ANSWERS 2025 LATEST UPDATE//ALL YOU NEED TO PASS
NURS 311 EXAM//GRADED A+
What will the nurse instruct nursing assistive personnel (NAP) to do when measuring a patient's
rectal temperature using an electronic thermometer? - ANSWER-Use the probe with the red tip.
what contraindicates taking a rectal temperature measurement - ANSWER-Patient has painful and
swollen hemorrhoids.
Which nursing action best evaluates the effectiveness of an antipyretic medication in a patient with
an oral temperature of 101.6°F? - ANSWER-Assess oral temperature 30 minutes after the agent is
administered.
Which instruction might the nurse give to nursing assistive personal (NAP) that is applicable only to
tympanic temperature assessment? - ANSWER-Gently tug the pinna backward, up, and out before
inserting the probe.
The nurse has selected a finger as the puncture site to measure the blood glucose level of a female
patient with type 2 diabetes mellitus and peripheral vascular disease (PVD). Although all of the
actions listed below are appropriate, which one would be of particular benefit to this patient given
her medical history? - ANSWER-Keeping the finger in a dependent position during the puncture
The nurse would keep the finger in a dependent position to encourage blood flow to the intended
puncture site. Blood flow to the extremities is compromised in patients with PVD.
For which patient can the nurse delegate to nursing assistive personnel (NAP) the task of routine
blood glucose monitoring? - ANSWER-Patient with type 2 diabetes who has had a closed reduction
of a fracture of the right wrist. This patient's condition would affect his or her ability to self-perform
blood glucose testing but would not affect his or her blood glucose level. The skill of blood glucose
testing may therefore be delegated to NAP.
For which situation would the procedure of glucose testing be interrupted? - ANSWER-An unused
lancet is not available.The unavailability of an unused lancet would preclude proceeding with blood
glucose testing. A used lancet can never be reused, because of the risk for infection. The nurse must
locate an unused lancet for the procedure.
, A patient with type 2 diabetes mellitus tells the nurse that he has been testing his own blood glucose
level six times per day for the past 3 years. What is the most appropriate action for the nurse to take?
- ANSWER-Observe the patient's testing technique for accuracy. It is useful to evaluate the
patient's technique to ensure that he receives accurate results.
Which action would the nurse carry out first when performing a blood glucose test on a patient with
type 1 diabetes mellitus? - ANSWER-Assess the patient's skin for possible puncture sites. The
nurse's first action would be to assess possible puncture sites.
What is the nurse's primary goal for appropriate, effective pain management when considering the
patient's risk for injury? - ANSWER-To maximize pain relief while maintaining the patient's ability
to function
What is one step the nurse would take if a patient receiving patient-controlled analgesia (PCA) were
difficult to arouse? - ANSWER-Assess respiration, and then notify the health care provider
immediately
When a patient is using PCA, which statement is appropriate for the nurse to make to nursing
assistive personnel (NAP)? - ANSWER-"Tell me if the patient is in too much pain to assist with his
bath."
Which patient outcome best reflects adequate management for pain originally rated as 8 out of 10
on a pain scale? - ANSWER-The patient rates current pain as 4 out of 10
What will the nurse do when discontinuing PCA? - ANSWER-Ensure that the main intravenous line
is intact
When caring for a patient receiving oxygen by nasal cannula, which of the following is a priority to
help maintain good skin integrity? - ANSWER-Assessing the patient's external ears, nares, and
nasal mucosa for breakdown at least once per shift
When caring for a patient who is receiving oxygen by simple face mask, which action ensures that the
rate of oxygen being delivered is appropriate? - ANSWER-Assessing for proper placement of the
mask on the patient's face