NUR 209 EXAM 1 NEWEST ACTUAL EXAM 2025 COMPLETE QUESTIONS AND DETAILED CORRECT ANSWERS, Exams of Nursing

Download NUR 209 EXAM 1 NEWEST ACTUAL EXAM 2025 COMPLETE QUESTIONS AND DETAILED CORRECT ANSWERS and more Exams Nursing in PDF only on Docsity! NUR 209 EXAM 1 NEWEST ACTUAL EXAM COMPLETE QUESTIONS AND DETAILED CORRECT ANSWERS| A+ GRADE 2024-2025 A patient has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus infection. What is the most important factor to prevent this infection? A) Surgical asepsis B) Increased T cells C) Decreased antibiotics D) Increased vitamin C Correct Answer A A patient has a draining wound that is contaminated with Staphylococcus aureus. The nurse should observe A) Droplet precautions B) Universal precautions C) Reverse precautions D) Body-substance isolation Correct Answer D When the patient who has been diagnosed with hepatitis B has been hospitalized, the type of isolation the nursing staff should observe is A) Droplet precautions B) Universal precautions C) Reverse precautions D) Body-substance isolation Correct Answer B Disinfectants are used A) To prepare instruments for surgery B) To sterilize surgical drapes C) To clean rooms between patients D) For preoperative bowel preparations Correct Answer C Surgical asepsis is defined as A) Absence of all virulent microorganisms B) Absence of all microorganisms C) Slowed growth of microorganisms D) Use of handwashing, gowning, and gloving Correct Answer B To eliminate needlesticks as potential hazards to nurses, the nurse should A) Place the uncapped needle on a tray, carry it to the medicine room for disposal B) Immediately deposit uncapped needles into puncture-proof plastic container C) Stick the uncapped needle into a Styrofoam block and deposit in a plastic container D) Slide the needle into the cap and deposit it in a puncture-proof plastic container Correct Answer B What is the most common patient site for development of nosocomial infections? A) Surgical wound B) Respiratory tract C) A patient suffers from bloody diarrhea after eating at a local restaurant. The patient has been infected with a(an) A) Bacteria B) Virus C) Fungi D) Protozoa Correct Answer A Before and after doing aseptic techniques with a patient, the nurse should A) Sterilize equipment B) Apply clean gloves C) Replace equipment D) Wash hands Correct Answer d A nursing student comes to the university health center complaining of a sore throat, malaise, and loss of appetite. The nurse assesses the student and determines she has large white yellow exudates in the back of the throat and a fever. The student is presenting with a/an A) Infectious disease B) Viral illness C) Throat mass D) Mononucleosis Correct Answer A An infection or the products of infection carried throughout the body by the blood is called A) Contamination B) Infectious disease C) Septicemia D) Viral illness Correct Answer c A patient develops a high fever and has a urinary tract infection. The patient has malaise and is confused. The patient is A) Septic B) Anorexic C) Lethargic D) Apneic Correct Answer a Any microorganism capable of disrupting normal physiologic body processes is a A) Bacterium B) Fomite C) Pathogen D) Virus Correct Answer C The nurse washes her hands for 1 minute before caring for her patient. The rationale for this is A) To provide safe and effective nursing care B) To prevent her from developing disease C) Freedom from disease-producing organisms D) The sterilization of her hands to prevent infection Correct Answer c E) When the nurse doesn't know the answer to a question Correct Answer A B C D The community health nurse is preparing a campaign to educate the public about heart health. Which forms of verbal communication will be effective? (Select all that apply) A) Television B) Radio C) Posters D) Voice tone E) Brochures Correct Answer A B C E The nurse is providing teaching to a patient who sometimes has difficulty remembering information. Which form of communication will be most helpful for this patient? A) Verbal communication B) Meta-communication C) Non-verbal communication D) Written communication Correct Answer d The student nurse is studying the concepts of communication. Which description demonstrates the student understands the concept of feedback? A) The sender sends a clear message that is understood by the receiver. B) The receiver listens to the sender in an unassuming way. C) Feedback occurs when the sender and the receiver use one another's reactions to produce further messages. D) The sender's message is translated into a code, using verbal and nonverbal communication. Correct Answer c The patient is talking to the nurse about recent health problems of immediate family members and the strain she has been under trying to care for them. She begins to cry between sentences. What response by the nurse demonstrates the most empathy? A) "I know how you feel. I was the primary caregiver for my father when he was dying." B) "It's okay to cry. Sometimes that helps us to feel better." C) "Just take your time. I am listening." D) "It is difficult when family members are ill. It helps if you take some time for yourself." Correct Answer c The nurse caring for a patient with a recent head injury asks the patient to raise his left arm as high as possible. The patient repeatedly raises his right arm. What does this indicate? A) Difficulty with providing feedback B) Difficulty with decoding messages C) Difficulty with compliance D) Difficulty with following commands Correct Answer b The 32-year-old patient in a mental health unit discusses his personal thoughts and feelings with the nurse. The nurse is maintaining the circle of confidentiality by reporting this information to which individuals? Select all that apply. A) The patient's physician B) The patient's family C) B) Be aware of one's own personality C) Avoid labeling patients D) Treat the patient with dignity Correct Answer b Care provided to a patient following surgery and until discharge represents which phase of the helping relationship? A) Orientation phase B) Working phase C) Termination phase D) Evaluation phase Correct Answer b When caring for a psychiatric patient, a formal contract is made with the patient during which phase of the nurse-patient relationship? A) Intimate phase B) Orientation phase C) Working phase D) Termination phase Correct Answer b A nurse enters the patient's room and introduces himself stating, "Hello, Mr. Alonso. My name is Anthony Bader. I will be your registered nurse today. I will be providing your nursing care and I will be with you until 3:30 PM. If you need anything, please call me on my phone or put your light on." He then gives the patient a printed card with this information. In the helping relationship, what does this represent? A) Intimate phase B) Orientation phase C) Working phase D) Termination phase Correct Answer b When caring for a patient, nursing care will be most effective when the nurse-patient interactions are focused on which of the following circumstances? A) Goal achievement B) Compatible realities C) Common understanding D) Sharing values Correct Answer c When communicating with patients, nurses need to be very careful in their approach. This is particularly true when communicating using A) Written material B) Audiovisuals C) Demonstration D) Medical terminology Correct Answer d While communicating with a patient who is hearing impaired, the nurse must take into account that the impairment serves as a A) Handicap B) Filter C) Blocker D) An elderly patient who has had a colostomy for over 10 years states, "I won't need any teaching about colostomies. I understand how to change the bag and care for my colostomy, but I'm not sure how to best clean my stoma?" What does this statement indicate? A) An incongruent relationship B) A confused relationship C) A non-therapeutic relationship D) An evaluative relationship Correct Answer a A nurse communicating with a patient states, "I will be changing your dressing." She is wearing sterile gloves and a mask. She is conveying a(an) A) Congruent relationship B) Incongruent relationship C) Non-therapeutic relationship D) Functional focus Correct Answer a The term meta-communication is best defined as A) Congruent relationships in the spoken topics B) Documenting a conversation between the patient and nurse C) Contextual factors that impede communication patterns D) Interpersonal bridge between verbal and nonverbal communication Correct Answer d When the nurse communicates with a newly admitted patient, the nurse must pay particular attention to nonverbal behaviors. The nurse considers which of the following as nonverbal communication? A) The patient's accent B) The patient's tone of voice C) The patient's religious practices D) The patient's ethnicity Correct Answer b When documenting patient care, the nurse understands that the most important reason for correct and accurate documentation is which of the following? A) Legal representation to care B) Conveyance of information C) Assisting in organization of care D) Noting the patient's response to interventions Correct Answer b Communication is the A) Essence of nursing B) Heart of nursing C) Core of nursing D) Integral part of nursing Correct Answer b During an annual performance review with an employee, the nurse manager does not maintain eye contact and seems concerned about the time and the next appointment. This use of communication is considered A) Consistent B) "The benefits of massage may last up to 5 days." B) "Elderly people on bed rest can benefit most from massage." C) "The use of rubbing alcohol during a massage may be cooling." D) "Massage has been demonstrated to promote increased restful sleep patterns." E) "Massage may result in increased blood pressure and heart rate in a patient recovering from a stroke." Correct Answer A B E The nurse has provided instruction to the patient concerning the use of the sitz bath. After the instruction the nurse is evaluating the patient's understanding of the teaching. Which of the following findings indicate the need for further instruction? Select all that apply. A) The patient uses cool water for the treatment. B) The patient heats the water to a temperature between 115 and 120 degrees. C) The patient reports that the treatment will take approximately 20 minutes. D) The patient explains to the nurse that the treatment will result in a reduction of discomfort for her hemorrhoids as a result of vessel constriction. E) The patient reports the treatment will promote circulation to the problem area. Correct Answer A B D The nurse is reviewing the medication history for a newly admitted patient. The nurse correctly recognizes that xerostomia may be noted with which of the following? A) NSAID therapy B) Narcotic use C) Antihistamine use D) Antifungal medication use Correct Answer c The nurse working in the long-term care facility correctly recognizes that most falls are related to which of the following? A) Toileting B) Confusion C) Polypharmacy D) Impaired sleep patterns Correct Answer a The patient questions the nurse about the best manner to clean the ears. Which of the following should be included in the information provided to the patient? A) A toothpick wrapped in several folds of tissue B) A long-tip syringe to irrigate with peroxide C) A cotton swab and pull the pinna upward and cleanse the ear D) The twisted end of clean washcloth and pull auricle down Correct Answer D The nurse is caring for a woman who informs the nurse that she needs assistance to remove and clean her glass eye. What actions by the nurse are most appropriate to accomplish the task? A) Apply pressure over the eye with your index finger and thumb under the eye B) Pull up the upper lid and place your index finger under the glass edge C) How often the patient is bathing B) When the patient's last tub bath was C) What linens they are using D) When the severe itching occurs Correct Answer a A nurse is assisting a patient with his bed bath. The patient states, "I can do it myself." The nurse's best response is A) "I really have limited time. Let me give you your bath right now." B) "I will set up your bath for you. I will come back and help you with your back." C) "You will need to sit up for your bath, and then I will change your bed." D) "You will be able to take your bath by yourself tomorrow when you can get up." Correct Answer b When an adult patient from Indonesia refuses a complete bath on the day after abdominal surgery, the nurse should A) Understand that his culture may influence his hygiene and ask him his preference B) Ask another nurse to assist in giving the patient a complete bath every other day C) Give the patient a bath pan and tell him she will return when he has finished D) Encourage the patient to bathe daily as part of protection from infection Correct Answer a A 78-year-old patient with diabetes needs to have his toenails trimmed. It is important for the nurse to A) Remove ingrown toenails B) Cut the nail straight across C) Protect the foot from blisters D) Soak the foot in witch hazel Correct Answer b On the first postoperative day, the patient is assisted to the bathroom. It is important to A) Allow the patient privacy B) Assess the patient's safety C) Assess the patient's pain D) Allow sufficient time Correct Answer b When an African American adolescent patient asks the nurse how to care for her long hair, which is braided into small braids, the nurse should instruct the patient that A) Braids should be undone every day B) Combs should be washed as often as necessary C) Hair should be washed as often as necessary D) Lubricants or oils should not be used on the braids Correct Answer c A patient complains of foot pain while ambulating in his shoes. The nurse assesses the patient's feet and determines they are flat. The nurse should A) Call the patient's physician and report the pain B) Exversion Correct Answer b he nurse is assessing a patient who has presented at the ambulatory care unit. The nurse notes the patient has impaired muscle coordination. The nurse correctly documents the presence of which of the following? A) Ataxia B) Tremors C) Chorea D) Athetosis Correct Answer a The nurse is caring for a patient who had surgery 2 days ago. The nurse correctly recognizes which of the following as having the greatest ability to reduce the incidence of deep vein thrombosis (DVT)? A) Early ambulation B) Bedrest C) Preoperative exercise D) Frequent turning in bed in the postoperative period Correct Answer a A patient is discharged to his daughter's home. He weighs 250 pounds and is immobile. The nurse should instruct the daughter on the use of a A) Three-person lift B) Transfer with a gait belt C) Hydraulic lift D) Stand-up assist lift Correct Answer c Which nursing strategy will prevent the dislocation of the hip prosthesis? A) Turning on the affected side B) Crossing the legs when sitting C) Sitting at a 90-degree angle D) Maintaining abduction Correct Answer d A patient who is postoperative from a hip fracture repair should be turned on the A) Unaffected side B) Affected side C) Stomach D) Back Correct Answer a Log rolling requires the nurse to use supportive devices in turning the patient to A) Maintain the natural alignment of the body B) Allow the patient's leg to rest on the bed C) Decrease the chance for skin breakdown D) Prevent the stasis of urine in the bladder Correct Answer a A patient who is immobile complains of severe pain in the right flank. The physician diagnoses the patient with renal calculi. This condition often results from A) D) Waddling Correct Answer c The nurse is caring for a patient who is on strict bed rest. Her medical history includes partial paralysis from a stroke suffered several years ago. There is also evidence of early dementia. The nurse correctly recognizes the patient is at an increased risk for which of the following complications? A) Altered gait B) Prone to fractures C) Suffer from edema D) Muscle atrophy Correct Answer d When the home care nurse notes that a widow of 3 months is not sleeping well, has no appetite, and does not attend activities outside the home, the nurse suspects the patient is experiencing A) Depression B) Dementia C) Sensory overload D) Sensory deprivation Correct Answer a A 20-year-old man driving a motorcycle loses control and hits a tree. He states "I cannot feel my arms or legs." He will likely receive the diagnosis of A) Paraplegic B) Hemiplegic C) Monoplegic D) Tetraplegic Correct Answer d When an elderly patient walks with her knees slightly flexed and body leaning, the nurse determines that the patient A) Should have an orthopedic consultation B) Is demonstrating a common gait for the elderly C) Requires a better walking shoe D) Requires crutches for mobility Correct Answer b A patient has been smoking for more than 40 years. He developed a bone tumor in the right hip. What is the greatest risk the patient may experience? A) Fracture B) Pain C) Immobility D) Numbness Correct Answer a To compensate for the shift in the center of gravity, an older adult will A) Shift weight to the right side B) Shift weight to the left side C) Use a wider base of support D) Flex the knees for support Correct Answer d An orthopedic patient is instructed to tighten the gluteus muscles and relax. This is an example of an A) Calcium C) Sodium D) Chloride Correct Answer b A homecare nurse is assessing a patient in the home. The patient had a cerebrovascular accident and has right side paralysis. After 6 weeks of rehabilitation, the patient has increasing mobility when A) She can lift the right arm ½ inch B) She can move the right arm with the left C) She can chew and swallow food D) She can smile and open her right eye Correct Answer a The nurse is taking the apical pulse of a 6-month-old infant. Upon completion, the nurse tells the parent the baby's pulse is 140 beats per minute. The parent is concerned, stating, "That seems kind of high!" The nurse responds: A) "Yes, this is termed tachycardia. I will let the doctor know right away." B) "Yes, it seems fast but actually, normal infant heart rates are 150- 200 beats per minute so it is a bit slow." C) "I know it seems fast, but normal infant heart rates are 100-160 beats per minute." D) "Yes, this is termed tachypenia. I will let the doctor know right away." Correct Answer C. A patient has had a left-side mastectomy. How does this affect the blood pressure assessment? A) Assess the blood pressure in the wrist B) There is no effect on the blood pressure C) Assessment of blood pressure is impeded D) The blood pressure stays within normal range Correct Answer A patient has smoked most of his life and has labored respirations. He is experiencing A) Dyspnea B) Fremitus C) Stridor D) Wheeze Correct Answer A Patients demonstrating apnea have A) Usually have a temporary cessation of breathing B) Decreased rate and depth of respirations C) Increased rate and depth of respirations D) Normal respiratory rate of 20 Correct Answer A A pulse deficit is the difference between A) The systolic and diastolic blood pressure readings B) Palpated and auscultated blood pressure readings C) The radial pulse and the ulnar pulse rates D) The apical pulse and the radial pulse rate Correct Answer D An adult pulse greater than 100 beats per minute is Eating D) Sleep Correct Answer a To assess the patient's pulse, the nurse knows the normal range for pulse rate of a healthy adult is A) 50100 beats per minute B) 60100 beats per minute C) 60120 beats per minute D) 70120 beats per minute Correct Answer b Of the following patients, who should not have a temperature assessed rectally? A) Patient with ALS B) Patient with cancer C) Patient with diarrhea D) Patient with a herniated disc Correct Answer c The occupational health nurse is planning a safety inservice for a group of clerical workers. Which of the following topics would be most beneficial? A) Principles of body alignment B) The use of protective clothing C) The use of ear plugs D) Appropriate storage of combustable cleaning solutions Correct Answer A A patient has presented to the Emergency Department after splashing a chemical in the eyes. When managing the injury, which of the following should be included in the plan of care? A) Wash the eyes with a hypertonic solution for at least 30 minutes. B) Advise the patient to avoid blinking until after the eyes are irrigated. C) Flush the eyes with water for 10 minutes. D) Flush the eyes with a cool saline solution for a 10-minute period. Correct Answer C The nurse is discussing car safety with the mother of a 6-year-old child. The child's mother questions the need for the use of special car seats for her child. What information can be provided to her? A) "Car seats are only recommended until children are 3 years old." B) "At the age of 6 your child should be using a booster seat." C) "Car seats are recommended until children are at least 10 years old." D) "Your child will be safe in the car using the provided shoulder harness and lap belts." Correct Answer B After identifying a medication error, the nurse completes an incident report. The nurse correctly recognizes which of the following about the use of these documents? Select all that apply. A) The incident report should be placed with the patient's medical records. B) Incident reports provide a clear, concise recording of the situation that can be provided to the patient's legal representative in the event of a lawsuit. C) The incident report should include factual information about the incident. D) The nurse should include their own personal perception about the cause of the incident in the report. E) Completion of the incident report should be noted in the nurse's notes. Correct Answer B C The nurse is assessing the patient's sensory input. Which of the following assessments should be included? Select all that apply. A) Assessment of sensitivity to touch B) A) Patient-centered care B) Teamwork and collaboration C) Establishment of clinical career ladders D) Development of multidisciplinary committees to review patient satisfaction E) Quality improvement (QI) Correct Answer A B E The facility is conducting an educational seminar for newly employed nurses. The program addresses the reporting of sentinel events. Which of the following occurrences qualify for this criteria? Select all that apply. A) A patient reports plans to file a complaint concerning the amount of time it took for a nurse to respond to a call light. B) A patient's baby is misidentified and receives breast milk from another mother. C) A patient experiences a reaction to a unit of blood, resulting in itching and hives. D) A patient faints during ambulation with the nurse, resulting in a concussion. E) The nurse administers a lethal dosage of medication in error. Correct Answer B D E The nurse has committed a medication error. The nurse administered an antibiotic dosage greater than the dosage prescribed. The patient did not experience any adverse effects. What initial action by the nurse is most appropriate? A) Report the actions as a sentinel event B) Contact the nursing supervisor C) Notify the physician D) Complete an incident report Correct Answer c The health department is reviewing community health initiatives for the year. During the summer, health department focuses infection control activities on which of the following programs? A) Administering immunizations B) Administering free antibiotics C) Using pesticides for mosquitoes D) Delivering fans to elderly residents Correct Answer C The facility risk management team is preparing an inservice to nursing staff members. The presentation will highlight risk factor increase related directly to the type of patientele on a nursing unit. The presenter will correctly explain that which of the following risks is increased for female nurses who work on an oncology care unit? A) Back injuries B) Bloodborne pathogens C) Adverse reproduction D) Neurologic disorders Correct Answer C The nurse instructs the family of an elderly patient with a visual impairment and decreased mobility that the most common problem for these patients is related to which of the following? A) Electrical cords B) Medication errors C) Which of the following reasons best explains why adolescents behave in an unsafe manner despite knowledge of a particular activity's risk? A) Past experience B) Poor judgment C) Social pressure D) Normal rebellion Correct Answer c When educating families on fire safety, it is important to A) Have a meeting place outside the home B) Account for all members and then exit C) Use extension cords to prevent shock D) Keep a fire extinguisher in a closet Correct Answer A hat national organization determined that unintentional injuries were the fifth-leading cause of all deaths in the United States? A) Centers for Disease Control and Prevention B) American Medical Association C) American Nurses Association D) National Patient Safety Foundation Correct Answer A The nurse explains to the patient the first line of defense against infection is: A) frequent hand washing with soap and water. B) early intervention with antibiotics. C) staying home when sick. D) intact skin and mucous membranes. E) low levels of normal flora. Correct Answer D