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.
After determining the proper size stocking and assessing the patient's circulatory status, a nurse
delegates the application of elastic stockings to nursing assistive personnel (NAP). The nurse
discovers that the NAP has been using moisturizer on the patient's legs before applying the stockings.
What is the best action by the nurse? - ANSWER-Instruct NAP to use a small amount of cornstarch
or powder.
A male patient on bed rest is permitted to stand to use the urinal. Which action would the nurse take
to ensure his safety before helping him to a standing position? - ANSWER-Determine his risk for
orthostatic hypotension
, The nurse is delegating to nursing assistive personnel (NAP) the task of assisting with a urinal. The
nurse specifies to NAP that the urinal is to be used in bed, not in a standing position, for which
patient? - ANSWER-Patient with complete left-sided paralysis caused by a stroke
Why would the nurse assess a patient's abdomen before helping with the use of a urinal? -
ANSWER-To assess for bladder distention
The nurse is assisting a patient with the placement of a urinal. The patient tells the nurse, "I'll call you
when I'm done." What is the nurse's best response? - ANSWER-"Fine. Recap the urinal, hang it on
your side rail, and use your call light to let me know you're finished."
Which action promotes infection control when assisting a patient with a urinal? - ANSWERApplying
gloves before emptying and cleaning the patient's urinal
The nurse has delegated to nursing assistive personnel (NAP) the skill of assisting with a bedpan for a
patient who has had discomfort when walking to the bathroom. Which statement made by the NAP
requires the nurse's follow-up? - ANSWER-"If I can get someone to help, I'll walk her to the
bathroom." The NAP is not qualified to determine whether it is appropriate to ambulate the patient.
The nurse has delegated the skill of assisting with a bedpan, and the NAP should carry out that
responsibility as instructed
A patient with a nasogastric tube, an intravenous infusion line, and an indwelling urinary catheter
needs to be placed on the bedpan. Which action would the nurse take first to ensure the patient's
safety? - ANSWER-Obtain help to place the patient on the bedpan.
A dependent, confused patient is being given a bedpan. How can the nurse best ensure the patient's
safety? - ANSWER-Raise the side rails on the bed before leaving the room.
The nurse is assisting with a bedpan for a patient who had knee surgery 24 hours ago. What is the
best way for the nurse to maximize comfort while the patient uses the bedpan? - ANSWER-elevate
the head of the bed to between 30 and 60 degrees.