NURS 142 Exam 2 Modules 7&10 NCLEX
Questions With Correct Answers
A nurse on a surgical unit routinely assesses patients' incisions as part of
postoperative care. After surgery, when should the nurse be alert for clinical
signs of wound infection?
a. Between days 3 and 5 after surgery
b. Between days 1 and 2 after surgery
c. Within 24 hours after surgery
d. 7 days after surgery - ANSWER a. Between days 3 and 5 after surgery
Microorganisms in a wound can precipitate and infection, which manifests itself
in 3 to 5 days; erythema, pain, edema, chills, fever and purulent drainage
indicate infection
Source: Test Success 6th edition, p. 293
What intervention is unique to a Hemovac of Jackson-Pratt drain, one that is
different from a T-tube or an indwelling catheter?
a. Assess characteristics of the effluent
b. Maintain patency of the conduit
c. Ensure negative pressure
d. Measure output - ANSWER c. Ensure negative pressure
Portable wound drainage systems work by continuous low pressure as long as
the suction bladder is less than half full; T tubes and indwelling urinary catheters
work via gravity
Source: Test Success 6th edition, p. 293
A nurse is caring for patients with a variety of wounds. What type of wounds heal
by primary intention? Select all that apply.
a. Surgical incision
b. Excoriation
c. Deep burn
d. Paper cut
e. Abrasion - ANSWER a. Surgical incision
d. paper cut
Source: Test success 6th edition, p. 295
,What actions break the chain of infection from a portal of exit from a reservoir?
Select all that apply.
a. Washing the hands
b. Disposing of soiled linen
c. Disinfecting used equipment
d. Covering the mouth when coughing
e. Avoiding breastfeeding when HIV positive - ANSWER d. Covering the mouth
when coughing
e. Avoiding breastfeeding when HIV positive
Source: Test Success 6th edition, p. 302
A nurse is teaching a pt about how to prevent infection. Which of the following
BEST increases a pt's defense against microorganisms?
a. Covering a cough
b. Maintaining intact skin
c. Changing bed linen daily
d. Using an antiseptic mouthwash - ANSWER b. Maintaining intact skin
The skin is a barrier to pathogens and, if pierced or broken, serves as a portal of
entry
Source: Test Success 6th edition, p. 302
A nurse initiates contact precautions for a pt with a wound infection. What
should the nurse do to best help the pt cope with the psychological aspects of
these precautions?
a. Draw a smiley face on the mask
b. Don gloves when providing direct care
c. Explain the importance of contact precautions
d. Wear a gown only when direct contact is expected - ANSWER c. Explain the
importance of contact precautions
Option (a) is creepy
Option (b) does not address psychological needs
Option (d) does not address psychological needs and a gown must be worn at all
times in the room
Source: Test Success 6th edition, p. 302
A nurse irrigates the wound of a pt on contact precautions. What should the
nurse do FIRST to remove PPE when leaving the pt's room?
,a. Untie the gown at the waist
b. Untie the gown at the neck
c. Remove the gloves
d. Remove the mask - ANSWER a. Untie the gown at the waist
The waist is considered contaminated and should be untied with a gloved hand.
Gloves should be removed next
Then the neck of the gown should be untied
Finally, the mask is removed by only touching the ties
Source: Test Success 6th edition, p. 303
A nurse is caring for a pt with an infection. For which MOST common response
to infection should the nurse assess the pt?
a. Anorexia
b. Fever
c. Headache
d. Dehydration - ANSWER b. Fever
Fever is the mot common response of the hypothalamus (thermoregulatory
center) to pyrogens that are released when phagocytic cells respond to the
presence of pathogens
Source: Test Success 6th edition, p. 303
A pt is receiving prednisone, a glucocorticoid. For what response should the
nurse monitor the pt's electrolytes?
a. Hypokalemia and hyponatremia
b. Hypokalemia and hypernatremia
c. Hyperkalemia and hyponatremia
d. Hyperkalemia and hypernatremia - ANSWER b. Hypokalemia and
hypernatremia
Prednisone, a glucocorticoid, has significant water-and sodium-retaining
(mineralocorticoid) activities. As sodium is retained, potassium is depleted
Source: Test Success 6th edition, p.325
What group of medications has the highest risk for a drug interaction with
digoxin (Lanoxin)?
a. Glucocorticoids
b. Sulfonamides
c. Antibiotics
d. Antacids - ANSWER a. Glucocorticoids
, Glucoccorticoids can precipitate hypokalmeia even if digoxin serum levels are in
the therapeutic range of 0.5-2.0 ng/mL
Source: Test Success 6th edition, p.326
A HCP prescribes an antibiotic to be administered via IV piggyback Q12H. At
what time should the nurse schedule a blood sample to be drawn to determine a
trough level when the drug is administered at 1400?
a. 0130
b. 0230
c. 1500
d. 2000 - ANSWER a. 0130
The blood level of an antibiotic is at its lowest level just before the next
scheduled dose
Source: Test Success 6th edition, p. 327
A patient who has type 2 diabetes is taking nateglinide [Starlix]. Which response
should a nurse expect the patient to have if the medication is achieving the
desired therapeutic effect?
a. Inhibition of carbohydrate digestion
b. Promotion of insulin secretion
c. Decreased insulin resistance
d. Inhibition of ketone formation - ANSWER b. Promotion of insulin secretion
Source: evolve.elsevier.com
Ch 57
A patient is scheduled to start taking insulin glargine [Lantus]. On the care plan,
a nurse should include which of these outcomes related to the therapeutic
effects of the medication?
a. Blood glucose control for 24 hours
b. Mealtime coverage of blood glucose
c. Less frequent blood glucose monitoring
d. Peak effect achieved in 2 to 4 hours - ANSWER a. Blood glucose control for 24
hours
Source: evolve.elsevier.com
Ch 57
A patient who took NPH insulin at 0800 reports feeling weak and tremulous at
1700. Which action should the nurse take?
a. Take the patient's blood pressure.
Questions With Correct Answers
A nurse on a surgical unit routinely assesses patients' incisions as part of
postoperative care. After surgery, when should the nurse be alert for clinical
signs of wound infection?
a. Between days 3 and 5 after surgery
b. Between days 1 and 2 after surgery
c. Within 24 hours after surgery
d. 7 days after surgery - ANSWER a. Between days 3 and 5 after surgery
Microorganisms in a wound can precipitate and infection, which manifests itself
in 3 to 5 days; erythema, pain, edema, chills, fever and purulent drainage
indicate infection
Source: Test Success 6th edition, p. 293
What intervention is unique to a Hemovac of Jackson-Pratt drain, one that is
different from a T-tube or an indwelling catheter?
a. Assess characteristics of the effluent
b. Maintain patency of the conduit
c. Ensure negative pressure
d. Measure output - ANSWER c. Ensure negative pressure
Portable wound drainage systems work by continuous low pressure as long as
the suction bladder is less than half full; T tubes and indwelling urinary catheters
work via gravity
Source: Test Success 6th edition, p. 293
A nurse is caring for patients with a variety of wounds. What type of wounds heal
by primary intention? Select all that apply.
a. Surgical incision
b. Excoriation
c. Deep burn
d. Paper cut
e. Abrasion - ANSWER a. Surgical incision
d. paper cut
Source: Test success 6th edition, p. 295
,What actions break the chain of infection from a portal of exit from a reservoir?
Select all that apply.
a. Washing the hands
b. Disposing of soiled linen
c. Disinfecting used equipment
d. Covering the mouth when coughing
e. Avoiding breastfeeding when HIV positive - ANSWER d. Covering the mouth
when coughing
e. Avoiding breastfeeding when HIV positive
Source: Test Success 6th edition, p. 302
A nurse is teaching a pt about how to prevent infection. Which of the following
BEST increases a pt's defense against microorganisms?
a. Covering a cough
b. Maintaining intact skin
c. Changing bed linen daily
d. Using an antiseptic mouthwash - ANSWER b. Maintaining intact skin
The skin is a barrier to pathogens and, if pierced or broken, serves as a portal of
entry
Source: Test Success 6th edition, p. 302
A nurse initiates contact precautions for a pt with a wound infection. What
should the nurse do to best help the pt cope with the psychological aspects of
these precautions?
a. Draw a smiley face on the mask
b. Don gloves when providing direct care
c. Explain the importance of contact precautions
d. Wear a gown only when direct contact is expected - ANSWER c. Explain the
importance of contact precautions
Option (a) is creepy
Option (b) does not address psychological needs
Option (d) does not address psychological needs and a gown must be worn at all
times in the room
Source: Test Success 6th edition, p. 302
A nurse irrigates the wound of a pt on contact precautions. What should the
nurse do FIRST to remove PPE when leaving the pt's room?
,a. Untie the gown at the waist
b. Untie the gown at the neck
c. Remove the gloves
d. Remove the mask - ANSWER a. Untie the gown at the waist
The waist is considered contaminated and should be untied with a gloved hand.
Gloves should be removed next
Then the neck of the gown should be untied
Finally, the mask is removed by only touching the ties
Source: Test Success 6th edition, p. 303
A nurse is caring for a pt with an infection. For which MOST common response
to infection should the nurse assess the pt?
a. Anorexia
b. Fever
c. Headache
d. Dehydration - ANSWER b. Fever
Fever is the mot common response of the hypothalamus (thermoregulatory
center) to pyrogens that are released when phagocytic cells respond to the
presence of pathogens
Source: Test Success 6th edition, p. 303
A pt is receiving prednisone, a glucocorticoid. For what response should the
nurse monitor the pt's electrolytes?
a. Hypokalemia and hyponatremia
b. Hypokalemia and hypernatremia
c. Hyperkalemia and hyponatremia
d. Hyperkalemia and hypernatremia - ANSWER b. Hypokalemia and
hypernatremia
Prednisone, a glucocorticoid, has significant water-and sodium-retaining
(mineralocorticoid) activities. As sodium is retained, potassium is depleted
Source: Test Success 6th edition, p.325
What group of medications has the highest risk for a drug interaction with
digoxin (Lanoxin)?
a. Glucocorticoids
b. Sulfonamides
c. Antibiotics
d. Antacids - ANSWER a. Glucocorticoids
, Glucoccorticoids can precipitate hypokalmeia even if digoxin serum levels are in
the therapeutic range of 0.5-2.0 ng/mL
Source: Test Success 6th edition, p.326
A HCP prescribes an antibiotic to be administered via IV piggyback Q12H. At
what time should the nurse schedule a blood sample to be drawn to determine a
trough level when the drug is administered at 1400?
a. 0130
b. 0230
c. 1500
d. 2000 - ANSWER a. 0130
The blood level of an antibiotic is at its lowest level just before the next
scheduled dose
Source: Test Success 6th edition, p. 327
A patient who has type 2 diabetes is taking nateglinide [Starlix]. Which response
should a nurse expect the patient to have if the medication is achieving the
desired therapeutic effect?
a. Inhibition of carbohydrate digestion
b. Promotion of insulin secretion
c. Decreased insulin resistance
d. Inhibition of ketone formation - ANSWER b. Promotion of insulin secretion
Source: evolve.elsevier.com
Ch 57
A patient is scheduled to start taking insulin glargine [Lantus]. On the care plan,
a nurse should include which of these outcomes related to the therapeutic
effects of the medication?
a. Blood glucose control for 24 hours
b. Mealtime coverage of blood glucose
c. Less frequent blood glucose monitoring
d. Peak effect achieved in 2 to 4 hours - ANSWER a. Blood glucose control for 24
hours
Source: evolve.elsevier.com
Ch 57
A patient who took NPH insulin at 0800 reports feeling weak and tremulous at
1700. Which action should the nurse take?
a. Take the patient's blood pressure.
