NU 311 Final Exam Questions With Complete Solutions
A ? is a confidential, permanent legal document containing
information relevant to a patient's health care
*nursing note
*chart or patient's record
*documentation
*health insurance portability and accountability act Correct
Answer chart or patient's record
A nurse encourages a patient to prevent venous stasis by:
*Crossing the legs when sitting in a chair
*Wearing thigh-length nylon stockings or garters
*Maintaining strict bed rest
*Increasing early ambulation Correct Answer -Increasing
early ambulation
A patient admitted to the hospital with pneumonia has IV
antibiotics ordered. They receive the first does with no problem,
but during the second dose, they begin to report shortness of
breath and difficulty breathing. The nurse notes wheezes
throughout the lung fields. The nurse understands these
symptoms are the clinical manifestations of which of the
following? Correct Answer Anaphylactic reaction
A peripherally inserted central catheter (PICC) is inserted into
the: Correct Answer arm and ends in the superior vena cava.
A sterile dressing with no absorbent capacity that is
impermeable to fluids and bacteria and is used as prophylaxis
,for high risk intact skin, superficial wounds with minimal or no
exudate best describes:
*wound vac (negative pressure wound therapy)
*Abdominal pad
*Transparent film
*moist to dry Correct Answer transparent film
A surgical wound is expected to drain approximately 100-200
mL/24 hrs. Which type of treatment does the RN anticipate?
Correct Answer Jackson-Pratt drain
All are "Never Events" with the exception of:
*ventilator associated pneumonia
*IV infiltration
*Poor blood glucose control
*Patient death associated with a medication error Correct
Answer IV Infiltration
All of the following can be delegated to assistive personnel
during patient discharge except:
*pack personal belonging
*escort via wheelchair to discharge area
*discharge teaching
*provide privacy and assist to dress Correct Answer discharge
teaching
Antiembolic stockings (TEDs) are prescribed for the patient on
bed rest after surgery. The nurse explains to the patient that the
primary purpose for the elastic stockings is to:
*Keep the skin warm & dry
*Prevent abnormal joint flexion
,*Apply external pressure
*Prevent bleeding Correct Answer -Apply external pressure
AspergumTM is the? name for aspirin Correct Answer trade
name
Before exiting the room of a client on transmission based
isolation precaution requiring the use of all protective barriers,
the nurse removes the ? last.
*mask or respirator
*gloves
*gown
*goggles Correct Answer -mask or respirator
(gloves>goggles>gown>mask)
Blood transfusions require a Y-tubing administration set
(meaning 2 solutions may be hung on the same line). Which IV
solution is used to prime the tubing initially and to clear the line
post transfusion? Correct Answer 0.9% normal saline
Can lipids be piggybacked? Correct Answer yes
Drainage type: bright red, indicates fresh bleeding Correct
Answer sanguioneous
Drainage type: clear, watery like plasma Correct Answer
serous
Drainage type: pale, red, watery drainage Correct Answer
serousanguineous
, Drainage type: thick yellow, green, or brown drainage Correct
Answer purulent
First check of accuracy Correct Answer when medication is
retrieved from the automated dispensing machine
Gauge indications Correct Answer *14, 16, 18: trauma,
surgery, rapid blood transfusion, and rapid fluid replacement
*20: adults; administration of blood transfusions in adults
*22: continuous or intermittent infusions in adults, pediatrics,
neonates, and the elderly; administration of blood or blood
product
*24: continuous or intermittent infusions in adults, pediatrics,
neonates, and the elderly; administration of blood or blood
product
Hand hygiene is an important aspect of providing high quality
care for clients. When is hand hygiene with soap and water
necessary? (select all that apply)
*After removing sterile gloves
*After using the toilet
*Before eating
*When hands are visibly soiled with bloody or bodily fluids
Correct Answer -Before eating
-After using the toilet
-When hands are visibly soiled with blood or bodily fluids
Hand hygiene: Correct Answer -Is the most important
technique in preventing and controlling transmission of infection
-With alcohol based hand rub is appropriate after touching
equipment in patient room
A ? is a confidential, permanent legal document containing
information relevant to a patient's health care
*nursing note
*chart or patient's record
*documentation
*health insurance portability and accountability act Correct
Answer chart or patient's record
A nurse encourages a patient to prevent venous stasis by:
*Crossing the legs when sitting in a chair
*Wearing thigh-length nylon stockings or garters
*Maintaining strict bed rest
*Increasing early ambulation Correct Answer -Increasing
early ambulation
A patient admitted to the hospital with pneumonia has IV
antibiotics ordered. They receive the first does with no problem,
but during the second dose, they begin to report shortness of
breath and difficulty breathing. The nurse notes wheezes
throughout the lung fields. The nurse understands these
symptoms are the clinical manifestations of which of the
following? Correct Answer Anaphylactic reaction
A peripherally inserted central catheter (PICC) is inserted into
the: Correct Answer arm and ends in the superior vena cava.
A sterile dressing with no absorbent capacity that is
impermeable to fluids and bacteria and is used as prophylaxis
,for high risk intact skin, superficial wounds with minimal or no
exudate best describes:
*wound vac (negative pressure wound therapy)
*Abdominal pad
*Transparent film
*moist to dry Correct Answer transparent film
A surgical wound is expected to drain approximately 100-200
mL/24 hrs. Which type of treatment does the RN anticipate?
Correct Answer Jackson-Pratt drain
All are "Never Events" with the exception of:
*ventilator associated pneumonia
*IV infiltration
*Poor blood glucose control
*Patient death associated with a medication error Correct
Answer IV Infiltration
All of the following can be delegated to assistive personnel
during patient discharge except:
*pack personal belonging
*escort via wheelchair to discharge area
*discharge teaching
*provide privacy and assist to dress Correct Answer discharge
teaching
Antiembolic stockings (TEDs) are prescribed for the patient on
bed rest after surgery. The nurse explains to the patient that the
primary purpose for the elastic stockings is to:
*Keep the skin warm & dry
*Prevent abnormal joint flexion
,*Apply external pressure
*Prevent bleeding Correct Answer -Apply external pressure
AspergumTM is the? name for aspirin Correct Answer trade
name
Before exiting the room of a client on transmission based
isolation precaution requiring the use of all protective barriers,
the nurse removes the ? last.
*mask or respirator
*gloves
*gown
*goggles Correct Answer -mask or respirator
(gloves>goggles>gown>mask)
Blood transfusions require a Y-tubing administration set
(meaning 2 solutions may be hung on the same line). Which IV
solution is used to prime the tubing initially and to clear the line
post transfusion? Correct Answer 0.9% normal saline
Can lipids be piggybacked? Correct Answer yes
Drainage type: bright red, indicates fresh bleeding Correct
Answer sanguioneous
Drainage type: clear, watery like plasma Correct Answer
serous
Drainage type: pale, red, watery drainage Correct Answer
serousanguineous
, Drainage type: thick yellow, green, or brown drainage Correct
Answer purulent
First check of accuracy Correct Answer when medication is
retrieved from the automated dispensing machine
Gauge indications Correct Answer *14, 16, 18: trauma,
surgery, rapid blood transfusion, and rapid fluid replacement
*20: adults; administration of blood transfusions in adults
*22: continuous or intermittent infusions in adults, pediatrics,
neonates, and the elderly; administration of blood or blood
product
*24: continuous or intermittent infusions in adults, pediatrics,
neonates, and the elderly; administration of blood or blood
product
Hand hygiene is an important aspect of providing high quality
care for clients. When is hand hygiene with soap and water
necessary? (select all that apply)
*After removing sterile gloves
*After using the toilet
*Before eating
*When hands are visibly soiled with bloody or bodily fluids
Correct Answer -Before eating
-After using the toilet
-When hands are visibly soiled with blood or bodily fluids
Hand hygiene: Correct Answer -Is the most important
technique in preventing and controlling transmission of infection
-With alcohol based hand rub is appropriate after touching
equipment in patient room
