NURS 221 – Midterm Questions with Correct Answers Verified by Experts| Latest Update
The nurse is caring for a client who is receiving a prescribed intravenous (IV) infusion of an
antibiotic to treat an infection. The client asks the nurse, "Can I just take a pill?" What is the
best response by the nurse? "An IV infusion maintains a therapeutic level of the medication
in your blood."
What action should the nurse take when giving an intramuscular injection using the Z-track
method? do not massage the site because it may cause irritation
At what point should the nurse perform the first of the three checks of medication
administration? as the nurse reaches for the drug package or container
A nurse is preparing to administer a rectal suppository to an adult client. How many inches
should the nurse to insert the suppository? 3 inches (8cm)
The nurse is caring for a client who has a heavy exudating wound that needs autolytic
debridement. Which wound dressing/product is most appropriate to use on the wound? an
alginate dressing
A nurse is caring for a client with a nonhealing stage IV pressure ulcer. The nurse observes an
area in the wound that is hollow between the outer surface and the wound bed. What is the
correct term for this condition? undermining
The thin, outermost layer of the skin is continuously shed in a process called: desquamation
The nurse is caring for a client with terminal bone cancer. The client states, "My pain is getting
worse and worse and the morphine doesn't help anymore." The nurse determines the client's
pain is malignant
,The nurse has provided a hot pack to a client who has been experiencing neck pain. According
to the gate control theory of pain transmission, why is this intervention likely to be effective?
Heat stimulates the large-diameter fibers that inhibit pain transmission.
The nurse manager is assessing the unit for proper work ergonomics. Which finding will require
immediate intervention by the nurse manager? Nurses and unit assistants use telephones
with handsets.
1) purpose of vitals signs
2) most accurate form of temperature
3)normal BP
4) normal heart rate 1) establish a baseline
2) rectal
3) 120/80
4) 60-100
1) use with all patients be aware of CMV, HIV, Hepatitis B and C, aspergillosis - what PPE would
you use
2) use with patients who have contaminant that can be transported on person or clothing to
others. Be aware of blood borne, e-coli, wound infections with MRSA, VRE, and E coli, influenza,
lice, scabies, herpes - what PPE would you use 1) Standard - clean hands, cover mouth and
nose or tissue when coughing or sneezing, gown and glove if likely soiling, mask and eye wear if
splashing fluid
, 2) Contact - gown, gloves
1) Use with patients who have contaminants that travel by respiratory system: MRSA,
pneumonias, influenzas, mumps, rubella - what PPE is used
2) use with patients with contaminants that transport with air currents; like TB, varicella - what
PPE is used 1) droplet - gown, gloves, mask, clean hands
2) airborne - keep door closed, gown and gloves, N-95 mask
1) what is the problem for the patient, identify points that describes a problem, body system
and document all findings
2) wording the problem in terms of patients RESPONSE to illness or condition or circumstances
3) based on assessment finds and nsg. diagnosis. patient centered, start with standard of care,
individualize, prevention, maintenance, restoration
4) independent, dependent, interdependent. Short term and long term goals
5) implementations
6) collect outcome data, compare data, draw conclusions 1) assessment
2) diagnosis
3) planning
The nurse is caring for a client who is receiving a prescribed intravenous (IV) infusion of an
antibiotic to treat an infection. The client asks the nurse, "Can I just take a pill?" What is the
best response by the nurse? "An IV infusion maintains a therapeutic level of the medication
in your blood."
What action should the nurse take when giving an intramuscular injection using the Z-track
method? do not massage the site because it may cause irritation
At what point should the nurse perform the first of the three checks of medication
administration? as the nurse reaches for the drug package or container
A nurse is preparing to administer a rectal suppository to an adult client. How many inches
should the nurse to insert the suppository? 3 inches (8cm)
The nurse is caring for a client who has a heavy exudating wound that needs autolytic
debridement. Which wound dressing/product is most appropriate to use on the wound? an
alginate dressing
A nurse is caring for a client with a nonhealing stage IV pressure ulcer. The nurse observes an
area in the wound that is hollow between the outer surface and the wound bed. What is the
correct term for this condition? undermining
The thin, outermost layer of the skin is continuously shed in a process called: desquamation
The nurse is caring for a client with terminal bone cancer. The client states, "My pain is getting
worse and worse and the morphine doesn't help anymore." The nurse determines the client's
pain is malignant
,The nurse has provided a hot pack to a client who has been experiencing neck pain. According
to the gate control theory of pain transmission, why is this intervention likely to be effective?
Heat stimulates the large-diameter fibers that inhibit pain transmission.
The nurse manager is assessing the unit for proper work ergonomics. Which finding will require
immediate intervention by the nurse manager? Nurses and unit assistants use telephones
with handsets.
1) purpose of vitals signs
2) most accurate form of temperature
3)normal BP
4) normal heart rate 1) establish a baseline
2) rectal
3) 120/80
4) 60-100
1) use with all patients be aware of CMV, HIV, Hepatitis B and C, aspergillosis - what PPE would
you use
2) use with patients who have contaminant that can be transported on person or clothing to
others. Be aware of blood borne, e-coli, wound infections with MRSA, VRE, and E coli, influenza,
lice, scabies, herpes - what PPE would you use 1) Standard - clean hands, cover mouth and
nose or tissue when coughing or sneezing, gown and glove if likely soiling, mask and eye wear if
splashing fluid
, 2) Contact - gown, gloves
1) Use with patients who have contaminants that travel by respiratory system: MRSA,
pneumonias, influenzas, mumps, rubella - what PPE is used
2) use with patients with contaminants that transport with air currents; like TB, varicella - what
PPE is used 1) droplet - gown, gloves, mask, clean hands
2) airborne - keep door closed, gown and gloves, N-95 mask
1) what is the problem for the patient, identify points that describes a problem, body system
and document all findings
2) wording the problem in terms of patients RESPONSE to illness or condition or circumstances
3) based on assessment finds and nsg. diagnosis. patient centered, start with standard of care,
individualize, prevention, maintenance, restoration
4) independent, dependent, interdependent. Short term and long term goals
5) implementations
6) collect outcome data, compare data, draw conclusions 1) assessment
2) diagnosis
3) planning
