Assessment 2 exam with verified
questions and anwers 2024-2025 series
1. A nurse is teaching a group of assistive personnel (AP) about caring for patients who have
Alzheimer's disease. Which of the following information should the nurse include in the teaching?
Explain procedures in full detail to patient before initiating care
Limit a patient's activities to minimize emotional outbursts
Speak clearly and loudly to a patient who is unable to form words or sentences
Provide supervision to prevent a patient from becoming injured or lost - CORRECT Provide supervision to
prevent a patient from becoming injured or lost
A patient who has Alzheimer's disease can wander and become lost. The AP should initiate
interventions to keep the patient safe, such as redirection, frequent monitoring, and reorientation. The
AP should
encourage a patient who has Alzheimer's disease to participate in activities for as long as possible because
socializing with others can provide the patient with comfort = D
A nurse is developing a plan of care for a patient who will be placed in halo traction following surgical
repair of the cervical spine. Which of the following interventions should the nurse include in the plan? -
CORRECT Monitor the patient's skin under the halo vest
A nurse is providing discharge teaching for a patient who has COPD about nutrition. Which of the
following instructions should the nurse include? - CORRECT Consume high-calorie foods
4. A nurse is caring for a patient who has anew diagnosis of tuberculosis. Which of the following
precautions should the nurse initiate to prevent transmission of the disease? - CORRECT
Airborne precautions
, 5. A nurse is preparing a patient for a colonoscopy. Which of the following medications should the
nurse anticipate the provider to prescribe as an anesthetic for the procedure? - CORRECT Propofol
6. A nurse is teaching a group of patients about the risk factors for osteoporosis. Which of the
following should the nurse include as a risk factor for osteoporosis? - CORRECT Early menopause
7. A nurse is caring for a patient who has a peripherally inserted central catheter (PICC). For which of
the following findings should the nurse notify the provider? - CORRECT The dressing was changed 7
days ago
8. A nurse is reviewing the medical record of a patient who has unstable angina. Which of the
following findings should the nurse report to the provider?
Exhibit 1 - Graphic record: BP 106/62 mm Hg, Temp 38°C (100.4°F), HR 112/min, Resp rate 26/min, urine
output 90 mL/h hr
Exhibit 2 - Nurse's notes: Skin is cool & moist with pallor need.Bilateral breath sounds with crackles
heard at bases of lungs.
Pedal pulses are present at 1+ bilateral. Exhibit 3 - Diagnostic results: Creatine kinase - CORRECT Breath
sounds
9. A nurse is planning care for a group of postoperative patients. Which of the following interventions
should the nurse identify as the priority? - CORRECT Administer oxygen to a patient who has an
oxygen saturation of 91%
10. A nurse is providing discharge teaching to a patient who has heart failure and a prescription for
furosemide 20 mg PO two times daily. Which of the following instructions should the nurse include in
the teaching? - CORRECT Increase intake of high-potassium foods
A nurse is teaching a patient who has hypertension about dietary modifications to help control blood
pressure. Which of the following food choices should the nurse recommend as the best choice for the
patient to include in their diet? - CORRECT 3 oz of chicken breast
12. A home health nurse is providing teaching to the family of a patient who has a seizure disorder. Which
of the following interventions should the nurse include in the teaching? - CORRECT Position the patient
on their side during a seizure