xxx
NUR 160 Exam 2, HONDROS complete
solutions and explanations
1. What is the first step in the nursing process?
• A) Diagnosis
• B) Planning
• C) Implementation
• D) Assessment
Answer: D) Assessment
Explanation: The first step in the nursing process is assessment, where the nurse
gathers information about the patient's health status through observations,
interviews, and physical examinations.
2. Which of the following is an example of a therapeutic communication
technique?
• A) Giving advice
• B) Using silence
• C) Changing the subject
• D) Giving false reassurance
Answer: B) Using silence
Explanation: Therapeutic communication techniques include using silence, active
listening, and openended questions, which encourage the patient to express their
thoughts and feelings.
3. A nurse is caring for a patient with a wound infection. Which of the
following is the most appropriate action to prevent the spread of
infection?
• A) Wear a mask at all times
• B) Use alcohol-based hand sanitizer only when entering the room
• C) Wash hands before and after dressing changes
, xxx
• D) Avoid touching the wound without gloves
Answer: C) Wash hands before and after dressing changes
Explanation: Hand hygiene is the most important measure to prevent the spread
of infection. The nurse should wash hands before and after performing any
procedure, including dressing changes.
4. How should a nurse position a patient to administer a rectal
suppository?
• A) Supine position
• B) Prone position
• C) Sim's position
• D) Fowler's position
Answer: C) Sim's position
Explanation: The Sim's position, with the patient lying on their left side with the
right knee bent, is the preferred position for administering a rectal suppository as it
allows easy access to the rectum.
5. Which of the following statements about informed consent is correct?
• A) The nurse can obtain informed consent if the patient is not fully aware of
the risks.
• B) Informed consent is only required for surgical procedures.
• C) Informed consent must be obtained before any invasive procedure.
• D) Only the physician is responsible for obtaining informed consent.
Answer: C) Informed consent must be obtained before any invasive procedure.
Explanation: Informed consent must be obtained before any invasive procedure,
including surgery, tests, or treatments, ensuring that the patient understands the
risks, benefits, and alternatives.
6. A patient is prescribed a medication that is to be administered via the
sublingual route. How should the nurse instruct the patient to take this
medication?
• A) Swallow the tablet whole with water
• B) Chew the tablet before swallowing
• C) Place the tablet under the tongue
, xxx
• D) Dissolve the tablet in water before swallowing
Answer: C) Place the tablet under the tongue
Explanation: Sublingual medications are placed under the tongue to be absorbed
directly into the bloodstream, providing a faster onset of action.
7. Which of the following foods should be avoided by a patient on a low-
sodium diet?
• A) Fresh fruits and vegetables
• B) Canned soups
• C) Grilled chicken breast
• D) Whole grain bread
Answer: B) Canned soups
Explanation: Canned soups often contain high levels of sodium and should be
avoided by patients on a low-sodium diet.
8. A nurse is teaching a patient with diabetes about foot care. Which of
the following instructions should the nurse include?
• A) Soak your feet in hot water daily
• B) Walk barefoot to toughen the skin on your feet
• C) Inspect your feet daily for cuts or blisters
• D) Use lotion between your toes to prevent dryness
Answer: C) Inspect your feet daily for cuts or blisters
Explanation: Patients with diabetes should inspect their feet daily for cuts, blisters,
or signs of infection to prevent complications such as ulcers.
9. What is the recommended site for intramuscular (IM) injections in
infants?
• A) Deltoid muscle
• B) Gluteus maximus
• C) Vastus lateralis
• D) Rectus abdominis
Answer: C) Vastus lateralis
NUR 160 Exam 2, HONDROS complete
solutions and explanations
1. What is the first step in the nursing process?
• A) Diagnosis
• B) Planning
• C) Implementation
• D) Assessment
Answer: D) Assessment
Explanation: The first step in the nursing process is assessment, where the nurse
gathers information about the patient's health status through observations,
interviews, and physical examinations.
2. Which of the following is an example of a therapeutic communication
technique?
• A) Giving advice
• B) Using silence
• C) Changing the subject
• D) Giving false reassurance
Answer: B) Using silence
Explanation: Therapeutic communication techniques include using silence, active
listening, and openended questions, which encourage the patient to express their
thoughts and feelings.
3. A nurse is caring for a patient with a wound infection. Which of the
following is the most appropriate action to prevent the spread of
infection?
• A) Wear a mask at all times
• B) Use alcohol-based hand sanitizer only when entering the room
• C) Wash hands before and after dressing changes
, xxx
• D) Avoid touching the wound without gloves
Answer: C) Wash hands before and after dressing changes
Explanation: Hand hygiene is the most important measure to prevent the spread
of infection. The nurse should wash hands before and after performing any
procedure, including dressing changes.
4. How should a nurse position a patient to administer a rectal
suppository?
• A) Supine position
• B) Prone position
• C) Sim's position
• D) Fowler's position
Answer: C) Sim's position
Explanation: The Sim's position, with the patient lying on their left side with the
right knee bent, is the preferred position for administering a rectal suppository as it
allows easy access to the rectum.
5. Which of the following statements about informed consent is correct?
• A) The nurse can obtain informed consent if the patient is not fully aware of
the risks.
• B) Informed consent is only required for surgical procedures.
• C) Informed consent must be obtained before any invasive procedure.
• D) Only the physician is responsible for obtaining informed consent.
Answer: C) Informed consent must be obtained before any invasive procedure.
Explanation: Informed consent must be obtained before any invasive procedure,
including surgery, tests, or treatments, ensuring that the patient understands the
risks, benefits, and alternatives.
6. A patient is prescribed a medication that is to be administered via the
sublingual route. How should the nurse instruct the patient to take this
medication?
• A) Swallow the tablet whole with water
• B) Chew the tablet before swallowing
• C) Place the tablet under the tongue
, xxx
• D) Dissolve the tablet in water before swallowing
Answer: C) Place the tablet under the tongue
Explanation: Sublingual medications are placed under the tongue to be absorbed
directly into the bloodstream, providing a faster onset of action.
7. Which of the following foods should be avoided by a patient on a low-
sodium diet?
• A) Fresh fruits and vegetables
• B) Canned soups
• C) Grilled chicken breast
• D) Whole grain bread
Answer: B) Canned soups
Explanation: Canned soups often contain high levels of sodium and should be
avoided by patients on a low-sodium diet.
8. A nurse is teaching a patient with diabetes about foot care. Which of
the following instructions should the nurse include?
• A) Soak your feet in hot water daily
• B) Walk barefoot to toughen the skin on your feet
• C) Inspect your feet daily for cuts or blisters
• D) Use lotion between your toes to prevent dryness
Answer: C) Inspect your feet daily for cuts or blisters
Explanation: Patients with diabetes should inspect their feet daily for cuts, blisters,
or signs of infection to prevent complications such as ulcers.
9. What is the recommended site for intramuscular (IM) injections in
infants?
• A) Deltoid muscle
• B) Gluteus maximus
• C) Vastus lateralis
• D) Rectus abdominis
Answer: C) Vastus lateralis
