VNSG 1423 Exam 1 UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
A nurse is caring for an 82-year-old patient who was admitted to the health care facility for
tachypnea and tachycardia. Which rationale below supports the clients condition? -
CORRECT ANSWER The heart and lungs work together to provide circulation of
nutrients and oxygen. FA Davis Ch 17, pg. 323
A nurse is instructing a group of nursing students in measuring a client's respiratory rate.
Which guideline should the nurse include? - CORRECT ANSWER Count each
ventilation as one breathe Ch 17 pg.322-323
A nurse is caring for a client that has a fractured femur, the BP reading 140/49 mm Hg in the
left arm. Which action should the nurse take first? - CORRECT ANSWER Ask the
client if he/she is in pain Ch 17 pg 329
A nursing student is assisting an 88 yr old client from a supine position to a sitting position to
go to the bathroom. The client faints. The nursing student understands that the cause of
fainting is due to - CORRECT ANSWER Reduced vasoconstriction of the arteries. Ch
17 pg 329
When measuring the blood pressure after placing the cuff correctly on the arm, the nurse
would assess, which of the following? - CORRECT ANSWER palpate the artery. Ch
17, pg 328
A nurse is caring for a client that has tuberculosis. According to CDC guidelines for
transmission based precautions. Which personal protective measures should the nurse
implement? Select all that apply (2/4) - CORRECT ANSWER Enter airborne infection
isolation room
Put on a fit-tested N95 respirator
Enter a private room with gown, N95
Put on N95
Ch 14, pg. 235-236
, A nurse is caring for a client that has been placed in contact-based precaution due to
infectious diarrhea. The nurse should follow the CDC's guidelines by performing which
intervention? - CORRECT ANSWER wash hands, put on gloves and gown before
entering the room. Ch 14, pg 236
A nurse has a sterile package and has placed it on a clean surface in preparation of an
invasive procedure. What is the rationale for unfolding the first flap farthest from the body? -
CORRECT ANSWER The nurse risks reaching across the sterile package. Ch 22, pg
428
A nurse is wearing sterile gloves to perform a sterile procedure. Which of the following items
listed below are considered sterile and can be touched by the nurse? Select all that apply (3/5)
- CORRECT ANSWER A bottle containing a sterile solution
The edge of sterile drape
One sterile gloved hand touching the other sterile gloved hand
Irrigation catheter on the sterile field
The inner wrapping of an item on the on the sterile field
Ch 22, pg 427
A nurse is preparing a sterile field for assisting a provider with a sterile procedure. The nurse
recognizes that which of the following has contaminated the field? - CORRECT
ANSWER The nurse moistens a cotton ball with sterile normal saline and places it on
the sterile field.
Ch22, pg 427-428
A nursing student identifies that parts of the syringe and needle are considered sterile. Which
part of the syringe and or needle was correctly identified by the nursing student as being
sterile? - CORRECT ANSWER hub on the needle. Ch 22, pg 429-430
When opening a wrapper containing sterile gloves the nurse opens the outer wrapper and
discards it, positions the inner wrapped so the cuffs of the gloves are towards the nurse and
maintains sterility by touching the 1-inch vertical flaps of the inside wrapper. What is the
nurse's next step? - CORRECT ANSWER Use non dominant hand to pick up the glove
by the cuff Ch 22, pg 433, step 5
QUESTIONS AND CORRECT ANSWERS
A nurse is caring for an 82-year-old patient who was admitted to the health care facility for
tachypnea and tachycardia. Which rationale below supports the clients condition? -
CORRECT ANSWER The heart and lungs work together to provide circulation of
nutrients and oxygen. FA Davis Ch 17, pg. 323
A nurse is instructing a group of nursing students in measuring a client's respiratory rate.
Which guideline should the nurse include? - CORRECT ANSWER Count each
ventilation as one breathe Ch 17 pg.322-323
A nurse is caring for a client that has a fractured femur, the BP reading 140/49 mm Hg in the
left arm. Which action should the nurse take first? - CORRECT ANSWER Ask the
client if he/she is in pain Ch 17 pg 329
A nursing student is assisting an 88 yr old client from a supine position to a sitting position to
go to the bathroom. The client faints. The nursing student understands that the cause of
fainting is due to - CORRECT ANSWER Reduced vasoconstriction of the arteries. Ch
17 pg 329
When measuring the blood pressure after placing the cuff correctly on the arm, the nurse
would assess, which of the following? - CORRECT ANSWER palpate the artery. Ch
17, pg 328
A nurse is caring for a client that has tuberculosis. According to CDC guidelines for
transmission based precautions. Which personal protective measures should the nurse
implement? Select all that apply (2/4) - CORRECT ANSWER Enter airborne infection
isolation room
Put on a fit-tested N95 respirator
Enter a private room with gown, N95
Put on N95
Ch 14, pg. 235-236
, A nurse is caring for a client that has been placed in contact-based precaution due to
infectious diarrhea. The nurse should follow the CDC's guidelines by performing which
intervention? - CORRECT ANSWER wash hands, put on gloves and gown before
entering the room. Ch 14, pg 236
A nurse has a sterile package and has placed it on a clean surface in preparation of an
invasive procedure. What is the rationale for unfolding the first flap farthest from the body? -
CORRECT ANSWER The nurse risks reaching across the sterile package. Ch 22, pg
428
A nurse is wearing sterile gloves to perform a sterile procedure. Which of the following items
listed below are considered sterile and can be touched by the nurse? Select all that apply (3/5)
- CORRECT ANSWER A bottle containing a sterile solution
The edge of sterile drape
One sterile gloved hand touching the other sterile gloved hand
Irrigation catheter on the sterile field
The inner wrapping of an item on the on the sterile field
Ch 22, pg 427
A nurse is preparing a sterile field for assisting a provider with a sterile procedure. The nurse
recognizes that which of the following has contaminated the field? - CORRECT
ANSWER The nurse moistens a cotton ball with sterile normal saline and places it on
the sterile field.
Ch22, pg 427-428
A nursing student identifies that parts of the syringe and needle are considered sterile. Which
part of the syringe and or needle was correctly identified by the nursing student as being
sterile? - CORRECT ANSWER hub on the needle. Ch 22, pg 429-430
When opening a wrapper containing sterile gloves the nurse opens the outer wrapper and
discards it, positions the inner wrapped so the cuffs of the gloves are towards the nurse and
maintains sterility by touching the 1-inch vertical flaps of the inside wrapper. What is the
nurse's next step? - CORRECT ANSWER Use non dominant hand to pick up the glove
by the cuff Ch 22, pg 433, step 5
