NUR 2115 EXAM 2 REAL EXAM 2023-2024 LATEST 50
QUESTIONS AND CORRECT ANSWERS/NUR 2115
FUNDAMENTALS OF PROFFESIONAL NURSING EXAM 2
(RASMUSSEN COLLLEGE)
Which characteristics of the stages of infection indicate the full stage ofinfection?
a. It is the interval between the pathogen’s invasion of the body andthe
appearance of symptoms of infection.
b. Specific signs and symptoms are present.
c. The organisms are growing and multiplying.
d. Early signs and symptoms of disease are present, but these areoften
vague and nonspecific.
- Question 2
While assessing the client, the nurse hears diminished lung sounds on
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auscultation, counts a respiratory rate of 22 and regular, and obtains anoxygen
saturation of 89% on room air. What nursing diagnosis is best supported by this
assessment data?
a. Impaired gas exchange ??
b. Ineffective airway clearance ??
c. Anxiety
d. Tachypnea - Question 3
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A nurse accidentally sticks her hand with a needle after administering aninjection
to a client. What action should the nurse take first?
a. Report the incident to the charge nurse.
b. Wash the area of the puncture thoroughly with soap and warmwater.
c. Complete an incident report.
d. Go to employee health services. - Question 4
A client is having difficulty climbing stairs and reports shortness of breath. The
nurse notes that the client is breathing heavy, having nasal
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flaring and mouth is wide open. How will the nurse document this client’sresponse
to activity?
a. Wheezing with activity.
b. Tachypnea.
c. Dyspnea on exertion (DOE).
d. Apnea.
- Question 5
A home care client was recently prescribed continuous oxygen. Whatclient
statement indicates further education is needed?
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a. I will be able to tell how much oxygen I’m getting by looking at the
flowmeter.
b. I should call my doctor if I find it harder to concentrate.
c. I will make sure my visitors smoke outside.
d. I will wear synthetic clothing and woolen socks when using my
oxygen - Question 6
A nurse is interviewing a client who will undergo a cardiac coronary
catheterization (angiography). The nurse inquires if the client has
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someone with her that will be able to drive her home after the procedure.What
phase of the nursing process involves questioning and gathering data?
a. Planning
b. Evaluation c.
Assessment
d. Diagnosis - Question 7
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Following shift-to-shift report, what nursing process activity is performedfirst?
a. Critically analyze assessment data to determine priorities.
b. Collect and organize client data through physical assessment.
c. Set client-centered, measurable and realistic goals.
d. Determine effectiveness of intervention. - Question 8
A nurse working on an orthopedic unit is caring for four clients. Whatclient is
at greatest risk for skin breakdown?
a. An adolescent who has a cervical fracture and is in a halo brace.
b. A young adult who has a femur fracture and is in a cast.
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NUR 2115 EXAM 1 REAL EXAM 2023-2024 LATEST (2
DIFFERENT VERSIONS )100 QS AND ANS/NUR 2115
FUNDAMENTALS OF PROFFESIONAL NURSING EXAM 1
(RASMUSSEN COLLLEGE)
VERSION A
A nurse is planning care for a 17 year old following a motor vehicle accident.
Which of Erickson’s developmental stages should the nursekeep in mind in
the planning?
Identity vs. Role Confusion
- Question 2
Before developing a procedure, a nurse reviews all current research1 out of 1 points
based literature on insertion of a nasogastric tube. What type of nursingwill be
practiced based on this review?
evidence-based nursing - Question 3
A nurse is admitting a client to a geriatric medicine unit following theclient’s
recent diagnosis of acute renal failure. Which of the followingnursing actions
is most likely to reduce the client’s chance of experiencing a fall while on the
unit?
-Orient the patient to the room and environment thoroughly uponadmission. - Question 4
What drawbacks does charting by exception (CBE) have? Vulnerability to
legal liability since nurse’s safe, routing care is notrecorded - Question 5
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The student nurse knows mobility contributes to positive outcomesthroughout the
body. What is a positive effect of mobility on the respiratory system?
Preventions of secretions pooling
- Question 6
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A nurse has completed an informed consent form with a client. The clientthen
states, “I have changed my mind and do not want to have the procedure done.”
What action should the nurse take?
notify the surgeon that the client wishes to withdraw informed consentfrom
procedure
client has right to withdraw informed consent - Question 7
A nurse is documenting care given to a client with a new right leg
amputation. The nurse accidently documents a dressing change was
performed on the left leg. What would be the best action to correct thiserror?
Draw a single line through the entry and rewrite it above or beside it. - Question 8
Identify the statement that is not therapeutic communication?Not using
silence? - Question 9
A child is admitted to the emergency department with a fractured arm.During the
admission interview, the nurse should implement what
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communication technique to elicit the most information from the parents?The use
of clarifying questions - Question 10
A nurse is administering influenza immunizations at a local clinic. Whatlevel of
disease prevention is the nurse demonstrating?
Primary - Question 11
Nurses provide many interventions to prevent falls in health care settings. What
would be an appropriate intervention to prevent falls?Lock wheels on beds and
wheelchairs.
0 out of 1 points
1 out of 1 points - Question 12
What charting entry would be the most defensible in court?Notified Dr.
Jones of BP of 90/40 - Question 13
The World Health Organization (WHO) defines health as which of the
following?
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a complete state of physical, mental and social well-being and not merelythe
absence of disease or infirmity. - Question 14
The student nurse knows lack of mobility contributes to negative
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outcomes throughout the body. What is a negative effect of immobility onthe
musculoskeletal system?
1) disuse osteoporosis
2)disuse atrophy
3)contractures
4)stiffness and pain in the joints - Question 15
The student nurse knows lack of mobility contributes to negative
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outcomes throughout the body. What is a negative effect of immobility onthe
cardiovascular system?
1) decreased efficiency of orthostatic neurovascular reflexes (orthostatic
hypotension)
2) altered distribution of blood volume
3)venous vasodilation and stasis
4)dependent edema
5)increase use of valsalva maneuver
6)thrombus
7)diminished cardiac reserve - Question 16
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Barriers to evidence-based practice (EBP) include which of the following?An
organizational culture that does not support change - Question 17
When a labor and delivery nurse tells a coworker that an Asian client
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