NURS-2003 Midterm Exam
Study Guide – Practice
Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update
A young adult arrives in the emergency department (ED) with multiple
abrasions after a motor vehicle accident and has an initial blood pressure (BP)
of 180/98. Which of the following interventions should the nurse implement?
Recheck the blood pressure in 15 minutes.
A hospitalized patient whose wife describes him as usually well organized and
calm is receiving diabetic teaching after being newly diagnosed with diabetes.
He states, "I'm feeling distracted because I'm just getting used to my new
diagnosis". Which action should the nurse take?
Plan to reinforce and repeat teaching about diabetes management.
The nurse is caring for a patient who has been hospitalized following a heart
attack and tells the nurse, "I didn't sleep last night because I worried about
missing work and losing my insurance coverage." Which nursing diagnosis is
appropriate to include in the plan of care?
Anxiety
The nurse is assisting with a breast biopsy for an alert patient who has a lump
in the right breast. Which relaxation technique will be best to use at this time?
Relaxation breathing
,The nurse is preparing a health-promotion session on meditation for older
persons at a community centre. Which of the following points should the nurse
include in the session?
Allow a 10–20 minute time frame for meditation.
When choosing music to help relax a patient who is having a painful dressing
change, which action is best for the nurse to take?
Ask the patient about music preferences.
The nurse is teaching a hospitalized patient to use imagery as a relaxation
technique. Which statement by the nurse is appropriate?
“Think of a place where you feel peaceful and comfortable.”
An overweight patient who enjoys active outdoor activities develops arthritis in
the knees. Which action by the nurse is most appropriate to assist the patient
in coping with the diagnosis?
Encourage the patient to think about how weight loss might improve
symptoms.
The nurse is caring for a hospitalized patient with diabetes who states to the
nurse, "I don't understand why I can keep my blood sugar under control at
home with diet alone, but when I get sick, my blood sugar goes up." Which
response by the nurse is appropriate?
“Stressors such as illness cause the release of hormones that increase blood
sugar.”
The nurse is assessing a patient the morning of the first postoperative day and
notes redness and warmth around the incision. Which of the following actions
should the nurse implement?
Document the assessment.
A patient with an open abdominal wound has a complete blood cell (CBC)
count and differential, which indicate an increase in white blood cells (WBCs)
and a shift to the left. Which of the following actions is a priority as a result of
this assessment data?
Obtain wound cultures.
, The nurse is caring for a patient with a systemic bacterial infection who has
"goose pimples," feels cold, and rigors. At this stage of the febrile response,
which of the following assessments should the nurse monitor?
Rising body temperature
The nurse is caring for a young adult patient who is receiving antibiotics for an
infected leg wound and has a temperature of 38.8°C (101.8°F). Which of the
following actions by the nurse is most appropriate?
Check the patient’s oral temperature again in 4 hours.
A patient's 6 cm × 3 cm leg wound has a 2 mm black area surrounded by
yellow-green semiliquid material. Which of the following dressings should the
nurse use for wound care?
Hydrocolloid dressing (DuoDerm)
The nurse is caring for a patient who has an open surgical wound on the
abdomen that contains a creamy exudate and small areas of deep pink
granulation tissue. Which of the following terms should the nurse use to
document these findings?
Yellow wound
Which of the following nursing actions is most likely to detect early signs of
infection in a patient who is taking immuno-suppressive medications?
Ask about fatigue or feelings of malaise.
The nurse is planning care for a patient and is preparing to complete a wet-to-
dry dressing. Which of the following wound descriptions is appropriate for
using this type of dressing?
Wound with purulent drainage and dry brown areas
A patient is admitted to the hospital with a pressure injury on the left buttock.
The nurse notes that the base of the wound is yellow and involves
subcutaneous tissue. Which of the following pressure injury wound stages
should the nurse document?
3
Study Guide – Practice
Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update
A young adult arrives in the emergency department (ED) with multiple
abrasions after a motor vehicle accident and has an initial blood pressure (BP)
of 180/98. Which of the following interventions should the nurse implement?
Recheck the blood pressure in 15 minutes.
A hospitalized patient whose wife describes him as usually well organized and
calm is receiving diabetic teaching after being newly diagnosed with diabetes.
He states, "I'm feeling distracted because I'm just getting used to my new
diagnosis". Which action should the nurse take?
Plan to reinforce and repeat teaching about diabetes management.
The nurse is caring for a patient who has been hospitalized following a heart
attack and tells the nurse, "I didn't sleep last night because I worried about
missing work and losing my insurance coverage." Which nursing diagnosis is
appropriate to include in the plan of care?
Anxiety
The nurse is assisting with a breast biopsy for an alert patient who has a lump
in the right breast. Which relaxation technique will be best to use at this time?
Relaxation breathing
,The nurse is preparing a health-promotion session on meditation for older
persons at a community centre. Which of the following points should the nurse
include in the session?
Allow a 10–20 minute time frame for meditation.
When choosing music to help relax a patient who is having a painful dressing
change, which action is best for the nurse to take?
Ask the patient about music preferences.
The nurse is teaching a hospitalized patient to use imagery as a relaxation
technique. Which statement by the nurse is appropriate?
“Think of a place where you feel peaceful and comfortable.”
An overweight patient who enjoys active outdoor activities develops arthritis in
the knees. Which action by the nurse is most appropriate to assist the patient
in coping with the diagnosis?
Encourage the patient to think about how weight loss might improve
symptoms.
The nurse is caring for a hospitalized patient with diabetes who states to the
nurse, "I don't understand why I can keep my blood sugar under control at
home with diet alone, but when I get sick, my blood sugar goes up." Which
response by the nurse is appropriate?
“Stressors such as illness cause the release of hormones that increase blood
sugar.”
The nurse is assessing a patient the morning of the first postoperative day and
notes redness and warmth around the incision. Which of the following actions
should the nurse implement?
Document the assessment.
A patient with an open abdominal wound has a complete blood cell (CBC)
count and differential, which indicate an increase in white blood cells (WBCs)
and a shift to the left. Which of the following actions is a priority as a result of
this assessment data?
Obtain wound cultures.
, The nurse is caring for a patient with a systemic bacterial infection who has
"goose pimples," feels cold, and rigors. At this stage of the febrile response,
which of the following assessments should the nurse monitor?
Rising body temperature
The nurse is caring for a young adult patient who is receiving antibiotics for an
infected leg wound and has a temperature of 38.8°C (101.8°F). Which of the
following actions by the nurse is most appropriate?
Check the patient’s oral temperature again in 4 hours.
A patient's 6 cm × 3 cm leg wound has a 2 mm black area surrounded by
yellow-green semiliquid material. Which of the following dressings should the
nurse use for wound care?
Hydrocolloid dressing (DuoDerm)
The nurse is caring for a patient who has an open surgical wound on the
abdomen that contains a creamy exudate and small areas of deep pink
granulation tissue. Which of the following terms should the nurse use to
document these findings?
Yellow wound
Which of the following nursing actions is most likely to detect early signs of
infection in a patient who is taking immuno-suppressive medications?
Ask about fatigue or feelings of malaise.
The nurse is planning care for a patient and is preparing to complete a wet-to-
dry dressing. Which of the following wound descriptions is appropriate for
using this type of dressing?
Wound with purulent drainage and dry brown areas
A patient is admitted to the hospital with a pressure injury on the left buttock.
The nurse notes that the base of the wound is yellow and involves
subcutaneous tissue. Which of the following pressure injury wound stages
should the nurse document?
3
