NURS 230 EXAM 1 UPDATED ACTUAL Questions and
CORRECT Answers
4. Identify patients at risk The nurse is caring for a group of hospitalized patients. What should the nurse do
first to prevent patient infections?
1. Provide small bedside bags to dispose of used tissues
2. Encourage staff to avoid coughing near patients
3. Administer antibiotics as ordered
4. Identify patients at risk
1. Fever The nurse identifi es that a patient has an infl ammatory response. Which local
patient adaptation supports this conclusion?
1. Fever
2. Erythema
3. Bradypnea
4. Tachycardi
3. Normal saline and apply a wet-to-damp dressing." A patient has a wound that is healing by secondary intention. To best support
healing of the wound, the nurse should expect the practitioner's order to state,
"Clean wound with:
1. Betadine and apply a dry sterile dressing."
2. Normal saline and cover with a gauze dressing."
3. Normal saline and apply a wet-to-damp dressing."
4. Half peroxide and half normal saline and apply a wet to dry dressing."
3. Puncture of the foot by a nail The nurse identifi es that the greatest risk for a wound infection exists for a patient
with a:
1. Surgical creation of a colostomy
2. First-degree burn on the back
3. Puncture of the foot by a nail
4. Paper cut on the finger
, 1. Cells of the skin are constantly being replaced, thereby .The nurse understands that the skin protects the body from infections because
eliminating external pathogens 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
1. Stool for ova and parasites The nurse must collect the following specimens. Which specimen collection does
not require the use of surgical aseptic technique?
1. Stool for ova and parasites
2. Specimen for a throat culture
3. Urine from a retention catheter
4. Exudate from a wound for culture and sensitivity
2. Contact A patient is positive for Clostridium difficile. The nurse should institute the isolation
precaution known as:
1. Droplet
2. Contact
3. Reverse
4. Airborne
1. Hyperthermia Which patient information collected by the nurse reflects a systemic adaptation to
a wound infection?
1. Hyperthermia
2. Exudate
3. Edema
4. Pain
1. Wash the hands before and after providing care to a To interrupt the transmission link in the chain of infection, the nurse should:
patient 1. Wash the hands before and after providing care to a patient
2. Position a commode next to a patient's bed
3. Provide education about a balanced diet
4. Change a dressing when it is soiled
3. Pneumonia The nurse is providing for the nutrition needs of several patients. The nurse
identifies the need for an increase in caloric intake above average requirements
for the patient who has:
1. Nausea
2. Dysphagia
3. Pneumonia
4. Depression
1. Cuts in the skin from a kitchen knife The nurse is caring for patients with a variety of wounds. The nurse understands
that healing by primary intention most likely occurs with:
1. Cuts in the skin from a kitchen knife
2. Excoriated perianal areas
3. Abrasions of the skin
4. Pressure ulcers
CORRECT Answers
4. Identify patients at risk The nurse is caring for a group of hospitalized patients. What should the nurse do
first to prevent patient infections?
1. Provide small bedside bags to dispose of used tissues
2. Encourage staff to avoid coughing near patients
3. Administer antibiotics as ordered
4. Identify patients at risk
1. Fever The nurse identifi es that a patient has an infl ammatory response. Which local
patient adaptation supports this conclusion?
1. Fever
2. Erythema
3. Bradypnea
4. Tachycardi
3. Normal saline and apply a wet-to-damp dressing." A patient has a wound that is healing by secondary intention. To best support
healing of the wound, the nurse should expect the practitioner's order to state,
"Clean wound with:
1. Betadine and apply a dry sterile dressing."
2. Normal saline and cover with a gauze dressing."
3. Normal saline and apply a wet-to-damp dressing."
4. Half peroxide and half normal saline and apply a wet to dry dressing."
3. Puncture of the foot by a nail The nurse identifi es that the greatest risk for a wound infection exists for a patient
with a:
1. Surgical creation of a colostomy
2. First-degree burn on the back
3. Puncture of the foot by a nail
4. Paper cut on the finger
, 1. Cells of the skin are constantly being replaced, thereby .The nurse understands that the skin protects the body from infections because
eliminating external pathogens 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
1. Stool for ova and parasites The nurse must collect the following specimens. Which specimen collection does
not require the use of surgical aseptic technique?
1. Stool for ova and parasites
2. Specimen for a throat culture
3. Urine from a retention catheter
4. Exudate from a wound for culture and sensitivity
2. Contact A patient is positive for Clostridium difficile. The nurse should institute the isolation
precaution known as:
1. Droplet
2. Contact
3. Reverse
4. Airborne
1. Hyperthermia Which patient information collected by the nurse reflects a systemic adaptation to
a wound infection?
1. Hyperthermia
2. Exudate
3. Edema
4. Pain
1. Wash the hands before and after providing care to a To interrupt the transmission link in the chain of infection, the nurse should:
patient 1. Wash the hands before and after providing care to a patient
2. Position a commode next to a patient's bed
3. Provide education about a balanced diet
4. Change a dressing when it is soiled
3. Pneumonia The nurse is providing for the nutrition needs of several patients. The nurse
identifies the need for an increase in caloric intake above average requirements
for the patient who has:
1. Nausea
2. Dysphagia
3. Pneumonia
4. Depression
1. Cuts in the skin from a kitchen knife The nurse is caring for patients with a variety of wounds. The nurse understands
that healing by primary intention most likely occurs with:
1. Cuts in the skin from a kitchen knife
2. Excoriated perianal areas
3. Abrasions of the skin
4. Pressure ulcers
