NUR 185 Exam 2 Questions And Answers Updated
Study Solutions
RN delegating to LPN. Which would you be able to do within your scope of practice? ANS Insert IV in
45-year-old rating pain 10/10 about to go to the Cath lab
Nurse taking care of male patient with burns over 50% of body. Pt. has been in ER for 20 minutes. The nurse
would take which action first? ANS Hang 10 CC's Lactated Ringers
Patient is a 25-year-old admitted to ER. O2 stat of 89 and resp of 86. Unresponsive to stimuli. Nurse
anticipates administration of which medication? ANS Naloxone (Narcan)
During code blue epinephrine is admin IV push. Vial open and dose given. After using the epinephrine, where
should the nurse place the vial? ANS Sharps container
Which patient requires a tetanus toxoid injection? ANS The patient who has 10% burns and has not had a
tetanus shot in 10 years.
Patient with a burn receiving treatments of topical mafenide (Sulfamylon). What kind of teaching would you
do regarding this? ANS It is normal to experience local discomfort and burning after application.
Home safety burn prevention. Which requires further teaching? ANS Heat bottles of infant formula in the
microwave
Teaching newly hired nurse about caring for patient with burns. Which statement requires further teaching?
ANS Burn patients should not have medication pain medications due to drop in BP.
What is impaired physical mobility ANS A limitation in independent, purposeful physical movement of the
body or 1 or more extremities
Why are mechanical aids necessary for patient handling
and movement?
a. Nurses do not have sufficient training using proper
body mechanics to be safe.
, b. Manual lifting techniques are not sufficient to protect
nurses from injury.
c. They reduce the time and number of staff needed to
move the patient.
d. Nurses are not as physically fit as they should be ANS b. The use of assistive equipment as part of a safe
patient
handling and movement program can significantly reduce
the risk of musculoskeletal disorders and contributes to
patient comfort. The use of "body mechanics" (a) has
been shown to be unsafe in relation to the transfer and
movement of patients. The time and number of staff
Which of the following would the nurse expect to assess
when a patient experiences a greater breakdown of protein
than that which is manufactured?
a.Fluid volume excess
b. A contracture
c. Osteoporosis
d. Negative nitrogen balance ANS d. Negative nitrogen balance results when the body
excretes more nitrogen than it takes in. Contractures
Mr. Brown is experiencing some difficulty breathing.
The nurse most appropriately assists him into which
position?
a. Dorsal recumbent position
b. Lateral position
c. Fowler's position
d. Sims' position ANS c. Fowler's position promotes maximal breathing space
in the thoracic cavity and is the position of choice when
someone is having difficulty breathing.
Study Solutions
RN delegating to LPN. Which would you be able to do within your scope of practice? ANS Insert IV in
45-year-old rating pain 10/10 about to go to the Cath lab
Nurse taking care of male patient with burns over 50% of body. Pt. has been in ER for 20 minutes. The nurse
would take which action first? ANS Hang 10 CC's Lactated Ringers
Patient is a 25-year-old admitted to ER. O2 stat of 89 and resp of 86. Unresponsive to stimuli. Nurse
anticipates administration of which medication? ANS Naloxone (Narcan)
During code blue epinephrine is admin IV push. Vial open and dose given. After using the epinephrine, where
should the nurse place the vial? ANS Sharps container
Which patient requires a tetanus toxoid injection? ANS The patient who has 10% burns and has not had a
tetanus shot in 10 years.
Patient with a burn receiving treatments of topical mafenide (Sulfamylon). What kind of teaching would you
do regarding this? ANS It is normal to experience local discomfort and burning after application.
Home safety burn prevention. Which requires further teaching? ANS Heat bottles of infant formula in the
microwave
Teaching newly hired nurse about caring for patient with burns. Which statement requires further teaching?
ANS Burn patients should not have medication pain medications due to drop in BP.
What is impaired physical mobility ANS A limitation in independent, purposeful physical movement of the
body or 1 or more extremities
Why are mechanical aids necessary for patient handling
and movement?
a. Nurses do not have sufficient training using proper
body mechanics to be safe.
, b. Manual lifting techniques are not sufficient to protect
nurses from injury.
c. They reduce the time and number of staff needed to
move the patient.
d. Nurses are not as physically fit as they should be ANS b. The use of assistive equipment as part of a safe
patient
handling and movement program can significantly reduce
the risk of musculoskeletal disorders and contributes to
patient comfort. The use of "body mechanics" (a) has
been shown to be unsafe in relation to the transfer and
movement of patients. The time and number of staff
Which of the following would the nurse expect to assess
when a patient experiences a greater breakdown of protein
than that which is manufactured?
a.Fluid volume excess
b. A contracture
c. Osteoporosis
d. Negative nitrogen balance ANS d. Negative nitrogen balance results when the body
excretes more nitrogen than it takes in. Contractures
Mr. Brown is experiencing some difficulty breathing.
The nurse most appropriately assists him into which
position?
a. Dorsal recumbent position
b. Lateral position
c. Fowler's position
d. Sims' position ANS c. Fowler's position promotes maximal breathing space
in the thoracic cavity and is the position of choice when
someone is having difficulty breathing.
