NUR 336 - FINAL EXAM 2 | COMPLETE QUESTIONS &
ANSWERS (100% VERIFIED SOLUTIONS) 2025/2026
UPDATE
The doctor has just ordered a central line insertion on one of your clients. Which of the following
tasks may be delegated to a NAP? (Select all that apply).
a. Assist with positioning the patient during insertion and care.
b. Reporting if the patient has a fever.
c. Assessing the site for redness or irritation.
d. Reporting to the nurse if the catheter line appears to have been pulled out further than its
original insertion position.
e. Inserting the central line using aseptic technique.
f. Changing the central line dressing. - CORRECT ANSWER -A B D (The NAP may assist with
positioning the patient and making sure they are comfortable during the procedure. The NAP can
also check for fever and if the catheter line as moved. They cannot insert the catheter or change
the central line dressing or assess the site for infection.)
Which statement might the nurse make to nursing assistive personnel (NAP) when caring for a
patient with a dressed central venous access device (CVAD) site?
A. "Assess the site frequently for signs of inflammation."
B. "Be sure to change the transparent dressing on the site once every 7 days."
C. "Let me know immediately if the patient's dressing becomes damp."
D. "Make sure the patient knows to notify me if the site becomes painful or swollen." -
CORRECT ANSWER -C
Which action would the nurse take to minimize the patient's risk for infection when changing the
dressing on a CVAD?
,A. Use sterile technique throughout the process.
B. Apply a stabilization device if the initial sutures are no longer intact.
C. Apply a mask to the patient during the procedure.
D. Change the transparent dressing every 48 hours. - CORRECT ANSWER -A
What is the most important way in which the nurse can reduce the risk for infection in a patient
with a CVAD that has a gauze dressing?
A. Change the dressing every 48 hours.
B. Apply sterile gloves to remove the original dressing.
C. Cleanse the catheter and insertion site with sterile saline.
D. Label the dressing with the date and time of application and the nurse's initials. - CORRECT
ANSWER -A (A gauze dressing on a CVAD should be changed every 48 hours and as needed.
Doing so will reduce the patient's risk for infection. It is not necessary to wear sterile gloves to
remove the soiled dressing. Cleansing the site with sterile saline will not minimize the patient's
risk for infection. Labeling the dressing will not minimize the patient's risk for infection.)
What will the nurse do after removing the soiled dressing from a patient's CVAD device?
A. Cleanse the site with soap and water.
B. Use 2% chlorhexidine swabs to cleanse the site.
C. Apply a skin protectant.
D. Remove the catheter stabilization device, if present. - CORRECT ANSWER -D
How can the nurse minimize the risk of dislodging the catheter when removing a dressing?
A. Lower the patient's head during the dressing change.
B. Remove the transparent dressing or tape and gauze in the direction of catheter insertion.
, C. Apply skin protectant while the stabilization device is off.
D. Cleanse the insertion site quickly and gently in concentric circles. - CORRECT ANSWER -B
A female patient placed in the dorsal recumbent position for the insertion of an indwelling
urinary catheter tells the nurse that she "doesn't feel comfortable in this position" and that her
"back really hurts." What is the nurse's best response?
A. Reassure the patient that the procedure will take only a few minutes.
B. Promise to reposition the patient as soon as the catheter has been inserted.
C. Reposition the patient in a side-lying position, with her upper leg flexed at the knee and hip.
D. Explain to the patient that the position will allow the catheter insertion to be more efficient. -
CORRECT ANSWER -C
Which action(s) would minimize the patient's risk for injury during insertion of an indwelling
urinary catheter?
A. Assessing the patient for allergies related to latex, antiseptic, tape, and/or iodine-based
substances
B. Thoroughly cleansing the patient's perineal area with povidone-iodine solution before
inserting the catheter
C. Performing proper hand hygiene and applying gloves before inserting the catheter
D. Terminating the insertion if the patient reports pain at any time during the procedure -
CORRECT ANSWER -A
The nurse has completed the initial inspection of the patient's perineum and is preparing to insert
an indwelling urinary catheter. Which action would the nurse complete next?
A. Begin to establish a sterile field.
B. Open and assemble the urine drainage bag.
C. Remove soiled gloves, and perform hand hygiene.
ANSWERS (100% VERIFIED SOLUTIONS) 2025/2026
UPDATE
The doctor has just ordered a central line insertion on one of your clients. Which of the following
tasks may be delegated to a NAP? (Select all that apply).
a. Assist with positioning the patient during insertion and care.
b. Reporting if the patient has a fever.
c. Assessing the site for redness or irritation.
d. Reporting to the nurse if the catheter line appears to have been pulled out further than its
original insertion position.
e. Inserting the central line using aseptic technique.
f. Changing the central line dressing. - CORRECT ANSWER -A B D (The NAP may assist with
positioning the patient and making sure they are comfortable during the procedure. The NAP can
also check for fever and if the catheter line as moved. They cannot insert the catheter or change
the central line dressing or assess the site for infection.)
Which statement might the nurse make to nursing assistive personnel (NAP) when caring for a
patient with a dressed central venous access device (CVAD) site?
A. "Assess the site frequently for signs of inflammation."
B. "Be sure to change the transparent dressing on the site once every 7 days."
C. "Let me know immediately if the patient's dressing becomes damp."
D. "Make sure the patient knows to notify me if the site becomes painful or swollen." -
CORRECT ANSWER -C
Which action would the nurse take to minimize the patient's risk for infection when changing the
dressing on a CVAD?
,A. Use sterile technique throughout the process.
B. Apply a stabilization device if the initial sutures are no longer intact.
C. Apply a mask to the patient during the procedure.
D. Change the transparent dressing every 48 hours. - CORRECT ANSWER -A
What is the most important way in which the nurse can reduce the risk for infection in a patient
with a CVAD that has a gauze dressing?
A. Change the dressing every 48 hours.
B. Apply sterile gloves to remove the original dressing.
C. Cleanse the catheter and insertion site with sterile saline.
D. Label the dressing with the date and time of application and the nurse's initials. - CORRECT
ANSWER -A (A gauze dressing on a CVAD should be changed every 48 hours and as needed.
Doing so will reduce the patient's risk for infection. It is not necessary to wear sterile gloves to
remove the soiled dressing. Cleansing the site with sterile saline will not minimize the patient's
risk for infection. Labeling the dressing will not minimize the patient's risk for infection.)
What will the nurse do after removing the soiled dressing from a patient's CVAD device?
A. Cleanse the site with soap and water.
B. Use 2% chlorhexidine swabs to cleanse the site.
C. Apply a skin protectant.
D. Remove the catheter stabilization device, if present. - CORRECT ANSWER -D
How can the nurse minimize the risk of dislodging the catheter when removing a dressing?
A. Lower the patient's head during the dressing change.
B. Remove the transparent dressing or tape and gauze in the direction of catheter insertion.
, C. Apply skin protectant while the stabilization device is off.
D. Cleanse the insertion site quickly and gently in concentric circles. - CORRECT ANSWER -B
A female patient placed in the dorsal recumbent position for the insertion of an indwelling
urinary catheter tells the nurse that she "doesn't feel comfortable in this position" and that her
"back really hurts." What is the nurse's best response?
A. Reassure the patient that the procedure will take only a few minutes.
B. Promise to reposition the patient as soon as the catheter has been inserted.
C. Reposition the patient in a side-lying position, with her upper leg flexed at the knee and hip.
D. Explain to the patient that the position will allow the catheter insertion to be more efficient. -
CORRECT ANSWER -C
Which action(s) would minimize the patient's risk for injury during insertion of an indwelling
urinary catheter?
A. Assessing the patient for allergies related to latex, antiseptic, tape, and/or iodine-based
substances
B. Thoroughly cleansing the patient's perineal area with povidone-iodine solution before
inserting the catheter
C. Performing proper hand hygiene and applying gloves before inserting the catheter
D. Terminating the insertion if the patient reports pain at any time during the procedure -
CORRECT ANSWER -A
The nurse has completed the initial inspection of the patient's perineum and is preparing to insert
an indwelling urinary catheter. Which action would the nurse complete next?
A. Begin to establish a sterile field.
B. Open and assemble the urine drainage bag.
C. Remove soiled gloves, and perform hand hygiene.
