QUESTIONS AND CORRECT

NUR 242 Exam 1 Unit 1, 2 and 3

QUESTIONS AND CORRECT

ANSWERS AND RATIONAL | NEW

UPDATE

Question : Immobility effects multiple body systems. What

are some interventions that you can implement to decrease these effects? Select all that apply.

• Utilizing waffle mattress to reduce the need for

repositioning

• Teds/SCDs
• Rubbing reddened areas
• Limiting fluid intake
• ROM exercises

Correct answer: B and E

Rational:

-A is incorrect because regardless of implemented mattress, positioning should be every 2 hours -C is incorrect. You should not rub at reddened areas. This increases the risk for skin break.

-D is incorrect. You should encourage proper hydration to promote well hydrated and healthy skin.

Question : When assessing a pt's pain. He tells you that the

pain comes and goes. What part of the pain assessment is he describing?

• Quality
• Intensity
• Onset and Duration
• Location

Correct answer: C. Onset and Duration

Question : After a procedure, a pt's vitals signs are the

following:

BP: 90/50

RR: 26

HR: 110

O2: 88%

What is this a potential sign of?

A.Infection

• Heavy blood loss
• These vitals are to be expected after a procedure

Correct answer: B

Question : What signs and symptoms might you suspect a

patient exhibit if they were iron deficient? Select all that apply.

• weakness
• palor
• tachypnea
• fatigue
• beefy red tongue

Correct answer: A, B, and D

Question : Match the following infections with the precaution

type

• Standard
• Droplet

• Airborne

__ MRSA. 5. __ Measles

__ TB 6. __ Varicella

__ Influenza 7. __ Pneumonia

__ Pediculosis 8 .__ Meningitis

Correct answer: A, C, B, A, C, C, B, B

Question : Patricia is an RN working at a rehabilitation center

and witnesses a nurse aid struggling to lift and reposition an elderly, bed ridden patient. She explains to the nurse aide that there is a No Lift Policy in place in the establishment. What does this policy entail?

Correct answer: The concept of a no-lift policy is a pledge

from administrators that proper equipment, adequately maintained and in sufficient numbers, will be available to care