NSG 262 EXAM 1 (COMPLETE & VERIFIED) ACTUAL TEST QUESTIONS WITH 100%
ACCURATE SOLUTIONS
A nurse is caring for a confused patient. Which should the nurse do to prevent this patient
from falling?
Maintain close supervision
When caring for a patient with soft wrist restraints on, how often should the restraints be
removed and the area massaged and joints moved through a full range of motion?
Every 2 hours
Which should the nurse do to best prevent a patient from falling?
Assist the patient with ambulation
A nurse is admitting a new patient to the hospital. Which is most important for the nurse to
teach the patient how to do?
Notify the nurse when help is needed
,A male patient is admitted to ambulatory care for a bilateral herniorrhaphy. A nurse on the
unit interviews the patient, obtains the patient's vital signs, and reviews the primary health-
care provider's orders. Which should the nurse do first?
Patient clinical record
Nothing by mouth (NPO)
IVF: 0.9% NaCl at 125mL/hr
Midazolam 5mg, IM for surgery
VS: T 99.2 orally, P 96, RR 22, BP 124/82
Patient states, "I am a little nervous because I have never had surgery before."
Patient reports allergy to oxycodone/acetaminophen but forgets to include an allergy to
latex and peanuts.
Contact the OR upon patient arrival and inform them of the patient's latex allergy
The emergency department [ED] nurse receives a telephone call and is informed that a
tornado has hit a local area and that there are numerous casualties. The victims will be
brought to the ED. What is the initial action the nurse should take?
Activate the emergency response plan
A family member of an older adult patient objects to restraints being used to keep their
loved one from wandering at night. What should the nurse consider in order to avoid the
use of restraints?
Assigning the patient to a room near the nurses station
,An unconscious patient begins vomiting. Which position should the nurse place the
patient?
Side-lying
Which condition identified by the nurse places a patient at the greatest risk for impaired
self-care when toileting?
Fractured hip
A patient is incontinent of urine and stool. For which patient condition should the nurse be
most concerned?
Impaired skin integrity
A nurse gives a bed-bound patient a bed bath. Which is the primary reason why the nurse
provides hygiene care to this patient?
Remove excess oil, perspiration, and bacteria by mechanical cleaning
, A nurse identifies that a patient's pressure ulcer has partial-thickness skin loss involving
the epidermis and dermis. Which state pressure ulcer should the nurse document in the
chart?
Stage II
Contact precautions are initiated for a patient with a health care-associated infection
caused by Methicillin-Resistant Staphylococcus Aureus (MRSA). The nurse prepares to
provide colostomy care and should obtain which protective items to perform this
procedure?
Gloves, gown, goggles, and mask or face shield
A nurse is caring for a patient with meningitis and implements which transmission-based
precautions for this client?
Private room or patient with same precautions
Which is the primary reason nurses should avoid artificial nails?
They can harbor microorganisms
Which condition places a patient at the greatest risk for developing an infection?
Burns over more than 20% of the body
ACCURATE SOLUTIONS
A nurse is caring for a confused patient. Which should the nurse do to prevent this patient
from falling?
Maintain close supervision
When caring for a patient with soft wrist restraints on, how often should the restraints be
removed and the area massaged and joints moved through a full range of motion?
Every 2 hours
Which should the nurse do to best prevent a patient from falling?
Assist the patient with ambulation
A nurse is admitting a new patient to the hospital. Which is most important for the nurse to
teach the patient how to do?
Notify the nurse when help is needed
,A male patient is admitted to ambulatory care for a bilateral herniorrhaphy. A nurse on the
unit interviews the patient, obtains the patient's vital signs, and reviews the primary health-
care provider's orders. Which should the nurse do first?
Patient clinical record
Nothing by mouth (NPO)
IVF: 0.9% NaCl at 125mL/hr
Midazolam 5mg, IM for surgery
VS: T 99.2 orally, P 96, RR 22, BP 124/82
Patient states, "I am a little nervous because I have never had surgery before."
Patient reports allergy to oxycodone/acetaminophen but forgets to include an allergy to
latex and peanuts.
Contact the OR upon patient arrival and inform them of the patient's latex allergy
The emergency department [ED] nurse receives a telephone call and is informed that a
tornado has hit a local area and that there are numerous casualties. The victims will be
brought to the ED. What is the initial action the nurse should take?
Activate the emergency response plan
A family member of an older adult patient objects to restraints being used to keep their
loved one from wandering at night. What should the nurse consider in order to avoid the
use of restraints?
Assigning the patient to a room near the nurses station
,An unconscious patient begins vomiting. Which position should the nurse place the
patient?
Side-lying
Which condition identified by the nurse places a patient at the greatest risk for impaired
self-care when toileting?
Fractured hip
A patient is incontinent of urine and stool. For which patient condition should the nurse be
most concerned?
Impaired skin integrity
A nurse gives a bed-bound patient a bed bath. Which is the primary reason why the nurse
provides hygiene care to this patient?
Remove excess oil, perspiration, and bacteria by mechanical cleaning
, A nurse identifies that a patient's pressure ulcer has partial-thickness skin loss involving
the epidermis and dermis. Which state pressure ulcer should the nurse document in the
chart?
Stage II
Contact precautions are initiated for a patient with a health care-associated infection
caused by Methicillin-Resistant Staphylococcus Aureus (MRSA). The nurse prepares to
provide colostomy care and should obtain which protective items to perform this
procedure?
Gloves, gown, goggles, and mask or face shield
A nurse is caring for a patient with meningitis and implements which transmission-based
precautions for this client?
Private room or patient with same precautions
Which is the primary reason nurses should avoid artificial nails?
They can harbor microorganisms
Which condition places a patient at the greatest risk for developing an infection?
Burns over more than 20% of the body
