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MEDICAL-SURGICAL RN A PROPHECY RELIAS TEST, EXAM QUESTIONS AND ANSWERS GRADED A+
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Exam (elaborations) Med surg Medical-surgical Nurse Exam Practice Questions
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NUR 210 EXAM 2 GALEN COLLEGE OF NURSING LATESTACTUAL EXAM
A nurse is educating a newly licensed nurse about The Joint Commission's National
Patient Safety Goals. Which of the following goals does the nurse include when
providing the education?
Preventing diabetes
Preventing surgical-site infections
Preventing myocardial infarctions
Preventing cerebrovascular accidents - ANSWER: Preventing surgical-site infections
A nurse is reviewing a list of client care tasks with another nurse. In which of the
following scenarios should the nurse plan to use soap and water to perform hand
hygiene? (Select all that apply.)
The nurse's hands become visibly soiled.
The nurse removes the meal tray of a client who has infectious diarrhea.
The nurse moves the cell phone of a client who has pneumococcal pneumonia from
the bedside table.
The nurse empties the urinal of a client who has Clostridium difficile.
The nurse is preparing to insert an intravenous catheter. - ANSWER: The nurse's
hands become visibly soiled.
The nurse removes the meal tray of a client who has infectious diarrhea.
The nurse empties the urinal of a client who has Clostridium difficile.
A nurse is reviewing oral hygiene practices with an assistive personnel. Which of the
following should the nurse include? (Select all that apply.)
A fluoride mouthwash should be used to promote oral health.
The teeth should be brushed twice daily for 2 min.
Poor oral hygiene can lead to gingivitis.
Teeth should be flossed every other day.
Use a soft-bristled toothbrush for brushing the teeth. - ANSWER: A fluoride
mouthwash should be used to promote oral health.
The teeth should be brushed twice daily for 2 min.
Poor oral hygiene can lead to gingivitis.
Use a soft-bristled toothbrush for brushing the teeth.
A charge nurse is reviewing oral care and hygiene practices with another nurse for a
client who has glaucoma. Which of the following information should the charge
nurse include?
The most common oral hygiene problem is gingivitis.
The client's ability to obtain dental care is unaffected by their visual impairment.
The visually impaired client has better oral hygiene than those clients without visual
impairment.
,The nurse should educate the client and caregivers about the importance of routine
dental visits to maintain oral health. - ANSWER: The nurse should educate the client
and caregivers about the importance of routine dental visits to maintain oral health.
A nurse is discussing health promotion programs with a client. Which of the
following information should the nurse include?
Health promotion programs emphasize behavior changes in relation to prevention of
illness.
Health promotion programs encourage decreased use of health services.
Health promotion programs restrict the client's control over their general health.
Health promotion programs discourage community involvement. - ANSWER: Health
promotion programs emphasize behavior changes in relation to prevention of illness.
A nurse is performing a bed bath for a client. Which of the following should the
nurse remember when preparing to bathe the client?
Bathing the client completely in bed preserves the client's dignity.
Washing the client in bed is less effective than taking a shower.
A complete bed bath should be performed using a basin, soap, and water.
Perform this type of bath early in the morning. - ANSWER: Washing the client in bed
is less effective than taking a shower.
A nurse is caring for a client who has right-sided hemiplegia following a stroke.
Which of the following should the nurse consider when caring for this client?
The nurse should perform personal hygiene tasks for the client.
The client has a minor loss of strength on the right side of the body.
The nurse should have the client remove clothing from the unaffected side first.
Oral care is much easier for the client to perform than bathing. - ANSWER: The nurse
should have the client remove clothing from the unaffected side first.
A nurse is reviewing information about performing oral hygiene with an assistive
personnel (AP). Which of the following information should the nurse include?
"A standard toothbrush is more effective than a battery-operated toothbrush in
decreasing plaque."
"Clean the tongue with the toothbrush or tongue scraper during oral hygiene."
"Floss the teeth at least three times each day."
"Have the client use mouthwash after brushing their teeth." - ANSWER: "Clean the
tongue with the toothbrush or tongue scraper during oral hygiene."
A nurse is caring for a client who practices a religion the nurse is not familiar with.
Which of the following actions should the nurse take
Ensure the nurse caring for the client is of the same sex.
Leave the water running while the client takes a bath.
Allow the client time for prayer immediately following bath time.
Discuss with the client their individual perspective on health and illness. - ANSWER:
Discuss with the client their individual perspective on health and illness.
,A nurse is teaching a client who has a new diagnosis of a skin infection about the
function of the skin in the body. Which of the following statements should the nurse
include?
"The skin contains Langerhans cells that kill pathogens."
"The skin is the smallest organ of the body."
"The skin is the second line of defense against micro-organisms."
"The dermis is the outermost layer of the skin." - ANSWER: "The skin contains
Langerhans cells that kill pathogens."
A nurse is performing foot care for a client. Which of the following actions should the
nurse take?
Soak the feet prior to washing the feet.
Use hot water when performing foot care.
Use a towel to completely dry between the toes.
File the nail edges straight across with a file. - ANSWER: Use a towel to completely
dry between the toes.
A nurse is reviewing information about the structure and function of the nails with a
client. Which of the following information should the nurse include?
Nails, made of pterygium, protect the fingers and toes.
The cuticle is a form of keratin that connects the skin and nail plate together.
The cuticle of the nail forms a barrier to prevent infections.
The nail consists of layers of pterygium that protect against pathogens. - ANSWER:
The cuticle of the nail forms a barrier to prevent infections.
A nurse is planning care for a client who has incontinence. Which of the following
information should the nurse consider when providing skin care for the client?
Changes in skin integrity decrease the risk of infection.
Urinary incontinence can cause a yeast infection.
Mild soap is contraindicated for cleansing the skin.
A pH-balanced cleanser increases skin irritation. - ANSWER: Urinary incontinence can
cause a yeast infection.
A nurse is teaching a client about the function of mucous membranes in protecting
the body from pathogens. Which of the following statements should the nurse
include?
"The mucous membranes secrete a thin, salty liquid that traps pathogens and
particles."
"The mucous membranes provide a chemical barrier against pathogens."
"The mucous membranes of the auditory tube contain cilia that move particles
toward the front of the nose."
"The mucous membranes in the nose contain cilia that trap particles, preventing
them from invading the body." - ANSWER: "The mucous membranes in the nose
contain cilia that trap particles, preventing them from invading the body."
, A nurse is reviewing the anatomy of the skin with a newly licensed nurse. Which of
the following information should the nurse include as a characteristic of the
epidermis?
The epidermis acts as a cushion against physical trauma.
The epidermis separates the dermis from the underlying organs.
The epidermis consists of squamous epithelial cells.
The epidermis contains blood vessels and blood. - ANSWER: The epidermis consists
of squamous epithelial cells.
A nurse is caring for an older adult client whose caregiver reports that the client is
resistant to bathing at home. Which of the following statements should the nurse
make?
"That is unusual. As clients age, they are typically more receptive to bathing."
"It is fine if the client does not bathe regularly at home."
"Give the client choices regarding their bathing preferences to encourage them to
bathe."
"Provide the client with the reasons why they need to bathe." - ANSWER: "Give the
client choices regarding their bathing preferences to encourage them to bathe."
A nurse is caring for a client who has bariatric care needs and has a rash between
skinfolds. Which of the following actions should the nurse take?
Assist the client as needed to ensure proper hygiene is performed.
Aggressively rub the skinfolds dry to manage moisture.
Use a lye soap bar to cleanse the skinfolds and the rash area.
Apply moisturizer to the skinfolds and rash area. - ANSWER: Assist the client as
needed to ensure proper hygiene is performed.
A nurse is discussing the role of tooth enamel with a client. Which of the following
information should the nurse include in the discussion?
Enamel protects the teeth from pathogens.
Enamel is a substance that cannot be dissolved.
Enamel is a soft material that protects the teeth.
Enamel covers the pulp. - ANSWER: Enamel protects the teeth from pathogens.
A nurse is performing nail hygiene on a client. Which of the following actions should
the nurse take?
Trim the nails to a length that reaches beyond the edge of the finger.
Perform hand hygiene once nail hygiene is complete.
Avoid the use of wooden orange sticks.
Trim the nails straight across. - ANSWER: Trim the nails straight across.
A nurse is teaching the importance of handwashing to a client. Which of the
following statements should the nurse make about hand hygiene in a health care
setting?
"It is not important to wash your hands after removing gloves."
"Effective handwashing can decrease hospital infection rates."
"Infections in health care staff are not considered health care-associated infections."
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