NUR 304 FINAL EXAM
NUR 304 FINAL EXAM 2 With 200 Complete
EXAM PRACTICE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% CORRECT) 2025/26
PREP (NEW!)2025 Test Bank with RATIONALES |
1. A patient is admitted to a medical unit for a home-acquired pressure ulcer. The patient has
Alzheimer's disease and has been incontinent of urine. The nurse inserts a Foley catheter. You will
identify a link in the infection chain as:
A. restraints.
B. poor hygiene.
C. Foley catheter bag.
D. improper positioning.
- Correct Answer :C. Foley catheter bag
A+ TEST BANK 1
, NUR 304 FINAL EXAM
•Rationale: The Foley catheter bag could be both a portal of exit and portal of entry.
Mrs. Eldredge is a 63-year-old woman who underwent a total hip replacement. Kathy Jackson is a
nursing student caring for Mrs. Eldredge on her home health clinical rotation.
Two weeks after surgery, Mrs. Eldredge complains to Kathy that she has increased pain in her hip
and low-grade fever.
Kathy observes the incision and notes that it is red, swollen, and warm.
1. What does fever and warm, swollen incision indicate?
2. Is the infection site systemic or localized? - Correct Answer :1. the inflammatory response has been
activated and the incision may be infected
2. localized
Factors influencing infection prevention and control
- Correct Answer :Age
Sex
Nutritional status
Stress
Disease process
Mrs. Eldredge's wound was infected. She was admitted and received IV antibiotics and wound
irrigation. She was discharged on day 4.
At present, the wound remains open, but it is healing with new granulation tissue that is healthy.
What is granulation tissue? –
Correct Answer :Granulation tissue is new tissue that is not as strong as tissue collagen and assumes
the form of scar tissue.
2. You are caring for a patient who underwent surgery 48 hours ago. On physical assessment, you
notice that the wound looks red and swollen. The patient's WBCs are elevated. You should:
A+ TEST BANK 2
, NUR 304 FINAL EXAM
A. start antibiotics.
B. notify the provider.
C. document the findings and reassess in 2 hours.
D. place the patient on isolation precautions. - Correct Answer :B. notify the provider
Rationale: When a patient shows signs of infection, the nurse should notify the provider immediately
to ensure immediate treatment is given, possibly preventing a systemic infection
Mrs. Eldredge continues recovering at home. When she visits Mrs. Eldredge, Kathy teaches her about
infection prevention and control practices.
1. What outcome would be set for this activity?
2. What are some examples of teaching strategies to achieve this outcome? - Correct Answer :1.
Patient will perform self care using proper prevention and control practices.
2. Instruct patient about proper hand hygiene practices before and after wound care.
Demonstrate proper hand hygiene, explaining that the patient should perform before and after all
wound care and when infected body fluids are contacted.
•Instruct patient about signs and symptoms of wound infection and when to notify the physician.
Amy Sue Reilly is a 15-year-old white female of Irish descent. She is a freshman at a Catholic high
school. Although her parents are divorced, Amy Sue reports that her family (she has two brothers
and lives with her mother) is very close, and that her parents work together to meet all their
children's needs.
Amy Sue has had asthma since she was 5 years old. She controls her asthma by taking oral
medications and by using inhalers as needed.
1. What concerns would you have if you were Amy Sue's school nurse about Amy Sue getting the
medical care she needs? -
Correct Answer :Discuss transferring medication to and from school, keeping her inhalers with her
when she visits her dad, acclimating to a new routine in high school, etc.
1. A patient who needs nursing and rehabilitation following a stroke would most benefit from
receiving care at a:
A. primary care center.
B. restorative care setting.
A+ TEST BANK 3
, NUR 304 FINAL EXAM
C. assisted-living center.
D. respite center. - Correct Answer :B. Restorative care setting
•Rationale: The goals of restorative care are to help individuals regain maximal functional status and
enhance quality of life through promotion of independence and self-care.
2. Technological advances in health care:
A. make the nurse's job easier.
B. depersonalize bedside patient care.
C. threaten the integrity of the health care industry.
D. do not replace sound personal judgment. - Correct Answer :D. do not replace sound personal
judgment
You have delegated vital signs to assistive personnel. The assistant informs you that the patient has
just finished a bowl of hot soup. The nurse's most appropriate advice would be to:
A. take a rectal temperature.
B. take the oral temperature as planned.
C. advise the patient to drink a glass of cold water.
D. wait 30 minutes and take an oral temperature. - Correct Answer :D. wait 30 minutes and take an
oral temperature.
You notice that a teenager has an irregular pulse. The best action you should take includes:
A. reading the history and physical.
B. assessing the apical pulse rate for 1 full minute.
C. auscultating for strength and depth of pulse.
D. asking whether the patient feels any palpitations or faintness of breath. - Correct Answer :B.
assessing the apical pulse rate for 1 minute.
A postoperative patient is breathing rapidly. You should immediately:
A. call the physician.
B. count the respirations.
A+ TEST BANK 4
NUR 304 FINAL EXAM 2 With 200 Complete
EXAM PRACTICE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% CORRECT) 2025/26
PREP (NEW!)2025 Test Bank with RATIONALES |
1. A patient is admitted to a medical unit for a home-acquired pressure ulcer. The patient has
Alzheimer's disease and has been incontinent of urine. The nurse inserts a Foley catheter. You will
identify a link in the infection chain as:
A. restraints.
B. poor hygiene.
C. Foley catheter bag.
D. improper positioning.
- Correct Answer :C. Foley catheter bag
A+ TEST BANK 1
, NUR 304 FINAL EXAM
•Rationale: The Foley catheter bag could be both a portal of exit and portal of entry.
Mrs. Eldredge is a 63-year-old woman who underwent a total hip replacement. Kathy Jackson is a
nursing student caring for Mrs. Eldredge on her home health clinical rotation.
Two weeks after surgery, Mrs. Eldredge complains to Kathy that she has increased pain in her hip
and low-grade fever.
Kathy observes the incision and notes that it is red, swollen, and warm.
1. What does fever and warm, swollen incision indicate?
2. Is the infection site systemic or localized? - Correct Answer :1. the inflammatory response has been
activated and the incision may be infected
2. localized
Factors influencing infection prevention and control
- Correct Answer :Age
Sex
Nutritional status
Stress
Disease process
Mrs. Eldredge's wound was infected. She was admitted and received IV antibiotics and wound
irrigation. She was discharged on day 4.
At present, the wound remains open, but it is healing with new granulation tissue that is healthy.
What is granulation tissue? –
Correct Answer :Granulation tissue is new tissue that is not as strong as tissue collagen and assumes
the form of scar tissue.
2. You are caring for a patient who underwent surgery 48 hours ago. On physical assessment, you
notice that the wound looks red and swollen. The patient's WBCs are elevated. You should:
A+ TEST BANK 2
, NUR 304 FINAL EXAM
A. start antibiotics.
B. notify the provider.
C. document the findings and reassess in 2 hours.
D. place the patient on isolation precautions. - Correct Answer :B. notify the provider
Rationale: When a patient shows signs of infection, the nurse should notify the provider immediately
to ensure immediate treatment is given, possibly preventing a systemic infection
Mrs. Eldredge continues recovering at home. When she visits Mrs. Eldredge, Kathy teaches her about
infection prevention and control practices.
1. What outcome would be set for this activity?
2. What are some examples of teaching strategies to achieve this outcome? - Correct Answer :1.
Patient will perform self care using proper prevention and control practices.
2. Instruct patient about proper hand hygiene practices before and after wound care.
Demonstrate proper hand hygiene, explaining that the patient should perform before and after all
wound care and when infected body fluids are contacted.
•Instruct patient about signs and symptoms of wound infection and when to notify the physician.
Amy Sue Reilly is a 15-year-old white female of Irish descent. She is a freshman at a Catholic high
school. Although her parents are divorced, Amy Sue reports that her family (she has two brothers
and lives with her mother) is very close, and that her parents work together to meet all their
children's needs.
Amy Sue has had asthma since she was 5 years old. She controls her asthma by taking oral
medications and by using inhalers as needed.
1. What concerns would you have if you were Amy Sue's school nurse about Amy Sue getting the
medical care she needs? -
Correct Answer :Discuss transferring medication to and from school, keeping her inhalers with her
when she visits her dad, acclimating to a new routine in high school, etc.
1. A patient who needs nursing and rehabilitation following a stroke would most benefit from
receiving care at a:
A. primary care center.
B. restorative care setting.
A+ TEST BANK 3
, NUR 304 FINAL EXAM
C. assisted-living center.
D. respite center. - Correct Answer :B. Restorative care setting
•Rationale: The goals of restorative care are to help individuals regain maximal functional status and
enhance quality of life through promotion of independence and self-care.
2. Technological advances in health care:
A. make the nurse's job easier.
B. depersonalize bedside patient care.
C. threaten the integrity of the health care industry.
D. do not replace sound personal judgment. - Correct Answer :D. do not replace sound personal
judgment
You have delegated vital signs to assistive personnel. The assistant informs you that the patient has
just finished a bowl of hot soup. The nurse's most appropriate advice would be to:
A. take a rectal temperature.
B. take the oral temperature as planned.
C. advise the patient to drink a glass of cold water.
D. wait 30 minutes and take an oral temperature. - Correct Answer :D. wait 30 minutes and take an
oral temperature.
You notice that a teenager has an irregular pulse. The best action you should take includes:
A. reading the history and physical.
B. assessing the apical pulse rate for 1 full minute.
C. auscultating for strength and depth of pulse.
D. asking whether the patient feels any palpitations or faintness of breath. - Correct Answer :B.
assessing the apical pulse rate for 1 minute.
A postoperative patient is breathing rapidly. You should immediately:
A. call the physician.
B. count the respirations.
A+ TEST BANK 4
