NURS 325 Exam 2 Review Questions With Complete
Solutions
A home-care nurse is helping a patient with short-term memory
loss with how to remember to take multiple drugs throughout the
day. Which should the nurse do when teaching this patient ?
1. Suggest that the patient wear a watch with an alarm
2. Ask a family member to call the patient when medications are
to be taken
3. Design a chart of the medications the patient takes each day
during the week
4. Instruct the patient to put medications in a weekly
organizational pill container Correct Answers Instruct the
patient to put medications in a weekly organizational pill
container
A home-care nurse observes the spouse of a patient inserting a
rectal suppository. Which behavior indicates that the nurse must
provide further teaching about suppository administration?
1. Lubricates the tip of the suppository
2. Inserts the suppository while wearing a glove
3. Inserts the suppository while the patient bears down
4. Places the suppository a finger length into the rectum Correct
Answers Inserts the suppository while the patient bears down
A nurse checks meal that for a patent on a clear liquid diet.
Which item is acceptable on this diet?
1. Ginger ale
,2. Lemon sherbet
3. Vanilla ice cream
4. Cream of chicken soup Correct Answers Ginger ale
A nurse evaluates a patient's fluid balance by monitoring the
patient's intake and output. Which must the nurse understand
about the ratio of the patient's fluid intake to output ?
1. Intake should be slightly more than the output
2. Intake should be higher than the fluid output
3. Intake should be lower than the urine output
4. Intake should be equal to the urine output Correct Answers
Intake should be slightly more than the output
A nurse holds a bottle with the label next to the palm of the hand
when pouring a liquid medication. What is the rationale for this
action?
1. Prevent the soiling of the label by spilled liquid.
2. Conceal the label from the curiosity of others
3. Ensure the accuracy of the measurement of the dose
4. Guarantee the label is read before the pouring the liquid
Correct Answers Prevent the soiling of the label by spilled
liquid
A nurse identifies that an older adult patient may have a problem
with excess fluid volume. Which characteristics of the patient's
skin support this conclusion?
1. Dry and scaly
2. Taut and shiny
,3. Red and irritated
4. Thin and inelastic Correct Answers Taut and shiny
A nurse identifies that the patient has overflow incontinence.
Which factor contributes to this clinical manifestation?
1. Coughing
2. Mobility deficits
3. Prostate enlargement
4. Urinay tract infection Correct Answers prostrate
enlargement
A nurse instructs a patient to close the eyes after the
administration of eye drops. Which rationale for this instruction
should the nurse explain to the patient?
1. Limits corneal irritation
2. Squeeze excess medication from the eyes
3. Disperses the medication over the eyeballs
4. Prevents medication from from entering the lacrimal duct
Correct Answers Disperses the medication over the eyeballs
A nurse instructs a patient to inhale deeply and hold each breath
for a second when using a hand-held nebulizer. The patient asks,
"Why do I have to hold my breath ?" Which information should
the nurse include in the response to the patient's question?
1. "It prolongs treatment"
2. "It limits hyperventilation"
3. "It disperses the medication"
, 4. "It prevents bronchial spasms" Correct Answers It limits
hyperventilation
A nurse is administering an intradermal injection. At which
angle should the nurse insert the needle?
1. 90-degree angle
2. 45-degree angle
3. 30-degree angle
4. 15-degree angle Correct Answers 15-degree angle
A nurse is assesing a patient's fluid status. Which assessments
indicate that the patient has a deifcient fluid volume ? Select all
that apply
1. Redness
2. Swelling
3. Firmness
4. Coolness
5. Inflammation Correct Answers 2. Swelling
4. Coolness
A nurse is assessing a patient to determine if it is appropriate to
administer a prescribed medication via the oral route. Which
information indicates that the nurse should ask the primary
health care provider for a change in route? Select all that apply.
1. Nausea
2. Unconsciousness
3. Gastric suctioning
4. Emergency situation
Solutions
A home-care nurse is helping a patient with short-term memory
loss with how to remember to take multiple drugs throughout the
day. Which should the nurse do when teaching this patient ?
1. Suggest that the patient wear a watch with an alarm
2. Ask a family member to call the patient when medications are
to be taken
3. Design a chart of the medications the patient takes each day
during the week
4. Instruct the patient to put medications in a weekly
organizational pill container Correct Answers Instruct the
patient to put medications in a weekly organizational pill
container
A home-care nurse observes the spouse of a patient inserting a
rectal suppository. Which behavior indicates that the nurse must
provide further teaching about suppository administration?
1. Lubricates the tip of the suppository
2. Inserts the suppository while wearing a glove
3. Inserts the suppository while the patient bears down
4. Places the suppository a finger length into the rectum Correct
Answers Inserts the suppository while the patient bears down
A nurse checks meal that for a patent on a clear liquid diet.
Which item is acceptable on this diet?
1. Ginger ale
,2. Lemon sherbet
3. Vanilla ice cream
4. Cream of chicken soup Correct Answers Ginger ale
A nurse evaluates a patient's fluid balance by monitoring the
patient's intake and output. Which must the nurse understand
about the ratio of the patient's fluid intake to output ?
1. Intake should be slightly more than the output
2. Intake should be higher than the fluid output
3. Intake should be lower than the urine output
4. Intake should be equal to the urine output Correct Answers
Intake should be slightly more than the output
A nurse holds a bottle with the label next to the palm of the hand
when pouring a liquid medication. What is the rationale for this
action?
1. Prevent the soiling of the label by spilled liquid.
2. Conceal the label from the curiosity of others
3. Ensure the accuracy of the measurement of the dose
4. Guarantee the label is read before the pouring the liquid
Correct Answers Prevent the soiling of the label by spilled
liquid
A nurse identifies that an older adult patient may have a problem
with excess fluid volume. Which characteristics of the patient's
skin support this conclusion?
1. Dry and scaly
2. Taut and shiny
,3. Red and irritated
4. Thin and inelastic Correct Answers Taut and shiny
A nurse identifies that the patient has overflow incontinence.
Which factor contributes to this clinical manifestation?
1. Coughing
2. Mobility deficits
3. Prostate enlargement
4. Urinay tract infection Correct Answers prostrate
enlargement
A nurse instructs a patient to close the eyes after the
administration of eye drops. Which rationale for this instruction
should the nurse explain to the patient?
1. Limits corneal irritation
2. Squeeze excess medication from the eyes
3. Disperses the medication over the eyeballs
4. Prevents medication from from entering the lacrimal duct
Correct Answers Disperses the medication over the eyeballs
A nurse instructs a patient to inhale deeply and hold each breath
for a second when using a hand-held nebulizer. The patient asks,
"Why do I have to hold my breath ?" Which information should
the nurse include in the response to the patient's question?
1. "It prolongs treatment"
2. "It limits hyperventilation"
3. "It disperses the medication"
, 4. "It prevents bronchial spasms" Correct Answers It limits
hyperventilation
A nurse is administering an intradermal injection. At which
angle should the nurse insert the needle?
1. 90-degree angle
2. 45-degree angle
3. 30-degree angle
4. 15-degree angle Correct Answers 15-degree angle
A nurse is assesing a patient's fluid status. Which assessments
indicate that the patient has a deifcient fluid volume ? Select all
that apply
1. Redness
2. Swelling
3. Firmness
4. Coolness
5. Inflammation Correct Answers 2. Swelling
4. Coolness
A nurse is assessing a patient to determine if it is appropriate to
administer a prescribed medication via the oral route. Which
information indicates that the nurse should ask the primary
health care provider for a change in route? Select all that apply.
1. Nausea
2. Unconsciousness
3. Gastric suctioning
4. Emergency situation
