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NRSG 327 Midterm Exam: Infection Control, Pain, and End-of-Life Care, Exams of Nursing

Montana State UniversityNursing

A set of multiple-choice questions and answers covering key concepts in infection control, pain management, and end-of-life care. It includes questions on topics such as clostridium difficile infection, tuberculosis precautions, hepatitis b exposure, pain assessment scales, and postmortem care. Useful for nursing students preparing for their nrsg 327 midterm exam.

Typology: Exams

2024/2025

Available from 03/18/2025

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NRSG 327 MIDTERM EXAM QUESTIONS WITH 100%
ACCURATE ANSWERS.
1) The nurse is caring for a client with Clostridium difficile infection. The nurse is
caring for which client?
A. a neonate just born to a mother with a sinus infection
B. a young adult with vancomycin-resistant enterococci
C. a 78-year old male taking antibiotics for cellulitis
D. a 45 year-old female taking hormonal medications -- Correct Answer
โœ”โœ” C
2) A patient with tuberculosis is admitted to the hospital. Which precautions must the
nurse institute when caring for this patient?
A. droplet transmission
B. airborne transmission
C. direct contact
D. indirect contact -- Correct Answer โœ”โœ” B
3) A patient with tuberculosis is scheduled for computed tomography (CT). How
should the nurse proceed? Select all that apply.
A. question the order because the patient must remain in isolation
B. place an N-95 respirator mask on the patient, and transport to the test
C. place a surgical mask on the patient and transport to CT lab
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Download NRSG 327 Midterm Exam: Infection Control, Pain, and End-of-Life Care and more Exams Nursing in PDF only on Docsity!

NRSG 327 MIDTERM EXAM QUESTIONS WITH 100%

ACCURATE ANSWERS.

  1. The nurse is caring for a client with Clostridium difficile infection. The nurse is caring for which client? A. a neonate just born to a mother with a sinus infection B. a young adult with vancomycin-resistant enterococci C. a 78-year old male taking antibiotics for cellulitis D. a 45 year-old female taking hormonal medications -- Correct Answer โœ”โœ” C
  2. A patient with tuberculosis is admitted to the hospital. Which precautions must the nurse institute when caring for this patient? A. droplet transmission B. airborne transmission C. direct contact D. indirect contact -- Correct Answer โœ”โœ” B
  3. A patient with tuberculosis is scheduled for computed tomography (CT). How should the nurse proceed? Select all that apply. A. question the order because the patient must remain in isolation B. place an N-95 respirator mask on the patient, and transport to the test C. place a surgical mask on the patient and transport to CT lab

D. notify the CT department about precautions prior to transport E. apply a sterile gown and face shield over the patient before leaving the room -- Correct Answer โœ”โœ” C, D

  1. The nurse is caring for a patient who has hepatitis B, and the nurse accidentally sticks themself with a contaminated needle after administering an injection. Which action should the nurse take first? A. thoroughly flush the area with water B. immediately notify the supervisor C. complete an incident report using objective data D. obtain baseline lab work as quickly as possible -- Correct Answer โœ”โœ” A
  2. A patient in the intensive care unit has developed a urinary tract infection related to the indwelling urinary catheter. Which type of infection does this best describe? A. nosocomial infection B. healthcare-associated infection (HAI) C. multidrug-resistant organisms (MDROs) D. unavoidable occurrence -- Correct Answer โœ”โœ” A
  3. The nurse is removing personal protective equipment (PPE). Which item should be removed first? A. gown B. gloves C. face shield D. hair covering -- Correct Answer โœ”โœ” B
  1. Alcohol-based solutions for hand hygiene can be used to combat which types of organisms? Select all that apply. A. viruses B. bacterial spores C. yeasts D. molds E. organic material -- Correct Answer โœ”โœ” A, C, D
  2. A 73-year-old patient admitted after a stroke has expressive aphasia (inability to express words accurately). Which pain intensity scale would be most appropriate to use with this patient? A. Simple descriptor scale B. Numerical rating scale C. Wong-Baker FACES rating scale D. PAINAD scale -- Correct Answer โœ”โœ” C
  3. How should the nurse classify pain that a patient with lung cancer is experiencing? A. Cutaneous B. Deep Somatic C. Visceral D. Neuropathic -- Correct Answer โœ”โœ” C
  4. The nurse is assessing an intubated patient who returned from coronary artery bypass surgery 3 hours ago. Which assessment finding might indicate that this patient is experiencing pain? A. Blood pressure 160/82 mm Hg B. Temperature 100.6ยฐF (38.1ยฐC) C. Heart rate 80 beats/min

D. Oxygen saturation 95% -- Correct Answer โœ”โœ” A

  1. The nurse administers acetaminophen 325 mg and codeine 30 mg orally to a patient reporting a severe headache. When should the nurse reassess the patient's pain? A. 15 minutes after administration B. 30 minutes after administration C. 90 minutes after administration D. Immediately before the next dose is due -- Correct Answer โœ”โœ” B
  2. A patient suddenly develops right-lower-quadrant pain, nausea, vomiting, and rebound tenderness. How should the nurse classify this patient's pain? A. Acute B. Chronic C. Intractable D. Neuropathic -- Correct Answer โœ”โœ” A
  3. When providing postmortem care, the nurse places dentures in the mouth and closes the eyes and mouth of the patient within 2 to 4 hours after death. Why is the timing of the action so important? A. To prevent blood from settling in the head, neck, and shoulders B. To perform these actions more easily before rigor mortis develops C. To set the mouth in a natural position for viewing by the family D. To avoid discoloration caused by blood settling in the facial area -- Correct Answer โœ”โœ” B
  4. Which is the best treatment to protect the skin of the patient who is frail, malnourished, and immobile and confined to a bed? A. Offering the patient six small meals a day
  1. The nurse is preparing to write the nursing progress notes for a patient who has wrist restraints. Which chart entries will the nurse include in the progress notes? Select all that apply. A. Family teaching initiated regarding the need for patient restraint B. Restraint removed once per shift to assess skin color, sensation, and movement of extremity C. Prescription for wrist restraint received from the primary care provider D. Wrist restraints applied because of the patient's increasing confusion E. Double knot used to tie restraints to bed frame -- Correct Answer โœ”โœ” A. and C.
  2. A man has been admitted to the hospital unit with a medical diagnosis of chronic obstructive pulmonary disease (COPD). He is receiving supplemental oxygen at 2 L/min via a nasal cannula. Which positioning technique will best assist him with his breathing? A. Fowler's position B. Sims' position C. Prone position D. Lateral position -- Correct Answer โœ”โœ” A.
  3. While working with an unlicensed assistive personnel (UAP) in a local nursing home, which of the following fall risk and prevention measures may be delegated to the UAP by the nurse? Select all that apply. A. Remove clutter and spills in patient rooms. B. Place nonskid slippers on patients. C. Lock beds and wheelchairs. D. Assess each patient for fall risk. E. Monitor for injuries if the patient falls. -- Correct Answer โœ”โœ” A, B, and C
  1. What are the benefits for nursing practice in using a standardized nursing language when writing nursing diagnoses? Select all that apply. A. Defines and communicates nursing knowledge B. Assists the nurse in understanding medical diagnoses C. Facilitates better understanding of nursing research D. Helps nurses provide consistent interventions for all patients E. Promotes understanding of nursing functions -- Correct Answer โœ”โœ” A, C, and E
  2. The nurse is aware that patient data are often difficult to analyze. Which is the most obvious reason for using a framework for collecting and recording patient data? A. Prioritizes collection of assessment data B. Organizes and clusters data efficiently C. Separates subjective and objective data D. Identified both primary and secondary data -- Correct Answer โœ”โœ” B.
  3. A patient comes to the urgent care clinic because of injury from stepping on a rusty nail. Which type of assessment does the nurse perform? A. Comprehensive B. Ongoing C. Initial focused D. Special needs -- Correct Answer โœ”โœ” C.
  4. Which nursing activity is most reflective of the evaluation phase of the nursing process? A. Administering pain medication prior to changing a complex wound dressing B. Obtaining patient's blood pressure (BP) 30 minutes after administering BP medication C. Reporting three patient falls in the past month on the nursing unit

comfortable position by using pillows to splint or support the painful areas. Which type of nursing intervention did the nurse write? A. Collaborative B. Interdependent C. Dependent D. Independent -- Correct Answer โœ”โœ” D.

  1. After collecting data on a client, the nurse reviews and sorts the information. Which example includes both objective and subjective data? A. The client's blood pressure reading is 132/68 mm Hg, and their heart rate is 88 beats/min. B. The client's cholesterol is elevated, and they admit to liking and eating fried food. C. The client reports having trouble sleeping and admits drinking coffee in the evening. D. The client verbally reports having frequent headaches and taking aspirin for the pain. -- Correct Answer โœ”โœ” B.
  2. Using Maslow's hierarchy of needs, rank the following nursing diagnoses in order of importance, beginning with the highest-priority diagnosis. A. Risk for infection B. Sleep deprivation C. Anxiety D. Disturbed body image -- Correct Answer โœ”โœ” B, A, C, D
  3. Which of the following points should the nurse include when teaching safety precautions to the parent of a toddler? Select all that apply. A. Make sure the child sleeps supine (on the back) at night. B. Keep the telephone number of the poison control center accessible. C. Use a rear-facing car seat placed in the back seat of the car. D. Keep syrup of ipecac on hand in case of accidental poisoning.

E. Remove philodendron and English ivy plants from the house. -- Correct Answer โœ”โœ” B, C, and E

  1. A nurse is caring for a 25-year-old quadriplegic patient. Which of the following treatments would the nurse perform to decrease the risk of joint contracture and promote joint mobility? A. Active range of motion (ROM) B. Passive ROM C. Turning the patient every 2 hours D. Administering glucosamine supplements -- Correct Answer โœ”โœ” B.
  2. A woman with a high-risk pregnancy with triplets is in preterm labor; she is on strict bedrest for 5 days. During this time, she has not had a bowel movement, although she normally passes stool daily. She describes feeling bloated and uncomfortable. What information should the nurse give the patient when explaining constipation? A. Immobility often causes constipation. B. A low-fiber diet will resolve the problem. C. A stool softener daily will relieve the problem. D. Use of a bedpan results in bloating and constipation. -- Correct Answer โœ”โœ” A.
  3. When taking care of patients on the medical-surgical unit, what is the most important action the nurse can take in preventing falls? A. Raise the two side rails for each patient's bed. B. Place a fall risk sign on the front of the patient's door. C. Identify those patients who are at risk for falls. D. Use bed alarms for patients prone to falls. -- Correct Answer โœ”โœ” C.
  1. What are hygiene considerations for obese patients? select all that apply. A. Nutritional supplements must be given to obese patients B. Increased moisture needs to be considered C. Limited mobility causing difficulty for obese patients to reach all areas of the body D. Increased shear and friction E. Decreased risk of infection -- Correct Answer โœ”โœ” B,C,D
  2. The nurse is caring for an admitted patient with a history of dementia. Which action by the nurse is appropriate when providing hygiene care for this patient? A. Bathe the patient quickly B. Use cool water for bathing C. Provide care in short intervals D. Turn up the brightness of the lights -- Correct Answer โœ”โœ” C
  3. The nurse is teaching a UAP how to give a complete bed bath. Which instruction should the nurse include? A. "Cleanse only those areas likely to cause odor." B. "Provide the patient with warm water for washing the perineum." C. "Wash the patient's back, buttocks, and perineum first." D. "Bathe the patient from head to toe, cleanest areas first." -- Correct Answer โœ”โœ” D
  4. For which of the following patients can the nurse safely delegate morning care to an experienced unlicensed assistive personnel (UAP)? A. A 32-year-old just admitted with a closed head injury B. A 76-year-old admitted with septic shock

C. A 62-year-old who underwent surgical repair of a bowel obstruction 2 days ago D. A 23-year-old recently admitted with an exacerbation of asthma with dyspnea on exertion -- Correct Answer โœ”โœ” C

  1. The nurse has been teaching a student how to perform mouth care for an unconscious patient. The student shows evidence of understanding when they place the patient in which of the following positions? A. Supine B. Prone C. Semi-Fowler's D. Side-lying -- Correct Answer โœ”โœ” D
  2. Which of the following are the benefits of bathing? Select all that apply. A. Constricts blood vessels B. increases depth of respirations C. Provides opportunity for assessments D. Reduces sensory input E. Prevents buildup of plaque -- Correct Answer โœ”โœ” B,C
  3. What is the most significant benefit of good oral care for a ventilated patient? A. Prevention of halitosis B. Patient comfort C. Significant decrease in ventilator associated pneumonia D. Decrease in oral lesions -- Correct Answer โœ”โœ” C
  4. A patient with dementia becomes belligerent when the nurse attempts to give them a tub bath. How should the nurse proceed?