NUR 2101 Exam 2 Questions With Complete Solutions
A new mother is exhausted because her 4-week-old infant is
unable to sleep through the night. Which is the best
recommendation of the nurse?
a. "Try to sleep when your baby is sleeping."
b. "Try keeping the room warm during the night."
c. "Try not to let your baby nap during the day."
d. "Try laying the baby on his stomach at night." Correct
Answers a. "Try to sleep when your baby is sleeping."
Infants usually develop a nighttime pattern of sleep by 3 to 4
months of age. The neonate and infant up to the age of 3 months
average about 16 to 18 hours of sleep a day. The mother should
be encouraged to sleep when the baby is sleeping. Infants sleep
best when the room temperature is 18° C to 21° C (64° F to 70°
F). The infant is likely to become irritable and overtired if
napping during the day is prevented. Infants should be laid on
their backs to sleep to prevent Sudden Infant Death Syndrome.
A nurse discovers an electrical fire in a patients room. Which
actions should the nurse take first?
1. Turn off the oxygen to the wall unit
2. Evacuate any patients/visitors in immediate danger
3. Close all doors and windows
4. Use water from the sink in the patient room to extinguish fire
Correct Answers 2. Evacuate any patients/visitors in immediate
danger
,A nurse has been temporarily assigned to the night shift. A
change in this circadian rhythm may cause which of the
following? (Select all that apply.)
a. Anxiety
b. Weight gain
c. Decreased appetite
d. Impaired judgment
e. Increased periods of sleep Correct Answers a. Anxiety
c. Decreased appetite
d. Impaired judgment
When the sleep-wake cycle becomes disrupted (e.g., by working
rotating shifts), other physiological functions change as well.
For example, a new nurse who starts working the night shift
experiences a decreased appetite and loses weight, not weight
gain. Anxiety, restlessness, irritability, and impaired judgment
are other common symptoms of sleep cycle disturbances.
Decreased, not increased, periods of sleep can occur. Failure to
maintain an individual's usual sleep-wake cycle negatively
influences the person's overall health.
A nurse is caring for a patient who suffers from a sleep pattern
disturbance. To promote adequate sleep, what are the most
appropriate nursing interventions? (Select all that apply.)
a. Provide personal hygiene before bedtime.
b. Straighten and change any soiled bed linens.
c. Assist the patient to use the toilet before bed.
d. Administer sleep aids every night at the same time.
e. Synchronize the schedule for medications and vital signs.
Correct Answers a. Provide personal hygiene before bedtime.
b. Straighten and change any soiled bed linens.
,c. Assist the patient to use the toilet before bed.
e. Synchronize the schedule for medications and vital signs.
You will make the patient more comfortable in an acute care
setting by providing personal hygiene before bedtime. Have
patients void before going to bed so they are not kept awake by
a full bladder. Clean, dry linens make the patient comfortable for
falling asleep. Medications and vital signs should be scheduled
to wake the patient as infrequently as possible. Sleep aids should
be avoided as they carry risk of side effects and long-term
dependency.
A nurse is caring for a patient with a history of urinary retention.
Which findings indicate the need to use a bladder scanner to
measure postvoid residual? (Select all that apply.)
1. Dribbling urine while experiencing urgency
2. Absence of voiding in more than 6 hours
3. Reports of pain with palpation of the bladder
4. Swelling over the lower abdomen extending to the umbilicus
5. Visible hematuria noted with the patients last void Correct
Answers 1. Dribbling urine while experiencing urgency
2. Absence of voiding in more than 6 hours
3. Reports of pain with palpation of the bladder
4. Swelling over the lower abdomen extending to the umbilicus
A nurse is completing a sleep history for a patient being
assessed for obstructive sleep apnea (OSA). Which symptoms
does the nurse expect the patient to report? (Select all that
apply.)
1. Nocturia
2. Frightening dreamlike experiences
, 3. Snoring
4. Fatigue
5. Increased sex drive Correct Answers 1. Nocturia
3. Snoring
4. Fatigue
A patient diagnosed with a multidrug-resitant organism in a
surgical wound asks the nurse what it means to be placed on
isolation. What is the nurse's best response?
1. The patient must remain in the room at all times so that
contact with other patients is avoided.
2. The organism is easily spread, so family and visitors must be
limited to one at a time.
3. The patient needs to remain in the room at all times and wear
gloves when using the restroom.
4. The patient must remain in the room most of the time to
control for transmission of the infection but with proper
precautions can leave the room for procedures. Correct Answers
4. The patient must remain in the room most of the time to
control for transmission of the infection but with proper
precautions can leave the room for procedures.
A patient had surgery two days ago. Which intervention will be
included in the plan of care for this patient wearing compression
stockings?
a. The patient's stockings should be removed at night for
washing.
b. Slippers should not be applied over the stockings for
ambulation.
c. Regular size stockings are for females and large size are for
males.
A new mother is exhausted because her 4-week-old infant is
unable to sleep through the night. Which is the best
recommendation of the nurse?
a. "Try to sleep when your baby is sleeping."
b. "Try keeping the room warm during the night."
c. "Try not to let your baby nap during the day."
d. "Try laying the baby on his stomach at night." Correct
Answers a. "Try to sleep when your baby is sleeping."
Infants usually develop a nighttime pattern of sleep by 3 to 4
months of age. The neonate and infant up to the age of 3 months
average about 16 to 18 hours of sleep a day. The mother should
be encouraged to sleep when the baby is sleeping. Infants sleep
best when the room temperature is 18° C to 21° C (64° F to 70°
F). The infant is likely to become irritable and overtired if
napping during the day is prevented. Infants should be laid on
their backs to sleep to prevent Sudden Infant Death Syndrome.
A nurse discovers an electrical fire in a patients room. Which
actions should the nurse take first?
1. Turn off the oxygen to the wall unit
2. Evacuate any patients/visitors in immediate danger
3. Close all doors and windows
4. Use water from the sink in the patient room to extinguish fire
Correct Answers 2. Evacuate any patients/visitors in immediate
danger
,A nurse has been temporarily assigned to the night shift. A
change in this circadian rhythm may cause which of the
following? (Select all that apply.)
a. Anxiety
b. Weight gain
c. Decreased appetite
d. Impaired judgment
e. Increased periods of sleep Correct Answers a. Anxiety
c. Decreased appetite
d. Impaired judgment
When the sleep-wake cycle becomes disrupted (e.g., by working
rotating shifts), other physiological functions change as well.
For example, a new nurse who starts working the night shift
experiences a decreased appetite and loses weight, not weight
gain. Anxiety, restlessness, irritability, and impaired judgment
are other common symptoms of sleep cycle disturbances.
Decreased, not increased, periods of sleep can occur. Failure to
maintain an individual's usual sleep-wake cycle negatively
influences the person's overall health.
A nurse is caring for a patient who suffers from a sleep pattern
disturbance. To promote adequate sleep, what are the most
appropriate nursing interventions? (Select all that apply.)
a. Provide personal hygiene before bedtime.
b. Straighten and change any soiled bed linens.
c. Assist the patient to use the toilet before bed.
d. Administer sleep aids every night at the same time.
e. Synchronize the schedule for medications and vital signs.
Correct Answers a. Provide personal hygiene before bedtime.
b. Straighten and change any soiled bed linens.
,c. Assist the patient to use the toilet before bed.
e. Synchronize the schedule for medications and vital signs.
You will make the patient more comfortable in an acute care
setting by providing personal hygiene before bedtime. Have
patients void before going to bed so they are not kept awake by
a full bladder. Clean, dry linens make the patient comfortable for
falling asleep. Medications and vital signs should be scheduled
to wake the patient as infrequently as possible. Sleep aids should
be avoided as they carry risk of side effects and long-term
dependency.
A nurse is caring for a patient with a history of urinary retention.
Which findings indicate the need to use a bladder scanner to
measure postvoid residual? (Select all that apply.)
1. Dribbling urine while experiencing urgency
2. Absence of voiding in more than 6 hours
3. Reports of pain with palpation of the bladder
4. Swelling over the lower abdomen extending to the umbilicus
5. Visible hematuria noted with the patients last void Correct
Answers 1. Dribbling urine while experiencing urgency
2. Absence of voiding in more than 6 hours
3. Reports of pain with palpation of the bladder
4. Swelling over the lower abdomen extending to the umbilicus
A nurse is completing a sleep history for a patient being
assessed for obstructive sleep apnea (OSA). Which symptoms
does the nurse expect the patient to report? (Select all that
apply.)
1. Nocturia
2. Frightening dreamlike experiences
, 3. Snoring
4. Fatigue
5. Increased sex drive Correct Answers 1. Nocturia
3. Snoring
4. Fatigue
A patient diagnosed with a multidrug-resitant organism in a
surgical wound asks the nurse what it means to be placed on
isolation. What is the nurse's best response?
1. The patient must remain in the room at all times so that
contact with other patients is avoided.
2. The organism is easily spread, so family and visitors must be
limited to one at a time.
3. The patient needs to remain in the room at all times and wear
gloves when using the restroom.
4. The patient must remain in the room most of the time to
control for transmission of the infection but with proper
precautions can leave the room for procedures. Correct Answers
4. The patient must remain in the room most of the time to
control for transmission of the infection but with proper
precautions can leave the room for procedures.
A patient had surgery two days ago. Which intervention will be
included in the plan of care for this patient wearing compression
stockings?
a. The patient's stockings should be removed at night for
washing.
b. Slippers should not be applied over the stockings for
ambulation.
c. Regular size stockings are for females and large size are for
males.
