NR 224 EXAM 1 PRACTICE TEST

1. The nurse prepares to perform a sterile dressing change on an abdominal incision. The nurse explains the procedure to the client, washes her hands, and sets up the sterile field. The nurse should take which action next? a. Don sterile gloves b. Assess the integrity of the abdominal incision c. Don clean gloves and remove the old dressing d. Clean the wound with povidine-iodine solution as prescribed 2. A nurse takes a blood pressure and records a diastolic pressure of 120 mm Hg. Which action should the nurse do first? a. Notify the primary health care provider b. Retake the blood pressure c. Notify the nurse in charge d. Take the other vital signs 3. A nurse is assessing the temperature of a patient. When can the nurse expect a patient’s temperature to be at its lowest? a. 10 am b. 2 am c. 4 pm