• NUR 445 EXAM 09/20/2026
NUR 445 EXAM 2 2025 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+/ARIZONA COLLEGE
OF NURSING
A nurse is caring for a client following an abdominal surgery. The client has a prescription for dressing changes
every 4 hr and PRN. Which of the following objects should the nurse use to reduce skin irritation around the
incision area?
A. Montgomery straps
P 1
, • NUR 445 EXAM 09/20/2026
B. Enzymes
C. Alcohol swabs
D. A transparent dressing - Correct Answer :ANS: A. Montgomery straps
Rationale: Montgomery straps are adhesive strips that are applied to the skin on either side of the surgical
wound. The strips have holes so the two sides of the dressing can be tied together and re-opened for dressing
changes without having to remove the adhesive strips. If Montgomery straps are unavailable, the nurse can
place strips of hydrocolloid dressing on either side of the wound and place the tape across the dressing onto the
hydrocolloid strips.
A nurse is assessing a client's wound dressing and observes a watery red drainage. The nurse should document
this drainage as which of the following?
A. Serous
B. Purulent
C. Sanguineous
D. Serosanguineous - Correct Answer :ANS: D. Serosanguineous
Rationale: Watery red drainage should be documented as serosanguineous.
A nurse is planning care for a client who is confined to bed. Which of the following actions should the nurse
include in the plan?
A. Massage the client's red bony prominences.
B. Assess the client's skin for increased coolness.
C. Reposition the client every 2 hr.
D. Keep the client's skin moist. - Correct Answer :ANS: C. Reposition the client every 2 hr.
Rationale: The nurse should change the client's position every 2 hr to stimulate circulation and prevent pressure
ulcers.
P 2
, • NUR 445 EXAM 09/20/2026
A nurse is caring for a client who has a stage I pressure ulcer. Which of the following dressings should the nurse
plan to apply?
A. Transparent dressing
B. Wet-to-dry gauze dressing
C. Hydrogel dressing
D. Alginate dressing - Correct Answer :ANS: A. Transparent dressing
Rationale: A stage I pressure ulcer involves only the epidermal skin. A transparent dressing protects the ulcer
from moisture and bacteria while allowing oxygen to reach the skin. This dressing also minimizes friction and
shear on the ulcerated area.
A nurse is presenting a community-based program about HIV and AIDS. A client asks the nurse to describe the
initial symptoms experienced with HIV infection. Which of the following manifestations should the nurse include
in the explanation of initial symptoms?
A. Pneumocystis lung infection
B. Flu-like symptoms and night sweats
C. Fungal and bacterial infections
D. Kaposi's sarcoma - Correct Answer :ANS: B. Flu-like symptoms and night sweats
Rationale: The nurse should explain that the initial symptoms may include flu-like symptoms and night sweats in
category A of HIV infection.
A nurse is assessing a client who has a history of HIV with phagocytic dysfunction. The nurse should monitor this
client for which of the following conditions?
A. Dehydration
B. Fungal infection
C. Compartment syndrome
D. Pleural effusion - Correct Answer :ANS: B. Fungal infection
P 3
, • NUR 445 EXAM 09/20/2026
Rationale: The nurse should monitor the client for fungal infections due to the impairment of the phagocytic
cells. Fungal and bacterial infections are the primary results of the dysfunction.
A nurse is caring for a client who has HIV. Which of the following laboratory tests should the nurse monitor to
assess the effectiveness of therapy?
A. Quantitative RNA assay
B. Platelet count
C. Enzyme immunoassay (EIA) test
D. Western blot - Correct Answer :ANS: A. Quantitative RNA assay
Rationale: A quantitative RNA assay measures the viral load and is useful in monitoring HIV disease progression
and treatment effectiveness
A group of nurses are discussing risk factors for transmission of human immunodeficiency virus (HIV) from
clients. Which of the following individuals should the nurse identify as being at the greatest risk for contracting
HIV?
A. An occupational therapist who works with a client who has HIV
B. A personal trainer who works with a client who has HIV
C. A phlebotomist who collects blood from clients who have HIV
D. A nurse who works for an insurance company and collects urine samples from clients who have HIV - Correct
Answer :ANS: C. A phlebotomist who collects blood from clients who have HIV
Rationale: The greatest risk for exposure to HIV is from a needle stick; therefore, the phlebotomist who is
collecting blood is at greatest risk.
A nurse is caring for a client who has contact dermatitis of the neck and upper chest. Which of the following is an
expected finding?
A. Report of exposure to a skin irritant
P 4
NUR 445 EXAM 2 2025 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+/ARIZONA COLLEGE
OF NURSING
A nurse is caring for a client following an abdominal surgery. The client has a prescription for dressing changes
every 4 hr and PRN. Which of the following objects should the nurse use to reduce skin irritation around the
incision area?
A. Montgomery straps
P 1
, • NUR 445 EXAM 09/20/2026
B. Enzymes
C. Alcohol swabs
D. A transparent dressing - Correct Answer :ANS: A. Montgomery straps
Rationale: Montgomery straps are adhesive strips that are applied to the skin on either side of the surgical
wound. The strips have holes so the two sides of the dressing can be tied together and re-opened for dressing
changes without having to remove the adhesive strips. If Montgomery straps are unavailable, the nurse can
place strips of hydrocolloid dressing on either side of the wound and place the tape across the dressing onto the
hydrocolloid strips.
A nurse is assessing a client's wound dressing and observes a watery red drainage. The nurse should document
this drainage as which of the following?
A. Serous
B. Purulent
C. Sanguineous
D. Serosanguineous - Correct Answer :ANS: D. Serosanguineous
Rationale: Watery red drainage should be documented as serosanguineous.
A nurse is planning care for a client who is confined to bed. Which of the following actions should the nurse
include in the plan?
A. Massage the client's red bony prominences.
B. Assess the client's skin for increased coolness.
C. Reposition the client every 2 hr.
D. Keep the client's skin moist. - Correct Answer :ANS: C. Reposition the client every 2 hr.
Rationale: The nurse should change the client's position every 2 hr to stimulate circulation and prevent pressure
ulcers.
P 2
, • NUR 445 EXAM 09/20/2026
A nurse is caring for a client who has a stage I pressure ulcer. Which of the following dressings should the nurse
plan to apply?
A. Transparent dressing
B. Wet-to-dry gauze dressing
C. Hydrogel dressing
D. Alginate dressing - Correct Answer :ANS: A. Transparent dressing
Rationale: A stage I pressure ulcer involves only the epidermal skin. A transparent dressing protects the ulcer
from moisture and bacteria while allowing oxygen to reach the skin. This dressing also minimizes friction and
shear on the ulcerated area.
A nurse is presenting a community-based program about HIV and AIDS. A client asks the nurse to describe the
initial symptoms experienced with HIV infection. Which of the following manifestations should the nurse include
in the explanation of initial symptoms?
A. Pneumocystis lung infection
B. Flu-like symptoms and night sweats
C. Fungal and bacterial infections
D. Kaposi's sarcoma - Correct Answer :ANS: B. Flu-like symptoms and night sweats
Rationale: The nurse should explain that the initial symptoms may include flu-like symptoms and night sweats in
category A of HIV infection.
A nurse is assessing a client who has a history of HIV with phagocytic dysfunction. The nurse should monitor this
client for which of the following conditions?
A. Dehydration
B. Fungal infection
C. Compartment syndrome
D. Pleural effusion - Correct Answer :ANS: B. Fungal infection
P 3
, • NUR 445 EXAM 09/20/2026
Rationale: The nurse should monitor the client for fungal infections due to the impairment of the phagocytic
cells. Fungal and bacterial infections are the primary results of the dysfunction.
A nurse is caring for a client who has HIV. Which of the following laboratory tests should the nurse monitor to
assess the effectiveness of therapy?
A. Quantitative RNA assay
B. Platelet count
C. Enzyme immunoassay (EIA) test
D. Western blot - Correct Answer :ANS: A. Quantitative RNA assay
Rationale: A quantitative RNA assay measures the viral load and is useful in monitoring HIV disease progression
and treatment effectiveness
A group of nurses are discussing risk factors for transmission of human immunodeficiency virus (HIV) from
clients. Which of the following individuals should the nurse identify as being at the greatest risk for contracting
HIV?
A. An occupational therapist who works with a client who has HIV
B. A personal trainer who works with a client who has HIV
C. A phlebotomist who collects blood from clients who have HIV
D. A nurse who works for an insurance company and collects urine samples from clients who have HIV - Correct
Answer :ANS: C. A phlebotomist who collects blood from clients who have HIV
Rationale: The greatest risk for exposure to HIV is from a needle stick; therefore, the phlebotomist who is
collecting blood is at greatest risk.
A nurse is caring for a client who has contact dermatitis of the neck and upper chest. Which of the following is an
expected finding?
A. Report of exposure to a skin irritant
P 4
