Nurs 311 Exam Questions With Complete Solutions
A dependent, confused patient is being given a bedpan. How can
the nurse best ensure the patient's safety? Correct Answer
Raise the side rails on the bed before leaving the room.
A male patient on bed rest is permitted to stand to use the urinal.
Which action would the nurse take to ensure his safety before
helping him to a standing position? Correct Answer
Determine his risk for orthostatic hypotension
A nurse is caring for a patient who has just had major abdominal
surgery to resect a portion of his colon. What is the most reliable
sign that the patient has significant postoperative pain? Correct
Answer The patient rates his pain a 7 on a scale of 0 to 10.
A nursing assistive personnel (NAP) is preparing to weigh a
resident in a skilled nursing facility. The patient is usually
weighed in street clothing and socks, with his shoes off. The
patient is currently wearing street clothing with shoes and socks.
What will the NAP do to ensure that the patient's weight is
correctly measured? Correct Answer Take off the patient's
shoes, but leave his socks on.
A patient has consumed three 100-mL cups of ice chips and 4
ounces of ginger ale. What will nursing assistive personnel
(NAP) document as this patient's oral intake? Correct Answer
270 mL. Three 100-mL cups of ice chips would be 150 mL of
fluid, and 4 ounces of ginger ale would be 120 mL of fluid. The
intake would be documented as 270 mL
,A patient is admitted to your unit for dehydration. Which of the
following assessments would the nurse identify as a possible
sign of fluid imbalance? Correct Answer Reduced turgor of
the skin. skin remains suspended, peaked, or "tented" for a few
seconds, and then slowly returns to place
A patient is prescribed continuous oxygen saturation monitoring.
The nurse would confirm that the alarms have been set to which
limits? Correct Answer Low of 85% and high of 100%
A patient is told the home care nurse will be measuring and
recording intake and output (I&O) at home. What will the home
care nurse do first? Correct Answer Explain to the patient
why I&O has been ordered.
A patient who weighs 200 lbs. needs to be moved up in bed with
the aid of a friction-reducing device. The nurse will prepare for
this move by assembling how many caregivers? Correct
Answer At least three
A patient will be moved up in bed with the use of a friction-
reducing device. How will the nurse place this device under the
patient? Correct Answer Roll the patient from side to side,
and place the device under the drawsheet.
A patient with a herniated disk is scheduled for surgery to fuse
two vertebrae in her cervical spine. Which activity is most likely
to be a palliative factor for this patient? Correct Answer
Performing neck, back, and shoulder exercises prescribed by a
physical therapist
, A patient with a nasogastric tube, an intravenous infusion line,
and an indwelling urinary catheter needs to be placed on the
bedpan. Which action would the nurse take first to ensure the
patient's safety? Correct Answer Obtain help to place the
patient on the bedpan.
A patient with type 2 diabetes mellitus tells the nurse that he has
been testing his own blood glucose level six times per day for
the past 3 years. What is the most appropriate action for the
nurse to take? Correct Answer Observe the patient's testing
technique for accuracy. It is useful to evaluate the patient's
technique to ensure that he receives accurate results.
After assisting with a bedpan, the nurse notes that the patient's
stool is streaked with bright-red blood. What would the nurse do
first? Correct Answer Ask if the patient has a history of
hemorrhoids. Asking whether the patient has a history of
hemorrhoids is the most appropriate initial response, followed
by documentation of the observation and notification of the
patient's health care provider.
After bacteria are cultured from a midstream urine specimen,
what is accomplished by sensitivity testing? Correct Answer
Determines which antibiotic agent is most effective in killing the
bacteria
After determining the proper size stocking and assessing the
patient's circulatory status, a nurse delegates the application of
elastic stockings to nursing assistive personnel (NAP). The
nurse discovers that the NAP has been using moisturizer on the
patient's legs before applying the stockings. What is the best
A dependent, confused patient is being given a bedpan. How can
the nurse best ensure the patient's safety? Correct Answer
Raise the side rails on the bed before leaving the room.
A male patient on bed rest is permitted to stand to use the urinal.
Which action would the nurse take to ensure his safety before
helping him to a standing position? Correct Answer
Determine his risk for orthostatic hypotension
A nurse is caring for a patient who has just had major abdominal
surgery to resect a portion of his colon. What is the most reliable
sign that the patient has significant postoperative pain? Correct
Answer The patient rates his pain a 7 on a scale of 0 to 10.
A nursing assistive personnel (NAP) is preparing to weigh a
resident in a skilled nursing facility. The patient is usually
weighed in street clothing and socks, with his shoes off. The
patient is currently wearing street clothing with shoes and socks.
What will the NAP do to ensure that the patient's weight is
correctly measured? Correct Answer Take off the patient's
shoes, but leave his socks on.
A patient has consumed three 100-mL cups of ice chips and 4
ounces of ginger ale. What will nursing assistive personnel
(NAP) document as this patient's oral intake? Correct Answer
270 mL. Three 100-mL cups of ice chips would be 150 mL of
fluid, and 4 ounces of ginger ale would be 120 mL of fluid. The
intake would be documented as 270 mL
,A patient is admitted to your unit for dehydration. Which of the
following assessments would the nurse identify as a possible
sign of fluid imbalance? Correct Answer Reduced turgor of
the skin. skin remains suspended, peaked, or "tented" for a few
seconds, and then slowly returns to place
A patient is prescribed continuous oxygen saturation monitoring.
The nurse would confirm that the alarms have been set to which
limits? Correct Answer Low of 85% and high of 100%
A patient is told the home care nurse will be measuring and
recording intake and output (I&O) at home. What will the home
care nurse do first? Correct Answer Explain to the patient
why I&O has been ordered.
A patient who weighs 200 lbs. needs to be moved up in bed with
the aid of a friction-reducing device. The nurse will prepare for
this move by assembling how many caregivers? Correct
Answer At least three
A patient will be moved up in bed with the use of a friction-
reducing device. How will the nurse place this device under the
patient? Correct Answer Roll the patient from side to side,
and place the device under the drawsheet.
A patient with a herniated disk is scheduled for surgery to fuse
two vertebrae in her cervical spine. Which activity is most likely
to be a palliative factor for this patient? Correct Answer
Performing neck, back, and shoulder exercises prescribed by a
physical therapist
, A patient with a nasogastric tube, an intravenous infusion line,
and an indwelling urinary catheter needs to be placed on the
bedpan. Which action would the nurse take first to ensure the
patient's safety? Correct Answer Obtain help to place the
patient on the bedpan.
A patient with type 2 diabetes mellitus tells the nurse that he has
been testing his own blood glucose level six times per day for
the past 3 years. What is the most appropriate action for the
nurse to take? Correct Answer Observe the patient's testing
technique for accuracy. It is useful to evaluate the patient's
technique to ensure that he receives accurate results.
After assisting with a bedpan, the nurse notes that the patient's
stool is streaked with bright-red blood. What would the nurse do
first? Correct Answer Ask if the patient has a history of
hemorrhoids. Asking whether the patient has a history of
hemorrhoids is the most appropriate initial response, followed
by documentation of the observation and notification of the
patient's health care provider.
After bacteria are cultured from a midstream urine specimen,
what is accomplished by sensitivity testing? Correct Answer
Determines which antibiotic agent is most effective in killing the
bacteria
After determining the proper size stocking and assessing the
patient's circulatory status, a nurse delegates the application of
elastic stockings to nursing assistive personnel (NAP). The
nurse discovers that the NAP has been using moisturizer on the
patient's legs before applying the stockings. What is the best
