NU 136 Fundamentals Exam 2 (2026/2027) |
Updated Questions | Study Pack | A+
• d. encouraging a high-fiber diet -✓✓a nurse identifies an immobile patient as
high risk for constipation. Which intervention is most effective?
a. administering sleep medication
b. keeping the patient in bed
c. limiting fluid intake
d. encouraging a high-fiber diet
• d. left sims (side lying) -✓✓Which position is MOST appropriate for a patient to
assume when receiving an enema?
a. prone
b. supine
c. fowler's position
d. left sims (side lying)
• c. dependency for bowel movements -✓✓Pt with chronic constipation should
be educated on the potential risks of frequent use of stimulant laxatives, such as:
a. sudden diarrhea
b. hyperkalemia
c. dependency for bowel movements
d. increased appetite
• d. to remove exudate and reduce edema -✓✓what is the primary purpose of
using a wound VAC in wound management?
,a. to provide antibiotic treatment
b. to suture wounds
c. to debride necrotic tissue
d. to remove exudate and reduce enema
• a. place all weight on the right foot -✓✓a patient who is non-weight bearing on
the left leg needs to learn to use crutches. the nurse instructs the patient to-
a. place all weight on the right foot
b. bear weight equally on both feet
c. alternate weight between feet when moving
d. use the left foot for balance only
• b. using even pressure when wrapping the bandage -✓✓a nurse is preparing to
apply an elastic bandage to a patient's sprained ankle. which action is most
appropriate?
a. leaving the toes exposed for observations
b. using even pressure when wrapping the bandage
c. starting the wrap at the upper calf and moving downward
d. wrapping the bandage loosely to allow for swelling
• b. proliferative phase -✓✓which phase of wound healing involves the formation
of collagen and granulation tissue to fill the wound
a. maturation phase
b. proliferative phase
c. inflammatory phase
, • c. infection -✓✓a patient's wound is red, warm, swollen, and increasingly
painful. the nurse suspects-
a. ischemia
b. normal inflammatory response
c. infection
d. hematoma formation
• d. drink cranberry juice or take cranberry supplements -✓✓a patient with a
history of recurrent urinary tract infection (UTIs) should be advised to:
a. limit fluid intake to decerase urinary frequency
b. hold urine for extended periods to strengthen bladder muscles
c. use perineal wipes from back to front after toileting
d. drink cranberry juice or take cranberry supplements
• a. check crutch fit & teach the patient to bear weight on hands, not axillae -
✓✓the nurse notes redness and irritation under the patient's axillae. the most
appropriate action would be to:
a. check crutch fit & teach the patient to bear weight on hands, not axillae
b. tighten the crutch pads for a snug fit
c. advise the patient that this is normal with crutch use.
d. recommend applying lotion to the area
• True -✓✓T or F
Can immobility be a symptom of a disease?
Updated Questions | Study Pack | A+
• d. encouraging a high-fiber diet -✓✓a nurse identifies an immobile patient as
high risk for constipation. Which intervention is most effective?
a. administering sleep medication
b. keeping the patient in bed
c. limiting fluid intake
d. encouraging a high-fiber diet
• d. left sims (side lying) -✓✓Which position is MOST appropriate for a patient to
assume when receiving an enema?
a. prone
b. supine
c. fowler's position
d. left sims (side lying)
• c. dependency for bowel movements -✓✓Pt with chronic constipation should
be educated on the potential risks of frequent use of stimulant laxatives, such as:
a. sudden diarrhea
b. hyperkalemia
c. dependency for bowel movements
d. increased appetite
• d. to remove exudate and reduce edema -✓✓what is the primary purpose of
using a wound VAC in wound management?
,a. to provide antibiotic treatment
b. to suture wounds
c. to debride necrotic tissue
d. to remove exudate and reduce enema
• a. place all weight on the right foot -✓✓a patient who is non-weight bearing on
the left leg needs to learn to use crutches. the nurse instructs the patient to-
a. place all weight on the right foot
b. bear weight equally on both feet
c. alternate weight between feet when moving
d. use the left foot for balance only
• b. using even pressure when wrapping the bandage -✓✓a nurse is preparing to
apply an elastic bandage to a patient's sprained ankle. which action is most
appropriate?
a. leaving the toes exposed for observations
b. using even pressure when wrapping the bandage
c. starting the wrap at the upper calf and moving downward
d. wrapping the bandage loosely to allow for swelling
• b. proliferative phase -✓✓which phase of wound healing involves the formation
of collagen and granulation tissue to fill the wound
a. maturation phase
b. proliferative phase
c. inflammatory phase
, • c. infection -✓✓a patient's wound is red, warm, swollen, and increasingly
painful. the nurse suspects-
a. ischemia
b. normal inflammatory response
c. infection
d. hematoma formation
• d. drink cranberry juice or take cranberry supplements -✓✓a patient with a
history of recurrent urinary tract infection (UTIs) should be advised to:
a. limit fluid intake to decerase urinary frequency
b. hold urine for extended periods to strengthen bladder muscles
c. use perineal wipes from back to front after toileting
d. drink cranberry juice or take cranberry supplements
• a. check crutch fit & teach the patient to bear weight on hands, not axillae -
✓✓the nurse notes redness and irritation under the patient's axillae. the most
appropriate action would be to:
a. check crutch fit & teach the patient to bear weight on hands, not axillae
b. tighten the crutch pads for a snug fit
c. advise the patient that this is normal with crutch use.
d. recommend applying lotion to the area
• True -✓✓T or F
Can immobility be a symptom of a disease?
