NUR280 EXAM SCRIPT 2026 COMPLETE
ANSWERS VERIFIED
◉ The charge nurse is observing a Licensed Practical Nurse (LPN)
performing
care for assigned clients. Follow up will be required if the LPN:
(a) assesses a client's apical pulse before administering Digoxin
(lanoxin)
(b) elevates the client's stump on a pillow eight hours after
amputation
(c) dons a clean glove on the dominant hand before tracheal
suctioning
(d) positions a client on the operative side following a
pneumonectomy. Answer: C. A sterile glove, not clean, should be
used on the dominant hand during tracheal suctioning to prevent
infection; the apical pulse should be assessed for one full minute
prior to the administration of Digoxin (Lanoxin); elevation of the
stump following amputation is performed for the first 24 hours only
to prevent hip or knee flexion contracture; clients should be
positioned on the operative side to promote lung expansion of the
unaffected lung. Safe Effective Care Environment; Management of
Care
◉ The nurse at a health promotion fair has taught a group of parents
about car seat
, and seat belt safety. Which of the following statements, if made by
the parent, would
indicate a correct understanding of the information given?
(a) "I will place my newborn infant in a rear facing car seat in the
middle of the rear seat."
(b) "I will wear a lap seat belt high on my belly since I am 8 months
pregnant."
(c) "I can use a front-facing car seat once my baby weighs 15
pounds."
(d) " I can allow my six-year-old to use a seat belt in the front
passenger seat". Answer: A. The newborn should be placed in a rear
facing car seat with appropriate restraints until about one year of
age and at least 20 pounds; the lap portion of the shoulder belt
should be positioned snug around the hips, never the abdomen; all
children under the age of 12 should be placed in the rear seat of the
vehicle. Safe Effective Care Environment; Safety and Infection
Control
◉ The nurse is caring for a client being treated for Vancomycin
Resistant
Enterococcus (VRE). The nurse should place the client on
(a) contact precautions
(b) droplet precautions
(c) protective precautions
,(d) airborne precautions. Answer: A. Vancomycin resistant
enterococcus (VRE) is spread by direct contact; disease that are
transmitted by droplets (sneezing, coughing) include influenza,
pneumonia, streptococcal pharyngitis; protective isolation
precautions are used for persons with suppression of the immune
system; airborne precautions are instituted for diseases transmitted
via the air such as measles (rubeola), tuberculosis (TB), and
varicella (chickenpox). Safe Effective Care Environment; Safety and
Infection Control
◉ The nurse is caring for a client with a Vancomycin Resistant
Enterococcus
(VRE) wound infection. Which of the following actions would be
appropriate for the
nurse to take?
(a) Wear a particulate respirator mask when providing wound care
(b) Instruct visitors not to bring flowers into the client's room
(c) Place the client in a private room with negative air pressure
(d) Wear a disposable gown when changing the client's dressing.
Answer: D. Use of a gown to prevent contact with the client or client
contaminated items is desired; a particulate respirator mask and
negative pressure room is used during the care of someone with
tuberculosis; prohibition of flowers and live plants is necessary for
the client on protective precautions to prevent infection. Safe
Effective Care Environment; Safety and Infection Control
, ◉ The nurse should initiate protective precautions for a client who
has a
(a) Red Blood Cell Count (RBC) of 3,900/mm3
(b) Platelet count of 400,000μ/L
(c) Hemoglobin (Hgb) 9.0 g/dl
(d) White Blood Cell Count (WBC) 2,500/mm3. Answer: D. A white
blood cell count of 2,500/mm3 is low therefore the client is at risk
for infection. Protective precautions should be implemented. The
normal White blood cell count (WBC) is 5,000 - 10,000/mm3; The
normal red blood cell count (RBC) is 4 - 5 millioion/mm3, a deficit of
red blood cells is indicative of anemia. The normal platelet count is
150,000 - 400,000µ/Liter. A low platelet count predisposes the
client to bleeding; the normal hemoglobin value is 13.5 - 18g/dl
male and 12 -16g/dl female. A low hemoglobin is suggestive of
anemia and possible active bleeding. Safe Effective Care
Environment; Safety and Infection Control
◉ The nurse has provided health promotion teaching for a group of
clients who were
recently diagnosed with the Human immunodeficiency virus (HIV).
Which
statement, if made by one of the clients, would require further
teaching?
(a) "I am glad that I can still clean my parakeet's cage"
(b) "I will not go to the parade this weekend"
ANSWERS VERIFIED
◉ The charge nurse is observing a Licensed Practical Nurse (LPN)
performing
care for assigned clients. Follow up will be required if the LPN:
(a) assesses a client's apical pulse before administering Digoxin
(lanoxin)
(b) elevates the client's stump on a pillow eight hours after
amputation
(c) dons a clean glove on the dominant hand before tracheal
suctioning
(d) positions a client on the operative side following a
pneumonectomy. Answer: C. A sterile glove, not clean, should be
used on the dominant hand during tracheal suctioning to prevent
infection; the apical pulse should be assessed for one full minute
prior to the administration of Digoxin (Lanoxin); elevation of the
stump following amputation is performed for the first 24 hours only
to prevent hip or knee flexion contracture; clients should be
positioned on the operative side to promote lung expansion of the
unaffected lung. Safe Effective Care Environment; Management of
Care
◉ The nurse at a health promotion fair has taught a group of parents
about car seat
, and seat belt safety. Which of the following statements, if made by
the parent, would
indicate a correct understanding of the information given?
(a) "I will place my newborn infant in a rear facing car seat in the
middle of the rear seat."
(b) "I will wear a lap seat belt high on my belly since I am 8 months
pregnant."
(c) "I can use a front-facing car seat once my baby weighs 15
pounds."
(d) " I can allow my six-year-old to use a seat belt in the front
passenger seat". Answer: A. The newborn should be placed in a rear
facing car seat with appropriate restraints until about one year of
age and at least 20 pounds; the lap portion of the shoulder belt
should be positioned snug around the hips, never the abdomen; all
children under the age of 12 should be placed in the rear seat of the
vehicle. Safe Effective Care Environment; Safety and Infection
Control
◉ The nurse is caring for a client being treated for Vancomycin
Resistant
Enterococcus (VRE). The nurse should place the client on
(a) contact precautions
(b) droplet precautions
(c) protective precautions
,(d) airborne precautions. Answer: A. Vancomycin resistant
enterococcus (VRE) is spread by direct contact; disease that are
transmitted by droplets (sneezing, coughing) include influenza,
pneumonia, streptococcal pharyngitis; protective isolation
precautions are used for persons with suppression of the immune
system; airborne precautions are instituted for diseases transmitted
via the air such as measles (rubeola), tuberculosis (TB), and
varicella (chickenpox). Safe Effective Care Environment; Safety and
Infection Control
◉ The nurse is caring for a client with a Vancomycin Resistant
Enterococcus
(VRE) wound infection. Which of the following actions would be
appropriate for the
nurse to take?
(a) Wear a particulate respirator mask when providing wound care
(b) Instruct visitors not to bring flowers into the client's room
(c) Place the client in a private room with negative air pressure
(d) Wear a disposable gown when changing the client's dressing.
Answer: D. Use of a gown to prevent contact with the client or client
contaminated items is desired; a particulate respirator mask and
negative pressure room is used during the care of someone with
tuberculosis; prohibition of flowers and live plants is necessary for
the client on protective precautions to prevent infection. Safe
Effective Care Environment; Safety and Infection Control
, ◉ The nurse should initiate protective precautions for a client who
has a
(a) Red Blood Cell Count (RBC) of 3,900/mm3
(b) Platelet count of 400,000μ/L
(c) Hemoglobin (Hgb) 9.0 g/dl
(d) White Blood Cell Count (WBC) 2,500/mm3. Answer: D. A white
blood cell count of 2,500/mm3 is low therefore the client is at risk
for infection. Protective precautions should be implemented. The
normal White blood cell count (WBC) is 5,000 - 10,000/mm3; The
normal red blood cell count (RBC) is 4 - 5 millioion/mm3, a deficit of
red blood cells is indicative of anemia. The normal platelet count is
150,000 - 400,000µ/Liter. A low platelet count predisposes the
client to bleeding; the normal hemoglobin value is 13.5 - 18g/dl
male and 12 -16g/dl female. A low hemoglobin is suggestive of
anemia and possible active bleeding. Safe Effective Care
Environment; Safety and Infection Control
◉ The nurse has provided health promotion teaching for a group of
clients who were
recently diagnosed with the Human immunodeficiency virus (HIV).
Which
statement, if made by one of the clients, would require further
teaching?
(a) "I am glad that I can still clean my parakeet's cage"
(b) "I will not go to the parade this weekend"
