NURS 337 EXAM 2 QUESTIONS WITH VERIFIED
ANSWERS
A main nursing function in group therapy is to:
Help clients give and receive feedback in the group.
Encourage clients to bring up their concerns.
Facilitate group interaction among the members.
Remind clients to address their comments to the group. - Answers - C
Post-op Day 4; purulent drainage on dressing; incision red and swollen
Inflammation
Infection related inflammation
Uncertain - Answers - B
Post-op Day 0; Incision slightly edematous and warm, no drainage, mild pain; Temp
98.8
Inflammation
Infection related inflammation
Uncertain - Answers - A
Post-op Day 3; Temp 101.5; Malaise
Inflammation
Infection related inflammation
Uncertain - Answers - B
What is a characteristic of chronic inflammation?
It may last 2-3 weeks.
The injurious agent persists or repeatedly injures tissue.
Neutrophils are the predominant cell type at the site of inflammation.
Symptoms manifest suddenly. - Answers - B
A patient with rheumatoid arthritis has been taking oral corticosteroids for 2 years.
Which nursing action is most likely to detect early signs of infection in this patient?
Monitor white blood cell counts.
Check the skin for areas of redness.
Measure the temperature every 2 hours.
Ask about feelings of fatigue or malaise. - Answers - D
, The nurse has just administered a benzodiazepine medication to a pre-operative
patient. What should the nurse do next?
Document the administration.
Call the OR to report the medication has been given.
Raise the side rails and place the call light in reach.
Ask the family members if they have any questions - Answers - C
The nurse has attended a staff education program about infection control guidelines.
Which of the following statements by the nurse would indicate a correct understanding
of the program?
"I will wear a particulate respirator mask (N95) when feeding a client with influenza."
"I will wear a surgical mask when checking the pulse of a client with pulmonary
tuberculosis (TB)."
"I should wear a protective gown when entering the room of a client with meningococcal
meningitis."
"I should wear clean gloves when bathing a client with atopic dermatitis (eczema) who
has draining lesions - Answers - D
A patient is admitted with sepsis. Skin is cool and pale, capillary refill is prolonged, and
pulse is weak and rapid. Which intervention should be the priority action by the
healthcare provider?
Establish vascular access
Calculate the mean arterial pressure
Take a complete set of vital signs
Draw blood for a complete blood count - Answers - A (rationale: the assessment data in
the stem tells you the patient has impaired circulation and perfusion: cool pale skin,
delayed cap refill, weak and rapid pulse. This is enough concerning data to know action
is needed to preserve circulation. A full set of vitals will delay that action. Get IV access
and then get the full set of vitals at which time you'll be able to calculate the mean
arterial pressure. The CBC option is also of lower priority based on A-B-C.)
The healthcare provider is caring for a patient who has septic shock. Which of the
following should the healthcare provider administer to the patient first?
IV fluids to increase intravascular volume.
Vasopressors to increase blood pressure.
Corticosteroids to reduce inflammation.
Antibiotics to treat the underlying infection. - Answers - A (rationale: supports circultation
[ABCs] and should be tried before vasopressors or corticosteroids; antibiotics are
important but will be irrelevant if airway, breathing, or circulation are not effective)
A patient who is in septic shock has the following clinical signs: Heart rate 120, blood
pressure 80/55 and urine output 20mL/hr. After administering an IV fluid bolus, which of
ANSWERS
A main nursing function in group therapy is to:
Help clients give and receive feedback in the group.
Encourage clients to bring up their concerns.
Facilitate group interaction among the members.
Remind clients to address their comments to the group. - Answers - C
Post-op Day 4; purulent drainage on dressing; incision red and swollen
Inflammation
Infection related inflammation
Uncertain - Answers - B
Post-op Day 0; Incision slightly edematous and warm, no drainage, mild pain; Temp
98.8
Inflammation
Infection related inflammation
Uncertain - Answers - A
Post-op Day 3; Temp 101.5; Malaise
Inflammation
Infection related inflammation
Uncertain - Answers - B
What is a characteristic of chronic inflammation?
It may last 2-3 weeks.
The injurious agent persists or repeatedly injures tissue.
Neutrophils are the predominant cell type at the site of inflammation.
Symptoms manifest suddenly. - Answers - B
A patient with rheumatoid arthritis has been taking oral corticosteroids for 2 years.
Which nursing action is most likely to detect early signs of infection in this patient?
Monitor white blood cell counts.
Check the skin for areas of redness.
Measure the temperature every 2 hours.
Ask about feelings of fatigue or malaise. - Answers - D
, The nurse has just administered a benzodiazepine medication to a pre-operative
patient. What should the nurse do next?
Document the administration.
Call the OR to report the medication has been given.
Raise the side rails and place the call light in reach.
Ask the family members if they have any questions - Answers - C
The nurse has attended a staff education program about infection control guidelines.
Which of the following statements by the nurse would indicate a correct understanding
of the program?
"I will wear a particulate respirator mask (N95) when feeding a client with influenza."
"I will wear a surgical mask when checking the pulse of a client with pulmonary
tuberculosis (TB)."
"I should wear a protective gown when entering the room of a client with meningococcal
meningitis."
"I should wear clean gloves when bathing a client with atopic dermatitis (eczema) who
has draining lesions - Answers - D
A patient is admitted with sepsis. Skin is cool and pale, capillary refill is prolonged, and
pulse is weak and rapid. Which intervention should be the priority action by the
healthcare provider?
Establish vascular access
Calculate the mean arterial pressure
Take a complete set of vital signs
Draw blood for a complete blood count - Answers - A (rationale: the assessment data in
the stem tells you the patient has impaired circulation and perfusion: cool pale skin,
delayed cap refill, weak and rapid pulse. This is enough concerning data to know action
is needed to preserve circulation. A full set of vitals will delay that action. Get IV access
and then get the full set of vitals at which time you'll be able to calculate the mean
arterial pressure. The CBC option is also of lower priority based on A-B-C.)
The healthcare provider is caring for a patient who has septic shock. Which of the
following should the healthcare provider administer to the patient first?
IV fluids to increase intravascular volume.
Vasopressors to increase blood pressure.
Corticosteroids to reduce inflammation.
Antibiotics to treat the underlying infection. - Answers - A (rationale: supports circultation
[ABCs] and should be tried before vasopressors or corticosteroids; antibiotics are
important but will be irrelevant if airway, breathing, or circulation are not effective)
A patient who is in septic shock has the following clinical signs: Heart rate 120, blood
pressure 80/55 and urine output 20mL/hr. After administering an IV fluid bolus, which of
