NUR 202 - EXAM 2 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS)
A charge nurse is reviewing with a newly hired nurse the
difference in manifestations of a localized versus a
systemic infection. Which of the following are
manifestations of a *systemic infection*? (Select all that
apply.)
A. Fever
B. Malaise
C. Edema
D. Pain or tenderness
E. Increase in pulse and respiratory rate - correct
answer- A. Fever
B. Malaise
E. Increase in pulse and respiratory rate
A charge nurse is teaching a newly licensed nurse about
the care of a client who has methicillin-resistent
,Staphylococcus aureus (MRSA). Which of the following
statements should the charge nurse identify as an
indication that the newly licensed nurse understands the
teaching?
A. "I should obtain a specimen for culture and sensitivity
after the first dose of an antimicrobial."
B. "MRSA is usually resistant to vancomycin, so another
antimicrobial will be prescribed."
C. "I will protect others from exposure when I transport
the client outside the room."
D. "To decrease resistance, antimicrobial therapy is
discontinued when the client is no longer febrile." -
correct answer- C. "I will protect others from exposure
when I transport the client outside the room."
A client who had abdominal surgery 24 hrs ago suddenly
reports a pulling sensation and pain in their surgical
incision. The nurse checks the surgical wound and finds it
separated with viscera protruding. Which of the following
actions should the nurse take? (Select all that apply.)
,A. Cover the area with saline-soaked sterile dressings.
B. Apply an abdominal binder snugly around the
abdomen.
C. Use sterile gauze to apply gentle pressure to the
exposed tissues.
D. Position the client supine with the hips and knees bent.
E. Offer the client a warm beverage (herbal tea). - correct
answer- A. Cover the area with saline-soaked sterile
dressings.
D. Position the client supine with the hips and knees bent.
A client who has an indwelling catheter reports a need to
urinate. Which of the following actions should the nurse
take?
A. Check to see whether the catheter is patent.
B. Reassure the client that it is not possible to urinate.
C. Recatheterize the bladder with a larger-gauge catheter.
D. Collect a urine specimen for analysis. - correct
answer- A. Check to see whether the catheter is
patent.
, A nurse educator is reviewing the wound healing process
with a group of nurses. The nurse educator should include
in the information which of the following alterations for
wound healing by secondary intention? (Select all that
apply.)
A. Stage 3 pressure injury.
B. Sutured surgical incision.
C. Casted bone fracture.
D. Laceration sealed with adhesive.
E. Open burn area. - correct answer- A. Stage 3
pressure injury.
E. Open burn area.
A nurse has prepared a sterile field for assisting a provider
with a chest tube insertion. Which of the following events
should the nurse recognize as contaminating the sterile
field? (Select all that apply.)
DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS)
A charge nurse is reviewing with a newly hired nurse the
difference in manifestations of a localized versus a
systemic infection. Which of the following are
manifestations of a *systemic infection*? (Select all that
apply.)
A. Fever
B. Malaise
C. Edema
D. Pain or tenderness
E. Increase in pulse and respiratory rate - correct
answer- A. Fever
B. Malaise
E. Increase in pulse and respiratory rate
A charge nurse is teaching a newly licensed nurse about
the care of a client who has methicillin-resistent
,Staphylococcus aureus (MRSA). Which of the following
statements should the charge nurse identify as an
indication that the newly licensed nurse understands the
teaching?
A. "I should obtain a specimen for culture and sensitivity
after the first dose of an antimicrobial."
B. "MRSA is usually resistant to vancomycin, so another
antimicrobial will be prescribed."
C. "I will protect others from exposure when I transport
the client outside the room."
D. "To decrease resistance, antimicrobial therapy is
discontinued when the client is no longer febrile." -
correct answer- C. "I will protect others from exposure
when I transport the client outside the room."
A client who had abdominal surgery 24 hrs ago suddenly
reports a pulling sensation and pain in their surgical
incision. The nurse checks the surgical wound and finds it
separated with viscera protruding. Which of the following
actions should the nurse take? (Select all that apply.)
,A. Cover the area with saline-soaked sterile dressings.
B. Apply an abdominal binder snugly around the
abdomen.
C. Use sterile gauze to apply gentle pressure to the
exposed tissues.
D. Position the client supine with the hips and knees bent.
E. Offer the client a warm beverage (herbal tea). - correct
answer- A. Cover the area with saline-soaked sterile
dressings.
D. Position the client supine with the hips and knees bent.
A client who has an indwelling catheter reports a need to
urinate. Which of the following actions should the nurse
take?
A. Check to see whether the catheter is patent.
B. Reassure the client that it is not possible to urinate.
C. Recatheterize the bladder with a larger-gauge catheter.
D. Collect a urine specimen for analysis. - correct
answer- A. Check to see whether the catheter is
patent.
, A nurse educator is reviewing the wound healing process
with a group of nurses. The nurse educator should include
in the information which of the following alterations for
wound healing by secondary intention? (Select all that
apply.)
A. Stage 3 pressure injury.
B. Sutured surgical incision.
C. Casted bone fracture.
D. Laceration sealed with adhesive.
E. Open burn area. - correct answer- A. Stage 3
pressure injury.
E. Open burn area.
A nurse has prepared a sterile field for assisting a provider
with a chest tube insertion. Which of the following events
should the nurse recognize as contaminating the sterile
field? (Select all that apply.)
