, vitamins, and minerals helps maintain
normal tissue status and promotes healing. With tissue injury, the body needs
more calories for healing; nutrient deficiencies may result in impaired or delayed
healing.
A 52-year-old male just underwent a cardiac catheterization, and bleeding at the
insertion site is noted. What action should the nurse take?
A. Apply a colloid dressing.
B. Coat the area with petroleum jelly.
,C. Secure a pressure bandage.
D. Inject vitamin K at the site. correct answer C. Secure a pressure bandage
pressure bandages are essential for stopping the flow of blood and promotes
clotting at the site until definitive action can be taken to stop the source
A nursing assistive personnel (NAP) arrives to assist the nurse with a dressing
change by opening sterile packages. The NAP states that she does not need to
perform hand hygiene before assisting the nurse because she is not going to
touch the patient. Is the NAP correct?
A. True
B. False correct answer B. False
Rationale: The nursing assistive personnel (NAP) is incorrect in saying that hand
hygiene does not need to be performed before she assists the nurse. Although
she may not touch the patient, she is still participating in patient care. Hand
hygiene is performed by all caregivers.
A patient receiving NIPPV via full face mask should **NEVER** be restrained
A. true
B. false correct answer A. true
A patient's susceptibility to an infection include... correct answer Age, nutritional
status, stress, disease processes, and forms of medical therapy place patients at
risk.
, A single clinician should not make no more than how many attempts for an IV?
correct answer no more than 2 attempts
absorption correct answer -passage of medication molecules into the blood from
the site of administration
-administration route, blood flow to administration site, body surface area, and
lipid solubility of a medication
Administering oxygen therapy with a patient having an artificial airway correct
answer require constant humidification from either a T-tube(briggs adaptor) or
trach collar
adverse drug reaction correct answer unintended, undesirable, and often
unpredictable effects of a medication
After aspirating for blood return and flushing the line, what are you observing the
vein for? correct answer swelling
After donning PPE when performing trach suctioning, what would you asses for?
correct answer -signs of upper and lower airway obstruction
(adventitious lung sounds, crackles, non productive cough, drooling, restlessness,
vomitious in the mouth
-signs and symptoms of hypoxia or hypercapnia (increased HR and BP, decrease
pulse ox, confusion, lethargy, decrease LOC, lack of concentration etc...)
ACCURATE ANSWERS
3 types of canes correct answer Helps maintain balance by widening base of
support
-standard crook: provides the least support and is used by pt's who require
minimal assistance to walk. It has a half circle handle, to hook over chairs
-tripod cane: has three legs
-quad cane: has four legs for wide base support
21% oxygen is correct answer room air (yellow)
2017 Hospital National Patient Safety Goals correct answer -Identify patient
correctly
-Improve staff communication
-Use medications safely
-Use alarms safely
-Prevent infection
-Identify patient safety risks
-Prevent mistakes in surgery
,A 49-year-old woman is recovering from a pressure injury on her left hip. The
patient refuses lunch and tells the nurse that she fasts at lunchtime as part of her
weight loss plan. How should the nurse respond to this patient?
A. The nurse should explain to the patient that fasting is against the hospital
policy
.
B. The nurse should scold the patient for her choice of diet.
C. The nurse should inform the patient that fasting will hinder her healing
progress.
D. The nurse should respect the patient's choice and not say anything. correct
answer C. The nurse should inform the patient that fasting will hinder her healing
progress.
Rationale: Adequate nutrition helps to prevent and treat pressure ulcers. A diet
high in protein with enough calories, vitamins, and minerals helps maintain
normal tissue status and promotes healing. With tissue injury, the body needs
more calories for healing; nutrient deficiencies may result in impaired or delayed
healing.
A 52-year-old male just underwent a cardiac catheterization, and bleeding at the
insertion site is noted. What action should the nurse take?
A. Apply a colloid dressing.
B. Coat the area with petroleum jelly.
,C. Secure a pressure bandage.
D. Inject vitamin K at the site. correct answer C. Secure a pressure bandage
pressure bandages are essential for stopping the flow of blood and promotes
clotting at the site until definitive action can be taken to stop the source
A nursing assistive personnel (NAP) arrives to assist the nurse with a dressing
change by opening sterile packages. The NAP states that she does not need to
perform hand hygiene before assisting the nurse because she is not going to
touch the patient. Is the NAP correct?
A. True
B. False correct answer B. False
Rationale: The nursing assistive personnel (NAP) is incorrect in saying that hand
hygiene does not need to be performed before she assists the nurse. Although
she may not touch the patient, she is still participating in patient care. Hand
hygiene is performed by all caregivers.
A patient receiving NIPPV via full face mask should **NEVER** be restrained
A. true
B. false correct answer A. true
A patient's susceptibility to an infection include... correct answer Age, nutritional
status, stress, disease processes, and forms of medical therapy place patients at
risk.
, A single clinician should not make no more than how many attempts for an IV?
correct answer no more than 2 attempts
absorption correct answer -passage of medication molecules into the blood from
the site of administration
-administration route, blood flow to administration site, body surface area, and
lipid solubility of a medication
Administering oxygen therapy with a patient having an artificial airway correct
answer require constant humidification from either a T-tube(briggs adaptor) or
trach collar
adverse drug reaction correct answer unintended, undesirable, and often
unpredictable effects of a medication
After aspirating for blood return and flushing the line, what are you observing the
vein for? correct answer swelling
After donning PPE when performing trach suctioning, what would you asses for?
correct answer -signs of upper and lower airway obstruction
(adventitious lung sounds, crackles, non productive cough, drooling, restlessness,
vomitious in the mouth
-signs and symptoms of hypoxia or hypercapnia (increased HR and BP, decrease
pulse ox, confusion, lethargy, decrease LOC, lack of concentration etc...)
