NUR 204 Exam 2 Questions With
Correct Answers
1 kg = ? lb - SOLVED ANSWER-2.2 lbs
How mL are in a tsp? - SOLVED ANSWER-5mL
How many mL are in a tbsp? - SOLVED ANSWER-15mL
How many oz are in 1 cup? - SOLVED ANSWER-8 oz
How many mL are in 1 cup? - SOLVED ANSWER-240 mL
1 fl oz = ? mL - SOLVED ANSWER-30 mL
1 pt = ? oz - SOLVED ANSWER-16 oz
1 gr = - SOLVED ANSWER-1000 mg
1 lb = ? oz - SOLVED ANSWER-16 oz
1 lb = ? grams - SOLVED ANSWER-454 grams
1 oz = ? grams - SOLVED ANSWER-30 grams
,A nurse is performing a physical assessment of a client. Which of the following actions
should the nurse take to assess the client's tissue perfusion? - SOLVED ANSWER-
Perform Blanch Test
A nurse is preparing to administer a bolus feeding to a client through an NG Tube and
observes that the exit mark on the tube has moved since the last feeding. Which of the
following actions should the nurse plan to take? - SOLVED ANSWER-Request an x ray
of the clients abdomen.
The nurse should request an x ray to verify the placement of the NG tube both after the
initial insertion of the tube and if displacement of the tube is suspected. The nurse
should verify NG tube placement prior to administering a bolus feeding.
A nurse is applying antiembiolitic stockings for a client who has a hx of DVT. Which of
the following actions should nurse take when applying the stocking? - SOLVED
ANSWER-Turn the stocking inside out up to the heel before applying.
easier application and causes fewer constrictive wrinkles.
A nurse is teaching a client who is post op how to use a flow oriented incentive
spirometer. Which of the following instructions should the nurse include? - SOLVED
ANSWER-Cough Deeply after each use.
Proper use loosens the secretions in the client's lungs. The client should cough deeply
to facilitate the removal of the secretions from his lungs.
A community health nurse is conducting a class about body mechanics for county
workers. Which of the following instructions should the nurse include? Select all that
apply. - SOLVED ANSWER-Sit with your back supported
Keep your knees are hip level
Use a ergonomically designed computer keyboard.
,Lumbar support in a straight back chair helps maintain good posture and prevent back
pain. Keeping the knees at the level of the hip or higher helps reduce the risk of
lordosis, which is an exaggeration of the curve of the lumbar spine. Using a keyboard
that maintains ergonomic positioning of the wrist can help prevent carpal tunnel
syndrome.
A nurse is teaching a client who is recovering from galbladder sx how to use an
incentive spirometer. Which of the following pieces of information should the nurse
include in the teaching? - SOLVED ANSWER-Hold the breath for 5 seconds after goal
volume is reached
The nurse should instruct the client to hold the breath for 3 to 5 seconds after reaching
maximal inspiratory volume. This decreases the collapse of alveoli, which helps prevent
the risk of atelectasis and pneumonia.
A nurse is preparing to insert an NG tube for a client who has a bowel obstruction.
Which of the following actions should the nurse take first? - SOLVED ANSWER-Explain
the procedure to the client.
The nurse should apply the least invasive priority setting framework when caring for this
patient, which assigns priority to nursing interventions. Informing the client about the
procedure reduces the fear and assists in gaining the client's cooperation, which is
important for NG tube insertion and is the priority nursing intervention.
A nurse is in an acute care facility is planning care for a client who is alert but
temporarily immobile due to a total hip arthroplasty. Which of the following interventions
should the nurse plan to take to prevent a complication of immobility? - SOLVED
ANSWER-Instruct the client to perform foot and leg exercises every 1-2 hours while
awake to help prevent thrombophlebitis.
, A nurse is teaching the parent of a child who is to take 10 mL of a liquid medication. The
parent has a hollow medication spoon with marks to indicate tsp and tbsp. How many
tsp should the nurse instruct the parent to give the child? - SOLVED ANSWER-2 tsp
A nurse is preparing to administer a feeding via a NG tube to a client who had a stroke.
Which of the following actions should the nurse take prior to initiating the feeding? -
SOLVED ANSWER-Elevate the head of the client's bed.
Clients who have a brain injury are typically unable to swallow effectively and thus
cannot protect their airway from aspiration.
A nurse is planning care for a client who is confused and requires a rx for wrist
restraints. Which of the following intervention should the nurse include in the plan of
care? - SOLVED ANSWER-Renew the rx for the use of restrains within 24 hours.
The nurse should plan to renew the rx for the restraints within 24 hours, only after the
provider has evaluated the client.
A nurse is caring for a client who starts to experience a seizure while sitting in a chair.
Which of the following actions should the nurse take? - SOLVED ANSWER-Lower the
client to the floor and place a pad under the client's head.
To reduce the risk of injury to the client, the nurse should lower the client to the floor
and place a pillow or another soft object under the client's head.
A nurse is preparing to provide chest physiotherapy for a client who has lower left lobe
atelectasis. Which of the following actions should the nurse plan to take? - SOLVED
ANSWER-Place the client in the trendelenburg position.
The nurse should place the client in a right sided trendelenburg position to promote
drainage from the client left lower lobe.
Correct Answers
1 kg = ? lb - SOLVED ANSWER-2.2 lbs
How mL are in a tsp? - SOLVED ANSWER-5mL
How many mL are in a tbsp? - SOLVED ANSWER-15mL
How many oz are in 1 cup? - SOLVED ANSWER-8 oz
How many mL are in 1 cup? - SOLVED ANSWER-240 mL
1 fl oz = ? mL - SOLVED ANSWER-30 mL
1 pt = ? oz - SOLVED ANSWER-16 oz
1 gr = - SOLVED ANSWER-1000 mg
1 lb = ? oz - SOLVED ANSWER-16 oz
1 lb = ? grams - SOLVED ANSWER-454 grams
1 oz = ? grams - SOLVED ANSWER-30 grams
,A nurse is performing a physical assessment of a client. Which of the following actions
should the nurse take to assess the client's tissue perfusion? - SOLVED ANSWER-
Perform Blanch Test
A nurse is preparing to administer a bolus feeding to a client through an NG Tube and
observes that the exit mark on the tube has moved since the last feeding. Which of the
following actions should the nurse plan to take? - SOLVED ANSWER-Request an x ray
of the clients abdomen.
The nurse should request an x ray to verify the placement of the NG tube both after the
initial insertion of the tube and if displacement of the tube is suspected. The nurse
should verify NG tube placement prior to administering a bolus feeding.
A nurse is applying antiembiolitic stockings for a client who has a hx of DVT. Which of
the following actions should nurse take when applying the stocking? - SOLVED
ANSWER-Turn the stocking inside out up to the heel before applying.
easier application and causes fewer constrictive wrinkles.
A nurse is teaching a client who is post op how to use a flow oriented incentive
spirometer. Which of the following instructions should the nurse include? - SOLVED
ANSWER-Cough Deeply after each use.
Proper use loosens the secretions in the client's lungs. The client should cough deeply
to facilitate the removal of the secretions from his lungs.
A community health nurse is conducting a class about body mechanics for county
workers. Which of the following instructions should the nurse include? Select all that
apply. - SOLVED ANSWER-Sit with your back supported
Keep your knees are hip level
Use a ergonomically designed computer keyboard.
,Lumbar support in a straight back chair helps maintain good posture and prevent back
pain. Keeping the knees at the level of the hip or higher helps reduce the risk of
lordosis, which is an exaggeration of the curve of the lumbar spine. Using a keyboard
that maintains ergonomic positioning of the wrist can help prevent carpal tunnel
syndrome.
A nurse is teaching a client who is recovering from galbladder sx how to use an
incentive spirometer. Which of the following pieces of information should the nurse
include in the teaching? - SOLVED ANSWER-Hold the breath for 5 seconds after goal
volume is reached
The nurse should instruct the client to hold the breath for 3 to 5 seconds after reaching
maximal inspiratory volume. This decreases the collapse of alveoli, which helps prevent
the risk of atelectasis and pneumonia.
A nurse is preparing to insert an NG tube for a client who has a bowel obstruction.
Which of the following actions should the nurse take first? - SOLVED ANSWER-Explain
the procedure to the client.
The nurse should apply the least invasive priority setting framework when caring for this
patient, which assigns priority to nursing interventions. Informing the client about the
procedure reduces the fear and assists in gaining the client's cooperation, which is
important for NG tube insertion and is the priority nursing intervention.
A nurse is in an acute care facility is planning care for a client who is alert but
temporarily immobile due to a total hip arthroplasty. Which of the following interventions
should the nurse plan to take to prevent a complication of immobility? - SOLVED
ANSWER-Instruct the client to perform foot and leg exercises every 1-2 hours while
awake to help prevent thrombophlebitis.
, A nurse is teaching the parent of a child who is to take 10 mL of a liquid medication. The
parent has a hollow medication spoon with marks to indicate tsp and tbsp. How many
tsp should the nurse instruct the parent to give the child? - SOLVED ANSWER-2 tsp
A nurse is preparing to administer a feeding via a NG tube to a client who had a stroke.
Which of the following actions should the nurse take prior to initiating the feeding? -
SOLVED ANSWER-Elevate the head of the client's bed.
Clients who have a brain injury are typically unable to swallow effectively and thus
cannot protect their airway from aspiration.
A nurse is planning care for a client who is confused and requires a rx for wrist
restraints. Which of the following intervention should the nurse include in the plan of
care? - SOLVED ANSWER-Renew the rx for the use of restrains within 24 hours.
The nurse should plan to renew the rx for the restraints within 24 hours, only after the
provider has evaluated the client.
A nurse is caring for a client who starts to experience a seizure while sitting in a chair.
Which of the following actions should the nurse take? - SOLVED ANSWER-Lower the
client to the floor and place a pad under the client's head.
To reduce the risk of injury to the client, the nurse should lower the client to the floor
and place a pillow or another soft object under the client's head.
A nurse is preparing to provide chest physiotherapy for a client who has lower left lobe
atelectasis. Which of the following actions should the nurse plan to take? - SOLVED
ANSWER-Place the client in the trendelenburg position.
The nurse should place the client in a right sided trendelenburg position to promote
drainage from the client left lower lobe.
