NUR 3110 EXAM 2 | Questions with 100% Verified Answers | Latest Update
Question: An older adult client has been admitted to the hospital with
dehydration, and the nurse has inserted a peripheral intravenous line into
the client's forearm in order to facilitate rehydration. What type of
dressing should the nurse apply over the client's venous access site?
a. a gauze dressing premedicated with antibiotics
b. a gauze dressing precut halfway to fit around the IV line
c. a dressing with a nonadherent coating
d. a transparent film
Answer:
d
Question: When clients are pulled up in bed rather than lifted, they are
at increased risk for the development of decubitus ulcers. What is the
name given to the factor responsible for this risk?
a. ischemia
b. shearing force
c. friction
d. necrosis of tissue
Answer:
b
Question: A nurse is caring for a client with dehydration at the health
care facility. The client is receiving glucose intravenously. What type of
dressing should the nurse use to cover the IV insertion site?
a. hydrocolloid
b. bandage
c. gauze
d. transparent
Answer:
d
,Question: A nurse removing sutures from a client's traumatic wound
notices that the sutures are encrusted with blood and difficult to remove.
What would be the nurse's most appropriate action?
a. Wash the sutures with warm, sterile water and an
antimicrobial soap before removing them.
b. Do not attempt to remove the sutures because the wound
needs more time to heal.
c. Moisten sterile gauze with sterile saline to gently loosen
crusts before removing sutures.
d. Carefully pick the crusts off the sutures with the forceps
before removing them.
Answer:
c
Question: The nurse is providing care for a client with a wound that has
purulent drainage. Which interventions will the nurse provide when
caring for this client? Select all that apply.
a. Apply another layer of protective ointment or paste on top
of the previous layer when changing dressings.
b. Apply a protective ointment or paste, if appropriate, to
cleansed skin surrounding the draining wound.
c. Apply a nonabsorbent material over the first layer of
absorbent material.
d. Administer a prescribed analgesic 30 to 45 minutes before
changing the dressing, if necessary.
e. Apply an absorbent dressing material as the first layer of the
dressing.
f. Change the dressing midway between meals.
Answer:
bdf
Question: A client with vaginal itching and burning has been scheduled
for an examination and Pap procedure. Which teaching regarding
douching will the nurse provide to the client to prepare for the
appointment?
a. "Douching is recommended so that you are clean for the
examination."
b. "Plan to begin douching routinely immediately after your
procedure."
c. "The Pap procedure includes application of a douche."
d. "Do not douche for 24-48 hours before the procedure."
Answer:
d
, Question: A client reports acute pain while negative pressure wound
therapy is in place. What should the nurse do first?
a. Notify the health care provider of the pain.
b. Assess the client's wound and vital signs.
c. Administer the prescribed analgesic.
d. Document the pain and vital signs.
Answer:
b
Question: The nurse is performing frequent skin assessment at the site
where cold therapy has been in place. The nurse notes pallor at the site
and the client reports "it feels numb." What is the best action by the
nurse at this time?
a. Gently rub and massage the area to warm it up.
b. Discontinue the therapy and assess the client.
c. Document the findings in the client's medical record.
d. Notify the health care provider of the findings.
Answer:
b
Question: A nurse is caring for clients on a medical-surgical unit. On
the basis of known risk factors, the nurse understands that which client
has the highest risk for developing a pressure injury?
a. 65-year-old incontinent client, who eats over half the meals,
with a hip fracture on bed rest
b. 70-year-old client with Alzheimer disease who wanders the
nursing unit using a walker and refuses to sit and eat meals
c. 35-year-old client who was admitted after a motor vehicle
accident, is on a liquid diet, and has bilateral casts on the upper
extremities
d. 45-year-old client who has cancer, is receiving
chemotherapy, is incontinent, and is being admitted with leukopenia
Answer:
a
Question: An older adult client has been admitted to the hospital with
dehydration, and the nurse has inserted a peripheral intravenous line into
the client's forearm in order to facilitate rehydration. What type of
dressing should the nurse apply over the client's venous access site?
a. a gauze dressing premedicated with antibiotics
b. a gauze dressing precut halfway to fit around the IV line
c. a dressing with a nonadherent coating
d. a transparent film
Answer:
d
Question: When clients are pulled up in bed rather than lifted, they are
at increased risk for the development of decubitus ulcers. What is the
name given to the factor responsible for this risk?
a. ischemia
b. shearing force
c. friction
d. necrosis of tissue
Answer:
b
Question: A nurse is caring for a client with dehydration at the health
care facility. The client is receiving glucose intravenously. What type of
dressing should the nurse use to cover the IV insertion site?
a. hydrocolloid
b. bandage
c. gauze
d. transparent
Answer:
d
,Question: A nurse removing sutures from a client's traumatic wound
notices that the sutures are encrusted with blood and difficult to remove.
What would be the nurse's most appropriate action?
a. Wash the sutures with warm, sterile water and an
antimicrobial soap before removing them.
b. Do not attempt to remove the sutures because the wound
needs more time to heal.
c. Moisten sterile gauze with sterile saline to gently loosen
crusts before removing sutures.
d. Carefully pick the crusts off the sutures with the forceps
before removing them.
Answer:
c
Question: The nurse is providing care for a client with a wound that has
purulent drainage. Which interventions will the nurse provide when
caring for this client? Select all that apply.
a. Apply another layer of protective ointment or paste on top
of the previous layer when changing dressings.
b. Apply a protective ointment or paste, if appropriate, to
cleansed skin surrounding the draining wound.
c. Apply a nonabsorbent material over the first layer of
absorbent material.
d. Administer a prescribed analgesic 30 to 45 minutes before
changing the dressing, if necessary.
e. Apply an absorbent dressing material as the first layer of the
dressing.
f. Change the dressing midway between meals.
Answer:
bdf
Question: A client with vaginal itching and burning has been scheduled
for an examination and Pap procedure. Which teaching regarding
douching will the nurse provide to the client to prepare for the
appointment?
a. "Douching is recommended so that you are clean for the
examination."
b. "Plan to begin douching routinely immediately after your
procedure."
c. "The Pap procedure includes application of a douche."
d. "Do not douche for 24-48 hours before the procedure."
Answer:
d
, Question: A client reports acute pain while negative pressure wound
therapy is in place. What should the nurse do first?
a. Notify the health care provider of the pain.
b. Assess the client's wound and vital signs.
c. Administer the prescribed analgesic.
d. Document the pain and vital signs.
Answer:
b
Question: The nurse is performing frequent skin assessment at the site
where cold therapy has been in place. The nurse notes pallor at the site
and the client reports "it feels numb." What is the best action by the
nurse at this time?
a. Gently rub and massage the area to warm it up.
b. Discontinue the therapy and assess the client.
c. Document the findings in the client's medical record.
d. Notify the health care provider of the findings.
Answer:
b
Question: A nurse is caring for clients on a medical-surgical unit. On
the basis of known risk factors, the nurse understands that which client
has the highest risk for developing a pressure injury?
a. 65-year-old incontinent client, who eats over half the meals,
with a hip fracture on bed rest
b. 70-year-old client with Alzheimer disease who wanders the
nursing unit using a walker and refuses to sit and eat meals
c. 35-year-old client who was admitted after a motor vehicle
accident, is on a liquid diet, and has bilateral casts on the upper
extremities
d. 45-year-old client who has cancer, is receiving
chemotherapy, is incontinent, and is being admitted with leukopenia
Answer:
a
