NR 224 EXAM 3 LATEST 2 VERSIONS (VERSION A & B) ACTUAL
EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+||CHAMBERLAINE COLLEGE|
2025 UPDATED
A nurse is performing mouth care for a client who is unconscious. Which of the following
actions should the nurse take?
A. Turn the client's head to the side
B. Place two fingers in the client's mouth to open it
C. Brush the client's teeth once per day
D. Inject a mouth rinse into the center of the client's mouth - (ANSWER)A
this reduces risk of aspiration
A nurse is instructing a client who has DM about foot care. Which of the following guidelines
should the nurse include? (Select all that apply)
A. Inspect the feet daily
B. Use moisturizing lotion on the feet
C. wash the feet with warm water and let them air dry
D. use OTC products to treat abrasions
E. wear cotton socks - (ANSWER)A, B, E
Feet should be inspected daily esp for diabetics
Use lotion for smooth and supple skin but do not use b/t toes
Pt should wear clean cotton socks each day esp diabetics
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?
A. schedule rest periods during morning care
,B. discontinue morning care for 2 days
C. perform all care as quickly as possible
D. ask a family member to come in and bathe the client - (ANSWER)A
planning for rest periods during morning care will help prevent fatigue and continue to foster
independence
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?
A. face
B. feet
C. chest
D. arms - (ANSWER)A
greatest risk to the client is the transmission of pathogens from one area of the body to another--
> begin with the cleanest area and then move to the dirtiest
A nurse is preparing to perform denture care for a client. Which of the following actions should
the nurse plan to take?
A. pull down and out at the back of the upper denture to remove
B. brush the dentures with a toothbrush and denture cleaner
C. rinse the dentures with hot water after cleaning them
D. place the dentures in a clean, dry storage container after cleaning them - (ANSWER)B
brushing throughly with a toothbrush and denture cleaner removes the debris that accumulates on
and between the teeth
A nurse is caring for a client scheduled for abdominal surgery. The client reports being worried.
Which of the following actions should the nurse take?
A. offer information on a relaxation technique and ask the client if they are interested in trying it.
B. request a social worker see the client to discuss meditation
C. attempt to use biofeedback techniques with the client
,D. tell the client many people feel the same way before surgery - (ANSWER)A
recommend a noninvasive technique to facilitate coping
A nurse is assessing a client as part of an admission history. The client reports drinking an herbal
tea every afternoon at work to relieve stress. Tea includes which if the following ingredients?
A. chamomile
B. ginseng
C. ginger
D. echinacea - (ANSWER)A
this produces a calming effect and reduces anxiety
A nurse is reviewing complementary and alternative therapies with a group of newly licensed
nurses. Which of the following interventions are mind-body therapies? (Select all that apply)
A. art therapy
B. acupressure
C. yoga
D. therapeutic touch
E. biofeedback - (ANSWER)A, C, E
art therapy allows the client to express unconscious emotions, yoga focuses on achieving well-
being through exercise, posture, breathing and meditation, biofeedback increases mental
awareness of the body's response to stress
A nurse is teaching a group of newly licensed nurses on complementary and alternative therapies
they can incorporate into their practice without the need for specialized licensing or certification.
Which of the following should the nurse encourage them to use? (select all that apply)
A. guided imagery
B. massage therapy
C. meditation
D. music therapy
, E. therapeutic touch - (ANSWER)A, C, D
nurses can use guided imagery, meditation and music therapy with clients
A nurse is planning to use healing intention with a client who is recovering from a lengthy
illness. Which of the following is the priority action to take before attempting this particular
mind-body intervention?
A. tell the client the goal of therapy is to promote healing
B. ask whether the client is comfortable with using prayer
C. encourage the client participate actively for best results
D. instruct the client to relax during the therapy - (ANSWER)B
the first action to take during nursing process is assessment and the nurse must first determine
the client is comfortable with a therapy that involves prayer
A nurse is performing an admission assessment on a client who has hypovolemia due to vomiting
and diarrhea. The nurse should expect which of the following findings? (Select all that apply)
A. distended neck veins
B. hyperthermia
C. tachycardia
D. syncope
E. decreased skin turgor - (ANSWER)C, D, E
all these are expected findings for hypovolemia
A nurse is on a med surg unit caring for a group of clients. The nurse should identify that which
of the following clients is at risk for hypovolemia?
A. client who has a nasogastric suctioning
B. client who has chronic constipation
C. client who has syndrome of inappropriate antidiuretic hormone
D. client who took a toxic dose of sodium bicarbonate antacids - (ANSWER)A
from the Ng tube and excessive GI loses
EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+||CHAMBERLAINE COLLEGE|
2025 UPDATED
A nurse is performing mouth care for a client who is unconscious. Which of the following
actions should the nurse take?
A. Turn the client's head to the side
B. Place two fingers in the client's mouth to open it
C. Brush the client's teeth once per day
D. Inject a mouth rinse into the center of the client's mouth - (ANSWER)A
this reduces risk of aspiration
A nurse is instructing a client who has DM about foot care. Which of the following guidelines
should the nurse include? (Select all that apply)
A. Inspect the feet daily
B. Use moisturizing lotion on the feet
C. wash the feet with warm water and let them air dry
D. use OTC products to treat abrasions
E. wear cotton socks - (ANSWER)A, B, E
Feet should be inspected daily esp for diabetics
Use lotion for smooth and supple skin but do not use b/t toes
Pt should wear clean cotton socks each day esp diabetics
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?
A. schedule rest periods during morning care
,B. discontinue morning care for 2 days
C. perform all care as quickly as possible
D. ask a family member to come in and bathe the client - (ANSWER)A
planning for rest periods during morning care will help prevent fatigue and continue to foster
independence
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?
A. face
B. feet
C. chest
D. arms - (ANSWER)A
greatest risk to the client is the transmission of pathogens from one area of the body to another--
> begin with the cleanest area and then move to the dirtiest
A nurse is preparing to perform denture care for a client. Which of the following actions should
the nurse plan to take?
A. pull down and out at the back of the upper denture to remove
B. brush the dentures with a toothbrush and denture cleaner
C. rinse the dentures with hot water after cleaning them
D. place the dentures in a clean, dry storage container after cleaning them - (ANSWER)B
brushing throughly with a toothbrush and denture cleaner removes the debris that accumulates on
and between the teeth
A nurse is caring for a client scheduled for abdominal surgery. The client reports being worried.
Which of the following actions should the nurse take?
A. offer information on a relaxation technique and ask the client if they are interested in trying it.
B. request a social worker see the client to discuss meditation
C. attempt to use biofeedback techniques with the client
,D. tell the client many people feel the same way before surgery - (ANSWER)A
recommend a noninvasive technique to facilitate coping
A nurse is assessing a client as part of an admission history. The client reports drinking an herbal
tea every afternoon at work to relieve stress. Tea includes which if the following ingredients?
A. chamomile
B. ginseng
C. ginger
D. echinacea - (ANSWER)A
this produces a calming effect and reduces anxiety
A nurse is reviewing complementary and alternative therapies with a group of newly licensed
nurses. Which of the following interventions are mind-body therapies? (Select all that apply)
A. art therapy
B. acupressure
C. yoga
D. therapeutic touch
E. biofeedback - (ANSWER)A, C, E
art therapy allows the client to express unconscious emotions, yoga focuses on achieving well-
being through exercise, posture, breathing and meditation, biofeedback increases mental
awareness of the body's response to stress
A nurse is teaching a group of newly licensed nurses on complementary and alternative therapies
they can incorporate into their practice without the need for specialized licensing or certification.
Which of the following should the nurse encourage them to use? (select all that apply)
A. guided imagery
B. massage therapy
C. meditation
D. music therapy
, E. therapeutic touch - (ANSWER)A, C, D
nurses can use guided imagery, meditation and music therapy with clients
A nurse is planning to use healing intention with a client who is recovering from a lengthy
illness. Which of the following is the priority action to take before attempting this particular
mind-body intervention?
A. tell the client the goal of therapy is to promote healing
B. ask whether the client is comfortable with using prayer
C. encourage the client participate actively for best results
D. instruct the client to relax during the therapy - (ANSWER)B
the first action to take during nursing process is assessment and the nurse must first determine
the client is comfortable with a therapy that involves prayer
A nurse is performing an admission assessment on a client who has hypovolemia due to vomiting
and diarrhea. The nurse should expect which of the following findings? (Select all that apply)
A. distended neck veins
B. hyperthermia
C. tachycardia
D. syncope
E. decreased skin turgor - (ANSWER)C, D, E
all these are expected findings for hypovolemia
A nurse is on a med surg unit caring for a group of clients. The nurse should identify that which
of the following clients is at risk for hypovolemia?
A. client who has a nasogastric suctioning
B. client who has chronic constipation
C. client who has syndrome of inappropriate antidiuretic hormone
D. client who took a toxic dose of sodium bicarbonate antacids - (ANSWER)A
from the Ng tube and excessive GI loses
