NUR242/ NUR242 Exam 2 (Latest 2025/ 2026 Update) Medical-Surgical Nursing Concepts| Questions and Answers | 100% Verified Solutions | GRADED A –Galen.

NUR242/ NUR242 Exam 2 (Latest 2025/ 2026 Update) Medical-Surgical Nursing Concepts| Questions and Answers | 100% Verified Solutions | GRADED A –Galen. • Question: While making rounds, the nurse finds a patient on the floor in the hallway. Which action will the nurse do first? Answer: -assess the patient for injury -transfer the patient back to bed -assist the patient to a wheelchair -report the patient's condition to the physician -assess the patient for injury Question: Which action should the nurse take to prevent accidents? Answer: -apply a restraint when the patient is in the wheelchair to keep them from falling -determine the strength of the patient -turn all the lights off in the room so the patient can sleep -provide a cane for walking if the patient is weak -determine the strength of the patient Question: When caring for a patient who is able to get out of bed independently and safely, the nurse will Answer: -leave one side rail at the foot of the bed up -leave one side rail up when there are only two side rails on the bed -leave both side rails up in a two side rail bed -leave all four side rails up for all patients at all times -leave one side rail up when there are only two side rails on the bed Question: The nurse is monitoring for Never Events. Which finding indicates the nurse will report a Never Event? Answer: -a sponge is left in the patient's incision -pulmonary embolism after lung surgery -no blood incompatibility occurs with a blood transfusion -development of stage II pressure ulcer -a sponge is left in the patient's incision Question: The nurse discovers a patient on the floor. The patient states that he fell out of bed. The nurse assesses the patient and finds no apparent changes in the previous assessment. The nurse assists the patient back to bed. Which action should the nurse take next? Answer: -notify the health care provider -do nothing, no harm has occurred -notify the family -complete an incident report -notify the health care provider Question: The nurse is teaching a group of older adults at an assisted living facility about age related physiological changes affecting safety. Which question would be most important for the nurse to ask this group? Answer: -Are you able to taste spices like before? -Are you able to hear the tornado sirens in your area? -Are you able to read the newspaper? -Are you able to open a jar of pickles? -Are you able to hear the tornado sirens in your area? Question: The nurse is trying to use diversion rather than restrain a patient. Which finding will cause the nurse to determine the diversion is working? Answer: -the patient apologizes for being "such a bother" -the patient folds three washcloths over and over -the patient gets restless when the sitter leaves for lunch -the patient continues to get up from the chair at the nurse's station -the patient folds three washcloths over and over Question: The nurse is caring for a patient who suddenly becomes confused and tries to remove a wound dressing. Which priority action will the nurse take? Answer: -call the healthcare provider for a restraint order -gather restraint supplies -remove the dressing and leave wound open to air -assess the patient -assess the patient Question: The nurse is providing patient care for a post surgical patient. Which action indicates the nurse is following the National Patient Safety Goals? Answer: -obtains vital signs prior to sending a patient to surgery -identifies patient with one identifier prior to transporting to the radiology department -uses medication bar coding when administering medications -initiates an IV catheter using clean technique on the first attempt -uses medication bar coding when administering medications Question: The nurse is caring for a patient with a wrist restraint. Upon assessment, the nurse finds the fingers a light blue color. Which action will the nurse take next? Answer: -place the hand under a warm blanket -take the patient's vital signs -remove the restraint -complete a head to toe assessment -remove the restraint Question: The nurse notices an increase in postoperative infections for Aspergillus. Which type of health-care associated infection will the nurse report? Answer: -superinfection -endogenous -exogenous -vector -exogenous Question: The nurse is dressed and is preparing to care for a patient in the perioperative area. The nurse has scrubbed her hands and has donned a sterile gown and gloves. Which action would indicate a break in sterile technique? Answer: -touching protective eyewear -standing with hands folded on chest -accepting sterile supplies from the surgeon -staying with the sterile table once it is open -touching protective eyewear Question: The nurse is caring for a trauma patient who has just been admitted to the emergency department. Which precaution will the nurse use? Answer: -protective -droplet -contact -standard -standard Question: The nurse observes the unlicensed assistive personnel (UAP) turning off the handle faucet with bare hands. Which professional practice principle supports the need for follow-up with the UAP? Answer: -the nurse is responsible for providing a safe environment for the patient -different scopes of practice allow modification of procedures -no follow up is needed since this is not a key step in hand washing -allowing the water to run is a waste of hospital resources -the nurse is responsible for providing a safe environment for the patient Question: The nurse is caring for a patient who becomes nauseated and vomits without warning. The nurse has contaminated hands. Which action is best for the nurse to take next? Answer: -wash hands with an antimicrobial soap and water -clean hands with wipes from the bedside table -wipe hands with a dry paper towel -use alcohol-based gel on hands -wash hands with an antimicrobial soap and water Question: The nurse receives report that a patient with active tuberculosis will be coming to the unit. Which items will the nurse need to care for this patient? Select all that apply. Answer: -positive airflow in room -communication signs for droplet precautions -negative pressure room -N95 respirator mask, gown, gloves, eyewear -communication signs for airborne precautions -negative pressure room -N95 respirator mask, gown, gloves, eyewear -communication signs for airborne precautions Question: The nurse is caring for a patient who has a bloodborne pathogen. The nurse splashes blood above the glove to intact skin while discontinuing an IV catheter. Which step will the nurse take next? Answer: -use an alcohol swab to remove the blood and continue the care -immediately wash the site with soap and running water and seek guidance from the manager -nothing is required because the skin is intact -delay washing the site until the nurse has finished providing care to the patient -immediately wash the site with soap and running water and seek guidance from the manager Question: The nurse is caring for a patient on contact precautions. Which action will be most appropriate to prevent the spread of disease? Answer: -place the patient in a room with negative airflow -transport the patient safely and quickly when going to the radiology department -wear a gown, gloves, face mask, and goggles for interactions with the patient -use a dedicated blood pressure cuff that stays in the room and is used for that patient only -use a dedicated blood pressure cuff that stays in the room and is used for that patient only Question: While changing linens for a postoperative patient, the nurse feels a prick in the left hand. The nurse is at most risk for developing which of the following conditions? Answer: -Hepatitis A -Diphtheria -Methicillin resistant Staphylococcus aureus -Hepatitis B -Hepatitis B Question: The nurse is caring for a group of patients. Which patient will the nurse see first? Answer: -A patient with Hepatitis B in standard precautions -A patient with Clostridium difficile in droplet precautions -A patient with tuberculosis in airborne precautions -A patient with a lung transplant in protective environment precautions -A patient with a lung transplant in protective environment precautions