NUR 224 EXAM 2 REVIEW QUESTIONS
The nurse is caring for a client receiving bolus feedings via a nasogastric (NG) tube.
The nurse should place the client in which position to administer the feeding? -
Answers - Semi-Fowler's
The nurse is caring for a client who will be taught to ambulate with a cane. Before cane-
assisted ambulation instructions begin, what should the nurse check for as the priority to
assure client safety? - Answers - Balance, muscle strength, and confidence
Which interventions should the nurse perform when inserting an indwelling urinary
catheter in order to maintain both the integrity of the catheter and the client's safety?
Select all that apply. - Answers - Advance the catheter 1 to 2 inches after urine
appears in the tubing.
Place the drainage bag lower than the bladder level.
Use strict aseptic technique.
The nurse inserts an indwelling urinary catheter into a client. As the catheter moves into
the bladder, urine begins to flow into the tubing. Which action should the nurse
implement next? - Answers - Advance the catheter 2.5 to 5 cm.
An unlicensed assistive personnel (UAP) is caring for a client who has an indwelling
urinary catheter. Which direction should the registered nurse provide to the UAP
regarding urinary catheter care? - Answers - Use soap and water to cleanse the
perineal area.
The nurse is caring for a client with a terminal condition who is dying. Which respiratory
assessment findings should indicate to the nurse that death is imminent? Select all that
apply. - Answers - Cyanosis
Irregular respiratory pattern
Dyspnea
Adventitious bubbling lung sounds
The nurse admits a client who is in sickle cell crisis. The nurse should prepare for which
intervention as a priority in the management of the client? - Answers - Oxygen
administration
A client admitted to the hospital with a diagnosis of cirrhosis demonstrates massive
ascites causing dyspnea. The nurse performs which intervention as a priority measure
to assist the client with this complication?
Group of answer choices - Answers - Elevates the head of the bed 60 degrees
The nurse manager is providing an educational session to the nursing staff on the safe
use of physical restraints. Which are examples of safety guidelines when using physical
restraints? Select all that apply.
The nurse is caring for a client receiving bolus feedings via a nasogastric (NG) tube.
The nurse should place the client in which position to administer the feeding? -
Answers - Semi-Fowler's
The nurse is caring for a client who will be taught to ambulate with a cane. Before cane-
assisted ambulation instructions begin, what should the nurse check for as the priority to
assure client safety? - Answers - Balance, muscle strength, and confidence
Which interventions should the nurse perform when inserting an indwelling urinary
catheter in order to maintain both the integrity of the catheter and the client's safety?
Select all that apply. - Answers - Advance the catheter 1 to 2 inches after urine
appears in the tubing.
Place the drainage bag lower than the bladder level.
Use strict aseptic technique.
The nurse inserts an indwelling urinary catheter into a client. As the catheter moves into
the bladder, urine begins to flow into the tubing. Which action should the nurse
implement next? - Answers - Advance the catheter 2.5 to 5 cm.
An unlicensed assistive personnel (UAP) is caring for a client who has an indwelling
urinary catheter. Which direction should the registered nurse provide to the UAP
regarding urinary catheter care? - Answers - Use soap and water to cleanse the
perineal area.
The nurse is caring for a client with a terminal condition who is dying. Which respiratory
assessment findings should indicate to the nurse that death is imminent? Select all that
apply. - Answers - Cyanosis
Irregular respiratory pattern
Dyspnea
Adventitious bubbling lung sounds
The nurse admits a client who is in sickle cell crisis. The nurse should prepare for which
intervention as a priority in the management of the client? - Answers - Oxygen
administration
A client admitted to the hospital with a diagnosis of cirrhosis demonstrates massive
ascites causing dyspnea. The nurse performs which intervention as a priority measure
to assist the client with this complication?
Group of answer choices - Answers - Elevates the head of the bed 60 degrees
The nurse manager is providing an educational session to the nursing staff on the safe
use of physical restraints. Which are examples of safety guidelines when using physical
restraints? Select all that apply.
