nursing 251 test 1 Textbook Questions With Complete
Solutions
A coworker states that he is not feeling well but says that he is
fine to work. Two days later, he is out of work due to illness.
What phase of the communicable period was he in when at work
earlier in the week? Correct Answer a. Incubation
b. Prodromal
c. Acute
d. Convalescent
Ans: B. prodromal
A diabetic patient reports a nonhealing wound on his large toe.
Which factors in this patient increase risk for this type of
wound? Select all that apply Correct Answer a. Decreased
oxygenation
b. Decreased blood flow
c. Smoking
d. Obesity
e. Hyperglycemia
Ans: ABE
A new nurse is caring for four patients for the first time. One
patient is admitted with respiratory distress, reports no shortness
of breath, SpO2 is 95% on 2LNC, and RR is 18. The other
patient is admitted for a laparoscopic prostatectomy, complains
of 6/10 pain, and has new onset of hematuria in the Foley
catheter. The third is an IV drug user with abscess and pain 3/10
and wants to go outside to smoke. The final patient is an elderly
,confused patient admitted with a urinary tract infection and is
determined to be a fall risk. Which patient should be the nurse's
priority? Correct Answer a. Patient 1
b. Patient 2
c. Patient 3
d. Patient 4
Ans: B. patient 2
A novice nurse has made what is considered a human error
while performing as medication nurse on a busy long-term care
nursing unit. What intervention implemented by the unit's nurse
manager would be most appropriate in this situation to help
prevent similar errors in the future? Correct Answer a. The
incident is recorded in the nurse's permanent employee file.
b. The nurse is asked to identify and discuss the factors that
contributed to the making of the error.
c. The nurse manager provides a verbal warning to the nurse and
explains that another error will result in disciplinary action.
d. The nurse is told by the nurse manager that everyone makes
mistakes occasionally but to be more careful in the future.
Ans: B. the nurse is asked to identify and discuss the factors that
contributed to the making of the error
A nurse has completed tracheostomy care for a patient with
MRSA in the sputum. As she exits the room, in what order
should she remove her PPE and perform hand hygiene? Correct
Answer a. Gloves, gown, hand hygiene, face shield, mask, and
hand hygiene
, b. Gloves, hand hygiene, face shield, gown, mask, and hand
hygiene
c. Gown, gloves, face shield, mask, and hand hygiene
d. Gown, hand hygiene, gloves, mask, and goggles
Ans: B. gloves, hand hygiene, face shield, gown, mask, and
hand hygiene
A nurse is assessing a college student with a severe headache
and high fever. Which questions would be useful? Select all that
apply Correct Answer a. "Has someone in your immediate
surroundings recently had similar symptoms or been diagnosed
with meningitis?"
b. "What are your normal sleep and eating patterns?"
c. "Have you shared drinks or food with anyone recently?"
d. "Have you traveled recently, especially to foreign countries?"
Ans: ACD
A nurse is assessing a new colostomy stoma, finding it beefy,
red, and moist though the surrounding skin appearing intact.
What should be the nurse's conclusions? Correct Answer a.
The patient is developing an infection.
b. The patient is developing maceration at the site.
c. The site is healing appropriately.
d. The ostomy wafer and pouch have been too tight.
Ans: C. the site is healing appropriately
A nurse is assessing a patient's surgical wound. The wound
shows beefy, red tissue at the base, and the edges are gaping.
Solutions
A coworker states that he is not feeling well but says that he is
fine to work. Two days later, he is out of work due to illness.
What phase of the communicable period was he in when at work
earlier in the week? Correct Answer a. Incubation
b. Prodromal
c. Acute
d. Convalescent
Ans: B. prodromal
A diabetic patient reports a nonhealing wound on his large toe.
Which factors in this patient increase risk for this type of
wound? Select all that apply Correct Answer a. Decreased
oxygenation
b. Decreased blood flow
c. Smoking
d. Obesity
e. Hyperglycemia
Ans: ABE
A new nurse is caring for four patients for the first time. One
patient is admitted with respiratory distress, reports no shortness
of breath, SpO2 is 95% on 2LNC, and RR is 18. The other
patient is admitted for a laparoscopic prostatectomy, complains
of 6/10 pain, and has new onset of hematuria in the Foley
catheter. The third is an IV drug user with abscess and pain 3/10
and wants to go outside to smoke. The final patient is an elderly
,confused patient admitted with a urinary tract infection and is
determined to be a fall risk. Which patient should be the nurse's
priority? Correct Answer a. Patient 1
b. Patient 2
c. Patient 3
d. Patient 4
Ans: B. patient 2
A novice nurse has made what is considered a human error
while performing as medication nurse on a busy long-term care
nursing unit. What intervention implemented by the unit's nurse
manager would be most appropriate in this situation to help
prevent similar errors in the future? Correct Answer a. The
incident is recorded in the nurse's permanent employee file.
b. The nurse is asked to identify and discuss the factors that
contributed to the making of the error.
c. The nurse manager provides a verbal warning to the nurse and
explains that another error will result in disciplinary action.
d. The nurse is told by the nurse manager that everyone makes
mistakes occasionally but to be more careful in the future.
Ans: B. the nurse is asked to identify and discuss the factors that
contributed to the making of the error
A nurse has completed tracheostomy care for a patient with
MRSA in the sputum. As she exits the room, in what order
should she remove her PPE and perform hand hygiene? Correct
Answer a. Gloves, gown, hand hygiene, face shield, mask, and
hand hygiene
, b. Gloves, hand hygiene, face shield, gown, mask, and hand
hygiene
c. Gown, gloves, face shield, mask, and hand hygiene
d. Gown, hand hygiene, gloves, mask, and goggles
Ans: B. gloves, hand hygiene, face shield, gown, mask, and
hand hygiene
A nurse is assessing a college student with a severe headache
and high fever. Which questions would be useful? Select all that
apply Correct Answer a. "Has someone in your immediate
surroundings recently had similar symptoms or been diagnosed
with meningitis?"
b. "What are your normal sleep and eating patterns?"
c. "Have you shared drinks or food with anyone recently?"
d. "Have you traveled recently, especially to foreign countries?"
Ans: ACD
A nurse is assessing a new colostomy stoma, finding it beefy,
red, and moist though the surrounding skin appearing intact.
What should be the nurse's conclusions? Correct Answer a.
The patient is developing an infection.
b. The patient is developing maceration at the site.
c. The site is healing appropriately.
d. The ostomy wafer and pouch have been too tight.
Ans: C. the site is healing appropriately
A nurse is assessing a patient's surgical wound. The wound
shows beefy, red tissue at the base, and the edges are gaping.
