NURS 305 - exam #2 practice questions with correct
answers
Which amount of protein per kilogram of body weight a day would the
nurse recommend a patient consume to support wound healing?
A. 1.25 to 1.5 g
B. 2 to 3.5 g
C. 3.5 to 4.5 g
D. 5.15 to 6.5 g Correct Answer-1.25 to 1.5 g
The nurse should recommend that the patient consume 1.25 to 1.5 g of
protein per kilogram of body weight a day to support would healing. The
amounts 2 to 3.5 g, 3.5 to 4.5 g, and 5.15 to 6.5 g are too much.
A nurse is performing mouth care for a patient who is unconscious.
Which of the following actions should the nurse take?
A. turn the patient's head to the side
B. place two fingers in the patient's mouth to open
C. brush the patient's teeth once per day
D. inject a mouth rise into the center of the patient's mouth Correct
Answer-A. turn the patient's head to the side
Which intervention would be MOST effective for compromised skin
integrity?
,A. preventing breakdown
B. administering medication
C. implementing wound care
D. monitoring would healing Correct Answer-A. preventing breakdown
The most effective intervention for compromised skin integrity & wound
care is prevention of skin breakdown. Whereas administering
medication, implementing wound care, and monitoring wound healing
are all important nursing actions, prevention is the first step.
The police arrive at the emergency department with a patient who has
lacerated both wrists. Which is the INITIAL nursing action?
A. administer an anti-anxiety agent
B. assess & treat wound sites
C. secure & record a detailed history
D. encourage the patient to ventilate feelings Correct Answer-B. assess
& treat wound sites
The nurse is the first responder after a tornado has destroyed many
homes in the community. Which victim should the nurse attend to
FIRST?
A. a pregnant woman who exclaims, "My baby is not moving!"
,B. a young child standing next to an adult family member who is
screaming, "I want my mommy!"
C. a woman who is complaining, "My leg is bleeding so bad, I am afraid
it is going to fall off!"
D. an older victim who is next to her husband sobbing, "My husband is
dead. My husband is dead." Correct Answer-C. a woman who is
complaining, "My leg is bleeding so bad, I am afraid it is going to fall
off!"
The staff nurse reviews the nursing documentation in a client's chart &
notes that the wound care nurse has documented that the client has a
stage II pressure injury in the sacral area. Which finding would the nurse
expect to note on assessment of the client's sacral area?
A. intact skin
B. full-thickness skin loss
C. exposed bone, tendon, or muscle
D. partial-thickness skin loss of the dermis Correct Answer-D. partial-
thickness skin loss of the dermis
A mother calls a neighbor who is a nurse & tells the nurse that her 3-
year-old child has just ingested liquid furniture polish. The nurse would
direct the mother to take which IMMEDIATE action?
A. bring the child to the emergency department
B. call poison control
, C. induce vomiting
D. call an ambulance Correct Answer-B. call poison control
The home care nurse is performing an environmental assessment in the
home of an older patient. Which observation by the nurse requires
intervention?
A. unsecured scatter rugs
B. clear exit pathways
C. an operable smoke detector
D. pre-filled medication box Correct Answer-A. unsecured scatter rugs
A patient on prolonged bed rest is at an increased risk to develop this
common complication of immobility if preventative measures are not
taken:
A. myoclonus
B. pathological fractures
C. pressure ulcers
D. pruitis Correct Answer-C. pressure ulcers
A patient has her call bell on & looks frightened when you enter the
room. She has been on bed rest for 3 days following a fractured femur.
She says, "It hurts when I try to breath, and I can't catch my breath."
Your first action is to:
answers
Which amount of protein per kilogram of body weight a day would the
nurse recommend a patient consume to support wound healing?
A. 1.25 to 1.5 g
B. 2 to 3.5 g
C. 3.5 to 4.5 g
D. 5.15 to 6.5 g Correct Answer-1.25 to 1.5 g
The nurse should recommend that the patient consume 1.25 to 1.5 g of
protein per kilogram of body weight a day to support would healing. The
amounts 2 to 3.5 g, 3.5 to 4.5 g, and 5.15 to 6.5 g are too much.
A nurse is performing mouth care for a patient who is unconscious.
Which of the following actions should the nurse take?
A. turn the patient's head to the side
B. place two fingers in the patient's mouth to open
C. brush the patient's teeth once per day
D. inject a mouth rise into the center of the patient's mouth Correct
Answer-A. turn the patient's head to the side
Which intervention would be MOST effective for compromised skin
integrity?
,A. preventing breakdown
B. administering medication
C. implementing wound care
D. monitoring would healing Correct Answer-A. preventing breakdown
The most effective intervention for compromised skin integrity & wound
care is prevention of skin breakdown. Whereas administering
medication, implementing wound care, and monitoring wound healing
are all important nursing actions, prevention is the first step.
The police arrive at the emergency department with a patient who has
lacerated both wrists. Which is the INITIAL nursing action?
A. administer an anti-anxiety agent
B. assess & treat wound sites
C. secure & record a detailed history
D. encourage the patient to ventilate feelings Correct Answer-B. assess
& treat wound sites
The nurse is the first responder after a tornado has destroyed many
homes in the community. Which victim should the nurse attend to
FIRST?
A. a pregnant woman who exclaims, "My baby is not moving!"
,B. a young child standing next to an adult family member who is
screaming, "I want my mommy!"
C. a woman who is complaining, "My leg is bleeding so bad, I am afraid
it is going to fall off!"
D. an older victim who is next to her husband sobbing, "My husband is
dead. My husband is dead." Correct Answer-C. a woman who is
complaining, "My leg is bleeding so bad, I am afraid it is going to fall
off!"
The staff nurse reviews the nursing documentation in a client's chart &
notes that the wound care nurse has documented that the client has a
stage II pressure injury in the sacral area. Which finding would the nurse
expect to note on assessment of the client's sacral area?
A. intact skin
B. full-thickness skin loss
C. exposed bone, tendon, or muscle
D. partial-thickness skin loss of the dermis Correct Answer-D. partial-
thickness skin loss of the dermis
A mother calls a neighbor who is a nurse & tells the nurse that her 3-
year-old child has just ingested liquid furniture polish. The nurse would
direct the mother to take which IMMEDIATE action?
A. bring the child to the emergency department
B. call poison control
, C. induce vomiting
D. call an ambulance Correct Answer-B. call poison control
The home care nurse is performing an environmental assessment in the
home of an older patient. Which observation by the nurse requires
intervention?
A. unsecured scatter rugs
B. clear exit pathways
C. an operable smoke detector
D. pre-filled medication box Correct Answer-A. unsecured scatter rugs
A patient on prolonged bed rest is at an increased risk to develop this
common complication of immobility if preventative measures are not
taken:
A. myoclonus
B. pathological fractures
C. pressure ulcers
D. pruitis Correct Answer-C. pressure ulcers
A patient has her call bell on & looks frightened when you enter the
room. She has been on bed rest for 3 days following a fractured femur.
She says, "It hurts when I try to breath, and I can't catch my breath."
Your first action is to:
