Nursing 110- Practice Exam 2 Questions And Already Passed Answers.
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Course
NURS 110
Institution
NURS 110
The nurse is charting a skin assessment on the newly admitted client. The client has mutliple little purple dots all over the face. The nurse should chart this using what terminology?
A. Striae
B. Fissure
C. Petechia
D. Comedo - Answer C. Petechia
The nurse is charting a skin assessment...
Nursing 110- Practice Exam 2 Questions
And Already Passed Answers.
The nurse is charting a skin assessment on the newly admitted client. The client has mutliple little purple
dots all over the face. The nurse should chart this using what terminology?
A. Striae
B. Fissure
C. Petechia
D. Comedo - Answer C. Petechia
The nurse is charting a skin assessment on the newly admitted client. The client has a large bruise on
their right forearm from a fall. The nurse should chart this using what terminology?
A. Macule
B. Keloid
C. Excoriation
D. Ecchymosis - Answer D. Ecchymosis
The nurse is charting a skin assessment on the newly admitted client. The client has a palpable line of
hypertrophied scar tissue from a previous surgery across their chest. The nurse should chart this using
what terminology?
A. Macule
B. Keloid
C. Excoriation
D. Dehiscence - Answer B. Keloid
I have to give her 1.5 teaspoons of a home medication. How many mL will I administer? - Answer 7.5
mL
,When assessing a lesion diagnosed as malignant melanoma, the nurse in-charge most likely expects to
note which of the following?
A. An irregular shaped lesion
B. A small papule with a dry, rough scale
C. A firm, nodular lesion topped with crust
D. A pearly papule with a central crater and a waxy border - Answer A. an irregular shaped lesion
ABCD mnemonic - Answer Asymmetry
Border
Color
Diameter
Nurse Ethan is caring for an elderly bedridden adult. To prevent pressure ulcers, which intervention
should the nurse include in the plan of care?
A. Turn and reposition the client at least once every 8 hours.
B. Vigorously massage lotion into bony prominences.
C. Post a turning schedule at the client's bedside.
D. Slide the client rather than lifting when turning. - Answer C. Post a turning schedule at the client's
bedside
An older adult has limited mobility as a result of a total knee replacement. During assessment you note
that the patient has difficulty breathing while lying flat. Which of the following assessment data support
a possible pulmonary problem related to impaired mobility? (Select all that apply.)
1. B/P = 128/84
2. Respirations 26/min on room air
3. HR 114
4. Crackles over lower lobes heard on auscultation
, 5. Pain reported as 3 on scale of 0 to 10 after medication - Answer 2,3,4
A patient has been on bed rest for over 4 days. On assessment, the nurse identifies the following as a
sign associated with immobility:
1. Decreased peristalsis
2. Decreased heart rate
3. Increased blood pressure
4. Increased urinary output - Answer 1
The nurse puts elastic stockings on a patient following major abdominal surgery. The nurse teaches the
patient that the stockings are used after a surgical procedure to __________________________. -
Answer promote venous return to the heart
A nurse is teaching a community group about ways to minimize the risk of developing osteoporosis.
Which of the following statements reflect understanding of what was taught? (Select all that apply.)
1. "I usually go swimming with my family at the YMCA 3 times a week."
2. "I need to ask my doctor if I should have a bone mineral density check this year."
3. "If I don't drink milk at dinner, I'll eat broccoli or cabbage to get the calcium that I need in my diet."
4. "I'll check the label of my multivitamin. If it has calcium, I can save money by not taking another pill."
5. "My lactose intolerance should not be a concern when considering my calcium intake." - Answer
1,2,3
A nurse is caring for an older adult who has had a fractured hip repaired. In the first few postoperative
days, which of the following nursing measures will best facilitate the resumption of activities of daily
living for this patient?
1. Encouraging use of an overhead trapeze for positioning and transfer
2. Frequent family visits
3. Assisting the patient to a wheelchair once per day
4. Ensuring that there is an order for physical therapy - Answer 1
An older-adult patient has been bedridden for 2 weeks. Which of the following complaints by the patient
indicates to the nurse that he or she is developing a complication of immobility?
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