NUR200 EXAM 2 Questions with CORRECT Answers (Grade A+)
Question 1:
Which patient is most likely to have a nodule type of lesion, based on the assessment findings in the
chart? a. circumscribed, flat, non palpable and less than 1 cm b. circumscribed, elevated, palpable, 1
to 2 cm c. irregularly shaped, elevated, solid, pale, red in color d. flat, elevated, rough to touch, and
larger than 1 cm
Answer:
a. circumscribed, flat, non palpable and less than 1 cm (THIS IS MACULE) b. circumscribed, elevated,
palpable, 1 to 2 cm (THIS IS NODULE) c. irregularly shaped, elevated, solid, pale, red in color (THIS IS
WHEAL) d. flat, elevated, rough to touch, and larger than 1 cm (THIS IS PLAQUE) answer: B
Question 2:
The home care nurse assesses a stage I pressure injury on an older adult patient who has limited
mobility from a stroke. What should the nurse include when educating the patient's daughter about
her care? Select all that apply. A. Deliver high protein shakes twice a day b. exercise extremities every
4 hours c. be sure position is changed at least every 2 hours d. keep skin moist and layer sacral area
with extra sheet e. use pillows to pad all bony prominences
Answer:
A. Deliver high protein shakes twice a day b. exercise extremities every 4 hours c. be sure position is
changed at least every 2 hours d. keep skin moist and layer sacral area with extra sheet e. use pillows
to pad all bony prominences answer: a, b, c, e
Question 3:
which is true regarding autolytic wound debridement on a wound? select all that apply a. this method
can be used for larger debridement b. this method can increase the risk of
Answer:
a. this method can be used for larger debridement b. this method can increase the risk of maceration
to
,the adjacent skin c. this method can be performed in any type of setting maceration to the adjacent
skin
d. this method can be performed on pac. this method can be performed in any tients who require fast
debridement type of setting e. this method does not cause pain if the d. this method can be
performed on padressing is in place tients who require fast debridement answer: B, C, E e. this
method does not cause pain if the dressing is in place
Question 4:
Arrange the steps to be followed by a nurse when cleaning and preparing a wound. wash hands and
apply clean gloves remove soiled wound dressing and discard wipe the surface of the wound with a
sterile gauze remove the excess saline from the wound assess and measure the wound apply clean
gloves and irrigate the wound thoroughly with saline remove the gloves and wash hands
Answer:
1.wash hands and apply clean gloves 2. remove soiled wound dressing and discard 3. remove the
gloves and wash hands 4. apply clean gloves and irrigate the wound thoroughly with saline 5. wipe
the surface of the wound with a sterile gauze 6. remove the excess saline from the wound 7. assess
and measure the wound correct order
Question 5:
The nurse is inspecting the skin and nails of a newly admitted patient. Which assessment is priority
during admission and routinely? a. back for acne b. scalp for lesions c. pressure points for redness d.
nails for cleanliness
Answer:
a. back for acne b. scalp for lesions c. pressure points for redness d. nails for cleanliness answer: c
Question 6:
Question not clearly extracted from source.
Answer:
,The nurse is discharging a patient with a A. Iron wound. What dietary changes should the b. B
vitamins nurse suggest be increased to improve c. protein wound healing? Select all that apply d. zinc
A. Iron e. vitamin c b. B vitamins answer: A, B, C, D, E c. protein d. zinc e. vitamin c
Question 7:
the nurse is teaching an 80-year-old patient about skin care. Which statement made by the patient
indicates the need for further learning? Select all that apply. a. " i should bathe for at least 20
minutes"
b. "i should use pH balanced soap for cleansing" c. "i should apply moisturizer every other day" d."i
should clean the skin immediately after incontinence" e. "i should use skin barrier creams to prevent
exposure to moisture"
Answer:
a. " i should bathe for at least 20 minutes" b. "i should use pH balanced soap for cleansing" c. "i should
apply moisturizer every other day" d."i should clean the skin immediately after incontinence" e. "i
should use skin barrier creams to prevent exposure to moisture" answer: a, c
Question 8:
The nurse is preparing a discharge plan for a 78 year old woman. Which likely scenario should the
nurse anticipate? A. The patient will drive herself home. B. The patient lives in a homeless shelter. C.
The patient is a widow and lives alone. D. The patient receives a government pension.
Answer:
A. The patient will drive herself home. B. The patient lives in a homeless shelter. C. The patient is a
widow and lives alone. D. The patient receives a government pension. answer: c
Question 9:
The nurse is performing a cardiovascular assessment on an older adult patient. Which physical signs
of normal aging can be expected? A. Irregular pulse and diminished lung sounds B. Heart rate of 88
bpm and a heart murmur C. Systolic blood pressure of 150 mm Hg and a fourth heart sound D.
Productive cough and hoarseness
, Answer:
A. Irregular pulse and diminished lung sounds B. Heart rate of 88 bpm and a heart murmur C. Systolic
blood pressure of 150 mm Hg and a fourth heart sound D. Productive cough and hoarseness ANSWER:
C
Question 10:
When assessing the patient with cognitive impairment, the nurse should be aware that this is the
most common cause of dementia: A. Vascular dementia B. Parkinson's disease C. Alzheimer's disease
D. Multi-infarct dementia
Answer:
A. Vascular dementia B. Parkinson's disease C. Alzheimer's disease D. Multi-infarct dementia
ANSWER: C
Question 11:
The nurse caring for an older adult patient with early signs of dementia incorporates which priority
nursing diagnosis into the plan of care? A. Altered nutrition, less than nutritional requirements B.
Altered nutrition, greater than nutritional requirements C. Risk for injury D. Activity intolerance
Answer:
A. Altered nutrition, less than nutritional requirements B. Altered nutrition, greater than nutritional
requirements C. Risk for injury D. Activity intolerance ANSWER: C
Question 12:
While assisting family members in finding resources to care for their father, the nurse is aware that
this agency can provide assistance with nursing home costs. A. Medicare B. Social Security
Administration
C. Medicaid D. Department of Health and Human Services
Answer:
A. Medicare B. Social Security Administration C. Medicaid D. Department of Health and Human
Question 1:
Which patient is most likely to have a nodule type of lesion, based on the assessment findings in the
chart? a. circumscribed, flat, non palpable and less than 1 cm b. circumscribed, elevated, palpable, 1
to 2 cm c. irregularly shaped, elevated, solid, pale, red in color d. flat, elevated, rough to touch, and
larger than 1 cm
Answer:
a. circumscribed, flat, non palpable and less than 1 cm (THIS IS MACULE) b. circumscribed, elevated,
palpable, 1 to 2 cm (THIS IS NODULE) c. irregularly shaped, elevated, solid, pale, red in color (THIS IS
WHEAL) d. flat, elevated, rough to touch, and larger than 1 cm (THIS IS PLAQUE) answer: B
Question 2:
The home care nurse assesses a stage I pressure injury on an older adult patient who has limited
mobility from a stroke. What should the nurse include when educating the patient's daughter about
her care? Select all that apply. A. Deliver high protein shakes twice a day b. exercise extremities every
4 hours c. be sure position is changed at least every 2 hours d. keep skin moist and layer sacral area
with extra sheet e. use pillows to pad all bony prominences
Answer:
A. Deliver high protein shakes twice a day b. exercise extremities every 4 hours c. be sure position is
changed at least every 2 hours d. keep skin moist and layer sacral area with extra sheet e. use pillows
to pad all bony prominences answer: a, b, c, e
Question 3:
which is true regarding autolytic wound debridement on a wound? select all that apply a. this method
can be used for larger debridement b. this method can increase the risk of
Answer:
a. this method can be used for larger debridement b. this method can increase the risk of maceration
to
,the adjacent skin c. this method can be performed in any type of setting maceration to the adjacent
skin
d. this method can be performed on pac. this method can be performed in any tients who require fast
debridement type of setting e. this method does not cause pain if the d. this method can be
performed on padressing is in place tients who require fast debridement answer: B, C, E e. this
method does not cause pain if the dressing is in place
Question 4:
Arrange the steps to be followed by a nurse when cleaning and preparing a wound. wash hands and
apply clean gloves remove soiled wound dressing and discard wipe the surface of the wound with a
sterile gauze remove the excess saline from the wound assess and measure the wound apply clean
gloves and irrigate the wound thoroughly with saline remove the gloves and wash hands
Answer:
1.wash hands and apply clean gloves 2. remove soiled wound dressing and discard 3. remove the
gloves and wash hands 4. apply clean gloves and irrigate the wound thoroughly with saline 5. wipe
the surface of the wound with a sterile gauze 6. remove the excess saline from the wound 7. assess
and measure the wound correct order
Question 5:
The nurse is inspecting the skin and nails of a newly admitted patient. Which assessment is priority
during admission and routinely? a. back for acne b. scalp for lesions c. pressure points for redness d.
nails for cleanliness
Answer:
a. back for acne b. scalp for lesions c. pressure points for redness d. nails for cleanliness answer: c
Question 6:
Question not clearly extracted from source.
Answer:
,The nurse is discharging a patient with a A. Iron wound. What dietary changes should the b. B
vitamins nurse suggest be increased to improve c. protein wound healing? Select all that apply d. zinc
A. Iron e. vitamin c b. B vitamins answer: A, B, C, D, E c. protein d. zinc e. vitamin c
Question 7:
the nurse is teaching an 80-year-old patient about skin care. Which statement made by the patient
indicates the need for further learning? Select all that apply. a. " i should bathe for at least 20
minutes"
b. "i should use pH balanced soap for cleansing" c. "i should apply moisturizer every other day" d."i
should clean the skin immediately after incontinence" e. "i should use skin barrier creams to prevent
exposure to moisture"
Answer:
a. " i should bathe for at least 20 minutes" b. "i should use pH balanced soap for cleansing" c. "i should
apply moisturizer every other day" d."i should clean the skin immediately after incontinence" e. "i
should use skin barrier creams to prevent exposure to moisture" answer: a, c
Question 8:
The nurse is preparing a discharge plan for a 78 year old woman. Which likely scenario should the
nurse anticipate? A. The patient will drive herself home. B. The patient lives in a homeless shelter. C.
The patient is a widow and lives alone. D. The patient receives a government pension.
Answer:
A. The patient will drive herself home. B. The patient lives in a homeless shelter. C. The patient is a
widow and lives alone. D. The patient receives a government pension. answer: c
Question 9:
The nurse is performing a cardiovascular assessment on an older adult patient. Which physical signs
of normal aging can be expected? A. Irregular pulse and diminished lung sounds B. Heart rate of 88
bpm and a heart murmur C. Systolic blood pressure of 150 mm Hg and a fourth heart sound D.
Productive cough and hoarseness
, Answer:
A. Irregular pulse and diminished lung sounds B. Heart rate of 88 bpm and a heart murmur C. Systolic
blood pressure of 150 mm Hg and a fourth heart sound D. Productive cough and hoarseness ANSWER:
C
Question 10:
When assessing the patient with cognitive impairment, the nurse should be aware that this is the
most common cause of dementia: A. Vascular dementia B. Parkinson's disease C. Alzheimer's disease
D. Multi-infarct dementia
Answer:
A. Vascular dementia B. Parkinson's disease C. Alzheimer's disease D. Multi-infarct dementia
ANSWER: C
Question 11:
The nurse caring for an older adult patient with early signs of dementia incorporates which priority
nursing diagnosis into the plan of care? A. Altered nutrition, less than nutritional requirements B.
Altered nutrition, greater than nutritional requirements C. Risk for injury D. Activity intolerance
Answer:
A. Altered nutrition, less than nutritional requirements B. Altered nutrition, greater than nutritional
requirements C. Risk for injury D. Activity intolerance ANSWER: C
Question 12:
While assisting family members in finding resources to care for their father, the nurse is aware that
this agency can provide assistance with nursing home costs. A. Medicare B. Social Security
Administration
C. Medicaid D. Department of Health and Human Services
Answer:
A. Medicare B. Social Security Administration C. Medicaid D. Department of Health and Human
