Nur 215 Mod 4-6 Exam 2 (Answered)
2025/2026. 100% Verified.
The patient takes anticoagulants. Which instruction is most important for the nurse to include on the
patient's care plan?
Use an electric razor shaving
The nurse is caring for a patient admitted with a closed head injury. Which action by the nurse is
appropriate when providing hygiene for this patient?
Provide care and small intervals
A patient has sustained a spinal cord injury and is no longer able to get in and out of the bathtub
without assistance. Which nursing diagnosis appropriately addresses this problem?
Bathing self-care deficit
Which scheduled hygiene care is usually thought of as including a back massage to help the patient
relax?
Hour of sleep care
For which patient can the nurse safely delegate morning care to the nursing assistive personnel?
62-year-old who underwent surgical repair of a bowel obstruction two days ago
The clients epidermis has insufficient melanin. Which nursing diagnosis is appropriate?
Risk for impaired skin integrity
What is the body's first line of defense against bacteria?
Intact skin
While bathing a patient with liver dysfunction, the nurse knows yellow skin tone. The nurse should
document this finding as?
Jaundice
A patient with diarrhea is incontinent liquid stool. The nurse documents that the patient has
excoriated skin on the buttocks. Which finding by the nurse led to this documentation?
Superficial layers of skin were absent
For which patient problem is it most important to provide frequent perineal care?
Active lower gastrointestinal bleeding
A patient with dementia becomes belligerent when the nurse attempts to give him a tub bath. How
should the nurse proceed?
Wait for the patient to calm down, and then give him a towel bath
, The nurse is teaching nursing assistive personnel how to give a complete bed bath. Which instruction
should the nurse include?
These the patient from head to toe, cleanest areas first
Which actions should the nurse take one preparing a patient for a bed bath?
Place the nurse called device within reach for safety
A patient admitted with an acute exacerbation of chronic obstructive pulmonary disease has a
nursing diagnosis of activity intolerance. Which type of bath is preferred for this patient?
Towel bath
Wearing poorly fitted shoes may result in which condition?
Ingrown toenail
The school nurse is teaching a group of middle school students how to prevent tinea pedis. Which
remark by a student provides evidence of learning?
I can contract the infection by walking barefoot in the gymnasiums showers
Bathwater should be prepared at which temperature to prevent chilling and excess drawing of the
skin?
105°F (40.6 C)
While assessing a patient, the nurse knows that the patients nails are excessively brittle. What does
this findings suggest?
In adequate dietary intake
A patient with a history of seizures who takes phenytoin is at risk for which oral problem?
Gingival hyperplasia
The nurse has been teaching a student how to perform mouth care for her unconscious patient. The
student will show evidence of learning if the patient is placed in which position?
Side lying
Which item is best for providing mouth care for an unconscious patient?
Foam swabs
After receiving a course of chemotherapy, a patient begins losing hair. This adverse effect of
chemotherapy should be documented as?
Alopecia
Which statement describes a correct step and removing and cleaning a hearing aid?
Clean the top part of the canal portion of the device
The nurse prepares to remove the artificial eye of a patient sitting at the bedside. In which position
should the patient be pleased to facilitate the removal of this device? Ask the patient to:
Move to the bed and lie down
2025/2026. 100% Verified.
The patient takes anticoagulants. Which instruction is most important for the nurse to include on the
patient's care plan?
Use an electric razor shaving
The nurse is caring for a patient admitted with a closed head injury. Which action by the nurse is
appropriate when providing hygiene for this patient?
Provide care and small intervals
A patient has sustained a spinal cord injury and is no longer able to get in and out of the bathtub
without assistance. Which nursing diagnosis appropriately addresses this problem?
Bathing self-care deficit
Which scheduled hygiene care is usually thought of as including a back massage to help the patient
relax?
Hour of sleep care
For which patient can the nurse safely delegate morning care to the nursing assistive personnel?
62-year-old who underwent surgical repair of a bowel obstruction two days ago
The clients epidermis has insufficient melanin. Which nursing diagnosis is appropriate?
Risk for impaired skin integrity
What is the body's first line of defense against bacteria?
Intact skin
While bathing a patient with liver dysfunction, the nurse knows yellow skin tone. The nurse should
document this finding as?
Jaundice
A patient with diarrhea is incontinent liquid stool. The nurse documents that the patient has
excoriated skin on the buttocks. Which finding by the nurse led to this documentation?
Superficial layers of skin were absent
For which patient problem is it most important to provide frequent perineal care?
Active lower gastrointestinal bleeding
A patient with dementia becomes belligerent when the nurse attempts to give him a tub bath. How
should the nurse proceed?
Wait for the patient to calm down, and then give him a towel bath
, The nurse is teaching nursing assistive personnel how to give a complete bed bath. Which instruction
should the nurse include?
These the patient from head to toe, cleanest areas first
Which actions should the nurse take one preparing a patient for a bed bath?
Place the nurse called device within reach for safety
A patient admitted with an acute exacerbation of chronic obstructive pulmonary disease has a
nursing diagnosis of activity intolerance. Which type of bath is preferred for this patient?
Towel bath
Wearing poorly fitted shoes may result in which condition?
Ingrown toenail
The school nurse is teaching a group of middle school students how to prevent tinea pedis. Which
remark by a student provides evidence of learning?
I can contract the infection by walking barefoot in the gymnasiums showers
Bathwater should be prepared at which temperature to prevent chilling and excess drawing of the
skin?
105°F (40.6 C)
While assessing a patient, the nurse knows that the patients nails are excessively brittle. What does
this findings suggest?
In adequate dietary intake
A patient with a history of seizures who takes phenytoin is at risk for which oral problem?
Gingival hyperplasia
The nurse has been teaching a student how to perform mouth care for her unconscious patient. The
student will show evidence of learning if the patient is placed in which position?
Side lying
Which item is best for providing mouth care for an unconscious patient?
Foam swabs
After receiving a course of chemotherapy, a patient begins losing hair. This adverse effect of
chemotherapy should be documented as?
Alopecia
Which statement describes a correct step and removing and cleaning a hearing aid?
Clean the top part of the canal portion of the device
The nurse prepares to remove the artificial eye of a patient sitting at the bedside. In which position
should the patient be pleased to facilitate the removal of this device? Ask the patient to:
Move to the bed and lie down
