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NUR 208
NUR 204/ NUR204 Final Exam
(2025/ 2026 Update) | Questions &
Answers| Grade A| 100% Correct
(Verified Solutions)
Which patient will be most likely to have anti-embolism
stockings ordered by the healthcare provider?
A. The patient post surgical on bedrest
B. The patient with severe peripheral neuropathy
C. The patient out of bed with no restrictions
D. The patient with a recent skin graft - ANS ✓a. The patient
post surgical bed rest
The patient is performing self-care. Which of the following
would the nurse recognize as improper hygiene?
A. The patient places their dentures in warm water
B. The patient wipes their eyes from inner to outer with a
washcloth
C. The patient cleans their hands with a hand sanitizer, before
they eat
D. The patient wipes their perineum from back to front - ANS
✓d. The patient wipes their perineum from back to front
Which of the following precautions would the nurse adhere to,
when caring for a patient with Tuberculosis?
A. Contact
B. Standard
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C. Airborne
D. Droplet - ANS ✓c. Airborne
VITAL SIGNS
Which of the following vital signs would be of concern to the
nurse?
A. Temp-100.2 orally, patient started antibiotics 2 hours ago
B. Respiratory rate- 36 one day after surgery
C. Pulse-100, patient complaining of pain scale 8/10
D. BP-110/60, patient positioned on their left side - ANS ✓b.
Respiratory rate- 36 one day after surgery
The patient has an irregular radial pulse after 30 seconds.
Which of the following would the nurse do next?
A. Call the healthcare provider
B. Have another nurse check the pulse
C. Document in the patient chart
D. Obtain an apical pulse - ANS ✓d. Obtain an apical pulse
(one full min)
The patient is in the hospital and is experiencing tachycardia.
Which of the following is a contributing factor?
A. The patient has anxiety
B. The patient is an athlete
C. Pain medication was given 1hr ago
D. The patient has a temp of 98.2 - ANS ✓a. The patient has
anxiety
Which of the following can alter a blood pressure reading?
A. Using a large BP cuff on an obese patient
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B. Releasing the valve of the BP cuff too slowly
C. Playing the stethoscope below the blood pressure cuff
D. Inflating the cuff 30mmhg higher after palpating the last
heart sound - ANS ✓b. Releasing the valve of the BP cuff too
slowly
SKIN AND WOUND CARE
Which abnormal skin color finding would indicate redness in
face or areas of pressure ulcers?
A. Pallor
B. Ecchymosis
C. Erythema
D. Petechiae - ANS ✓c. Erythema
A nurse suspects a wound infection after noting what type of
drainage?
A. Sanguineous
B. Serous
C. Serosanguineous
D. Purulent - ANS ✓d. Purulent
A wound fails to heal properly and begins to separate. The
nurse documents this as
A. Dehiscence
B. Granulation tissue
C. Evisceration
D. Approximation - ANS ✓a. Dehiscence
Which of the following is recommended for wound healing?
A. Protein and Vit C
NUR 208
NUR 208
NUR 204/ NUR204 Final Exam
(2025/ 2026 Update) | Questions &
Answers| Grade A| 100% Correct
(Verified Solutions)
Which patient will be most likely to have anti-embolism
stockings ordered by the healthcare provider?
A. The patient post surgical on bedrest
B. The patient with severe peripheral neuropathy
C. The patient out of bed with no restrictions
D. The patient with a recent skin graft - ANS ✓a. The patient
post surgical bed rest
The patient is performing self-care. Which of the following
would the nurse recognize as improper hygiene?
A. The patient places their dentures in warm water
B. The patient wipes their eyes from inner to outer with a
washcloth
C. The patient cleans their hands with a hand sanitizer, before
they eat
D. The patient wipes their perineum from back to front - ANS
✓d. The patient wipes their perineum from back to front
Which of the following precautions would the nurse adhere to,
when caring for a patient with Tuberculosis?
A. Contact
B. Standard
NUR 208
, 2
NUR 208
C. Airborne
D. Droplet - ANS ✓c. Airborne
VITAL SIGNS
Which of the following vital signs would be of concern to the
nurse?
A. Temp-100.2 orally, patient started antibiotics 2 hours ago
B. Respiratory rate- 36 one day after surgery
C. Pulse-100, patient complaining of pain scale 8/10
D. BP-110/60, patient positioned on their left side - ANS ✓b.
Respiratory rate- 36 one day after surgery
The patient has an irregular radial pulse after 30 seconds.
Which of the following would the nurse do next?
A. Call the healthcare provider
B. Have another nurse check the pulse
C. Document in the patient chart
D. Obtain an apical pulse - ANS ✓d. Obtain an apical pulse
(one full min)
The patient is in the hospital and is experiencing tachycardia.
Which of the following is a contributing factor?
A. The patient has anxiety
B. The patient is an athlete
C. Pain medication was given 1hr ago
D. The patient has a temp of 98.2 - ANS ✓a. The patient has
anxiety
Which of the following can alter a blood pressure reading?
A. Using a large BP cuff on an obese patient
NUR 208
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NUR 208
B. Releasing the valve of the BP cuff too slowly
C. Playing the stethoscope below the blood pressure cuff
D. Inflating the cuff 30mmhg higher after palpating the last
heart sound - ANS ✓b. Releasing the valve of the BP cuff too
slowly
SKIN AND WOUND CARE
Which abnormal skin color finding would indicate redness in
face or areas of pressure ulcers?
A. Pallor
B. Ecchymosis
C. Erythema
D. Petechiae - ANS ✓c. Erythema
A nurse suspects a wound infection after noting what type of
drainage?
A. Sanguineous
B. Serous
C. Serosanguineous
D. Purulent - ANS ✓d. Purulent
A wound fails to heal properly and begins to separate. The
nurse documents this as
A. Dehiscence
B. Granulation tissue
C. Evisceration
D. Approximation - ANS ✓a. Dehiscence
Which of the following is recommended for wound healing?
A. Protein and Vit C
NUR 208
