NURS 230 EXAM 1 Questions/Answers With Complete
Solutions
. A 78-year-old client with congestive heart failure (CHF) is
reporting vascular pain in his lower legs and requests his oral
narcotic analgesic. The nurse recognizes that the clients pain
relief will be negatively affected primarily because of:
1.
The clients age
2.
The systemic effects of CHF
3.
The route of administration
4.
The status of the peripheral vessels Correct Answers 2
. After receiving a course of chemotherapy, a patient begins
losing hair. This adverse effect of chemotherapy should be
documented as:
1)
pediculosis.
,2)
alopecia.
3)
dandruff.
4)
hirsutism. Correct Answers 2
. The nurse changes the linen of a bed while the patient sits in a
chair. Which is the most important nursing action concerning
this procedure?
1. Ensuring the hem of the bottom sheet is facing the mattress
2. Arranging the linen in the order in which it is to be used
3. Shifting the mattress up to the headboard of the bed
4. Checking the soiled bed linens for personal items Correct
Answers 4. Checking the soiled bed linens for personal items
. The nurse is caring for a patient who wears eyeglasses. The
nurse should:
1. Encourage use of artificial tears while hospitalized
2. Dry the glasses with a paper towel after cleaning the lenses
3. Limit the time that glasses are worn in an effort to rest the
eyes
4. Use warm water to clean the lenses of glasses at least once a
day Correct Answers 4. Use warm water to clean the lenses of
glasses at least once a day
,. The nurse understands that an example of an iatrogenic
infection is a:
1. Vaginal infection in a postmenopausal woman
2. Respiratory infection contracted from a grandchild
3. Urinary tract infection in a patient who is sedentary
4. Wound infection caused by unwashed hands of a caregiver
Correct Answers 4. Wound infection caused by unwashed
hands of a caregiver
. The patient is in severe pain and is requesting a prn medication
before the prn time interval has elapsed. The nurses priority is to
a.
Give the medication early for any pain score greater than 8.
b.
Call the prescriber and request a stat order.
c.
Explain to the patient why he will have to wait for the
medication.
d.
Document the patients request and pain score. Correct Answers
b
, . Why is a lotion without petroleum preferred over a petroleum-
based product as a skin protectant? It:
1)
Prevents microorganisms from adhering to the skin.
2)
Facilitates the absorption of latex proteins through the skin.
3)
Decreases the risk of latex allergies.
4)
Prevents the skin from drying and chaffing. Correct Answers 3)
Decreases the risk of latex allergies.
.The nurse understands that the skin protects the body from
infections because the:
1. Cells of the skin are constantly being replaced, thereby
eliminating external pathogens
2. Epithelial cells are loosely compacted on skin, providing a
barrier against pathogens 3. Moisture on the skin surface
prevents colonization of pathogens
4. Alkalinity of the skin limits the growth of pathogens Correct
Answers 1. Cells of the skin are constantly being replaced,
thereby eliminating external pathogens
Solutions
. A 78-year-old client with congestive heart failure (CHF) is
reporting vascular pain in his lower legs and requests his oral
narcotic analgesic. The nurse recognizes that the clients pain
relief will be negatively affected primarily because of:
1.
The clients age
2.
The systemic effects of CHF
3.
The route of administration
4.
The status of the peripheral vessels Correct Answers 2
. After receiving a course of chemotherapy, a patient begins
losing hair. This adverse effect of chemotherapy should be
documented as:
1)
pediculosis.
,2)
alopecia.
3)
dandruff.
4)
hirsutism. Correct Answers 2
. The nurse changes the linen of a bed while the patient sits in a
chair. Which is the most important nursing action concerning
this procedure?
1. Ensuring the hem of the bottom sheet is facing the mattress
2. Arranging the linen in the order in which it is to be used
3. Shifting the mattress up to the headboard of the bed
4. Checking the soiled bed linens for personal items Correct
Answers 4. Checking the soiled bed linens for personal items
. The nurse is caring for a patient who wears eyeglasses. The
nurse should:
1. Encourage use of artificial tears while hospitalized
2. Dry the glasses with a paper towel after cleaning the lenses
3. Limit the time that glasses are worn in an effort to rest the
eyes
4. Use warm water to clean the lenses of glasses at least once a
day Correct Answers 4. Use warm water to clean the lenses of
glasses at least once a day
,. The nurse understands that an example of an iatrogenic
infection is a:
1. Vaginal infection in a postmenopausal woman
2. Respiratory infection contracted from a grandchild
3. Urinary tract infection in a patient who is sedentary
4. Wound infection caused by unwashed hands of a caregiver
Correct Answers 4. Wound infection caused by unwashed
hands of a caregiver
. The patient is in severe pain and is requesting a prn medication
before the prn time interval has elapsed. The nurses priority is to
a.
Give the medication early for any pain score greater than 8.
b.
Call the prescriber and request a stat order.
c.
Explain to the patient why he will have to wait for the
medication.
d.
Document the patients request and pain score. Correct Answers
b
, . Why is a lotion without petroleum preferred over a petroleum-
based product as a skin protectant? It:
1)
Prevents microorganisms from adhering to the skin.
2)
Facilitates the absorption of latex proteins through the skin.
3)
Decreases the risk of latex allergies.
4)
Prevents the skin from drying and chaffing. Correct Answers 3)
Decreases the risk of latex allergies.
.The nurse understands that the skin protects the body from
infections because the:
1. Cells of the skin are constantly being replaced, thereby
eliminating external pathogens
2. Epithelial cells are loosely compacted on skin, providing a
barrier against pathogens 3. Moisture on the skin surface
prevents colonization of pathogens
4. Alkalinity of the skin limits the growth of pathogens Correct
Answers 1. Cells of the skin are constantly being replaced,
thereby eliminating external pathogens
