NUR1020C Term 1 Exam 2 Questions With Complete
Solutions
1. For which patient would the nurse most likely ask for a
podiatrist consult for nail care?
A. A middle-aged man with type 2 diabetes mellitus who feels
tingling in his right foot.
B. A middle-aged man with mobility impairment that has lasted
several weeks after a fall from a ladder.
C. An older adult woman with dementia who has broken her
pelvis after falling on the kitchen floor.
D. A 12-year-old girl with a broken foot. Correct Answers A
middle-aged man with type 2 diabetes mellitus who feels
tingling in his right foot.
1. The nurse has one bed alarm available and can use it for any
of the following patients, all of whom have dementia. Having an
alarm is most important for which patient?
A. A patient who has refused most meals for the past week and
whose weight has dropped by 10% in the past month.
B. A patient who has become verbally combative with health
care team members in recent weeks.
C. A patient who was returned to the unit last week by staff in
an adjacent assisted living facility.
D. A patient whose abdominal feeding tube is covered with an
abdominal binder. Correct Answers A patient who was
returned to the unit last week by staff in an adjacent assisted
living facility.
,1. When positioning a hemiplegic patient in the supported
Fowler's position, what is the primary reason a trochanter roll is
placed alongside the patient's legs?
A. To reduce the risk of a fall while the side rails are down
B. To reduce the risk of contracture
C. To control pain
D. To cushion the legs Correct Answers To reduce the risk of
contracture
1. When preparing to clean a patient's dentures using the sink,
the nurse first protects the dentures by doing what?
A. Padding the sink basin with a washcloth
B. Performing hand hygiene
C. Filling the sink with cold water
D. Filling the sink with hot water Correct Answers Padding the
sink basin with a washcloth
1. When preparing to safely transfer a patient from a bed to a
wheelchair using a transfer belt, the nurse would do what first?
A. Coordinate extra help.
B. Assess the patient's vital signs.
C. Assess the patient's physiological capacity to transfer.
D. Determine whether to transfer the patient to a wheelchair or
chair. Correct Answers Assess the patient's physiological
capacity to transfer.
1. Which of the following interventions directly related to
patient safety must the nurse consider when providing perineal
care to an elderly male patient with a catheter?
A. Wear clean gloves during care.
B. Assess the patient's ability to provide self-care.
,C. Encourage the patient to report any pain originating from the
catheter.
D. Monitor the amount of urine in the drainage bag to prevent
overflow. Correct Answers Wear clean gloves during care.
1. Which of the following techniques is used to assess muscle
strength in a patient?
A. Apply an opposing force or resistance.
B. Observe the patient at rest.
C. Percuss the muscle.
D. Palpate the muscle. Correct Answers Apply an opposing
force or resistance.
2. A patient with difficulty breathing requests a back massage.
In which position would the nurse instruct nursing assistive
personnel (NAP) to place the patient during the massage?
A. Prone
B. Side-lying
C. Supine
D. Fowler's Correct Answers Side-lying
2. A patient with left-sided muscle weakness is prescribed a bath
every other day. Which precaution would help the nurse reduce
this patient's risk of falling?
A. Maintain the water temperature at 104°F.
B. Allow the patient to remain in the bath for 45 minutes.
C. Decline the patient's request to add scented oil to the
bathwater.
D. Discuss the patient's level of fatigue after the bath. Correct
Answers Decline the patient's request to add scented oil to the
bathwater.
, 2. The nurse has washed a patient's arms. Which area should the
nurse wash next?
A. Hands
B. Chest
C. Abdomen
D. Legs Correct Answers Hands
2. The nurse is preparing to initiate ambulation with a patient
who is recovering from a stroke. What information will help the
nurse determine how far to walk?
A. Ask the patient how far she would like to go.
B. Review the health care provider's order.
C. Review the medical record to see how far the patient has
walked during the past several therapeutic ambulations.
D. Review the records of other patients who are at a similar
point in their stroke rehabilitation. Correct Answers Ask the
patient how far she would like to go.
2. The nurse is preparing to move a patient from the bed to a
stretcher. What will the nurse do first?
A. Cross the patient's arms over his or her chest.
B. Lower the side rails of the bed.
C. Make sure the bed brakes are locked.
D. Fanfold the draw sheet. Correct Answers Make sure the bed
brakes are locked.
2. The nurse is preparing to provide perineal care for a female
patient who is on bed rest. Which patient position should the
nurse use for this care?
A. Supine
Solutions
1. For which patient would the nurse most likely ask for a
podiatrist consult for nail care?
A. A middle-aged man with type 2 diabetes mellitus who feels
tingling in his right foot.
B. A middle-aged man with mobility impairment that has lasted
several weeks after a fall from a ladder.
C. An older adult woman with dementia who has broken her
pelvis after falling on the kitchen floor.
D. A 12-year-old girl with a broken foot. Correct Answers A
middle-aged man with type 2 diabetes mellitus who feels
tingling in his right foot.
1. The nurse has one bed alarm available and can use it for any
of the following patients, all of whom have dementia. Having an
alarm is most important for which patient?
A. A patient who has refused most meals for the past week and
whose weight has dropped by 10% in the past month.
B. A patient who has become verbally combative with health
care team members in recent weeks.
C. A patient who was returned to the unit last week by staff in
an adjacent assisted living facility.
D. A patient whose abdominal feeding tube is covered with an
abdominal binder. Correct Answers A patient who was
returned to the unit last week by staff in an adjacent assisted
living facility.
,1. When positioning a hemiplegic patient in the supported
Fowler's position, what is the primary reason a trochanter roll is
placed alongside the patient's legs?
A. To reduce the risk of a fall while the side rails are down
B. To reduce the risk of contracture
C. To control pain
D. To cushion the legs Correct Answers To reduce the risk of
contracture
1. When preparing to clean a patient's dentures using the sink,
the nurse first protects the dentures by doing what?
A. Padding the sink basin with a washcloth
B. Performing hand hygiene
C. Filling the sink with cold water
D. Filling the sink with hot water Correct Answers Padding the
sink basin with a washcloth
1. When preparing to safely transfer a patient from a bed to a
wheelchair using a transfer belt, the nurse would do what first?
A. Coordinate extra help.
B. Assess the patient's vital signs.
C. Assess the patient's physiological capacity to transfer.
D. Determine whether to transfer the patient to a wheelchair or
chair. Correct Answers Assess the patient's physiological
capacity to transfer.
1. Which of the following interventions directly related to
patient safety must the nurse consider when providing perineal
care to an elderly male patient with a catheter?
A. Wear clean gloves during care.
B. Assess the patient's ability to provide self-care.
,C. Encourage the patient to report any pain originating from the
catheter.
D. Monitor the amount of urine in the drainage bag to prevent
overflow. Correct Answers Wear clean gloves during care.
1. Which of the following techniques is used to assess muscle
strength in a patient?
A. Apply an opposing force or resistance.
B. Observe the patient at rest.
C. Percuss the muscle.
D. Palpate the muscle. Correct Answers Apply an opposing
force or resistance.
2. A patient with difficulty breathing requests a back massage.
In which position would the nurse instruct nursing assistive
personnel (NAP) to place the patient during the massage?
A. Prone
B. Side-lying
C. Supine
D. Fowler's Correct Answers Side-lying
2. A patient with left-sided muscle weakness is prescribed a bath
every other day. Which precaution would help the nurse reduce
this patient's risk of falling?
A. Maintain the water temperature at 104°F.
B. Allow the patient to remain in the bath for 45 minutes.
C. Decline the patient's request to add scented oil to the
bathwater.
D. Discuss the patient's level of fatigue after the bath. Correct
Answers Decline the patient's request to add scented oil to the
bathwater.
, 2. The nurse has washed a patient's arms. Which area should the
nurse wash next?
A. Hands
B. Chest
C. Abdomen
D. Legs Correct Answers Hands
2. The nurse is preparing to initiate ambulation with a patient
who is recovering from a stroke. What information will help the
nurse determine how far to walk?
A. Ask the patient how far she would like to go.
B. Review the health care provider's order.
C. Review the medical record to see how far the patient has
walked during the past several therapeutic ambulations.
D. Review the records of other patients who are at a similar
point in their stroke rehabilitation. Correct Answers Ask the
patient how far she would like to go.
2. The nurse is preparing to move a patient from the bed to a
stretcher. What will the nurse do first?
A. Cross the patient's arms over his or her chest.
B. Lower the side rails of the bed.
C. Make sure the bed brakes are locked.
D. Fanfold the draw sheet. Correct Answers Make sure the bed
brakes are locked.
2. The nurse is preparing to provide perineal care for a female
patient who is on bed rest. Which patient position should the
nurse use for this care?
A. Supine
