NRSG 337 EXAM 2 PRACTICE QUESTIONS AND CORRECT ANSWERS
1. An 82 year old female patient with a foley catheter has A. Infection
new onset of confusion. What potential cause of
this change should the nurse most suspect?
A. Infection
B. ICU psychosis
C. Fatigue
D. Medication allergy
2. A nurse manager is concerned about the number of C. Audit statt
members'
infections on the hospital unit. What action should the hand
hygiene and infec-
nurse manager take first? tion control practices
A.Teach staff members about droplet isolation
precau- tions
B. Establish a policy to remove urinary
catheters quick- ly
C. Audit staff members' hand hygiene and
infection control practices
D. Ensure influenza-positive clients are placed
in ap- propriate isolation
3. A nurse is assessing a post-operative client for C. Assess the client for
the
presence of infection. The client's temperature is 97.6° more specific
signs of in-
F (36.4° C). What action by the nurse is best? D. Conclude
A. Request that the provider order blood that an
cultures. infection is
B. Document findings and continue to monitor. not
present.
C. Assess the client for more specific signs of
infection.
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, NRSG 337 EXAM 2 PRACTICE QUESTIONS AND CORRECT ANSWERS
fection.
4. The nurse is caring for a patient who has septic shock. A. IV fluids to
increase in- Which of the following orders should the nurse imple-
travascular volume. ment first?
A. IV fluids to increase intravascular volume.
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, NRSG 337 EXAM 2 PRACTICE QUESTIONS AND CORRECT ANSWERS
B. Antibiotics to treat the underlying
infection.
C. Vasopressors to increase blood pressure.
D. Corticosteroids to reduce inflammation.
D. A patient who has
5. The nurse is most concerned about risk for
infec-
tion related to a decreased inflammatory response for been
receiving oral corti-
which of the following patients? costeroids .
A. A patient who recently experienced a stress
fracture of the left foot.
B. A patient with gallstones who is
scheduled for a laparoscopic
cholecystectomy in 2 weeks.
C. A patient whose hemoglobin is 13.1 mg/dL
D. A patient who has been receiving oral
corticos- teroids .
A. increased lethargy.
6. Which of the following assessment findings
would be of most concern to the nurse caring
for a patient with sepsis?
A. increased lethargy.
B. intermittent coughing.
C. elevated blood pressure.
D. increased urine output.
7. Which of the following manifestations are NOT includ- B. Cyanosis
ed in the inflammatory response?
A. Edema
B. Cyanosis
C. Heat
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, NRSG 337 EXAM 2 PRACTICE QUESTIONS AND CORRECT ANSWERS
D. Pain
8. An adult client is taking daily prednisone for chronic C. Cytokines
release and
inflammation. Which part of the inflammatory process
lymphocytes
does prednisone interfere with?
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39
1. An 82 year old female patient with a foley catheter has A. Infection
new onset of confusion. What potential cause of
this change should the nurse most suspect?
A. Infection
B. ICU psychosis
C. Fatigue
D. Medication allergy
2. A nurse manager is concerned about the number of C. Audit statt
members'
infections on the hospital unit. What action should the hand
hygiene and infec-
nurse manager take first? tion control practices
A.Teach staff members about droplet isolation
precau- tions
B. Establish a policy to remove urinary
catheters quick- ly
C. Audit staff members' hand hygiene and
infection control practices
D. Ensure influenza-positive clients are placed
in ap- propriate isolation
3. A nurse is assessing a post-operative client for C. Assess the client for
the
presence of infection. The client's temperature is 97.6° more specific
signs of in-
F (36.4° C). What action by the nurse is best? D. Conclude
A. Request that the provider order blood that an
cultures. infection is
B. Document findings and continue to monitor. not
present.
C. Assess the client for more specific signs of
infection.
1/
39
, NRSG 337 EXAM 2 PRACTICE QUESTIONS AND CORRECT ANSWERS
fection.
4. The nurse is caring for a patient who has septic shock. A. IV fluids to
increase in- Which of the following orders should the nurse imple-
travascular volume. ment first?
A. IV fluids to increase intravascular volume.
2/
39
, NRSG 337 EXAM 2 PRACTICE QUESTIONS AND CORRECT ANSWERS
B. Antibiotics to treat the underlying
infection.
C. Vasopressors to increase blood pressure.
D. Corticosteroids to reduce inflammation.
D. A patient who has
5. The nurse is most concerned about risk for
infec-
tion related to a decreased inflammatory response for been
receiving oral corti-
which of the following patients? costeroids .
A. A patient who recently experienced a stress
fracture of the left foot.
B. A patient with gallstones who is
scheduled for a laparoscopic
cholecystectomy in 2 weeks.
C. A patient whose hemoglobin is 13.1 mg/dL
D. A patient who has been receiving oral
corticos- teroids .
A. increased lethargy.
6. Which of the following assessment findings
would be of most concern to the nurse caring
for a patient with sepsis?
A. increased lethargy.
B. intermittent coughing.
C. elevated blood pressure.
D. increased urine output.
7. Which of the following manifestations are NOT includ- B. Cyanosis
ed in the inflammatory response?
A. Edema
B. Cyanosis
C. Heat
3/
39
, NRSG 337 EXAM 2 PRACTICE QUESTIONS AND CORRECT ANSWERS
D. Pain
8. An adult client is taking daily prednisone for chronic C. Cytokines
release and
inflammation. Which part of the inflammatory process
lymphocytes
does prednisone interfere with?
4/
39
