NUR 311 Final Exam Questions With
Complete Solutions
. Name 3 things that can cause a false-positive
Hemoccult test. Correct Answers - raw meat (liver
specifically)
- raw vegetables (beets)
- medications
. Patients with compression stockings should still
be assessed for DVT. What signs are the nurse
looking for? Correct Answers Swelling (unilateral),
color (pallor, redness), fever, and complaints of
pain and tenderness
. What effects does surgery have on venous blood?
Correct Answers -venous blood return slows
- patient positions contribute to slowed venous
blood return
. What is the appropriate direction used to clean a
wound? Correct Answers least to most
contaminated
from top to bottom and from the center to the
outside
. What wound characteristics do you assess for?
Correct Answers -appearance
-size
,-drainage
-pain
-presence of store, drains, tubes
-evidence of complications
-odor
. When do sterile gloves need to be replaced?
Correct Answers Tear, come in contact with any
nonsterile surface or item, expired, if integrity has
been compromised
. When preparing a sterile field, why should the
work area be waist level or higher? Correct
Answers to prevent contamination and keep field
within reach
Prevent contamination, bacteria tends to settle,
work area within sight
. When selecting restraints, the
________________________ restricted type should be
tried first. Name the order of restraints from least
to most restrictive. Correct Answers least
restrictive should be tried first
-side rails
-mitts, elbow immobilizers, enclosure bed, soft belt
-soft limb
-waist/vest
,-4 point soft hard limb velcro or leather
. Why do we need to avoid splashing liquid onto a
sterile field? Correct Answers Moisture
contaminates a sterile field
1. Accuracy of readings obtained from pulse
oximetry can be influenced by conditions that
decrease arterial blood flow, such as? Correct
Answers - circulation problems
- PVD
- hypotension
- peripheral edema
1. Give the proper medical term for the following
ROM: Correct Answers a. Movement away from
the center or median line of the body=abduction
b. Movement toward the center or median line of
the body=adduction
c. Bending of a joint so that the angle of the joint
diminishes=flextion
d. The return movement from flexion; the joint
angle is increased= extension
e. Turning of the palm or foot downward or
backward= pronation
, f. Process of turning on an axis; twisting or
revolving=rotation
g. Turning of the palm or foot upward= supination
h. Extreme or abnormal extension=
hyperextension
1. How do you measure/fit a client for use of
walker? cane? crutches? Correct Answers
Walker= handles should be at hip level so that the
top of the walker should line up w/ the crease on
the inside of the patient's wrist
when the patient's hands are placed on the grips,
elbows should be flexed about 30 degrees
Cane=cane should be at waist height with elbow
slightly flexed at 30 degrees, hold cane with hand
on stronger side of body
Crutches= the palm of the hand should fit bet the
top of the crutches and the armpit
elbows slightly bent at about 30 degrees with
hands supporting weight
1. How do you properly identify the client prior to
assessment or administering care in the inpatient
and LTC setting? Correct Answers Inpatient:
a. Patient name
Complete Solutions
. Name 3 things that can cause a false-positive
Hemoccult test. Correct Answers - raw meat (liver
specifically)
- raw vegetables (beets)
- medications
. Patients with compression stockings should still
be assessed for DVT. What signs are the nurse
looking for? Correct Answers Swelling (unilateral),
color (pallor, redness), fever, and complaints of
pain and tenderness
. What effects does surgery have on venous blood?
Correct Answers -venous blood return slows
- patient positions contribute to slowed venous
blood return
. What is the appropriate direction used to clean a
wound? Correct Answers least to most
contaminated
from top to bottom and from the center to the
outside
. What wound characteristics do you assess for?
Correct Answers -appearance
-size
,-drainage
-pain
-presence of store, drains, tubes
-evidence of complications
-odor
. When do sterile gloves need to be replaced?
Correct Answers Tear, come in contact with any
nonsterile surface or item, expired, if integrity has
been compromised
. When preparing a sterile field, why should the
work area be waist level or higher? Correct
Answers to prevent contamination and keep field
within reach
Prevent contamination, bacteria tends to settle,
work area within sight
. When selecting restraints, the
________________________ restricted type should be
tried first. Name the order of restraints from least
to most restrictive. Correct Answers least
restrictive should be tried first
-side rails
-mitts, elbow immobilizers, enclosure bed, soft belt
-soft limb
-waist/vest
,-4 point soft hard limb velcro or leather
. Why do we need to avoid splashing liquid onto a
sterile field? Correct Answers Moisture
contaminates a sterile field
1. Accuracy of readings obtained from pulse
oximetry can be influenced by conditions that
decrease arterial blood flow, such as? Correct
Answers - circulation problems
- PVD
- hypotension
- peripheral edema
1. Give the proper medical term for the following
ROM: Correct Answers a. Movement away from
the center or median line of the body=abduction
b. Movement toward the center or median line of
the body=adduction
c. Bending of a joint so that the angle of the joint
diminishes=flextion
d. The return movement from flexion; the joint
angle is increased= extension
e. Turning of the palm or foot downward or
backward= pronation
, f. Process of turning on an axis; twisting or
revolving=rotation
g. Turning of the palm or foot upward= supination
h. Extreme or abnormal extension=
hyperextension
1. How do you measure/fit a client for use of
walker? cane? crutches? Correct Answers
Walker= handles should be at hip level so that the
top of the walker should line up w/ the crease on
the inside of the patient's wrist
when the patient's hands are placed on the grips,
elbows should be flexed about 30 degrees
Cane=cane should be at waist height with elbow
slightly flexed at 30 degrees, hold cane with hand
on stronger side of body
Crutches= the palm of the hand should fit bet the
top of the crutches and the armpit
elbows slightly bent at about 30 degrees with
hands supporting weight
1. How do you properly identify the client prior to
assessment or administering care in the inpatient
and LTC setting? Correct Answers Inpatient:
a. Patient name
