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Nurse 236 Exam #2 NCLEX Study Questions with correct answers graded A+
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Nurse 236 Exam #2 NCLEX Study Questions with correct answers graded A+
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Nurse 236 Exam #2 NCLEX StudyQuestions
Would PPT: The nurse is caring for an older person with limited mobility. What is the priority nursing
action in preventing the development of a pressure ulcer in this patient?
A. Massaging all reddened areas frequently
B. Re positioning client every 2 hrs and prn
C. Apply cornstarch liberally after bathing to absorb moisture
D .Keep the patient's head of bed low to prevent friction - correct answer ✔✔B. Re positioning client
every 2 hrs and prn
Wound PPT:An injury with a blunt instrument that causes damage to underlying soft tissue such as a
hematoma or ecchymosis while leaving overlying skin intact is what type of wound?
A.Abrasion
B.Laceration
C.Avulsion
D.Contusion - correct answer ✔✔D.Contusion
Mr. Shendaih, a hospitalized patient with congestive heart failure (CHF), has developed a urinary tract
infection (UTI). He is 90 years old and has an indwelling catheter in place. Which factor most likely is the
cause of the UTI?
,a. The close proximity of the male genitalia to the rectum
b. Decreased immunity
c. Fluid overload caused by the CHF
d. The indwelling urinary catheter - correct answer ✔✔d. The indwelling urinary catheter
Which of the following is a nursing priority when caring for a male patient with a condom catheter?
a. Preventing the catheter tubing from kinking
b. To make sure the catheter doesn't come off
c. Fastening the condom tightly to prevent leakage
d. Not removing the catheter for any reason - correct answer ✔✔a. Preventing the catheter tubing from
kinking
CT PPT: The nurse is caring for a patient with a new prescription for an anti-inflammatory medication.
Before administering the medication, the nurse uses her Nursing Central Drug Book to gather
information about the medication and its effects. Which component of CT is the nursing using?
A.Experience
B.Intuition
C.Competence
D.Knowledge - correct answer ✔✔D.Knowledge
Sterile Technique PPT: The nurse is going to change a sterile dressing. After opening the sterile supplies
and donning sterile gloves, it is critical that the nurse
A.Use clean forceps to add items to the sterile field.
B.Minimize splashes of sterile saline on the sterile field.
C.Consider the outer 1 inch of sterile field as contaminated.
, D.Turn her head quickly to sneeze so sterile field is not contaminated. - correct answer ✔✔C.Consider
the outer 1 inch of sterile field as contaminated.
Sterile technique PPT: The nurse is assisting a physician with a sterile technique at the bedside. Which
actions will contaminate the sterile field? Select all that apply.
A.The cotton balls are moistened and placed in the sterile field.
B.The nurse turns to answer the physician while adding items to the sterile field.
C.The patient finger touches the outer edge of the sterile field.
D.The sterile field sits for an hour since the physician had an emergency.
E. The nurse drops sterile tweezers on the near side of the sterile field. - correct answer ✔✔A,B,D
ATI pg.249: A nurse in a provider's office is evaluating who reports losing control of urine whenever she
coughs, laughs or sneezes. The client relates a history of three vaginal births, but no serious accidents of
illnesses. Which of the following interventions should the nurse suggest for helping to control or
eliminate the client's incontinence? (select all that apply)
A. Limit total daily fluid intake
B.Decrease or avoid caffeine
C.Take calcium supplements
D.Avoid drinking alcohol
E.Use the Crede maneuver - correct answer ✔✔B.Decrease or avoid caffeine
D.Avoid drinking alcohol
ATI pg.249: A client who has an indwelling catheter reports a need to urinate. Which of the following
actions should the nurse take?
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