NURS 142 Exam 2 Modules 7&10 (NCLEX)Questions And Actual Answers.
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Course
NURS 1204
Institution
NURS 1204
A nurse on a surgical unit routinely assesses patients' incisions as part of postoperative care. After surgery, when should the nurse be alert for clinical signs of wound infection?
a. Between days 3 and 5 after surgery
b. Between days 1 and 2 after surgery
c. Within 24 hours after surgery
d....
NURS 142 Exam 2 Modules 7&10
(NCLEX)Questions And Actual Answers.
A nurse on a surgical unit routinely assesses patients' incisions as part of postoperative care. After
surgery, when should the nurse be alert for clinical signs of wound infection?
a. Between days 3 and 5 after surgery
b. Between days 1 and 2 after surgery
c. Within 24 hours after surgery
d. 7 days after surgery - Answer a. Between days 3 and 5 after surgery
Microorganisms in a wound can precipitate and infection, which manifests itself in 3 to 5 days; erythema,
pain, edema, chills, fever and purulent drainage indicate infection
Source: Test Success 6th edition, p. 293
What intervention is unique to a Hemovac of Jackson-Pratt drain, one that is different from a T-tube or
an indwelling catheter?
a. Assess characteristics of the effluent
b. Maintain patency of the conduit
c. Ensure negative pressure
d. Measure output - Answer c. Ensure negative pressure
Portable wound drainage systems work by continuous low pressure as long as the suction bladder is less
than half full; T tubes and indwelling urinary catheters work via gravity
Source: Test Success 6th edition, p. 293
,A nurse is caring for patients with a variety of wounds. What type of wounds heal by primary intention?
Select all that apply.
a. Surgical incision
b. Excoriation
c. Deep burn
d. Paper cut
e. Abrasion - Answer a. Surgical incision
d. paper cut
Source: Test success 6th edition, p. 295
What actions break the chain of infection from a portal of exit from a reservoir? Select all that apply.
a. Washing the hands
b. Disposing of soiled linen
c. Disinfecting used equipment
d. Covering the mouth when coughing
e. Avoiding breastfeeding when HIV positive - Answer d. Covering the mouth when coughing
e. Avoiding breastfeeding when HIV positive
Source: Test Success 6th edition, p. 302
A nurse is teaching a pt about how to prevent infection. Which of the following BEST increases a pt's
defense against microorganisms?
a. Covering a cough
b. Maintaining intact skin
c. Changing bed linen daily
d. Using an antiseptic mouthwash - Answer b. Maintaining intact skin
,The skin is a barrier to pathogens and, if pierced or broken, serves as a portal of entry
Source: Test Success 6th edition, p. 302
A nurse initiates contact precautions for a pt with a wound infection. What should the nurse do to best
help the pt cope with the psychological aspects of these precautions?
a. Draw a smiley face on the mask
b. Don gloves when providing direct care
c. Explain the importance of contact precautions
d. Wear a gown only when direct contact is expected - Answer c. Explain the importance of contact
precautions
Option (a) is creepy
Option (b) does not address psychological needs
Option (d) does not address psychological needs and a gown must be worn at all times in the room
Source: Test Success 6th edition, p. 302
A nurse irrigates the wound of a pt on contact precautions. What should the nurse do FIRST to remove
PPE when leaving the pt's room?
a. Untie the gown at the waist
b. Untie the gown at the neck
c. Remove the gloves
d. Remove the mask - Answer a. Untie the gown at the waist
The waist is considered contaminated and should be untied with a gloved hand.
Gloves should be removed next
Then the neck of the gown should be untied
, Finally, the mask is removed by only touching the ties
Source: Test Success 6th edition, p. 303
A nurse is caring for a pt with an infection. For which MOST common response to infection should the
nurse assess the pt?
a. Anorexia
b. Fever
c. Headache
d. Dehydration - Answer b. Fever
Fever is the mot common response of the hypothalamus (thermoregulatory center) to pyrogens that are
released when phagocytic cells respond to the presence of pathogens
Source: Test Success 6th edition, p. 303
A pt is receiving prednisone, a glucocorticoid. For what response should the nurse monitor the pt's
electrolytes?
a. Hypokalemia and hyponatremia
b. Hypokalemia and hypernatremia
c. Hyperkalemia and hyponatremia
d. Hyperkalemia and hypernatremia - Answer b. Hypokalemia and hypernatremia
Prednisone, a glucocorticoid, has significant water-and sodium-retaining (mineralocorticoid) activities. As
sodium is retained, potassium is depleted
Source: Test Success 6th edition, p.325
What group of medications has the highest risk for a drug interaction with digoxin (Lanoxin)?
a. Glucocorticoids
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