170
NU 170 Exam 4 Questions and Answers with
Complete Solutions UPDATED!!!!.
1. What does the nurse teach a patient about UV therapy for psoriasis?
a. Use a commercial tanning bed service but limit exposure to 2-3 times/ week
b. Use the sun as an inexpensive source of UV; inspect skin daily for overexposure
c. Wear dark glasses during and after treatment if psoralen is prescribed *
d. Expect generalized edema and tenderness after the treatment
2. The PCP informs the nurse that the patient is having extreme puritits. Based on this information,
the nurse is most likely to observe which assessment finding?
a. Fluid filled, weeping blisters
b. Excoriations from scratching *
c. Dry flaking skin with peeling
d. S/sx of infection
3. The ED nurse gives discharge instructions to the parents of a child diagnosed with bed bugs.
What instructions does the nurse give to the parents?
a. Washing linens in hot soapy water will eliminate the problem
b. Using a topical insecticide kills bedbugs on the body surface
c. Repeatedly vacuuming surfaces of furniture or mattresses will help
d. Hiring a pest control company with bedbug experience is an option *
4. Which is expected outcome is most appropriate for a patient with a 1 x 1 stage II sacral pressure
ulcer?
a. Wound will show healing and no infection
b. Patient will verbalize that wound is smaller
c. Wound will show granulation and decrease in size *
d. Patient will rate pain at an acceptable level
5. The nurse is caring for an obese patient who has been on bedrest for several days. The nurse
observes that the patient is beginning to develop redness on the sacral area. What intervention
is used to decrease the shearing force?
a. Place the patient in a high Fowler’s position
b. Instruct the patient to use arms and legs to push when moving self in bed
c. Obtain an order for the patient to be up 3-4 times per day in recliner chair
d. Place the patient in a side lying position *
6. Which patients are at risk for pressure ulcers? (SATA)
a. A confused patient who likes to wander through the halls
b. A middle-aged quadriplegic patient who is alert and conversant *
c. A bedridden patient who is in late Alzheimer’s state *
d. A very overweight patient who has occasional urinary incontinence *
e. An ambulatory patient who has occasional urinary incontinence
f. A thin patient who sits for long periods and refuse meals *
7. A 60 year old male patient is requesting a Zostavax vaccine. Which health history needs further
investigation before Zostavax is administered?
a. Being treated for an autoimmune disease *
b. Taking iron supplements for anemia
c. History of deep vein thrombosis
d. Allergy to iodine and shellfish
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8. The clinic nurse is examining a 21 yo female that has linear ridges on the inner aspect of the
wrist. The patient reports intense itching especially at night. The nurse scrapes the lesion and
examine under microscope. Which condition does the nurse suspect?
a. Head lice
b. Scabies *
c. Body lice
d. Dermatitis
9. A patient has been prescribed acitretin for psoriasis. What information does the nurse tell the
patient about this drug?
a. Wear dark glasses after taking a dose
b. It is the first choice for psoriasis
c. Strict birth control measures are necessary *
d. Apply to superficial lesions
10. The nurse receives report that a patient is being admitted for an elective surgery that has active
herpes zoster. The nurse initiates contact isolation for which factor?
a. Fever and malaise are present as symptoms
b. Other patients or staff have never been expose to chickenpox
c. Lesions are present as fluid filled and weeping blisters
d. Lesions are present and crusted over *
11. The patient comes to the urgent care clinic and describes symptoms of diarrhea, abdominal pain,
and low grade fever. She states she has constant abdominal pain to the RLQ and has lost 25 lbs in
the past month. What diagnosis does the nurse suspect?
a. Ulcerative colitis
b. Diverticulitis
c. Peritonitis
d. Crohn’s disease *
12. Which type of diet has been implicated in the formation of diverticula?
a. High-fat diet
b. Low protein diet
c. High cholesterol diet
d. Low-fiber diet *
13. The nurse on the surgical unit is expecting to admit the patient who has had appendicitis with an
abscess. What should the first anticipated action be?
a. Document health history
b. Monitor the pt for increase pain
c. Start IV antibiotics as ordered *
d. Maintain NPO status with mouth swabs
14. The nurse is assessing a patient with viral gastroenteritis. Which data is the nurse most
concerned about?
a. Orthostatic blood pressure changes
b. Poor skin turgor
c. Dry mucous membranes
d. Rebound tenderness *
15. Which intervention is part of a nonsurgical management for a patient with peritonitis?
NU 170 Exam 4 Questions and Answers with
Complete Solutions UPDATED!!!!.
1. What does the nurse teach a patient about UV therapy for psoriasis?
a. Use a commercial tanning bed service but limit exposure to 2-3 times/ week
b. Use the sun as an inexpensive source of UV; inspect skin daily for overexposure
c. Wear dark glasses during and after treatment if psoralen is prescribed *
d. Expect generalized edema and tenderness after the treatment
2. The PCP informs the nurse that the patient is having extreme puritits. Based on this information,
the nurse is most likely to observe which assessment finding?
a. Fluid filled, weeping blisters
b. Excoriations from scratching *
c. Dry flaking skin with peeling
d. S/sx of infection
3. The ED nurse gives discharge instructions to the parents of a child diagnosed with bed bugs.
What instructions does the nurse give to the parents?
a. Washing linens in hot soapy water will eliminate the problem
b. Using a topical insecticide kills bedbugs on the body surface
c. Repeatedly vacuuming surfaces of furniture or mattresses will help
d. Hiring a pest control company with bedbug experience is an option *
4. Which is expected outcome is most appropriate for a patient with a 1 x 1 stage II sacral pressure
ulcer?
a. Wound will show healing and no infection
b. Patient will verbalize that wound is smaller
c. Wound will show granulation and decrease in size *
d. Patient will rate pain at an acceptable level
5. The nurse is caring for an obese patient who has been on bedrest for several days. The nurse
observes that the patient is beginning to develop redness on the sacral area. What intervention
is used to decrease the shearing force?
a. Place the patient in a high Fowler’s position
b. Instruct the patient to use arms and legs to push when moving self in bed
c. Obtain an order for the patient to be up 3-4 times per day in recliner chair
d. Place the patient in a side lying position *
6. Which patients are at risk for pressure ulcers? (SATA)
a. A confused patient who likes to wander through the halls
b. A middle-aged quadriplegic patient who is alert and conversant *
c. A bedridden patient who is in late Alzheimer’s state *
d. A very overweight patient who has occasional urinary incontinence *
e. An ambulatory patient who has occasional urinary incontinence
f. A thin patient who sits for long periods and refuse meals *
7. A 60 year old male patient is requesting a Zostavax vaccine. Which health history needs further
investigation before Zostavax is administered?
a. Being treated for an autoimmune disease *
b. Taking iron supplements for anemia
c. History of deep vein thrombosis
d. Allergy to iodine and shellfish
, 170
8. The clinic nurse is examining a 21 yo female that has linear ridges on the inner aspect of the
wrist. The patient reports intense itching especially at night. The nurse scrapes the lesion and
examine under microscope. Which condition does the nurse suspect?
a. Head lice
b. Scabies *
c. Body lice
d. Dermatitis
9. A patient has been prescribed acitretin for psoriasis. What information does the nurse tell the
patient about this drug?
a. Wear dark glasses after taking a dose
b. It is the first choice for psoriasis
c. Strict birth control measures are necessary *
d. Apply to superficial lesions
10. The nurse receives report that a patient is being admitted for an elective surgery that has active
herpes zoster. The nurse initiates contact isolation for which factor?
a. Fever and malaise are present as symptoms
b. Other patients or staff have never been expose to chickenpox
c. Lesions are present as fluid filled and weeping blisters
d. Lesions are present and crusted over *
11. The patient comes to the urgent care clinic and describes symptoms of diarrhea, abdominal pain,
and low grade fever. She states she has constant abdominal pain to the RLQ and has lost 25 lbs in
the past month. What diagnosis does the nurse suspect?
a. Ulcerative colitis
b. Diverticulitis
c. Peritonitis
d. Crohn’s disease *
12. Which type of diet has been implicated in the formation of diverticula?
a. High-fat diet
b. Low protein diet
c. High cholesterol diet
d. Low-fiber diet *
13. The nurse on the surgical unit is expecting to admit the patient who has had appendicitis with an
abscess. What should the first anticipated action be?
a. Document health history
b. Monitor the pt for increase pain
c. Start IV antibiotics as ordered *
d. Maintain NPO status with mouth swabs
14. The nurse is assessing a patient with viral gastroenteritis. Which data is the nurse most
concerned about?
a. Orthostatic blood pressure changes
b. Poor skin turgor
c. Dry mucous membranes
d. Rebound tenderness *
15. Which intervention is part of a nonsurgical management for a patient with peritonitis?
