315 EXAM 1 WITH 100% CORRECT ANSWERS
2025
A patient is blind in one eye for several years because of complications associated
with diabetes mellitus. The patient is admitted to the hospital with a detached
retina and resulting loss of sight in the other eye. Which should the nurse do to
assist this patient with meals? correct answers >> *A: Explain to the patient
where items are located on the plate according to the hours of the clock.*
B: Encourage eating one food at a time according to the preference of the patient.
C: Order finger foods that are permitted on the patient s diet.
D: Feed the patient the ordered meals.
A patient who has an infected abdominal wound develops a temperature of 104° F
(40° C). All the following
2 interventions are included in the patient's plan of care. In which order should the
nurse perform the following 0/1
actions? Sponge patient with cool water. correct answers >> 2. Sponge patient
with cool water. 1. Administer intravenous antibiotics and acetaminophen
(Tylenol) 3. Perform wet-to-dry dressing change. 4. Encourage deep breathing and
cough.
Blank infections are classified as infections that are associated with the delivery of
health care services in a health care facility correct answers >> A: Acute
*B: Nosocomial*
C: Chronic
D: Endogenous
,The client is admitted with inflammatory bowel disease. The client has been on a
full liquid diet and has been tolerating it well. Now the health care provider has
ordered the client on a low residue diet. The nurse would order which type of food
for the client? correct answers >> *A: Piece of white break, skinless white
potatoes, and white rice*
B: Glass of whole milk, broccoli and cabbage
C: Peanut butter sandwich, glass of milk, and strawberries
D: French fries, chicken salad and apple pie.
What instructions are important for the nurse to provide the client regarding food
and fluid intake prior to a stool specimen collection? correct answers >> *A:
Avoid red meat*
B: Avoid caffeine
C: Increase fluid intake
D: Remain NPO after midnight
A nurse is assessing a client who has recently returned from a camping trip. The
client is being seen for edema in the right foot. When assessing the foot, the nurse
notes a sore on the foot and suspects cellulitis. Which further data will the nurse
assess to support the suspicion? correct answers >> *A: Redness, pain, and
drainage at the site*
B: Blood cultures
C: Breathe sounds
D: BUN and creatinine
The nurse provides teaching on the diagnosis Risk for Deficient Fluid Volume to a
client with ulcerative colitis. Which client statement indicates understanding of this
information? correct answers >> A: "I will drink 2 liter of fluid each day."
, B: "I will continue to use a moisturizer on my skin."
C: "I should report dry patches of skin immediately to my doctor."
*D: "If I have a liquid stool in any day, I will report this to my health care
provider."*
The nurse, caring for an 11-year-old child recovering from an appendectomy, is
educating the child and family in decreasing pain post operatively prior to
ambulation. Which non-pharmacological nursing strategies would be appropriate
for this child? correct answers >> A: A warm, moist pack over the site of
incision
*B: A splint pillow against the abdomen when moving or coughing*
C: Administering appropriate narcotic analgesics
D: Tylenol 650mg every 4-6 hours
A nurse is assessing a patient who has a wound on the leg as the result of a bicycle
accident. Which clinical manifestation indicates a localized inflammatory response?
correct answers >> A: Body temperature is 101.4*F
B: Heart rate is 102 beats/minute
*C: Area around the wound is swollen.*
D: Exudate from the wound is greenish yellow in color.
The nurse assessing a patient with a chronic leg wound finds local signs of
erythema and pain at the wound site. What would the nurse anticipate being
ordered to assess the patient s systemic response? correct answers >> A:
Serum protein analysis
*B: WBC count and differential*
C: Punch biopsy of center of wound
2025
A patient is blind in one eye for several years because of complications associated
with diabetes mellitus. The patient is admitted to the hospital with a detached
retina and resulting loss of sight in the other eye. Which should the nurse do to
assist this patient with meals? correct answers >> *A: Explain to the patient
where items are located on the plate according to the hours of the clock.*
B: Encourage eating one food at a time according to the preference of the patient.
C: Order finger foods that are permitted on the patient s diet.
D: Feed the patient the ordered meals.
A patient who has an infected abdominal wound develops a temperature of 104° F
(40° C). All the following
2 interventions are included in the patient's plan of care. In which order should the
nurse perform the following 0/1
actions? Sponge patient with cool water. correct answers >> 2. Sponge patient
with cool water. 1. Administer intravenous antibiotics and acetaminophen
(Tylenol) 3. Perform wet-to-dry dressing change. 4. Encourage deep breathing and
cough.
Blank infections are classified as infections that are associated with the delivery of
health care services in a health care facility correct answers >> A: Acute
*B: Nosocomial*
C: Chronic
D: Endogenous
,The client is admitted with inflammatory bowel disease. The client has been on a
full liquid diet and has been tolerating it well. Now the health care provider has
ordered the client on a low residue diet. The nurse would order which type of food
for the client? correct answers >> *A: Piece of white break, skinless white
potatoes, and white rice*
B: Glass of whole milk, broccoli and cabbage
C: Peanut butter sandwich, glass of milk, and strawberries
D: French fries, chicken salad and apple pie.
What instructions are important for the nurse to provide the client regarding food
and fluid intake prior to a stool specimen collection? correct answers >> *A:
Avoid red meat*
B: Avoid caffeine
C: Increase fluid intake
D: Remain NPO after midnight
A nurse is assessing a client who has recently returned from a camping trip. The
client is being seen for edema in the right foot. When assessing the foot, the nurse
notes a sore on the foot and suspects cellulitis. Which further data will the nurse
assess to support the suspicion? correct answers >> *A: Redness, pain, and
drainage at the site*
B: Blood cultures
C: Breathe sounds
D: BUN and creatinine
The nurse provides teaching on the diagnosis Risk for Deficient Fluid Volume to a
client with ulcerative colitis. Which client statement indicates understanding of this
information? correct answers >> A: "I will drink 2 liter of fluid each day."
, B: "I will continue to use a moisturizer on my skin."
C: "I should report dry patches of skin immediately to my doctor."
*D: "If I have a liquid stool in any day, I will report this to my health care
provider."*
The nurse, caring for an 11-year-old child recovering from an appendectomy, is
educating the child and family in decreasing pain post operatively prior to
ambulation. Which non-pharmacological nursing strategies would be appropriate
for this child? correct answers >> A: A warm, moist pack over the site of
incision
*B: A splint pillow against the abdomen when moving or coughing*
C: Administering appropriate narcotic analgesics
D: Tylenol 650mg every 4-6 hours
A nurse is assessing a patient who has a wound on the leg as the result of a bicycle
accident. Which clinical manifestation indicates a localized inflammatory response?
correct answers >> A: Body temperature is 101.4*F
B: Heart rate is 102 beats/minute
*C: Area around the wound is swollen.*
D: Exudate from the wound is greenish yellow in color.
The nurse assessing a patient with a chronic leg wound finds local signs of
erythema and pain at the wound site. What would the nurse anticipate being
ordered to assess the patient s systemic response? correct answers >> A:
Serum protein analysis
*B: WBC count and differential*
C: Punch biopsy of center of wound
