NR 224 EXAM 2 LATEST 3 VERSIONS (VERSION
A, B & C) 2024-2025 ACTUAL EXAM 150
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
Terms in this set (124)
What is the removal of a. debridement
devitalized tissue from a
wound called?
a. debridement
b. pressure reduction
c. negative pressure wound
therapy
d. sanitization
Which of the following skills b. oropharyngeal suctioning of a stable patient
can the nurse delegate to d. permanent tracheostomy tube suctioning
nursing assistive personnel?
Select all that apply.
a. nasotracheal suctioning
b. oropharyngeal suctioning
of a stable patient
c. suctioning a new artificial
airway
d. permanent tracheostomy
tube suctioning
e. care of an endotracheal
tube
,Place the following in 4. verify functioning of suction device and pressure
correct sequence for 6. increased supplemental oxygen
suctioning a patient. 1. open kit and basin
1. open kit and basin 3. lubricate catheter
2. apply gloves 2. apply gloves
3. lubricate catheter 5. connect suction tubing to suction catheter
4. verify functioning of 8. suction airway
suction device and pressure 7. reapply oxygen
5. connect suction tubing to
suction catheter
6. increased supplemental
oxygen
7. reapply oxygen
8. suction airway
A patient was admitted a. sharp pleuritic pain that worsens on inspiration
following a motor vehicle d. worsening dyspnea
accident with multiple e. absent lung sounds to auscultation on affected side
fractured ribs. Respiratory
assessment includes
signs/symptoms of
secondary pneumothorax.
Which are the most
common assessment
findings associated with a
pneumothorax? Select all
that apply.
a. sharp pleuritic pain that
worsens on inspiration
b. crackles over lung bases
of affected lung
c. tracheal deviation toward
the affected lung
d. worsening dyspnea
e. absent lung sounds to
auscultation on affected
side
,The nurse is caring for a B (Frequent change of position)
patient who has decreased
mobility. Which intervention (Movement not only mobilizes secretions but helps
is a simple and cost- strengthen respiratory muscles by impacting the
effective method for effectiveness of gas exchange processes.)
reducing the risks of
pulmonary complication?
a. antibiotics
b. frequent change of
position
c. oxygen humidification
d. chest physiotherapy
A nurse in a provider's B. Decrease or avoid caffeine
office is evaluating a client D. Avoid drinking alcohol
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 or
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.
, A client who has an A. Check to see whether the catheter is patent.
indwelling catheter reports
a need to urinate. which of
the following actions should
the nurse take?
a) check to see whether to
catheter is patent
b) reassure the client that it
is not possible for her to
urinate
c) recatheterize the bladder
with a larger-gauge
catheter
d) collect a urine specimen
for analysis
A nurse is caring for a client A. discard the first voiding.
who has a prescription for a
24-hr urine collection.
Which of the following
actions should the nurse
take?
A. discard the first voiding.
B. keep the urine in a single
container at room
temperature.
C. ask the client to urinate
and pour the urine into a
specimen container.
D. ask the client to urinate
into the toilet, stop
midstream, and finish
urinating into the specimen
container.
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