NURSING 110- EXAM 2 QUESTIONS
AND ANSWERS
Thejknursejkisjkchartingjkajkskinjkassessmentjkonjkthejknewlyjkadmittedjkclient.jkThejkclientjkh
asjkmutliplejklittlejkpurplejkdotsjkalljkoverjkthejkface.jkThejknursejkshouldjkchartjkthisjkusingjkwh
atjkterminology?
A.jkStriae
B.jkFissure
C.jkPetechia
D.jkComedojk-jkanswer--C.jkPetechia
Thejknursejkisjkchartingjkajkskinjkassessmentjkonjkthejknewlyjkadmittedjkclient.jkThejkclientjkh
asjkajklargejkbruisejkonjktheirjkrightjkforearmjkfromjkajkfall.jkThejknursejkshouldjkchartjkthisjkusi
ngjkwhatjkterminology?
A.jkMacule
B.jkKeloid
C.jkExcoriation
D.jkEcchymosisjk-jkanswer--D.jkEcchymosis
Thejknursejkisjkchartingjkajkskinjkassessmentjkonjkthejknewlyjkadmittedjkclient.jkThejkclientjkh
asjkajkpalpablejklinejkofjkhypertrophiedjkscarjktissuejkfromjkajkpreviousjksurgeryjkacrossjkthei
rjkchest.jkThejknursejkshouldjkchartjkthisjkusingjkwhatjkterminology?
A.jkMacule
B.jkKeloid
C.jkExcoriation
D.jkDehiscencejk-jkanswer--B.jkKeloid
Ijkhavejktojkgivejkherjk1.5jkteaspoonsjkofjkajkhomejkmedication.jkHowjkmanyjkmLjkwilljkIjkadmi
nister?jk-jkanswer--7.5jkmL
Whenjkassessingjkajklesionjkdiagnosedjkasjkmalignantjkmelanoma,jkthejknursejkin-
chargejkmostjklikelyjkexpectsjktojknotejkwhichjkofjkthejkfollowing?
A.jkAnjkirregularjkshapedjklesion
B.jkAjksmalljkpapulejkwithjkajkdry,jkroughjkscale
C.jkAjkfirm,jknodularjklesionjktoppedjkwithjkcrust
D.jkAjkpearlyjkpapulejkwithjkajkcentraljkcraterjkandjkajkwaxyjkborderjk-jkanswer--
A.jkanjkirregularjkshapedjklesion
ABCDjkmnemonicjk-jkanswer--Asymmetry
Border
Color
,Diameter
NursejkEthanjkisjkcaringjkforjkanjkelderlyjkbedriddenjkadult.jkTojkpreventjkpressurejkulcers,jk
whichjkinterventionjkshouldjkthejknursejkincludejkinjkthejkplanjkofjkcare?
A.jkTurnjkandjkrepositionjkthejkclientjkatjkleastjkoncejkeveryjk8jkhours.
B.jkVigorouslyjkmassagejklotionjkintojkbonyjkprominences.
C.jkPostjkajkturningjkschedulejkatjkthejkclient'sjkbedside.
D.jkSlidejkthejkclientjkratherjkthanjkliftingjkwhenjkturning.jk-jkanswer--
C.jkPostjkajkturningjkschedulejkatjkthejkclient'sjkbedside
Anjkolderjkadultjkhasjklimitedjkmobilityjkasjkajkresultjkofjkajktotaljkkneejkreplacement.jkDuringjk
assessmentjkyoujknotejkthatjkthejkpatientjkhasjkdifficultyjkbreathingjkwhilejklyingjkflat.jkWhichj
kofjkthejkfollowingjkassessmentjkdatajksupportjkajkpossiblejkpulmonaryjkproblemjkrelatedjktoj
kimpairedjkmobility?jk(Selectjkalljkthatjkapply.)
1.jkB/Pjk=jk128/84
2.jkRespirationsjk26/minjkonjkroomjkair
3.jkHRjk114
4.jkCracklesjkoverjklowerjklobesjkheardjkonjkauscultation
5.jkPainjkreportedjkasjk3jkonjkscalejkofjk0jktojk10jkafterjkmedicationjk-jkanswer--2,3,4
Ajkpatientjkhasjkbeenjkonjkbedjkrestjkforjkoverjk4jkdays.jkOnjkassessment,jkthejknursejkidentifi
esjkthejkfollowingjkasjkajksignjkassociatedjkwithjkimmobility:
1.jkDecreasedjkperistalsis
2.jkDecreasedjkheartjkrate
3.jkIncreasedjkbloodjkpressure
4.jkIncreasedjkurinaryjkoutputjk-jkanswer--1
Thejknursejkputsjkelasticjkstockingsjkonjkajkpatientjkfollowingjkmajorjkabdominaljksurgery.jkT
hejknursejkteachesjkthejkpatientjkthatjkthejkstockingsjkarejkusedjkafterjkajksurgicaljkprocedure
jktojk__________________________. jk-jkanswer--promote jkvenousjkreturnjktojkthejkheart
Ajknursejkisjkteachingjkajkcommunityjkgroupjkaboutjkwaysjktojkminimizejkthejkriskjkofjkdevelop
ingjkosteoporosis.jkWhichjkofjkthejkfollowingjkstatementsjkreflectjkunderstandingjkofjkwhatjk
wasjktaught?jk(Selectjkalljkthatjkapply.)
1.jk"IjkusuallyjkgojkswimmingjkwithjkmyjkfamilyjkatjkthejkYMCAjk3jktimesjkajkweek."
2.jk"IjkneedjktojkaskjkmyjkdoctorjkifjkIjkshouldjkhavejkajkbonejkmineraljkdensityjkcheckjkthisjkyear
."
3.jk"IfjkIjkdon'tjkdrinkjkmilkjkatjkdinner,jkI'lljkeatjkbroccolijkorjkcabbagejktojkgetjkthejkcalciumjkthatj
kIjkneedjkinjkmyjkdiet."
4.jk"I'lljkcheckjkthejklabeljkofjkmyjkmultivitamin.jkIfjkitjkhasjkcalcium,jkIjkcanjksavejkmoneyjkbyjkn
otjktakingjkanotherjkpill."
5.jk"Myjklactosejkintolerancejkshouldjknotjkbejkajkconcernjkwhenjkconsideringjkmyjkcalciumjki
ntake."jk-jkanswer--1,2,3
Ajknursejkisjkcaringjkforjkanjkolderjkadultjkwhojkhasjkhadjkajkfracturedjkhipjkrepaired.jkInjkthejkfir
stjkfewjkpostoperativejkdays,jkwhichjkofjkthejkfollowingjknursingjkmeasuresjkwilljkbestjkfacilita
tejkthejkresumptionjkofjkactivitiesjkofjkdailyjklivingjkforjkthisjkpatient?
1.jkEncouragingjkusejkofjkanjkoverheadjktrapezejkforjkpositioningjkandjktransfer
2.jkFrequentjkfamilyjkvisits
, 3.jkAssistingjkthejkpatientjktojkajkwheelchairjkoncejkperjkday
4.jkEnsuringjkthatjktherejkisjkanjkorderjkforjkphysicaljktherapyjk-jkanswer--1
Anjkolder-
adultjkpatientjkhasjkbeenjkbedriddenjkforjk2jkweeks.jkWhichjkofjkthejkfollowingjkcomplaintsjkb
yjkthejkpatientjkindicatesjktojkthejknursejkthatjkhejkorjkshejkisjkdevelopingjkajkcomplicationjkofjki
mmobility?
1.jkLossjkofjkappetite
2.jkGumjksoreness
440
3.jkDifficultyjkswallowing
4.jkLeftjkanklejkjointjkstiffnessjk-jkanswer--4
Ajkpatientjkisjkreceivingjk5000jkunitsjkofjkheparinjksubcutaneouslyjkeveryjk12jkhoursjkwhilejko
njkprolongedjkbedjkrestjktojkpreventjkthrombophlebitis.jkBecausejkbleedingjkisjkajkpotentialjk
sidejkeffectjkofjkthisjkmedication,jkthejknursejkshouldjkcontinuallyjkassessjkthejkpatientjkforjkth
ejkfollowingjksignsjkofjkbleeding:jk(Selectjkalljkthatjkapply.)
1.jkBruising
2.jkPalejkyellowjkurine
3.jkBleedingjkgums
4.jkCoffeejkground-likejkvomitus
5.jkLightjkbrownjkstooljk-jkanswer--1,3,4
Thejknursejkisjkcaringjkforjkajkpatientjkwhosejkcalciumjkintakejkmustjkincreasejkbecausejkofjkh
ighjkriskjkfactorsjkforjkosteoporosis.jkWhichjkofjkthejkfollowingjkmenusjkshouldjkthejknursejkre
commend?
1.jkCreamjkofjkbroccolijksoupjkwithjkwholejkwheatjkcrackers,jkcheese,jkandjktapiocajkforjkdes
sert
2.jkHotjkdogjkonjkwholejkwheatjkbunjkwithjkajksidejksaladjkandjkanjkapplejkforjkdessert
3.jkLow-
fatjkturkeyjkchilijkwithjksourjkcreamjkwithjkajksidejksaladjkandjkfreshjkpearsjkforjkdessert
4.jkTurkeyjksaladjkonjktoastjkwithjktomatojkandjklettucejkandjkhoneyjkbunjkforjkdessertjk-
jkanswer--1
ThejknursejkevaluatesjkthatjkthejkNAPjkhasjkappliedjkajkpatient'sjksequentialjkcompressionjk
devicejk(SCD)jkappropriatelyjkwhenjkwhichjkofjkthejkfollowingjkisjkobserved?
jk(Selectjkalljkthatjkapply.)
1.jkInitialjkpatientjkmeasurementjkisjkmadejkaroundjkthejkcalves
2.jkInflationjkpressurejkaveragesjk40jkmmjkHg
3.jkPatient'sjklegjkplacedjkinjkSCDjksleevejkwithjkbackjkofjkkneejkalignedjkwithjkpoplitealjkope
ningjkonjkthejksleeve.
4.jkStockingsjkarejkremovedjkeveryjk2jkhoursjkduringjkapplication.
5.jkYellowjklightjkindicatesjkSCDjkdevicejkisjkfunctioning.jk-jkanswer--2,3
Ajkpatientjkonjkprolongedjkbedjkrestjkisjkatjkanjkincreasedjkriskjktojkdevelopjkthisjkcommonjkco
mplicationjkofjkimmobilityjkifjkpreventivejkmeasuresjkarejknotjktaken:
1.jkMyoclonus
2.jkPathologicaljkfractures
3.jkPressurejkulcers
4.jkPruritusjk-jkanswer--3
AND ANSWERS
Thejknursejkisjkchartingjkajkskinjkassessmentjkonjkthejknewlyjkadmittedjkclient.jkThejkclientjkh
asjkmutliplejklittlejkpurplejkdotsjkalljkoverjkthejkface.jkThejknursejkshouldjkchartjkthisjkusingjkwh
atjkterminology?
A.jkStriae
B.jkFissure
C.jkPetechia
D.jkComedojk-jkanswer--C.jkPetechia
Thejknursejkisjkchartingjkajkskinjkassessmentjkonjkthejknewlyjkadmittedjkclient.jkThejkclientjkh
asjkajklargejkbruisejkonjktheirjkrightjkforearmjkfromjkajkfall.jkThejknursejkshouldjkchartjkthisjkusi
ngjkwhatjkterminology?
A.jkMacule
B.jkKeloid
C.jkExcoriation
D.jkEcchymosisjk-jkanswer--D.jkEcchymosis
Thejknursejkisjkchartingjkajkskinjkassessmentjkonjkthejknewlyjkadmittedjkclient.jkThejkclientjkh
asjkajkpalpablejklinejkofjkhypertrophiedjkscarjktissuejkfromjkajkpreviousjksurgeryjkacrossjkthei
rjkchest.jkThejknursejkshouldjkchartjkthisjkusingjkwhatjkterminology?
A.jkMacule
B.jkKeloid
C.jkExcoriation
D.jkDehiscencejk-jkanswer--B.jkKeloid
Ijkhavejktojkgivejkherjk1.5jkteaspoonsjkofjkajkhomejkmedication.jkHowjkmanyjkmLjkwilljkIjkadmi
nister?jk-jkanswer--7.5jkmL
Whenjkassessingjkajklesionjkdiagnosedjkasjkmalignantjkmelanoma,jkthejknursejkin-
chargejkmostjklikelyjkexpectsjktojknotejkwhichjkofjkthejkfollowing?
A.jkAnjkirregularjkshapedjklesion
B.jkAjksmalljkpapulejkwithjkajkdry,jkroughjkscale
C.jkAjkfirm,jknodularjklesionjktoppedjkwithjkcrust
D.jkAjkpearlyjkpapulejkwithjkajkcentraljkcraterjkandjkajkwaxyjkborderjk-jkanswer--
A.jkanjkirregularjkshapedjklesion
ABCDjkmnemonicjk-jkanswer--Asymmetry
Border
Color
,Diameter
NursejkEthanjkisjkcaringjkforjkanjkelderlyjkbedriddenjkadult.jkTojkpreventjkpressurejkulcers,jk
whichjkinterventionjkshouldjkthejknursejkincludejkinjkthejkplanjkofjkcare?
A.jkTurnjkandjkrepositionjkthejkclientjkatjkleastjkoncejkeveryjk8jkhours.
B.jkVigorouslyjkmassagejklotionjkintojkbonyjkprominences.
C.jkPostjkajkturningjkschedulejkatjkthejkclient'sjkbedside.
D.jkSlidejkthejkclientjkratherjkthanjkliftingjkwhenjkturning.jk-jkanswer--
C.jkPostjkajkturningjkschedulejkatjkthejkclient'sjkbedside
Anjkolderjkadultjkhasjklimitedjkmobilityjkasjkajkresultjkofjkajktotaljkkneejkreplacement.jkDuringjk
assessmentjkyoujknotejkthatjkthejkpatientjkhasjkdifficultyjkbreathingjkwhilejklyingjkflat.jkWhichj
kofjkthejkfollowingjkassessmentjkdatajksupportjkajkpossiblejkpulmonaryjkproblemjkrelatedjktoj
kimpairedjkmobility?jk(Selectjkalljkthatjkapply.)
1.jkB/Pjk=jk128/84
2.jkRespirationsjk26/minjkonjkroomjkair
3.jkHRjk114
4.jkCracklesjkoverjklowerjklobesjkheardjkonjkauscultation
5.jkPainjkreportedjkasjk3jkonjkscalejkofjk0jktojk10jkafterjkmedicationjk-jkanswer--2,3,4
Ajkpatientjkhasjkbeenjkonjkbedjkrestjkforjkoverjk4jkdays.jkOnjkassessment,jkthejknursejkidentifi
esjkthejkfollowingjkasjkajksignjkassociatedjkwithjkimmobility:
1.jkDecreasedjkperistalsis
2.jkDecreasedjkheartjkrate
3.jkIncreasedjkbloodjkpressure
4.jkIncreasedjkurinaryjkoutputjk-jkanswer--1
Thejknursejkputsjkelasticjkstockingsjkonjkajkpatientjkfollowingjkmajorjkabdominaljksurgery.jkT
hejknursejkteachesjkthejkpatientjkthatjkthejkstockingsjkarejkusedjkafterjkajksurgicaljkprocedure
jktojk__________________________. jk-jkanswer--promote jkvenousjkreturnjktojkthejkheart
Ajknursejkisjkteachingjkajkcommunityjkgroupjkaboutjkwaysjktojkminimizejkthejkriskjkofjkdevelop
ingjkosteoporosis.jkWhichjkofjkthejkfollowingjkstatementsjkreflectjkunderstandingjkofjkwhatjk
wasjktaught?jk(Selectjkalljkthatjkapply.)
1.jk"IjkusuallyjkgojkswimmingjkwithjkmyjkfamilyjkatjkthejkYMCAjk3jktimesjkajkweek."
2.jk"IjkneedjktojkaskjkmyjkdoctorjkifjkIjkshouldjkhavejkajkbonejkmineraljkdensityjkcheckjkthisjkyear
."
3.jk"IfjkIjkdon'tjkdrinkjkmilkjkatjkdinner,jkI'lljkeatjkbroccolijkorjkcabbagejktojkgetjkthejkcalciumjkthatj
kIjkneedjkinjkmyjkdiet."
4.jk"I'lljkcheckjkthejklabeljkofjkmyjkmultivitamin.jkIfjkitjkhasjkcalcium,jkIjkcanjksavejkmoneyjkbyjkn
otjktakingjkanotherjkpill."
5.jk"Myjklactosejkintolerancejkshouldjknotjkbejkajkconcernjkwhenjkconsideringjkmyjkcalciumjki
ntake."jk-jkanswer--1,2,3
Ajknursejkisjkcaringjkforjkanjkolderjkadultjkwhojkhasjkhadjkajkfracturedjkhipjkrepaired.jkInjkthejkfir
stjkfewjkpostoperativejkdays,jkwhichjkofjkthejkfollowingjknursingjkmeasuresjkwilljkbestjkfacilita
tejkthejkresumptionjkofjkactivitiesjkofjkdailyjklivingjkforjkthisjkpatient?
1.jkEncouragingjkusejkofjkanjkoverheadjktrapezejkforjkpositioningjkandjktransfer
2.jkFrequentjkfamilyjkvisits
, 3.jkAssistingjkthejkpatientjktojkajkwheelchairjkoncejkperjkday
4.jkEnsuringjkthatjktherejkisjkanjkorderjkforjkphysicaljktherapyjk-jkanswer--1
Anjkolder-
adultjkpatientjkhasjkbeenjkbedriddenjkforjk2jkweeks.jkWhichjkofjkthejkfollowingjkcomplaintsjkb
yjkthejkpatientjkindicatesjktojkthejknursejkthatjkhejkorjkshejkisjkdevelopingjkajkcomplicationjkofjki
mmobility?
1.jkLossjkofjkappetite
2.jkGumjksoreness
440
3.jkDifficultyjkswallowing
4.jkLeftjkanklejkjointjkstiffnessjk-jkanswer--4
Ajkpatientjkisjkreceivingjk5000jkunitsjkofjkheparinjksubcutaneouslyjkeveryjk12jkhoursjkwhilejko
njkprolongedjkbedjkrestjktojkpreventjkthrombophlebitis.jkBecausejkbleedingjkisjkajkpotentialjk
sidejkeffectjkofjkthisjkmedication,jkthejknursejkshouldjkcontinuallyjkassessjkthejkpatientjkforjkth
ejkfollowingjksignsjkofjkbleeding:jk(Selectjkalljkthatjkapply.)
1.jkBruising
2.jkPalejkyellowjkurine
3.jkBleedingjkgums
4.jkCoffeejkground-likejkvomitus
5.jkLightjkbrownjkstooljk-jkanswer--1,3,4
Thejknursejkisjkcaringjkforjkajkpatientjkwhosejkcalciumjkintakejkmustjkincreasejkbecausejkofjkh
ighjkriskjkfactorsjkforjkosteoporosis.jkWhichjkofjkthejkfollowingjkmenusjkshouldjkthejknursejkre
commend?
1.jkCreamjkofjkbroccolijksoupjkwithjkwholejkwheatjkcrackers,jkcheese,jkandjktapiocajkforjkdes
sert
2.jkHotjkdogjkonjkwholejkwheatjkbunjkwithjkajksidejksaladjkandjkanjkapplejkforjkdessert
3.jkLow-
fatjkturkeyjkchilijkwithjksourjkcreamjkwithjkajksidejksaladjkandjkfreshjkpearsjkforjkdessert
4.jkTurkeyjksaladjkonjktoastjkwithjktomatojkandjklettucejkandjkhoneyjkbunjkforjkdessertjk-
jkanswer--1
ThejknursejkevaluatesjkthatjkthejkNAPjkhasjkappliedjkajkpatient'sjksequentialjkcompressionjk
devicejk(SCD)jkappropriatelyjkwhenjkwhichjkofjkthejkfollowingjkisjkobserved?
jk(Selectjkalljkthatjkapply.)
1.jkInitialjkpatientjkmeasurementjkisjkmadejkaroundjkthejkcalves
2.jkInflationjkpressurejkaveragesjk40jkmmjkHg
3.jkPatient'sjklegjkplacedjkinjkSCDjksleevejkwithjkbackjkofjkkneejkalignedjkwithjkpoplitealjkope
ningjkonjkthejksleeve.
4.jkStockingsjkarejkremovedjkeveryjk2jkhoursjkduringjkapplication.
5.jkYellowjklightjkindicatesjkSCDjkdevicejkisjkfunctioning.jk-jkanswer--2,3
Ajkpatientjkonjkprolongedjkbedjkrestjkisjkatjkanjkincreasedjkriskjktojkdevelopjkthisjkcommonjkco
mplicationjkofjkimmobilityjkifjkpreventivejkmeasuresjkarejknotjktaken:
1.jkMyoclonus
2.jkPathologicaljkfractures
3.jkPressurejkulcers
4.jkPruritusjk-jkanswer--3
