NUR 242Med-Surg Exam 1. GalenCollegeof
Nursing. Latest
2025||100%Accurate
How shouldthenursedisposeof thebreakfasttrayof a patientwho requiresairborneisolation?
a. Placethetrayin speciallymarkedtrashcan inside thepatient'sroom
b. Placethetrayin a specialisolationbagheld by a secondhealthcareworkerat the patient's door
c. Returnthetry with a noteto thedietaryservicesso it can be cleanedand reusedfor the next meal
d. Carry thetry to an isolationtrashreceptaclein thedirty utility room and disposeof it there-
Answers>>b. Place the tray in a special isolation bag held by a second health care worker at the
patient's door
6 rights of medicationadministration- Answers>>patient,time,dose,route,medication,expiration
A clientarriveswith a woundthatis oozing with a foul- smellingyellowpus. which type of wound
drainage is this?
A: serous
B: Sanguineous
C: serosanguineous
D: purulent- Answers>>D: purulent
A generalguidelinefor theassessmentof a restrainedbodypart(for medical- surgical reasons) is removal of
the restraint:
A: every15 min B:
every 30 min C:
every1 hour
D: every2 hours- Answers>>D: every2 hours
A patientis admittedto thehospitalfor chemotherapyand has a low whitebloodcell count. Which
precaution should the staff take with this patient?
a. Contact
b. Protective
c. Droplet
d. Airborne - Answers>>b. Protective
A patientis admittedto thehospitalwith tuberculosis.Which precautionsmustthenurse institute when
caring for this patient?
a. DropletTransmission
b. AirborneTransmission
,c. Direct Contact
d. IndirectContact- Answers>>b. Airborne Transmission
A patientis to havesequentialcompressiondevice(SCD) appliedon thepostoperative unit. the patient
is wearing knee - high elastic (antiembolism) stockings. when applying the SCD what should the nurse
do?
A: removetheanti embolismstockingsand not replacethem B: replace
the knee-high with thigh-high stockings
C: notifythesurgeonthethepatientis wearingantiembolismstockings
D: applytheSCD overtheknee-high stockings- Answers>>D: apply theSCD overthe knee-high
stockings
A sterilefield consistsof whichof thefollowing?(Selectall thatapply.)
a.A steriletray
b.A work surfacedrapedwith a steriletowel
c.A tablecoveredby a largesteriledrape
d.A patient'sbedsidetable- Answers>>a.A steriletray
b.A work surfacedrapedwith a steriletowel
c.A tablecoveredby a largesteriledrape A wound
should be cleanses from:
A: leastcontaminatedareato mostcontaminatedarea B: front to
back
C: mostcontaminatedto leastcontaminated- Answers>>A: leastcontaminatedareato most
contaminated area
Alternativesto physicalrestraintsincludewhich of thefollowing?(morethanone answer)
A: environmentalmodifications
B: lessfrequentobservationof patientsto promoteprivacy C:
involvement of family during visitation
D: morefrequentobservationsof patients- Answers>>A: environmentalmodifications C: involvement
of family during visitation
D: morefrequentobservationsof patients
An appropriateprocedureto usewhenmoving a patientup in bedis for thenurseto: A: raise the head
of the bed to a 45 degree angle
B: Startby flexing your kneesand hips
C: placea pillow underthepatient'sshoulders
D: instructthepatientto inhaleand hold still - Answers>>B: Startby flexing your knees and hips
, Antiembolicstockings(TED's) areorderedfor a patienton bedrestaftersurgery.the nurse explains to
the patient that the primary purpose for the elastic stockings is to:
A: keeptheskin warm
B: preventabnormaljoint flexion
C: increasevenousreturnto theheart
D: preventbleeding- Answers>>C: increasevenousreturnto theheart
Beforeenteringtheroom of a clienton isolationwhereall protectivebarriersare required, the nurse first
puts on the:
a.Gown
b.Gloves
c.Eyewear
d.Mask/respirator
- Answers>>a.Gown
before moving a patient, who has been confined to bed for a few days which of the following
are
appropriateinterventionsfor thenurseto take:(morethanoneanswer)
A: assesspulsesto measurefatigue
B: assessthe physical size of the patientand his level of participationin the transfer C: apply a
transfer belt before moving patient to sitting position
D: Obtaining vital signs to assessfor risks of postural hypotension- Answers>>B: assess the
physical size of thepatientand his level of participationin the transfer C: apply a transfer belt
before moving patient to sitting position
D: Obtainingvital signs to assessfor risks of posturalhypotension During
suture removal what should the nurse do?
A: delaysutureremovalwhennoting incision line separationand delayedhealing B: snip each
end of the suture for patient comfort
C: removesmall stitchesnotedin thetissuebelowthesutureline
D: placethe forcepson the skin next to the incision line to stabilizethe skin surface- Answers>>A:
delaysutureremovalwhennoting incision line separationand delayedhealing
entrance components anytime you enter a patients room perform a task/skill
- Answers>>gatherequipment,
handhygiene,providepatientprivacy,identifythepatient using 2 identifiers, explain procedure to the
patient
exit components anytime you leave a patients room/finish- task Answers>>replace call light, neatly
arrange possessions and bedside table, bed in locked position, low, with at2 but
least
no morethan3 side
rails raised,ask patientif theyneedanythingelseat this time, hand hygiene
For thepatentwho cannotsit upright,thenext positionto preventaspirationduring medication
Nursing. Latest
2025||100%Accurate
How shouldthenursedisposeof thebreakfasttrayof a patientwho requiresairborneisolation?
a. Placethetrayin speciallymarkedtrashcan inside thepatient'sroom
b. Placethetrayin a specialisolationbagheld by a secondhealthcareworkerat the patient's door
c. Returnthetry with a noteto thedietaryservicesso it can be cleanedand reusedfor the next meal
d. Carry thetry to an isolationtrashreceptaclein thedirty utility room and disposeof it there-
Answers>>b. Place the tray in a special isolation bag held by a second health care worker at the
patient's door
6 rights of medicationadministration- Answers>>patient,time,dose,route,medication,expiration
A clientarriveswith a woundthatis oozing with a foul- smellingyellowpus. which type of wound
drainage is this?
A: serous
B: Sanguineous
C: serosanguineous
D: purulent- Answers>>D: purulent
A generalguidelinefor theassessmentof a restrainedbodypart(for medical- surgical reasons) is removal of
the restraint:
A: every15 min B:
every 30 min C:
every1 hour
D: every2 hours- Answers>>D: every2 hours
A patientis admittedto thehospitalfor chemotherapyand has a low whitebloodcell count. Which
precaution should the staff take with this patient?
a. Contact
b. Protective
c. Droplet
d. Airborne - Answers>>b. Protective
A patientis admittedto thehospitalwith tuberculosis.Which precautionsmustthenurse institute when
caring for this patient?
a. DropletTransmission
b. AirborneTransmission
,c. Direct Contact
d. IndirectContact- Answers>>b. Airborne Transmission
A patientis to havesequentialcompressiondevice(SCD) appliedon thepostoperative unit. the patient
is wearing knee - high elastic (antiembolism) stockings. when applying the SCD what should the nurse
do?
A: removetheanti embolismstockingsand not replacethem B: replace
the knee-high with thigh-high stockings
C: notifythesurgeonthethepatientis wearingantiembolismstockings
D: applytheSCD overtheknee-high stockings- Answers>>D: apply theSCD overthe knee-high
stockings
A sterilefield consistsof whichof thefollowing?(Selectall thatapply.)
a.A steriletray
b.A work surfacedrapedwith a steriletowel
c.A tablecoveredby a largesteriledrape
d.A patient'sbedsidetable- Answers>>a.A steriletray
b.A work surfacedrapedwith a steriletowel
c.A tablecoveredby a largesteriledrape A wound
should be cleanses from:
A: leastcontaminatedareato mostcontaminatedarea B: front to
back
C: mostcontaminatedto leastcontaminated- Answers>>A: leastcontaminatedareato most
contaminated area
Alternativesto physicalrestraintsincludewhich of thefollowing?(morethanone answer)
A: environmentalmodifications
B: lessfrequentobservationof patientsto promoteprivacy C:
involvement of family during visitation
D: morefrequentobservationsof patients- Answers>>A: environmentalmodifications C: involvement
of family during visitation
D: morefrequentobservationsof patients
An appropriateprocedureto usewhenmoving a patientup in bedis for thenurseto: A: raise the head
of the bed to a 45 degree angle
B: Startby flexing your kneesand hips
C: placea pillow underthepatient'sshoulders
D: instructthepatientto inhaleand hold still - Answers>>B: Startby flexing your knees and hips
, Antiembolicstockings(TED's) areorderedfor a patienton bedrestaftersurgery.the nurse explains to
the patient that the primary purpose for the elastic stockings is to:
A: keeptheskin warm
B: preventabnormaljoint flexion
C: increasevenousreturnto theheart
D: preventbleeding- Answers>>C: increasevenousreturnto theheart
Beforeenteringtheroom of a clienton isolationwhereall protectivebarriersare required, the nurse first
puts on the:
a.Gown
b.Gloves
c.Eyewear
d.Mask/respirator
- Answers>>a.Gown
before moving a patient, who has been confined to bed for a few days which of the following
are
appropriateinterventionsfor thenurseto take:(morethanoneanswer)
A: assesspulsesto measurefatigue
B: assessthe physical size of the patientand his level of participationin the transfer C: apply a
transfer belt before moving patient to sitting position
D: Obtaining vital signs to assessfor risks of postural hypotension- Answers>>B: assess the
physical size of thepatientand his level of participationin the transfer C: apply a transfer belt
before moving patient to sitting position
D: Obtainingvital signs to assessfor risks of posturalhypotension During
suture removal what should the nurse do?
A: delaysutureremovalwhennoting incision line separationand delayedhealing B: snip each
end of the suture for patient comfort
C: removesmall stitchesnotedin thetissuebelowthesutureline
D: placethe forcepson the skin next to the incision line to stabilizethe skin surface- Answers>>A:
delaysutureremovalwhennoting incision line separationand delayedhealing
entrance components anytime you enter a patients room perform a task/skill
- Answers>>gatherequipment,
handhygiene,providepatientprivacy,identifythepatient using 2 identifiers, explain procedure to the
patient
exit components anytime you leave a patients room/finish- task Answers>>replace call light, neatly
arrange possessions and bedside table, bed in locked position, low, with at2 but
least
no morethan3 side
rails raised,ask patientif theyneedanythingelseat this time, hand hygiene
For thepatentwho cannotsit upright,thenext positionto preventaspirationduring medication
