NURS 226 Final Exam Questions And
Verified Correct Answers.
What is a primary prevention tool used for colon cancer screening?
A. Abdominal x-rays
B. Blood, urea, and nitrogen (BUN) testing
C. Serum electrolytes
D. Occult blood testing - Answer D. Occult blood testing
Which of the following are safe practices to follow in the safe prepa- ration and storage of food?
(Select all that apply.)
A. Always use a single cutting board to prepare foods for cooking.
B. Refrigerate leftovers as soon as possible.
C. Always buy vegetables in packages marked "prewashed."
D. Cook meats to the proper temperature.
E. Wash hands thoroughly before food preparation. - Answer B, D, and E
A nurse enters the hospital room of a patient who had a total knee replacement the day before.
Which of the following pose potential safety risks? (Select all that apply.)
A. A current safety inspection sticker is on the IV fluids pump.
B. A walker is positioned near the patient's bedside.
C. The hospital bed is in the high position.
D. There is no gait belt at the bedside.
E. The overbed table with the patient's glasses is positioned against the wall opposite the end of
the bed. - Answer C, D, and E
A nurse working on a medicine unit in the hospital hears the fire
alarm go off. As the nurse walks down the hallway, there is smoke coming from the family
waiting area. Which of the following steps should the nurse take? (Select all that apply.)
,fire doors.
C. Go to each patient room, and direct ambulatory patients to walk
themselves to a safe area.
D. Work with the nurse technician to help move patients requiring
wheelchairs from their rooms.
E. Close the room doors of patients who cannot get out of bed, and
keep them in their rooms. - Answer A, C, and D
A nurse working on a surgery floor is assigned four patients. The nurse assesses each patient,
noting behaviors and physical signs and symptoms. Which of the following patients is more
likely to be violent toward the nurse?
A. The first patient maintains eye contact with the nurse, is calm during the nurse's assessment,
and asks questions frequently.
B. The second patient is very drowsy, loses attention span when the nurse asks questions, and
mumbles when speaking.
C. The third patient moves nervously in bed, swears and grimaces when trying to cough, and
speaks in a low volume.
D. The fourth patient speaks in a loud voice and becomes irritable when the nurse arrives to
help walk the patient. - Answer D. The fourth patient speaks in a loud voice and becomes
irritable when the nurse arrives to help walk the patient.
A nurse working the night shift is assigned a patient who has a his- tory of having fallen in the
hospital during a previous admission. The nurse wants to review the admission assessment
completed by the nurse on the day shift. Which of the following sections in the assess- ment are
most likely to provide information about the patient's cur- rent fall risks? (Select all that apply.)
A. Allergy history
B. Medication history
C. Patient age
D. Patient's occupation
E. Physical exam of neuromuscular function - Answer B, C, and E
Which of the following promotes child safety for preschoolers?
,D. Teach children not to operate electric toothbrushes while unsupervised. - Answer D. Teach
children not to operate electric toothbrushes while unsupervised.
Which of the following promotes child safety for adolescents?
A. Teach children proper techniques for specific sports.
B. Teach children not to operate electric toothbrushes while unsupervised.
C. Teach children not to talk to or go with a stranger.
D. Teach children not to eat items found in the grass. - Answer A. Teach children proper
techniques for specific sports.
The nurse finds a 68-year-old woman wandering in the hallway and exhibiting confusion. The
patients says she is looking for the bath- room. Which interventions are appropriate for this
patient? (Select all that apply.)
A. Ask the health care provider to order a restraint.
B. Recommend insertion of a urinary catheter.
C. Provide scheduled toileting rounds every 2 to 3 hours.
D. Institute a routine exercise program for the patient.
E. Keep the bed in high position with side rails down.
F. Keep the pathway from the bed to the bathroom clear. - Answer C, D, and F
Place the following steps for applying a wrist restraint in the correct order:
A. Pad the skin overlying the wrist.
B. Insert two fingers under the secured restraint to be sure that it is
not too tight.
C. Be sure that the patient is comfortable and in correct anatomical
alignment.
D. Secure restraint straps to bedframe with quick-release buckle.
E. Wrap limb restraint around wrist or ankle with soft part toward
skin and secure snugly. - Answer C, A, E, B, D
, A. Logging on to automated dispensing system (ADS) or unlock- ing medicine drawer or cart.
B. Before going to patient's room, comparing patient's name and name of medication on label
of prepared drugs with MAR.
C. Selecting correct medication from ADS, unit-dose drawer, or
stock supply and comparing name of medication on label with
MAR or computer printout.
D. Comparing MAR or computer printout with names of med-
ications on medication labels and patient name at patient's
bedside. - Answer B. Before going to patient's room, comparing patient's name and name of
medication on label of prepared drugs with MAR.
The nurse must take a verbal order during an emergency on the
unit. Which of the following guidelines can be used for taking ver- bal or telephone orders?
(Select all that apply).
A. Only authorized staff may receive and record verbal or tele-
phone orders. The health care agency identifies in writing the
staff who are authorized.
B. Clearly identify patient's name, room number, and diagnosis.
C. Read back all orders to health care provider.
D. Use clarification questions to avoid misunderstandings.
E. Write "VO" (verbal order) or "TO" (telephone order), includ-
ing date and time, name of patient, and complete order; sign
the name of the health care provider and nurse. - Answer A, B, C, D, and E
A nurse is administering ophthalmic ointment to a patient. Place the following steps in correct
order for the administration of the
ointment.
A. Clean eye, washing from inner to outer canthus.
B. Assess patient's level of consciousness and ability to follow
instructions.
Verified Correct Answers.
What is a primary prevention tool used for colon cancer screening?
A. Abdominal x-rays
B. Blood, urea, and nitrogen (BUN) testing
C. Serum electrolytes
D. Occult blood testing - Answer D. Occult blood testing
Which of the following are safe practices to follow in the safe prepa- ration and storage of food?
(Select all that apply.)
A. Always use a single cutting board to prepare foods for cooking.
B. Refrigerate leftovers as soon as possible.
C. Always buy vegetables in packages marked "prewashed."
D. Cook meats to the proper temperature.
E. Wash hands thoroughly before food preparation. - Answer B, D, and E
A nurse enters the hospital room of a patient who had a total knee replacement the day before.
Which of the following pose potential safety risks? (Select all that apply.)
A. A current safety inspection sticker is on the IV fluids pump.
B. A walker is positioned near the patient's bedside.
C. The hospital bed is in the high position.
D. There is no gait belt at the bedside.
E. The overbed table with the patient's glasses is positioned against the wall opposite the end of
the bed. - Answer C, D, and E
A nurse working on a medicine unit in the hospital hears the fire
alarm go off. As the nurse walks down the hallway, there is smoke coming from the family
waiting area. Which of the following steps should the nurse take? (Select all that apply.)
,fire doors.
C. Go to each patient room, and direct ambulatory patients to walk
themselves to a safe area.
D. Work with the nurse technician to help move patients requiring
wheelchairs from their rooms.
E. Close the room doors of patients who cannot get out of bed, and
keep them in their rooms. - Answer A, C, and D
A nurse working on a surgery floor is assigned four patients. The nurse assesses each patient,
noting behaviors and physical signs and symptoms. Which of the following patients is more
likely to be violent toward the nurse?
A. The first patient maintains eye contact with the nurse, is calm during the nurse's assessment,
and asks questions frequently.
B. The second patient is very drowsy, loses attention span when the nurse asks questions, and
mumbles when speaking.
C. The third patient moves nervously in bed, swears and grimaces when trying to cough, and
speaks in a low volume.
D. The fourth patient speaks in a loud voice and becomes irritable when the nurse arrives to
help walk the patient. - Answer D. The fourth patient speaks in a loud voice and becomes
irritable when the nurse arrives to help walk the patient.
A nurse working the night shift is assigned a patient who has a his- tory of having fallen in the
hospital during a previous admission. The nurse wants to review the admission assessment
completed by the nurse on the day shift. Which of the following sections in the assess- ment are
most likely to provide information about the patient's cur- rent fall risks? (Select all that apply.)
A. Allergy history
B. Medication history
C. Patient age
D. Patient's occupation
E. Physical exam of neuromuscular function - Answer B, C, and E
Which of the following promotes child safety for preschoolers?
,D. Teach children not to operate electric toothbrushes while unsupervised. - Answer D. Teach
children not to operate electric toothbrushes while unsupervised.
Which of the following promotes child safety for adolescents?
A. Teach children proper techniques for specific sports.
B. Teach children not to operate electric toothbrushes while unsupervised.
C. Teach children not to talk to or go with a stranger.
D. Teach children not to eat items found in the grass. - Answer A. Teach children proper
techniques for specific sports.
The nurse finds a 68-year-old woman wandering in the hallway and exhibiting confusion. The
patients says she is looking for the bath- room. Which interventions are appropriate for this
patient? (Select all that apply.)
A. Ask the health care provider to order a restraint.
B. Recommend insertion of a urinary catheter.
C. Provide scheduled toileting rounds every 2 to 3 hours.
D. Institute a routine exercise program for the patient.
E. Keep the bed in high position with side rails down.
F. Keep the pathway from the bed to the bathroom clear. - Answer C, D, and F
Place the following steps for applying a wrist restraint in the correct order:
A. Pad the skin overlying the wrist.
B. Insert two fingers under the secured restraint to be sure that it is
not too tight.
C. Be sure that the patient is comfortable and in correct anatomical
alignment.
D. Secure restraint straps to bedframe with quick-release buckle.
E. Wrap limb restraint around wrist or ankle with soft part toward
skin and secure snugly. - Answer C, A, E, B, D
, A. Logging on to automated dispensing system (ADS) or unlock- ing medicine drawer or cart.
B. Before going to patient's room, comparing patient's name and name of medication on label
of prepared drugs with MAR.
C. Selecting correct medication from ADS, unit-dose drawer, or
stock supply and comparing name of medication on label with
MAR or computer printout.
D. Comparing MAR or computer printout with names of med-
ications on medication labels and patient name at patient's
bedside. - Answer B. Before going to patient's room, comparing patient's name and name of
medication on label of prepared drugs with MAR.
The nurse must take a verbal order during an emergency on the
unit. Which of the following guidelines can be used for taking ver- bal or telephone orders?
(Select all that apply).
A. Only authorized staff may receive and record verbal or tele-
phone orders. The health care agency identifies in writing the
staff who are authorized.
B. Clearly identify patient's name, room number, and diagnosis.
C. Read back all orders to health care provider.
D. Use clarification questions to avoid misunderstandings.
E. Write "VO" (verbal order) or "TO" (telephone order), includ-
ing date and time, name of patient, and complete order; sign
the name of the health care provider and nurse. - Answer A, B, C, D, and E
A nurse is administering ophthalmic ointment to a patient. Place the following steps in correct
order for the administration of the
ointment.
A. Clean eye, washing from inner to outer canthus.
B. Assess patient's level of consciousness and ability to follow
instructions.
