NUR 2407 UPDATED ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS FULL
SOLUTION GRADED A+
◉ Which task can be safely delegated by the registered nurse (RN) to
unlicensed assistive personnel (UAP) for a client with
thrombocytopenia?
1. Shaving the client
2. Positioning the client
3. Performing oral hygiene
4. Giving intravenous platelet infusions. Answer: ANS: 2
Positioning the client
Rationale:
Clients with thrombocytopenia are at risk of bleeding with slight
bruising. Tasks that do not risk bruising the client may be delegated to
,the UAP. The RN would shave the client and perform oral hygiene.
Intravenous infusions would not be administered by UAP to any
client.
◉ The registered nurse is teaching a nursing student about ways to
minimize heat radiation. Which statements made by the nursing
student indicate effective learning? Select all that apply. One, some,
or all responses may be correct.
1. "I will apply an ice pack to the client."
2. "I will cover the client with dark clothes."
3. "I will instruct the client to remove extra clothes."
4. "I will instruct the client to lie in the fetal position."
5. "I will advise the client to wear sparsely woven clothes.". Answer:
ANS: 1, 2, 4
Rationale:
Applying an ice pack will increase conductive heat loss, which results
in minimizing heat radiation. Wearing dark clothes and lying in the
fetal position will minimize heat radiation. Removing extra clothes
will increase heat radiation. Wearing sparsely woven clothes will
enhance heat radiation.
,◉ The nurse observes the student nurse caring for the skin of the
client who recently underwent radiation therapy. Which actions made
by the student nurse would the nurse correct? Select all that apply.
One, some, or all responses may be correct.
1. Using a washcloth for cleaning the radiated site
2. Rinsing soap thoroughly from the skin of the client
3. Drying the irradiated area with rubbing motions
4. Telling the client to wear loose clothing over the skin at the
radiation site
5. Removing the ink marks that identify the location of the focused
beam of radiation. Answer: ANS: 1, 3, 5
Rationale:
The nurse should use a hand rather than a washcloth when cleansing
the radiated site. This is to provide gentle care to the site. The
irradiated area should be dried using patting motions rather than
rubbing motions. The ink marks present on the site exactly identify
where the location of beam radiation is to be focused. The nurse
should take care not to remove these. The skin of the client should be
thoroughly rinsed using a mild soap as prescribed by the radiation
, oncology department. The client's clothing should be loose over the
radiation site.
◉ Which instruction would the nurse provide to a client receiving
brachytherapy for prostate cancer to prevent injury?
1. "Use bleach when doing laundry."
2. "Wear a mask when around others."
3. "Flush the toilet several times after use."
4. "Refrain from close contact with others.". Answer: ANS: 4
"Refrain from close contact with others."
Rationale:
Brachytherapy involves the implantation of radioactive isotopes near
the tumor to destroy cancer cells. Clients are radioactive while
receiving treatment, making them potentially hazardous to others.
Therefore, the nurse will instruct clients to refrain from close contact
with others. Using bleach with the laundry and flushing the toilet
several times are instructions for clients receiving chemotherapy.
Clients who are immunosuppressed will be instructed to wear a face
mask to help prevent infections.
QUESTIONS AND CORRECT ANSWERS FULL
SOLUTION GRADED A+
◉ Which task can be safely delegated by the registered nurse (RN) to
unlicensed assistive personnel (UAP) for a client with
thrombocytopenia?
1. Shaving the client
2. Positioning the client
3. Performing oral hygiene
4. Giving intravenous platelet infusions. Answer: ANS: 2
Positioning the client
Rationale:
Clients with thrombocytopenia are at risk of bleeding with slight
bruising. Tasks that do not risk bruising the client may be delegated to
,the UAP. The RN would shave the client and perform oral hygiene.
Intravenous infusions would not be administered by UAP to any
client.
◉ The registered nurse is teaching a nursing student about ways to
minimize heat radiation. Which statements made by the nursing
student indicate effective learning? Select all that apply. One, some,
or all responses may be correct.
1. "I will apply an ice pack to the client."
2. "I will cover the client with dark clothes."
3. "I will instruct the client to remove extra clothes."
4. "I will instruct the client to lie in the fetal position."
5. "I will advise the client to wear sparsely woven clothes.". Answer:
ANS: 1, 2, 4
Rationale:
Applying an ice pack will increase conductive heat loss, which results
in minimizing heat radiation. Wearing dark clothes and lying in the
fetal position will minimize heat radiation. Removing extra clothes
will increase heat radiation. Wearing sparsely woven clothes will
enhance heat radiation.
,◉ The nurse observes the student nurse caring for the skin of the
client who recently underwent radiation therapy. Which actions made
by the student nurse would the nurse correct? Select all that apply.
One, some, or all responses may be correct.
1. Using a washcloth for cleaning the radiated site
2. Rinsing soap thoroughly from the skin of the client
3. Drying the irradiated area with rubbing motions
4. Telling the client to wear loose clothing over the skin at the
radiation site
5. Removing the ink marks that identify the location of the focused
beam of radiation. Answer: ANS: 1, 3, 5
Rationale:
The nurse should use a hand rather than a washcloth when cleansing
the radiated site. This is to provide gentle care to the site. The
irradiated area should be dried using patting motions rather than
rubbing motions. The ink marks present on the site exactly identify
where the location of beam radiation is to be focused. The nurse
should take care not to remove these. The skin of the client should be
thoroughly rinsed using a mild soap as prescribed by the radiation
, oncology department. The client's clothing should be loose over the
radiation site.
◉ Which instruction would the nurse provide to a client receiving
brachytherapy for prostate cancer to prevent injury?
1. "Use bleach when doing laundry."
2. "Wear a mask when around others."
3. "Flush the toilet several times after use."
4. "Refrain from close contact with others.". Answer: ANS: 4
"Refrain from close contact with others."
Rationale:
Brachytherapy involves the implantation of radioactive isotopes near
the tumor to destroy cancer cells. Clients are radioactive while
receiving treatment, making them potentially hazardous to others.
Therefore, the nurse will instruct clients to refrain from close contact
with others. Using bleach with the laundry and flushing the toilet
several times are instructions for clients receiving chemotherapy.
Clients who are immunosuppressed will be instructed to wear a face
mask to help prevent infections.
