NUR 3225L Adult Health Clinical
check-offs, care plan Questions and
Correct Answers (Verified Answers)
with Rationales 2025
1. Which of the following is the most appropriate nursing intervention before
performing a sterile dressing change?
a. Clean the wound with sterile saline
b. Perform hand hygiene and don sterile gloves
c. Administer prescribed pain medication
d. Remove old dressing without gloves
Performing hand hygiene and donning sterile gloves maintains aseptic technique and
prevents infection.
2. What is the primary goal of a nursing care plan?
a. To increase hospital efficiency
b. To provide individualized patient-centered care
c. To assist physicians with treatment
d. To reduce nurse workload
Care plans are tools used to tailor nursing interventions to the unique needs of each
patient.
, 3. During tracheostomy care, the nurse should first:
a. Remove the old inner cannula
b. Explain the procedure to the patient
c. Suction the tracheostomy
d. Clean the outer cannula
Patient education helps reduce anxiety and ensures cooperation.
4. Which of the following is a subjective assessment finding?
a. Blood pressure 142/90
b. Respiratory rate 20
c. “I feel dizzy”
d. Warm, dry skin
Subjective data is what the patient reports, not what is observed.
5. A nursing diagnosis must always include:
a. A medical diagnosis
b. A problem, etiology, and signs/symptoms
c. A doctor's order
d. Only observable behaviors
The standard nursing diagnosis format is the PES (Problem, Etiology, Symptoms)
structure.
, 6. Which is the correct order of donning PPE for contact isolation?
a. Gloves, gown, goggles, mask
b. Gown, mask, goggles, gloves
c. Mask, gown, gloves, goggles
d. Goggles, gloves, mask, gown
This sequence ensures maximum protection and infection control.
7. Which intervention best reduces risk of pressure injury in an immobile
patient?
a. Provide extra blankets
b. Reposition every two hours
c. Encourage high-protein snacks
d. Apply cold compresses
Frequent repositioning prevents skin breakdown caused by prolonged pressure.
8. Before inserting a urinary catheter, what must the nurse verify?
a. The patient has voided
b. The provider’s order is present
c. The patient is ambulating
d. The bedpan is available
Invasive procedures like catheter insertion require a physician's order.
9. A nursing care plan is updated:
check-offs, care plan Questions and
Correct Answers (Verified Answers)
with Rationales 2025
1. Which of the following is the most appropriate nursing intervention before
performing a sterile dressing change?
a. Clean the wound with sterile saline
b. Perform hand hygiene and don sterile gloves
c. Administer prescribed pain medication
d. Remove old dressing without gloves
Performing hand hygiene and donning sterile gloves maintains aseptic technique and
prevents infection.
2. What is the primary goal of a nursing care plan?
a. To increase hospital efficiency
b. To provide individualized patient-centered care
c. To assist physicians with treatment
d. To reduce nurse workload
Care plans are tools used to tailor nursing interventions to the unique needs of each
patient.
, 3. During tracheostomy care, the nurse should first:
a. Remove the old inner cannula
b. Explain the procedure to the patient
c. Suction the tracheostomy
d. Clean the outer cannula
Patient education helps reduce anxiety and ensures cooperation.
4. Which of the following is a subjective assessment finding?
a. Blood pressure 142/90
b. Respiratory rate 20
c. “I feel dizzy”
d. Warm, dry skin
Subjective data is what the patient reports, not what is observed.
5. A nursing diagnosis must always include:
a. A medical diagnosis
b. A problem, etiology, and signs/symptoms
c. A doctor's order
d. Only observable behaviors
The standard nursing diagnosis format is the PES (Problem, Etiology, Symptoms)
structure.
, 6. Which is the correct order of donning PPE for contact isolation?
a. Gloves, gown, goggles, mask
b. Gown, mask, goggles, gloves
c. Mask, gown, gloves, goggles
d. Goggles, gloves, mask, gown
This sequence ensures maximum protection and infection control.
7. Which intervention best reduces risk of pressure injury in an immobile
patient?
a. Provide extra blankets
b. Reposition every two hours
c. Encourage high-protein snacks
d. Apply cold compresses
Frequent repositioning prevents skin breakdown caused by prolonged pressure.
8. Before inserting a urinary catheter, what must the nurse verify?
a. The patient has voided
b. The provider’s order is present
c. The patient is ambulating
d. The bedpan is available
Invasive procedures like catheter insertion require a physician's order.
9. A nursing care plan is updated:
