2027 | Nursing and Healthcare I | Graded A+
1. The nurse is evaluating a client's response to wound care. Which should the
nurse consider the priority assessment?
Surrounding wound tissue
The client's hemoglobin level
Wound depth, length, and width
Type of wound exudate
2. The nurse is caring for a client with incontinence who has an order for a
catheterized urine specimen to evaluate the presence of a urinary tract
infection. Which catheter will the nurse select to obtain the specimen?
An indwelling catheter
A coudé catheter
A straight catheter
A three-way catheter
3. The nurse is concerned about pulmonary aspiration when providing the
patient with an intermittent tube feeding. Which action is the priority?
Add blue food coloring to the enteral formula.
Run the formula over 12 hours to decrease overload.
Verify tube placement before feeding.
Observe the color of gastric contents.
,4. A patient exhibits signs of heightened anxiety. Which response by the nurse is
most likely to reduce the patient's anxiety?
"Everything will be fine. Don't worry."
"Read this manual and then ask me any questions you may have."
"Let's talk about what's bothering you."
"Why don't you listen to the radio to keep your mind occupied?"
5. Which of the following statements regarding the specific gravity of urine is
most accurate?
Urine always has a specific gravity greater than pure water
Urine always has a specific gravity that is equal to pure water
Urine always has a specific gravity less than pure water
urine never has a specific gravity greater than pure water
6. Which of the following describes a person who is preoccupied with the idea
that he is or will become seriously ill?
Malingering
Pain disorder
Somatitization
Hypochondriasis
7. Interpret the patient's statement about discharge in terms of its potential
impact on their health.
The patient's concern is psychological stress that requires medication.
The patient's expression of worry indicates distress, which may
negatively affect their health.
, The patient is showing developmental stress, which is normal for their
age.
The patient is experiencing eustress, which is beneficial for their
health.
8. Which type of wound is characterized by significant pain?
Venous
Diabetic
Arterial
Pressure
9. Which type of wound is characterized by shiny, scaly, and warm surrounding
skin?
arterial
diabetic
venous
pressure
10. In a clinical scenario, if a patient presents with a ruddy red wound with
granulating tissue on their lower leg, what nursing intervention would be
most appropriate?
Apply a dry dressing and monitor for signs of infection.
Refer the patient for arterial evaluation immediately.
Administer anticoagulants to improve blood flow.
Assess for signs of venous insufficiency and implement appropriate
wound care.
, 11. Describe the purpose of using a straight catheter in a patient with residual
urine in the bladder.
A straight catheter is used for long-term bladder management in
patients with chronic urinary issues.
A straight catheter is used to temporarily drain urine from the
bladder when a patient cannot fully empty it, allowing for
assessment and relief of urinary retention.
A straight catheter is used to collect urine samples for laboratory
testing.
A straight catheter is used to administer medications directly into the
bladder.
12. How does understanding pain classification contribute to patient care?
It simplifies the documentation process.
It helps in developing an effective pain management plan.
It allows for quicker patient discharge.
It ensures all patients receive the same treatment.
13. Which intervention is recommended for managing sensory overload in
patients?
Dimming the lights
Increasing noise levels
Encouraging visitors
Brightening the room
14. The student nurse has earned 'A's' in all of her prerequisite courses. For the
first exam in a nursing course, they earn a 'D' and now feel that they may not