D445 NURS 3118
Intermediate Nursing Skills
OA READINESS EXAM GUIDE
Q&S
©2024/2025
,1. Multiple Choice: Which of the following is a critical step in the
management of a patient with a suspected stroke?
A) Immediate administration of oral anticoagulants
B) Assessment for thrombolytic therapy eligibility
C) Placement in a supine position
D) Administration of high-flow oxygen
Correct Answer: B) Assessment for thrombolytic therapy
eligibility
Rationale: Rapid assessment for thrombolytic therapy is crucial
in the management of a stroke to determine if the patient is a
candidate for this treatment, which can significantly improve
outcomes if administered within the appropriate time frame.
2. Fill-in-the-Blank: The most common early sign of a pressure
ulcer in an immobilized patient is ________.
Correct Answer: Non-blanchable erythema
Rationale: Non-blanchable erythema indicates persistent
redness and is often the first sign of skin damage that may
progress to a pressure ulcer if not addressed promptly.
3. True/False: Hyperglycemia is less detrimental to wound
healing than hypoglycemia.
Correct Answer: False
Rationale: Both hyperglycemia and hypoglycemia can impair
wound healing. However, hyperglycemia can lead to increased
infections and delayed wound healing due to its effects on the
immune system and blood flow.
4. Multiple Response: Select all that apply. Which of the
following are essential components of a fall prevention protocol
©2024/2025
, in a healthcare setting?
A) Regularly scheduled toileting rounds
B) Use of high-top shoes for all patients
C) Bed alarms for high-risk patients
D) Adequate lighting in patient rooms
Correct Answers: A) Regularly scheduled toileting rounds, C)
Bed alarms for high-risk patients, D) Adequate lighting in patient
rooms
Rationale: Scheduled toileting, bed alarms, and adequate
lighting are evidence-based interventions that reduce the risk of
falls. High-top shoes are not a standard part of fall prevention
protocols.
5. Multiple Choice: In administering blood transfusions, what is
the primary nursing intervention to prevent acute hemolytic
reactions?
A) Pre-medication with antihistamines
B) Double-checking blood type compatibility
C) Warming the blood to body temperature
D) Infusing the blood slowly over four hours
Correct Answer: B) Double-checking blood type compatibility
Rationale: Ensuring blood type compatibility is the most critical
step in preventing acute hemolytic reactions during blood
transfusions.
6. Fill-in-the-Blank: The recommended angle for inserting a
needle during an intramuscular injection is ________ degrees.
Correct Answer: 90
Rationale: A 90-degree angle ensures that the needle reaches
deep into the muscle tissue for proper medication absorption.
©2024/2025
Intermediate Nursing Skills
OA READINESS EXAM GUIDE
Q&S
©2024/2025
,1. Multiple Choice: Which of the following is a critical step in the
management of a patient with a suspected stroke?
A) Immediate administration of oral anticoagulants
B) Assessment for thrombolytic therapy eligibility
C) Placement in a supine position
D) Administration of high-flow oxygen
Correct Answer: B) Assessment for thrombolytic therapy
eligibility
Rationale: Rapid assessment for thrombolytic therapy is crucial
in the management of a stroke to determine if the patient is a
candidate for this treatment, which can significantly improve
outcomes if administered within the appropriate time frame.
2. Fill-in-the-Blank: The most common early sign of a pressure
ulcer in an immobilized patient is ________.
Correct Answer: Non-blanchable erythema
Rationale: Non-blanchable erythema indicates persistent
redness and is often the first sign of skin damage that may
progress to a pressure ulcer if not addressed promptly.
3. True/False: Hyperglycemia is less detrimental to wound
healing than hypoglycemia.
Correct Answer: False
Rationale: Both hyperglycemia and hypoglycemia can impair
wound healing. However, hyperglycemia can lead to increased
infections and delayed wound healing due to its effects on the
immune system and blood flow.
4. Multiple Response: Select all that apply. Which of the
following are essential components of a fall prevention protocol
©2024/2025
, in a healthcare setting?
A) Regularly scheduled toileting rounds
B) Use of high-top shoes for all patients
C) Bed alarms for high-risk patients
D) Adequate lighting in patient rooms
Correct Answers: A) Regularly scheduled toileting rounds, C)
Bed alarms for high-risk patients, D) Adequate lighting in patient
rooms
Rationale: Scheduled toileting, bed alarms, and adequate
lighting are evidence-based interventions that reduce the risk of
falls. High-top shoes are not a standard part of fall prevention
protocols.
5. Multiple Choice: In administering blood transfusions, what is
the primary nursing intervention to prevent acute hemolytic
reactions?
A) Pre-medication with antihistamines
B) Double-checking blood type compatibility
C) Warming the blood to body temperature
D) Infusing the blood slowly over four hours
Correct Answer: B) Double-checking blood type compatibility
Rationale: Ensuring blood type compatibility is the most critical
step in preventing acute hemolytic reactions during blood
transfusions.
6. Fill-in-the-Blank: The recommended angle for inserting a
needle during an intramuscular injection is ________ degrees.
Correct Answer: 90
Rationale: A 90-degree angle ensures that the needle reaches
deep into the muscle tissue for proper medication absorption.
©2024/2025
