NURS 305 EXAM 1 UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

NURS 305 EXAM 1 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS

Question:
1. A nurse teaches a patient to use visualization to cope with chronic pain. Which step of the nursing
process is associated with this nursing intervention?
1. Planning
2. Analysis
3. Evaluation
4. Implementation
Answer:
4. Implementation (answer) (it is part of their care; caring it out)

Question:
2. Which action reflects the assessment step of the nursing process?
1. Taking a patient's apical pulse rate every 2 hours after being admitted for an episode of chest pain
(implementation)
2. Scheduling a patient's fluid intake over 12 hours when the patient has a fluid restriction
3. Examining a patient for injury after a patient falls in the bathroom
4. Obtaining a patient's respiratory rate after a nebulizer treatment
Answer:
3. Examining a patient for injury after a patient falls in the bathroom (answer) (examining like assessment)

Question:
3. Which is the primary goal of the assessment phase of the nursing process?
1. Build trust
2. Collect data
3. Establish goals
4. Validate the medical diagnosis
Answer:
2. Collect data (Answer; primary goal)

Question:
4. Which is the primary reason why a nurse performs a physical assessment of a newly admitted patient?
1. Identify if the patient is at risk for falls
2. Ensure that the patient's skin is totally intact
3. Identify important information about the patient
4. Establish a therapeutic relationship with the patient
Answer:
3. Identify important information about the patient (answer)

,Question:
5. Which assessment requires the nurse to assess the patient further?
1. 18 year old woman with a pulse rate of 140 after riding 2 miles on an exercise bike
2. 50 year old man with a BP of 112/60 mm Hg on awakening in the morning
3. 65 year old man with a respiratory rate of 10.
4. 40 year old woman with a pulse of 88
Answer:
3. 65 year old man with a respiratory rate of 10. (Answer; 12-20 normal)
*normal BP <120/80 ; normal pulse 60-100

Question:
6. A nurse is assessing a patient's bilateral pulses for symmetry. Which pulse site should not be assessed on
both sides of the body at the same time?
1. Radial
2. Carotid
3. Femoral
4. Brachial
Answer:
2. Carotid (Answer)

Question:
7. An adult patient's vital signs are: oral temperature 99°F, pulse 88 beats per minute with a regular
rhythm, respirations 16 breaths per minute and deep, and blood pressure 180/110 mm Hg. Which sign
should cause concern?
1. Pulse
2. Respirations
3. Temperature
4. Blood pressure
Answer:
4. Blood pressure (Answer) (normal is <120/80)

Question:
8. A patient is admitted to the emergency department with difficulty breathing. Which patient response
identified by the nurse causes the most concern?
1. Low pulse oximetry
2. Wheezing on expiration
3. Shortness of breath on exertion
4. Using accessory muscles of respiration
Answer:
1. Low pulse oximetry (answer; checks the oxygen level in; low oxygen can cause less oxygen to the brain;
95-100% is normal for pulse oximetry )

, Question:
9. A nurse plans to take a patient's radial pulse. Which method of examination should be used by the
nurse?
1. Palpation
2. Inspection
3. Percussion
4. Auscultation
Answer:
1. Palpation (Answer)
*Auscultation (when it is the abdomen, you do this first then palpate)

Question:
10. A nurse is caring for the following group of patients with infections. Which infection is classified as a
hospital-acquired infection?
1. Respiratory infection contracted from a visitor
2. Vaginal canal infection in a postmenopausal woman
3. Urinary tract infection in a patient who is sedentary
4. Wound infection caused by unwashed hands of a caregiver
Answer:
4. Wound infection caused by unwashed hands of a caregiver (Answer)

Question:
11. A nurse is caring for a group of hospitalized patients. Which 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 prescribed
4. Identify patients at risk
Answer:
4. Identify patients at risk (Answer)

Question:
12. A patient's stool specimen is positive for Clostridium difficile. Which isolation precautions should the
nurse institute for this patient?
1. Droplet
2. Contact
3. Reverse
4. Airborne
Answer:
2. Contact (Answer) (wash your hands with soap and water for C. diff; hand sanitizer won't work)

Question:
13. Which should the nurse do to interrupt the transmission link in the chain of infection?
1. Wash the hands before providing care to a patient
2. Position a commode next to a patient's bed
3. Provide education about a balanced diet
4. Change a dressing when it is soiled