NUR 204 Exam 2 Questions With Complete Solutions
_________ is total separation of the layers of a wound with
internal viscera protruding through the incision. correct answers
Evisceration
1 fl oz = ? mL correct answers 30 mL
1 gr = correct answers 1000 mg
1 kg = ? lb correct answers 2.2 lbs
1 lb = ? grams correct answers 454 grams
1 lb = ? oz correct answers 16 oz
1 oz = ? grams correct answers 30 grams
1 pt = ? oz correct answers 16 oz
A 32-year-old with a high spinal cord injury has been admitted
to the hospital for antibiotic therapy to treat pneumonia. He lives
,independently and has developed strong upper-body strength to
maximize his independence. Which transfer device should be
used when transferring him from the bed to his wheelchair?
1) Mechanical lift
2) Transfer belt
3) Draw sheet
4) Transfer board correct answers 4) Transfer board
A transfer board is used by patients with longstanding mobility
problems; it offers them the greatest amount of independence
while ensuring safety. Patients using a transfer board should
have sufficient upper-body strength to perform the transfer
safely. A mechanical lift could be used, but it does not promote
independence. A transfer belt is used for clients who are able to
stand. A draw sheet is useful for moving a patient in bed rather
than from bed to wheelchair.
A 78-year-old patient is being seen in the emergency
department. The nurse observes his gait and balance appear to
be slightly unsteady. What assessment should the nurse perform
next?
1) Perform the Get Up and Go Test.
,2) Ask the patient if he has fallen in the past year.
3) Refer the patient for a comprehensive fall evaluation.
4) Administer the Timed Up and Go Test. correct answers 2)
Ask the patient if he has fallen in the past year.
A child is brought to the emergency department after
swallowing liquid cleanser. He is awake and alert and able to
swallow. Which action should the nurse take first?
1) Administer a dose of syrup of ipecac.
2) Administer activated charcoal immediately.
3) Give water to the child immediately.
4) Call the nearest poison control center. correct answers 3)
Give water to the child immediately.
A client developed a stage IV pressure ulcer to his sacrum 6
weeks ago, and now the ulcer appears to be a shallow crater
involving only partial skin loss. What would the nurse now
classify the pressure ulcer as?
1) Stage I pressure ulcer, healing
2) Stage II pressure ulcer, healing
3) Stage III pressure ulcer, healing
, 4) Stage IV pressure ulcer, healing correct answers 4) Stage IV
pressure ulcer, healing
Reverse staging is not done because as the ulcer heals with
granulation tissue and becomes shallower, the lost muscle,
subcutaneous fat, and dermis are not replaced. Pressure ulcers
maintain their original staging classification throughout the
healing process but are accompanied by the modifier healing.
A community health nurse is conducting a class about body
mechanics for county workers. Which of the following
instructions should the nurse include? Select all that apply.
correct answers Sit with your back supported
Keep your knees are hip level
Use a ergonomically designed computer keyboard.
Lumbar support in a straight back chair helps maintain good
posture and prevent back pain. Keeping the knees at the level of
the hip or higher helps reduce the risk of lordosis, which is an
exaggeration of the curve of the lumbar spine. Using a keyboard
that maintains ergonomic positioning of the wrist can help
prevent carpal tunnel syndrome.
A frail 78-year-old man is admitted to the hospital after a fall at
home resulted in a left hip fracture. After surgery, he is to begin
_________ is total separation of the layers of a wound with
internal viscera protruding through the incision. correct answers
Evisceration
1 fl oz = ? mL correct answers 30 mL
1 gr = correct answers 1000 mg
1 kg = ? lb correct answers 2.2 lbs
1 lb = ? grams correct answers 454 grams
1 lb = ? oz correct answers 16 oz
1 oz = ? grams correct answers 30 grams
1 pt = ? oz correct answers 16 oz
A 32-year-old with a high spinal cord injury has been admitted
to the hospital for antibiotic therapy to treat pneumonia. He lives
,independently and has developed strong upper-body strength to
maximize his independence. Which transfer device should be
used when transferring him from the bed to his wheelchair?
1) Mechanical lift
2) Transfer belt
3) Draw sheet
4) Transfer board correct answers 4) Transfer board
A transfer board is used by patients with longstanding mobility
problems; it offers them the greatest amount of independence
while ensuring safety. Patients using a transfer board should
have sufficient upper-body strength to perform the transfer
safely. A mechanical lift could be used, but it does not promote
independence. A transfer belt is used for clients who are able to
stand. A draw sheet is useful for moving a patient in bed rather
than from bed to wheelchair.
A 78-year-old patient is being seen in the emergency
department. The nurse observes his gait and balance appear to
be slightly unsteady. What assessment should the nurse perform
next?
1) Perform the Get Up and Go Test.
,2) Ask the patient if he has fallen in the past year.
3) Refer the patient for a comprehensive fall evaluation.
4) Administer the Timed Up and Go Test. correct answers 2)
Ask the patient if he has fallen in the past year.
A child is brought to the emergency department after
swallowing liquid cleanser. He is awake and alert and able to
swallow. Which action should the nurse take first?
1) Administer a dose of syrup of ipecac.
2) Administer activated charcoal immediately.
3) Give water to the child immediately.
4) Call the nearest poison control center. correct answers 3)
Give water to the child immediately.
A client developed a stage IV pressure ulcer to his sacrum 6
weeks ago, and now the ulcer appears to be a shallow crater
involving only partial skin loss. What would the nurse now
classify the pressure ulcer as?
1) Stage I pressure ulcer, healing
2) Stage II pressure ulcer, healing
3) Stage III pressure ulcer, healing
, 4) Stage IV pressure ulcer, healing correct answers 4) Stage IV
pressure ulcer, healing
Reverse staging is not done because as the ulcer heals with
granulation tissue and becomes shallower, the lost muscle,
subcutaneous fat, and dermis are not replaced. Pressure ulcers
maintain their original staging classification throughout the
healing process but are accompanied by the modifier healing.
A community health nurse is conducting a class about body
mechanics for county workers. Which of the following
instructions should the nurse include? Select all that apply.
correct answers Sit with your back supported
Keep your knees are hip level
Use a ergonomically designed computer keyboard.
Lumbar support in a straight back chair helps maintain good
posture and prevent back pain. Keeping the knees at the level of
the hip or higher helps reduce the risk of lordosis, which is an
exaggeration of the curve of the lumbar spine. Using a keyboard
that maintains ergonomic positioning of the wrist can help
prevent carpal tunnel syndrome.
A frail 78-year-old man is admitted to the hospital after a fall at
home resulted in a left hip fracture. After surgery, he is to begin
