Exam 2: NR224/ NR 224 (Latest 2023/ 2024 Update) Fundamentals Skills Exam| Graded A| Questions and Verified Answers -
... [Show More] Chamberlain
QUESTION
Arteriosclerosis is caused by:;
a. deposition of fatty plaques on the intima of the arteries.
b. loss of elasticity of the walls of blood vessels.
c. loss of lymphatic tissue that occurs in the aging process.
d. progressive enlargement of the intramuscular calf veins.
Answer:
b. loss of elasticity of the walls of blood vessels.
QUESTION
Raynaud phenomenon occurs:
a. when the patient's extremities are exposed to heat and compression.
b. in hands and feet as a result of exposure to cold, vibration, and stress.
c. after removal of lymph nodes or damage to lymph nodes and channels.
d. as a result of leg cramps due to excessive walking or climbing stairs.
Answer:
b. in hands and feet as a result of exposure to cold, vibration, and stress.
QUESTION
What is the proper position to use for an unresponsive patient during oral care to prevent aspiration? (Select all that apply)
a. prone position
b. Sims' position
c. Semi-Fowler's position with head to side
d. Trendelenburg position
e. Supine position
Answer:
b. Sims' position
c. Semi-Fowler's position with head to side
QUESTION
The student nurse is teaching a family member the importance of foot care for his or her mother, who has diabetes. Which safety precautions are important for the family member to know to prevent infection? Select all that apply.
a. cut nails frequently
b. assess skin for redness, abrasions, and open areas daily
c. soak feet in water at least 10 minutes before nail care
d. apply lotion to feet daily
e. clean between toes after bathing
Answer:
b. assess skin for redness, abrasions, and open areas daily
d. apply lotion to feet daily
e. clean between toes after bathing
QUESTION
A nurse uses long, firm strokes distal to proximal while bathing a patient's leg because:
a. it promotes venous circulation
b. it covers a larger area of the leg
c. it completes care in a timely fashion
d. it prevents blood clots in legs.
Answer:
a. it promotes venous circulation
QUESTION
Integrity of the oral mucosa depends on salivary secretion. Which of the following factors impairs salivary secretion? Select all that apply.
a. use of cough drops
b. immunosuppression
c. radiation therapy
d. dehydration
e. presence of an oral airway
Answer:
c. radiation therapy
d. dehydration
QUESTION
A nurse is assigned to care for the following patients. Which of the patients is most at risk for developing skin problems and thus requiring thorough bathing and skin care?
a. a 44 yo female who has had removal of a breast lesion and is having her menstrual period.
b. a 56 yo male who is homeless and admitted to the emergency department with malnutrition and dehydration and who has an intravenous line.
c. a 60 yo female who experienced a stroke with right-sided paralysis and has an orthopedic brace applied to the left leg.
d. a 70 yo patient who has diabetes and dementia and has been incontinent of stool.
Answer:
d. a 70 yo patient who has diabetes and dementia and has been incontinent of stool.
QUESTION
When you are assigned to a patient who has a reduced level of consciousness and requires mouth care, which physical assessment techniques should you perform before the procedure? Select all that apply.
a. oxygen saturation
b. heart rate
c. respirations
d. gag reflex
e. response to painful stimulus
Answer:
c. respirations
d. gag reflex
QUESTION
A nurse is listening to a student provide instruction to a patient who is having difficulty with activities needed to care for soft contact lenses. Which of the following statements by the nursing student might require some correction by the nurse? [Show Less]