NU 136 EXAM 2: FUNDAMENTALS OF NURSING | NEWEST
UPDATED ACTUAL | VERIFIED ANSWERS AND COMPLETE
EXAM PREP
• a. cold solution can cause cramping -✓✓ANSWER: What is the primary reason
for using warm solution when administering an enema?
a. cold solution can cause cramping
b. it increases peristalsis
c. it reduces the risk of fluid overload
d. it soothes the intestinal muscles
• d. encouraging a high-fiber diet -✓✓ANSWER: a nurse identifies an immobile
patient as high risk for constipation. Which intervention is most effective?
a. administering sleep medication
b. keeping the patient in bed
c. limiting fluid intake
d. encouraging a high-fiber diet
• d. left sims (side lying) -✓✓ANSWER: Which position is MOST appropriate for a
patient to assume when receiving an enema?
a. prone
b. supine
c. fowler's position
d. left sims (side lying)
,• c. dependency for bowel movements -✓✓ANSWER: Pt with chronic constipation
should be educated on the potential risks of frequent use of stimulant laxatives,
such as:
a. sudden diarrhea
b. hyperkalemia
c. dependency for bowel movements
d. increased appetite
• d. to remove exudate and reduce edema -✓✓ANSWER: what is the primary
purpose of using a wound VAC in wound management?
a. to provide antibiotic treatment
b. to suture wounds
c. to debride necrotic tissue
d. to remove exudate and reduce enema
• a. place all weight on the right foot -✓✓ANSWER: a patient who is non-weight
bearing on the left leg needs to learn to use crutches. the nurse instructs the
patient to-
a. place all weight on the right foot
b. bear weight equally on both feet
c. alternate weight between feet when moving
d. use the left foot for balance only
• b. using even pressure when wrapping the bandage -✓✓ANSWER: a nurse is
preparing to apply an elastic bandage to a patient's sprained ankle. which action
is most appropriate?
, a. leaving the toes exposed for observations
b. using even pressure when wrapping the bandage
c. starting the wrap at the upper calf and moving downward
d. wrapping the bandage loosely to allow for swelling
• b. proliferative phase -✓✓ANSWER: which phase of wound healing involves the
formation of collagen and granulation tissue to fill the wound
a. maturation phase
b. proliferative phase
c. inflammatory phase
• c. infection -✓✓ANSWER: a patient's wound is red, warm, swollen, and
increasingly painful. the nurse suspects-
a. ischemia
b. normal inflammatory response
c. infection
d. hematoma formation
• d. drink cranberry juice or take cranberry supplements -✓✓ANSWER: a patient
with a history of recurrent urinary tract infection (UTIs) should be advised to:
a. limit fluid intake to decerase urinary frequency
b. hold urine for extended periods to strengthen bladder muscles
c. use perineal wipes from back to front after toileting
d. drink cranberry juice or take cranberry supplements
UPDATED ACTUAL | VERIFIED ANSWERS AND COMPLETE
EXAM PREP
• a. cold solution can cause cramping -✓✓ANSWER: What is the primary reason
for using warm solution when administering an enema?
a. cold solution can cause cramping
b. it increases peristalsis
c. it reduces the risk of fluid overload
d. it soothes the intestinal muscles
• d. encouraging a high-fiber diet -✓✓ANSWER: a nurse identifies an immobile
patient as high risk for constipation. Which intervention is most effective?
a. administering sleep medication
b. keeping the patient in bed
c. limiting fluid intake
d. encouraging a high-fiber diet
• d. left sims (side lying) -✓✓ANSWER: Which position is MOST appropriate for a
patient to assume when receiving an enema?
a. prone
b. supine
c. fowler's position
d. left sims (side lying)
,• c. dependency for bowel movements -✓✓ANSWER: Pt with chronic constipation
should be educated on the potential risks of frequent use of stimulant laxatives,
such as:
a. sudden diarrhea
b. hyperkalemia
c. dependency for bowel movements
d. increased appetite
• d. to remove exudate and reduce edema -✓✓ANSWER: what is the primary
purpose of using a wound VAC in wound management?
a. to provide antibiotic treatment
b. to suture wounds
c. to debride necrotic tissue
d. to remove exudate and reduce enema
• a. place all weight on the right foot -✓✓ANSWER: a patient who is non-weight
bearing on the left leg needs to learn to use crutches. the nurse instructs the
patient to-
a. place all weight on the right foot
b. bear weight equally on both feet
c. alternate weight between feet when moving
d. use the left foot for balance only
• b. using even pressure when wrapping the bandage -✓✓ANSWER: a nurse is
preparing to apply an elastic bandage to a patient's sprained ankle. which action
is most appropriate?
, a. leaving the toes exposed for observations
b. using even pressure when wrapping the bandage
c. starting the wrap at the upper calf and moving downward
d. wrapping the bandage loosely to allow for swelling
• b. proliferative phase -✓✓ANSWER: which phase of wound healing involves the
formation of collagen and granulation tissue to fill the wound
a. maturation phase
b. proliferative phase
c. inflammatory phase
• c. infection -✓✓ANSWER: a patient's wound is red, warm, swollen, and
increasingly painful. the nurse suspects-
a. ischemia
b. normal inflammatory response
c. infection
d. hematoma formation
• d. drink cranberry juice or take cranberry supplements -✓✓ANSWER: a patient
with a history of recurrent urinary tract infection (UTIs) should be advised to:
a. limit fluid intake to decerase urinary frequency
b. hold urine for extended periods to strengthen bladder muscles
c. use perineal wipes from back to front after toileting
d. drink cranberry juice or take cranberry supplements
