NUR 225 Exam 2 Practice Questions and 100% Correct Answers
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NUR 225
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NUR 225
1. Which of the following is a commonality that is shared in terms of both restraints and urinary catheters?
a. Both can lead to infection.
b. Both are invasive procedures.
c. Both are considered sentinel.
d. Both are the last resort. d. Both are the last resort.
2. The doctor orders a midst...
NUR 225 Exam 2 Practice Questions and
100% Correct Answers
1. Which of the following is a commonality that is shared in terms of both restraints and
urinary catheters?
a. Both can lead to infection.
b. Both are invasive procedures.
c. Both are considered sentinel.
d. Both are the last resort. ✅d. Both are the last resort.
2. The doctor orders a midstream urine specimen for your client who is an alert,
oriented and ambulatory female client. What element should you include in your
instructions to this client on the proper manner to collect this specimen?
a. The need to cleanse the perineal area with circular wipes.
b. The need to cleanse the perineal area from the "dirtiest" to the "cleanest".
c. The need to use a new antiseptic wipe for each wipe from the inner to the outer labia.
d. The need to use a new antiseptic wipe for each wipe from the outer to the inner labia.
✅c. The need to use a new antiseptic wipe for each wipe from the inner to the outer
labia.
3. An ambulatory elderly woman with dementia is incontinent of urine. She has poor
short-term memory and has not been seen toileting independently. What is the best
nursing intervention for this patient?
a. Recommend that she be evaluated for an overactive bladder (OAB) medication.
b. Establish a toileting schedule.
c. Recommend that she be evaluated for an indwelling catheter.
d. Start a bladder-retraining program. ✅b. Establish a toileting schedule.
4. What should the nurse teach a young cis-woman with a history of urinary tract
infections (UTIs) about UTI prevention? (Select all that apply.)
a. Maintain regular bowel elimination.
b. Limit water intake to 1 to 2 glasses a day.
c. Wear cotton underwear.
d. Cleanse the perineum from front to back.
e. Practice pelvic muscle exercise (Kegel) daily ✅a. Maintain regular bowel
elimination.
c. Wear cotton underwear.
d. Cleanse the perineum from front to back.
e. Practice pelvic muscle exercise (Kegel) daily.
5. The nurse assisting in a screening clinic for colon cancer interprets that a client with
which of the following diets is most at risk for development of this form of cancer?
a. High-protein, low-carbohydrate
b. High-carbohydrate, low protein
, c. High-fat, low fiber
d. High-fiber, low-fat ✅c. High-fat, low fiber
6. Which of the following are normal findings upon assessment of the GI system? Select
all that apply.
a. Non-palpable spleen
b. Active bowel sounds in all 4 quadrants
c. Negative tenderness on light and deep palpation
d. Tympany on percussion of the abdomen ✅a. Non-palpable spleen
b. Active bowel sounds in all 4 quadrants.
c. Negative tenderness on light and deep palpation
d. Tympany on percussion of the abdomen
7. Ordered: Full Liquid diet. Which items must be removed from your patient's tray?
a. Beef Broth
b. Lemonade
c. Mint chocolate chip ice cream cup
d. Mashed potatoes
e. Coffee with cream ✅c. Mint chocolate chip ice cream cup
d. Mashed potatoes
8. A patient has been admitted to the hospital for fatigue, multiple chronic wounds,
andwasting of lower extremity muscle tone. Which of the following lab tests would be
the most appropriate measure to validate the suspected protein depletion in this
patient?
a. Red blood cell count
b. Hemoglobin
c. Prealbumin
d. Albumin ✅d. Albumin
9. The nurse is educating a patient's family members to reduce the spread of C-diff
infection. Which of the following would NOT be included in the teaching?
a. Wear isolation gown and gloves if coming in contact with patient body fluids
b. Handwashing is necessary after contact with the patient
c. Spread by person to person contact or touching surfaces that patient has touched
after being in contact with fecal material
d. Spread by airborne route so a mask must be worn around the patient ✅d. Spread by
airborne route so a mask must be worn around the patient
10. The most appropriate reasons why a patient had an indwelling, Foley catheter
placed is: (Select all that apply)
a. Intermittent incontinence
b. Accurate, strict measurement of 24-hour urine output
c. He has a urinary tract infection.
d. Skin breakdown due to consistent incontinence
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