NUR 209 FINAL EXAM EXCELSIOR COLLEGE NEWEST 2025
ACTUAL EXAM COMPLETE 180 QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
Which of the following products can affect the permeability of latex gloves? - answer-Petroleum-based
hand lotion
A nurse is collecting data from a client who is 5 days postoperative following abdominal surgery. The
surgeon suspects an incisional wound infection and has prescribed antibiotic therapy for the nurse to
initiate after collecting wound and blood specimens for culture and sensitivity. Which of the following
findings should the nurse expect? - answer--increase in incisional pain
-fever and chills
-reddened wound edges
A nurse educator is reviewing the wound healing process with a group of nurses. The nurse educator
should include in the information which of the following alterations for wound healing by secondary
intention? - answer--Stage 3 pressure injury
-Open burn area
A client who had abdominal surgery 24 hr ago suddenly reports a pulling sensation and pain in their
surgical incision. The nurse checks the surgical wound and finds it separated with viscera protruding.
Which of the following actions should the nurse take? - answer--Cover the area with saline-soaked
sterile dressings
-position the client supine with the hips and knees bent
A nurse is caring for a client who is at risk for developing pressure injury. Which of the following
interventions should the nurse use to help maintain the integrity of the client's skin? - answer--Keep
the head of the bed elevated 30°
-have the client sit on a gel cushion when in a chair
A nurse is obtaining a client's blood pressure and notices the pressure reading on the manometer when
listening to the fourth Korotkoff sound. Which of the following factors does this pressure reading
correlate to? - answer-It might not follow with a fifth Korotkoff sound
,A nurse is collecting data about a client's respiratory condition. Which of the following actions should the
nurse take to determine the depth of the client's respiration? - answer-Observe the degree of
chestwall movement during inspiration and expiration
A nurse is auscultating a client's apical pulse to listen to the S1 and S2 heart sounds. S2 heart sounds are
heard when which of the following occurs? - answer-When the semilunar valves close
A nurse is establishing baseline for a client's respirations. Which of the following actions should the nurse
take? - answer-Observe the client's chest movements while appearing to assess their pulse.
A nurse is obtaining vital signs from a client. Which of the following findings is the priority for the nurse
to report to the provider? - answer-Respirations 30/min
A nurse is preparing to use a tympanic thermometer to acquire a client's temperature. Which of the
following actions should the nurse take to ensure an accurate reading? - answer-Pull the pinna back
and upward gently
A nurse is measuring a client's temperature orally. Which of the following actions should the nurse take?
- answer-Place the probe in the posterior lingual pocket lateral to the midline
A nurse is caring for a client who is receiving enteral tube feedings due to dysphagia. Which of the
following bed positions should the nurse use for safe care of this client? - answer-Semi-fowler's
A nurse is caring for a client who is sitting in a chair and asks to return to bed. Which of the following
actions is the nurse's priority at this time? - answer-determine the client's ability to help with the
transfer
A nurse is instructing a client who has COPD about using the orthopneic position to relieve shortness of
breath. Which of the following statements should the nurse make? - answer-"Have a table beside your
bed so you can sit on the bedside and rest your arms on the table"
, A nurse manager is reviewing guidelines for preventing injury with staff nurses. Which of the following
instructions should the nurse manager include? - answer--Request assistance when repositioning a
client
-Avoid twisting your spine or bending at the waist
-Use smooth movements when lifting and moving clients
A nurse educator is reviewing proper body mechanics during employee orientation. Which of the
following statements should the nurse identify as an indication that an attendee understands the
teaching? - answer--"the lower my center of gravity, the more stability I have."
-"To broaden my base of support, I should spread my feet apart"
-"When I lift an object, I should hold it as close to my body as possible"
A nurse is performing mouth care for a client who is unconscious. Which of the following actions should
the nurse take? - answer-Turn the client's head to the side
A nurse is instructing a client who has diabetes mellitus about foot care. Which of the following
guidelines should the nurse include? - answer--Inspect feet daily
-Use moisturizing lotion on the feet
-Wear cotton socks
A nurse is planning care for a client who develops dyspnea and feels tired after completing morning care.
Which of the following actions should the nurse include in the client's plan of care? - answerSchedule
rest periods during morning care
A nurse is beginning a complete bed bath for a client. After removing the client's gown and placing a bath
blanket over the body, which of the following areas should the nurse wash first? - answer-face
A nurse is preparing to perform denture care for a client. Which of the following actions should the nurse
plan to take? - answer-brush dentures with toothbrush and denture cleaner
ACTUAL EXAM COMPLETE 180 QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
Which of the following products can affect the permeability of latex gloves? - answer-Petroleum-based
hand lotion
A nurse is collecting data from a client who is 5 days postoperative following abdominal surgery. The
surgeon suspects an incisional wound infection and has prescribed antibiotic therapy for the nurse to
initiate after collecting wound and blood specimens for culture and sensitivity. Which of the following
findings should the nurse expect? - answer--increase in incisional pain
-fever and chills
-reddened wound edges
A nurse educator is reviewing the wound healing process with a group of nurses. The nurse educator
should include in the information which of the following alterations for wound healing by secondary
intention? - answer--Stage 3 pressure injury
-Open burn area
A client who had abdominal surgery 24 hr ago suddenly reports a pulling sensation and pain in their
surgical incision. The nurse checks the surgical wound and finds it separated with viscera protruding.
Which of the following actions should the nurse take? - answer--Cover the area with saline-soaked
sterile dressings
-position the client supine with the hips and knees bent
A nurse is caring for a client who is at risk for developing pressure injury. Which of the following
interventions should the nurse use to help maintain the integrity of the client's skin? - answer--Keep
the head of the bed elevated 30°
-have the client sit on a gel cushion when in a chair
A nurse is obtaining a client's blood pressure and notices the pressure reading on the manometer when
listening to the fourth Korotkoff sound. Which of the following factors does this pressure reading
correlate to? - answer-It might not follow with a fifth Korotkoff sound
,A nurse is collecting data about a client's respiratory condition. Which of the following actions should the
nurse take to determine the depth of the client's respiration? - answer-Observe the degree of
chestwall movement during inspiration and expiration
A nurse is auscultating a client's apical pulse to listen to the S1 and S2 heart sounds. S2 heart sounds are
heard when which of the following occurs? - answer-When the semilunar valves close
A nurse is establishing baseline for a client's respirations. Which of the following actions should the nurse
take? - answer-Observe the client's chest movements while appearing to assess their pulse.
A nurse is obtaining vital signs from a client. Which of the following findings is the priority for the nurse
to report to the provider? - answer-Respirations 30/min
A nurse is preparing to use a tympanic thermometer to acquire a client's temperature. Which of the
following actions should the nurse take to ensure an accurate reading? - answer-Pull the pinna back
and upward gently
A nurse is measuring a client's temperature orally. Which of the following actions should the nurse take?
- answer-Place the probe in the posterior lingual pocket lateral to the midline
A nurse is caring for a client who is receiving enteral tube feedings due to dysphagia. Which of the
following bed positions should the nurse use for safe care of this client? - answer-Semi-fowler's
A nurse is caring for a client who is sitting in a chair and asks to return to bed. Which of the following
actions is the nurse's priority at this time? - answer-determine the client's ability to help with the
transfer
A nurse is instructing a client who has COPD about using the orthopneic position to relieve shortness of
breath. Which of the following statements should the nurse make? - answer-"Have a table beside your
bed so you can sit on the bedside and rest your arms on the table"
, A nurse manager is reviewing guidelines for preventing injury with staff nurses. Which of the following
instructions should the nurse manager include? - answer--Request assistance when repositioning a
client
-Avoid twisting your spine or bending at the waist
-Use smooth movements when lifting and moving clients
A nurse educator is reviewing proper body mechanics during employee orientation. Which of the
following statements should the nurse identify as an indication that an attendee understands the
teaching? - answer--"the lower my center of gravity, the more stability I have."
-"To broaden my base of support, I should spread my feet apart"
-"When I lift an object, I should hold it as close to my body as possible"
A nurse is performing mouth care for a client who is unconscious. Which of the following actions should
the nurse take? - answer-Turn the client's head to the side
A nurse is instructing a client who has diabetes mellitus about foot care. Which of the following
guidelines should the nurse include? - answer--Inspect feet daily
-Use moisturizing lotion on the feet
-Wear cotton socks
A nurse is planning care for a client who develops dyspnea and feels tired after completing morning care.
Which of the following actions should the nurse include in the client's plan of care? - answerSchedule
rest periods during morning care
A nurse is beginning a complete bed bath for a client. After removing the client's gown and placing a bath
blanket over the body, which of the following areas should the nurse wash first? - answer-face
A nurse is preparing to perform denture care for a client. Which of the following actions should the nurse
plan to take? - answer-brush dentures with toothbrush and denture cleaner
