Nursing 130 Exam 2 2024/25 questions And Answers
1. The nurse's first action after discovering an electrical fire in a patient's room is to:
a. Activate the fire alarm
b. Confine the fire by closing all doors and windows.
c. Remove all patients in immediate danger.
d. Extinguish the fire by using the nearest fire extinguisher. - ANS - C
2. The parent calls the pediatrician's office frantic about the bottle of cleaner that her 2-year-old son drank.
Which of the following is the most important instruction the nurse gives to this parent?
a. Give the child milk.
b. Give the child syrup of ipecac.
c. Call the poison control center.
d. Take the child to the emergency department. - ANS - C
3. The nursing assessment on a 78-year-old woman reveals shuffling gait, decreased balance, and instability.
On the basis of the patient's data, which one of the following nursing diagnoses indicates an
understanding of the assessment findings?
a. Activity to intolerance
b. Impaired bed mobility
c. Acute pain
d. Risk for falls - ANS - D
4. A couple is with their adolescent daughter for a school physical and state they are worried about all the
safety risks affecting this age. What is the greatest risk for injury for an adolescent?
a. Home accidents
b. Physiological changes of aging
c. Poisoning and child abduction
d. Automobile accidents, suicide, and substance abuse - ANS - D
5. The nurse found a 68-year-old female patient wandering in the hall. The patient says she is looking for the
bathroom. Which interventions are appropriate to ensure the safety of the patient? (Select all that apply)
a. Insert a urinary catheter.
b. Leave a night light on in the bathroom.
c. Ask the physician to order a restraint.
d. Keep the bed in low position with upper and lower side rails up.
e. Assign a staff member to stay with the patient.
f. Provide scheduled toileting during the night shift.
g. Keep the pathway from the bed to the bathroom clear. - ANS - B F G
6. The family of a patient who is confused and ambulatory insists that all four side rails be up when the
patient is alone. What is the best action to take in this situation? (Select 3)
a. Contact the nursing supervisor.
b. Restrict the family's visiting privileges.
c. Ask the family to stay with the patient if possible.
d. Inform the family of the risks associated with side-rail use.
e. Thank the family for being conscientious and put the four rails up.
f. Discuss alternatives with the family that are appropriate for this patient. - ANS - C D F
7. A child in the hospital starts to have a grand mal seizure while playing in the playroom. What is your most
important nursing intervention during this situation?
a. Being cardiopulmonary respiration.
b. Restrain the child to prevent injury.
c. Place a tongue blade over the tongue to prevent aspiration.
d. Clear the area around the child to protect the child from injury. - ANS - D
8. A 62-year-old woman is being discharged to home with her husband after surgery for a hip fracture from
a fall at home. When providing discharge teaching about home safety to this patient and her husband, the
nurse knows that:
a. A safe environment promotes patient activity.
b. Assessment focuses on environmental factors only.
c. Teaching home safety is difficult to do in the hospital setting.
,Nursing 130 Exam 2 2024/25 questions And Answers
d. Most accidents in the older adult are caused by lifestyle factors. - ANS - A
9. The nursing assessment of an 80-year-old patient who demonstrates some confusion but no anxiety
reveals that the patient is a fall risk because she continues to get out of bed without help despite frequent
reminders. The initial nursing intervention to prevent falls for this patient is to:
a. Place a bed alarm device on the bed.
b. Place the patient in a belt restraint.
c. Provide one-on-one observation of the patient.
d. Apply wrist restraints. - ANS - A
10. To ensure the safe use of oxygen in the home by a patient, which of the following teaching points does
the nurse include? (Select 3)
a. Smoking is prohibited around oxygen.
b. Demonstrate how to adjust the oxygen flow rate based on patient symptoms.
c. Do not use electrical equipment around oxygen.
d. Special precautions may be required when traveling with oxygen. - ANS - A C D
11. How does the nurse support a culture of safety? (Select 3)
a. Completing incident reports when appropriate.
b. Completing incident reports for a near miss.
c. Communicating product concerns to an immediate supervisor.
d. Identifying the person responsible for an incident. - ANS - A B C
12. At 3am, the emergency department nurse hears that a tornado hit the east side of town. What action
does the nurse take first?
a. Prepare for an influx of patients.
b. Contract the American Red Cross.
c. Determine how to restore essential services.
d. Evacuate patients per the disaster plan. - ANS - A
13. The nurse is providing education on sexually transmitted infections (STIs) to a group of adolescents. The
nurse knows that further teaching is needed when one of the adolescents states:
a. "A vaccine is available to reduce infection from certain types of human papillomavirus."
b. "I should be screened for an STI after I am with a new partner."
c. "I know I'm not infected if I don't have any symptoms such as discharge or sores."
d. "A viral infection such as herpes or human papillomavirus cannot be treated with antibiotics." -
ANS - C
14. A 25-year-old patient is in the emergency department and states that she has had a cough and fever for
the past 3 days. While performing a physical assessment, the nurse finds several bruises that are in
various stages of healing and suspects that the patient possible is a victim of sexual abuse. Which of the
following is the nurse's first action?
a. Refer the patient to a sexual counselor..
b. Tell the patient about the safe house for women.
c. Ask the patient to describe how she got the bruises.
d. Report the abuse immediately to the proper authorities. - ANS - B
15. A 26-year-old married woman recently discovered that she is pregnant and is at her first prenatal visit.
While assessing the patient, the woman's health nurse practitioner discovers that she has purulent vaginal
discharge. The patient states, "It burns when I urinate, and I seem to have to go to the bathroom
frequently." Based on these symptoms, the nurse practitioner determines that further follow-up is
needed because the patient:
a. Should be tested for human immunodeficiency virus (HIV).
b. May have a sexually transmitted infection (STI) such as chlamydia.
c. Is experiencing normal signs of pregnancy.
d. Needs education on proper perineal hygiene. - ANS - B
16. A new graduate nurse is working in a rehabilitation center that specializes in the care of patients with
spinal cord injuries (SCIs). The new graduate knows that sexual issues are common among patients with
, Nursing 130 Exam 2 2024/25 questions And Answers
SCIs. Which of the following actions enhances the nurse's comfort in discussing sexual issues with the
patients? (Select 3)
a. Clarifying personal values related to sexuality.
b. Role playing discussion of sexual concerns with another nurse.
c. Attending a conference to enhance knowledge about sexuality.
d. Avoiding a discussion of sexual concerns until after completing new nurse orientation. - ANS - A B
C
17. The nurse is gathering a sexual history from a 68-year-old man in a nursing home. It is important for the
nurse to keep in mind that:
a. Older adults are usually not part of a sexual minority group.
b. Older adults sometimes do not reveal intimate details.
c. Older men and women lose their interest in sex.
d. Older adults in nursing homes do not usually participate in sexual activity. - ANS - B
18. Certain cultural groups in the United States are disproportionately affected by diseases such as HIV and
AIDS. The nurse understands that this is most likely caused by: (Select 2)
a. Expectations about behavior by men or women in the culture.
b. Higher percentages of lesbian, gay, bisexual, or transgender individuals in the culture.
c. Genetic predisposition to the disease in the culture.
d. Communication patterns and language practiced by the culture. - ANS - A D
19. Since the majority of sexually transmitted infections (STIs) have few if any symptoms, it is important for
the nurse to:
a. Encourage regular screenings in all sexually active individuals.
b. Provide information about contraception options.
c. Administer prescribed antibiotics for human papillomavirus (HPV) or genital herpes outbreaks.
d. Ask all patients if they are experiencing any symptoms. - ANS - A
20. Establishing trust and encouraging disclosure about sexuality are often facilitated if the nurse begins by
asking the patient:
a. How often he or she has sexual intercourse.
b. To disrobe in preparation for the physical assessment.
c. For permission to discuss sexual issues.
d. For specific examples of sexual practices and problems. - ANS - C
21. A 15-year-old girl states that she is having unprotected intercourse with her boyfriend. She asks for more
information about birth control methods. The nurse informs the patient that: (Select 2)
a. Condoms or diaphragms must be used with each sexual encounter.
b. Hormonal methods offer little protection against STIs.
c. Barrier methods offer some protections against STIs.
d. Sterilization is an effective option that she should consider. - ANS - B C
22. The nurse reviews the health history of a 24-year-old woman who indicates that she has had three new
sexual partners since her previous examination 2 years ago. The nurse discusses the need for sexually
transmitted infection (STI) screening with the patient even though she denies symptoms or discomfort.
The nurse realizes that the most serious complication from untreated STIs in females is:
a. Genital discharge and dyspareunia.
b. Painful menstrual cycles.
c. Infertility and pelvic inflammatory disease.
d. Genital warts. - ANS - C
23. The nurse is providing education about condom use at a community clinic for older adults. Which of the
following statements demonstrates that the adults understand correct use of condoms? (Select 2)
a. "I can use any kind of lubricant such as lotions or baby oil."
b. "Before using the condom, I should check the package for damage or expiration."
c. "I need to use a condom to help reduce the risk of sexually transmitted infections."
d. "A good place to store condoms is in the bathroom so they don't dry out." - ANS - B C
24. Which of the following represents a nonjudgmental approach when gathering a sexual health history?
a. How do you and your wife/husband feel about intimacy?
1. The nurse's first action after discovering an electrical fire in a patient's room is to:
a. Activate the fire alarm
b. Confine the fire by closing all doors and windows.
c. Remove all patients in immediate danger.
d. Extinguish the fire by using the nearest fire extinguisher. - ANS - C
2. The parent calls the pediatrician's office frantic about the bottle of cleaner that her 2-year-old son drank.
Which of the following is the most important instruction the nurse gives to this parent?
a. Give the child milk.
b. Give the child syrup of ipecac.
c. Call the poison control center.
d. Take the child to the emergency department. - ANS - C
3. The nursing assessment on a 78-year-old woman reveals shuffling gait, decreased balance, and instability.
On the basis of the patient's data, which one of the following nursing diagnoses indicates an
understanding of the assessment findings?
a. Activity to intolerance
b. Impaired bed mobility
c. Acute pain
d. Risk for falls - ANS - D
4. A couple is with their adolescent daughter for a school physical and state they are worried about all the
safety risks affecting this age. What is the greatest risk for injury for an adolescent?
a. Home accidents
b. Physiological changes of aging
c. Poisoning and child abduction
d. Automobile accidents, suicide, and substance abuse - ANS - D
5. The nurse found a 68-year-old female patient wandering in the hall. The patient says she is looking for the
bathroom. Which interventions are appropriate to ensure the safety of the patient? (Select all that apply)
a. Insert a urinary catheter.
b. Leave a night light on in the bathroom.
c. Ask the physician to order a restraint.
d. Keep the bed in low position with upper and lower side rails up.
e. Assign a staff member to stay with the patient.
f. Provide scheduled toileting during the night shift.
g. Keep the pathway from the bed to the bathroom clear. - ANS - B F G
6. The family of a patient who is confused and ambulatory insists that all four side rails be up when the
patient is alone. What is the best action to take in this situation? (Select 3)
a. Contact the nursing supervisor.
b. Restrict the family's visiting privileges.
c. Ask the family to stay with the patient if possible.
d. Inform the family of the risks associated with side-rail use.
e. Thank the family for being conscientious and put the four rails up.
f. Discuss alternatives with the family that are appropriate for this patient. - ANS - C D F
7. A child in the hospital starts to have a grand mal seizure while playing in the playroom. What is your most
important nursing intervention during this situation?
a. Being cardiopulmonary respiration.
b. Restrain the child to prevent injury.
c. Place a tongue blade over the tongue to prevent aspiration.
d. Clear the area around the child to protect the child from injury. - ANS - D
8. A 62-year-old woman is being discharged to home with her husband after surgery for a hip fracture from
a fall at home. When providing discharge teaching about home safety to this patient and her husband, the
nurse knows that:
a. A safe environment promotes patient activity.
b. Assessment focuses on environmental factors only.
c. Teaching home safety is difficult to do in the hospital setting.
,Nursing 130 Exam 2 2024/25 questions And Answers
d. Most accidents in the older adult are caused by lifestyle factors. - ANS - A
9. The nursing assessment of an 80-year-old patient who demonstrates some confusion but no anxiety
reveals that the patient is a fall risk because she continues to get out of bed without help despite frequent
reminders. The initial nursing intervention to prevent falls for this patient is to:
a. Place a bed alarm device on the bed.
b. Place the patient in a belt restraint.
c. Provide one-on-one observation of the patient.
d. Apply wrist restraints. - ANS - A
10. To ensure the safe use of oxygen in the home by a patient, which of the following teaching points does
the nurse include? (Select 3)
a. Smoking is prohibited around oxygen.
b. Demonstrate how to adjust the oxygen flow rate based on patient symptoms.
c. Do not use electrical equipment around oxygen.
d. Special precautions may be required when traveling with oxygen. - ANS - A C D
11. How does the nurse support a culture of safety? (Select 3)
a. Completing incident reports when appropriate.
b. Completing incident reports for a near miss.
c. Communicating product concerns to an immediate supervisor.
d. Identifying the person responsible for an incident. - ANS - A B C
12. At 3am, the emergency department nurse hears that a tornado hit the east side of town. What action
does the nurse take first?
a. Prepare for an influx of patients.
b. Contract the American Red Cross.
c. Determine how to restore essential services.
d. Evacuate patients per the disaster plan. - ANS - A
13. The nurse is providing education on sexually transmitted infections (STIs) to a group of adolescents. The
nurse knows that further teaching is needed when one of the adolescents states:
a. "A vaccine is available to reduce infection from certain types of human papillomavirus."
b. "I should be screened for an STI after I am with a new partner."
c. "I know I'm not infected if I don't have any symptoms such as discharge or sores."
d. "A viral infection such as herpes or human papillomavirus cannot be treated with antibiotics." -
ANS - C
14. A 25-year-old patient is in the emergency department and states that she has had a cough and fever for
the past 3 days. While performing a physical assessment, the nurse finds several bruises that are in
various stages of healing and suspects that the patient possible is a victim of sexual abuse. Which of the
following is the nurse's first action?
a. Refer the patient to a sexual counselor..
b. Tell the patient about the safe house for women.
c. Ask the patient to describe how she got the bruises.
d. Report the abuse immediately to the proper authorities. - ANS - B
15. A 26-year-old married woman recently discovered that she is pregnant and is at her first prenatal visit.
While assessing the patient, the woman's health nurse practitioner discovers that she has purulent vaginal
discharge. The patient states, "It burns when I urinate, and I seem to have to go to the bathroom
frequently." Based on these symptoms, the nurse practitioner determines that further follow-up is
needed because the patient:
a. Should be tested for human immunodeficiency virus (HIV).
b. May have a sexually transmitted infection (STI) such as chlamydia.
c. Is experiencing normal signs of pregnancy.
d. Needs education on proper perineal hygiene. - ANS - B
16. A new graduate nurse is working in a rehabilitation center that specializes in the care of patients with
spinal cord injuries (SCIs). The new graduate knows that sexual issues are common among patients with
, Nursing 130 Exam 2 2024/25 questions And Answers
SCIs. Which of the following actions enhances the nurse's comfort in discussing sexual issues with the
patients? (Select 3)
a. Clarifying personal values related to sexuality.
b. Role playing discussion of sexual concerns with another nurse.
c. Attending a conference to enhance knowledge about sexuality.
d. Avoiding a discussion of sexual concerns until after completing new nurse orientation. - ANS - A B
C
17. The nurse is gathering a sexual history from a 68-year-old man in a nursing home. It is important for the
nurse to keep in mind that:
a. Older adults are usually not part of a sexual minority group.
b. Older adults sometimes do not reveal intimate details.
c. Older men and women lose their interest in sex.
d. Older adults in nursing homes do not usually participate in sexual activity. - ANS - B
18. Certain cultural groups in the United States are disproportionately affected by diseases such as HIV and
AIDS. The nurse understands that this is most likely caused by: (Select 2)
a. Expectations about behavior by men or women in the culture.
b. Higher percentages of lesbian, gay, bisexual, or transgender individuals in the culture.
c. Genetic predisposition to the disease in the culture.
d. Communication patterns and language practiced by the culture. - ANS - A D
19. Since the majority of sexually transmitted infections (STIs) have few if any symptoms, it is important for
the nurse to:
a. Encourage regular screenings in all sexually active individuals.
b. Provide information about contraception options.
c. Administer prescribed antibiotics for human papillomavirus (HPV) or genital herpes outbreaks.
d. Ask all patients if they are experiencing any symptoms. - ANS - A
20. Establishing trust and encouraging disclosure about sexuality are often facilitated if the nurse begins by
asking the patient:
a. How often he or she has sexual intercourse.
b. To disrobe in preparation for the physical assessment.
c. For permission to discuss sexual issues.
d. For specific examples of sexual practices and problems. - ANS - C
21. A 15-year-old girl states that she is having unprotected intercourse with her boyfriend. She asks for more
information about birth control methods. The nurse informs the patient that: (Select 2)
a. Condoms or diaphragms must be used with each sexual encounter.
b. Hormonal methods offer little protection against STIs.
c. Barrier methods offer some protections against STIs.
d. Sterilization is an effective option that she should consider. - ANS - B C
22. The nurse reviews the health history of a 24-year-old woman who indicates that she has had three new
sexual partners since her previous examination 2 years ago. The nurse discusses the need for sexually
transmitted infection (STI) screening with the patient even though she denies symptoms or discomfort.
The nurse realizes that the most serious complication from untreated STIs in females is:
a. Genital discharge and dyspareunia.
b. Painful menstrual cycles.
c. Infertility and pelvic inflammatory disease.
d. Genital warts. - ANS - C
23. The nurse is providing education about condom use at a community clinic for older adults. Which of the
following statements demonstrates that the adults understand correct use of condoms? (Select 2)
a. "I can use any kind of lubricant such as lotions or baby oil."
b. "Before using the condom, I should check the package for damage or expiration."
c. "I need to use a condom to help reduce the risk of sexually transmitted infections."
d. "A good place to store condoms is in the bathroom so they don't dry out." - ANS - B C
24. Which of the following represents a nonjudgmental approach when gathering a sexual health history?
a. How do you and your wife/husband feel about intimacy?
