and Answers | 2025 Update | 100% Correct
1. The nurse is caring for a patient who sustained bruises playing
football. Which mechanism of the human body serves as a defensive
immune response in order to heal the bruises?
Asepsis
Infection
Normal flora
Inflammation - ANSWERinflammation
2. While assessing a patient's wound, the nurse looks for signs
indicating a localized response to inflammation. Which objective and
subjective signs does the nurse anticipate observing? Select all that
apply.
Pain
Swelling
Redness
Laceration
Decrease in temperature - ANSWERpain, swelling, redness
3. The nurse is teaching a group of new parents about immunizations for
children. Which type of immunity is the nurse promoting?
Active
Innate
Nonspecific
Inflammatory - ANSWERActive
4. Which nursing interventions are prevention-oriented? Select all that
apply.
Education for a patient
Setting of patient goals
Immunization programs
Preparation of care plan
, 5. Administration of vaccines - ANSWEREducation for a patient,
Immunization programs, Administration of vaccines
6. The nurse is caring for a patient who has undergone a cystoscopy.
Which possible complications would the nurse assess for after the
procedure? Select all that apply.
Hematuria
Bladder atony
Bladder edema
Bladder prolapse
Urinary retention - ANSWER1, 3, 5
7. Which nursing intervention would be priority if a child has
accidentally sprayed furniture polish into both eyes?
Call the Poison Control Center.
Rinse both eyes with water.
Instill antihistamine eye drops.
Give syrup of ipecac. - ANSWERrinse both eyes with water
8. While providing a bed bath, the nurse observes that a patient has
reddened areas on the back. Which measure taken by the nurse would be
most helpful in this situation?
Keeping the patient in a supine position
Exposing the reddened areas of the patient to light
Applying talcum powder all over the reddened areas
Not massaging any reddened areas of the patient - ANSWERNot
massaging any reddened areas of the patient
9. The nurse is assessing a patient who is receiving intravenous (IV)
therapy. The patient has developed phlebitis and reports pain with
erythema. Which grade on the phlebitis scale of severity does the nurse
assign the patient?
0
1
2