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ADVANCED NURSING
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This exam contains well revised questions and answers graded A+ 2024/2025
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Nurs 311 QUESTION ANDANSWERS GRADED A+
2024/2025
Which criterion makes it appropriate for the nurse to delegate to nursing assistive personnel (NAP)
the skill of collecting a sputum specimen? – Answer The patient can produce the specimen by
coughing.
Which instruction might the nurse give to nursing assistive personal (NAP) that is applicable only to
tympanic temperature assessment? - Answer Gently tug the pinna backward, up, and out before
inserting the probe.
Which instruction might the nurse give to nursing assistive personnel (NAP) that is applicable only to
temporal artery temperature assessment? – Answer Place the sensor flush on the patient's
forehead.
Which statement best illustrates correct interpretation of a positive gastric occult blood test? -
Answer"If the test sample turns blue, it is positive for blood."
Which statement best illustrates the nurse's understanding of the role of nursing assistive personnel
(NAP) in carrying out a gastric occult blood test for a patient with a low hemoglobin and hematocrit? -
Answer"The next time the patient vomits, please test it for occult blood."
Which statement by the patient would indicate that he or she understands the safe use of oxygen? -
Answer"I'll alert the nurse immediately if I have any increased difficulty breathing."
Which statement indicates proper interpretation of the results of a positive fecal occult blood test? -
Answer"Because it was positive, the patient must be asked when he or she last ate red meat."
Which statement might the nurse make to nursing assistive personnel (NAP) assigned to collect a
midstream urine specimen from a patient with signs of a urinary tract infection? - Answer"Be sure to
maintain aseptic technique."
Which statement might the nurse make to nursing assistive personnel (NAP) before delegating the
collection of a routine urine sample from a patient with an indwelling urinary catheter? - Answer"Let
me know if the urine contains blood or sediment, or appears cloudy."
Which statement might the nurse make to nursing assistive personnel (NAP) in order to help ensure
reliable results of culture and sensitivity testing of a midstream urine specimen? - Answer"Please get
the specimen to the lab within 20 minutes."
Which statement reflects the nurse's understanding of the importance of accurate urinary output
measurement for a patient with acute renal failure? - Answer"I will use a collection system with an
hourly measurement device added."
Which statement will the nurse make to nursing assistive personnel (NAP) when delegating urine
glucose testing with a reagent strip for a patient with type 2 diabetes? - Answer"Don't forget to get a
double-voided specimen when you test the patient's urine."
Which instruction to nursing assistive personnel (NAP) is most relevant to the proper performance of
a fecal occult blood test using a Hemoccult slide? - Answer" Remember to take samples from two
different areas of the specimen."
, Which measure may be taken to minimize the staff's risk for infection from a urine specimen? –
Answer Firmly securing the lid of the urine specimen container
Which nursing action addresses the risk for infection related to gastric occult blood testing? –
Answer Ensuring appropriate hand hygiene before and after testing; most effective way of
minimizing the risk for infection
Which nursing action best evaluates the effectiveness of an antipyretic medication in a patient with
an oral temperature of 101.6°F? – Answer Assess oral temperature 30 minutes after the agent is
administered.
Which observation indicates that a patient's analgesic has been effective in managing pain that she
rated a 6 out of 10 on a pain rating scale before the intervention? – Answer The patient rates her
current pain as 3 out of 10 on the pain rating scale.
Which of the following is a risk factor for decreased oxygen saturation level in a patient? – Answer
Chest wall injury
Which of the following nursing actions addresses the risk for infection related to fecal occult blood
testing? – Answer Wearing clean gloves while testing
Which patient outcome best reflects adequate management for pain originally rated as 8 out of 10 on
a pain scale? – Answer The patient rates current pain as 4 out of 10
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? – 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? - AnswerThe
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? – 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? - Answer270 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? – 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? – 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? – 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? – Answer At least three
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