ESTUDYR
NUR 104 EXAM 2 MOST TESTED QUESTIONS AND
ANSWERS GRADED A+ WITH RATIONALES
1. The nurse is performing a depression-risk assessment on older adults in a long-term care
facility. Which consideration is most important?
A. Older adults usually exaggerate their depressive symptoms
B. Depression is rare in older adults
C. Depression screening is not needed unless requested
D. Many older adults are reluctant to admit they are depressed
Rationale: Older adults often deny or minimize depressive symptoms due to stigma,
generational beliefs, or fear of losing independence.
2. A trauma patient has blood loss from a nicked vessel and is wearing a medical alert
bracelet. Which factor may interfere with clotting?
A. High platelet levels
B. Excess iron
C. Deficiency in any coagulation factor
D. Increased WBC count
Rationale: Coagulation factors like fibrinogen, prothrombin, and other clotting proteins are
essential for clot formation. A deficiency prolongs bleeding.
3. What are the key functions of the hematologic system? (Select all that apply.)
A. Produce digestive enzymes
B. Deliver nutrients and oxygen
C. Remove wastes
D. Regulate blood volume
E. Maintain electrolyte balance
Rationale: Blood carries oxygen/nutrients, removes metabolic waste, and regulates
volume/pressure.
4. An older adult is diagnosed with presbyopia. What does this mean?
A. Loss of peripheral vision
B. Clouding of the lens
C. Sudden onset blurred vision
D. Impaired near vision due to normal aging
Rationale: Presbyopia is age-related stiffening of the lens reducing near-focus ability.
5. What is a key nursing consideration when planning hydration for older adults?
A. They drink excessively
B. They need fluid restriction
, ESTUDYR
C. They often need encouragement to drink fluids
D. They should avoid drinking after 6 PM
Rationale: Decreased thirst sensation makes dehydration common in the elderly.
6. A client with AB blood is receiving a transfusion. Which is the universal donor type?
A. AB
B. A
C. B
D. O
Rationale: Type O contains no A/B antigens, preventing hemolytic reactions.
7. Which blood type is the universal recipient?
A. O
B. B
C. A
D. AB
Rationale: Type AB has no antibodies, allowing acceptance of all blood types.
8. What is a required guideline when administering a blood transfusion?
A. Student nurses may verify blood
B. Only one nurse is needed
C. Family may identify blood
D. Two licensed personnel must verify the blood unit
Rationale: Double verification prevents mismatched transfusions, a severe safety hazard.
9. Which is an example of remotivation therapy for an elderly depressed client?
A. Strict meal planning
B. Encouraging reminiscence about past accomplishments
C. Restricting visitors
D. Reviewing medications daily
Rationale: Remotivation focuses on positive memories to enhance purpose and engagement.
10. What is a guideline for therapeutic communication with older adults?
A. Avoid group activities
B. Avoid social interaction
C. Place patients in double rooms to encourage interaction
D. Use only written communication
Rationale: Socialization reduces isolation and depression among older adults.
11. What is the role of chemotaxis in infection control?
A. Increasing RBC production
B. Creating antibodies
C. Guiding WBCs to invade and engulf foreign material
D. Increasing platelet aggregation
NUR 104 EXAM 2 MOST TESTED QUESTIONS AND
ANSWERS GRADED A+ WITH RATIONALES
1. The nurse is performing a depression-risk assessment on older adults in a long-term care
facility. Which consideration is most important?
A. Older adults usually exaggerate their depressive symptoms
B. Depression is rare in older adults
C. Depression screening is not needed unless requested
D. Many older adults are reluctant to admit they are depressed
Rationale: Older adults often deny or minimize depressive symptoms due to stigma,
generational beliefs, or fear of losing independence.
2. A trauma patient has blood loss from a nicked vessel and is wearing a medical alert
bracelet. Which factor may interfere with clotting?
A. High platelet levels
B. Excess iron
C. Deficiency in any coagulation factor
D. Increased WBC count
Rationale: Coagulation factors like fibrinogen, prothrombin, and other clotting proteins are
essential for clot formation. A deficiency prolongs bleeding.
3. What are the key functions of the hematologic system? (Select all that apply.)
A. Produce digestive enzymes
B. Deliver nutrients and oxygen
C. Remove wastes
D. Regulate blood volume
E. Maintain electrolyte balance
Rationale: Blood carries oxygen/nutrients, removes metabolic waste, and regulates
volume/pressure.
4. An older adult is diagnosed with presbyopia. What does this mean?
A. Loss of peripheral vision
B. Clouding of the lens
C. Sudden onset blurred vision
D. Impaired near vision due to normal aging
Rationale: Presbyopia is age-related stiffening of the lens reducing near-focus ability.
5. What is a key nursing consideration when planning hydration for older adults?
A. They drink excessively
B. They need fluid restriction
, ESTUDYR
C. They often need encouragement to drink fluids
D. They should avoid drinking after 6 PM
Rationale: Decreased thirst sensation makes dehydration common in the elderly.
6. A client with AB blood is receiving a transfusion. Which is the universal donor type?
A. AB
B. A
C. B
D. O
Rationale: Type O contains no A/B antigens, preventing hemolytic reactions.
7. Which blood type is the universal recipient?
A. O
B. B
C. A
D. AB
Rationale: Type AB has no antibodies, allowing acceptance of all blood types.
8. What is a required guideline when administering a blood transfusion?
A. Student nurses may verify blood
B. Only one nurse is needed
C. Family may identify blood
D. Two licensed personnel must verify the blood unit
Rationale: Double verification prevents mismatched transfusions, a severe safety hazard.
9. Which is an example of remotivation therapy for an elderly depressed client?
A. Strict meal planning
B. Encouraging reminiscence about past accomplishments
C. Restricting visitors
D. Reviewing medications daily
Rationale: Remotivation focuses on positive memories to enhance purpose and engagement.
10. What is a guideline for therapeutic communication with older adults?
A. Avoid group activities
B. Avoid social interaction
C. Place patients in double rooms to encourage interaction
D. Use only written communication
Rationale: Socialization reduces isolation and depression among older adults.
11. What is the role of chemotaxis in infection control?
A. Increasing RBC production
B. Creating antibodies
C. Guiding WBCs to invade and engulf foreign material
D. Increasing platelet aggregation
