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NUR305: Masterclass Quiz Pack – Nursing and the Adult Systems II (Exam-Ready Edition), Exams of Nursing

University of Washington (UW) - SeattleNursing

Prepare smarter, not harder, with this comprehensive and exam-focused NUR305 Quiz Pack! Curated from real exam-style questions, this high-yield resource covers Adult Systems II with clinical relevance, rationales, and select-all-that-apply (SATA) formats. Perfect for nursing students aiming to boost scores and confidence, this pack provides: ✅ 100+ thoroughly explained multiple-choice and SATA questions ✅ Coverage of wound care, pharmacology, mobility, sensory function, isolation, communication, and more ✅ Clinical reasoning and priority-setting scenarios ✅ NCLEX-style format to simulate the real test environment Whether you're prepping for end-of-term exams, NCLEX, or just want to master Adult Systems II, this pack gives you the confidence, clarity, and clinical edge to excel.

Typology: Exams

2024/2025

Available from 06/24/2025

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NUR305: Masterclass Quiz Pack – Nursing and the Adult
Systems II (Exam-Ready Edition)
1. Which amount of protein per kilogram of body weight a day would the nurse
recommend a patient consume to support wound healing?
A. 1.25 to 1.5 g
B. 2 to 3.5 g
C. 3.5 to 4.5 g
D. 5.15 to 6.5 g
✅
Correct Answer: A. 1.25 to 1.5 g
Rationale: This amount supports tissue repair. Higher levels are excessive.
2. A nurse is performing mouth care for a patient who is unconscious. Which of the
following actions should the nurse take?
A. Turn the patient’s head to the side
B. Place two fingers in the patient’s mouth to open
C. Brush the patient’s teeth once per day
D. Inject a mouth rinse into the center of the patient’s mouth
✅
Correct Answer: A. Turn the patient’s head to the side
3. Which intervention would be MOST effective for compromised skin integrity?
A. Preventing breakdown
B. Administering medication
C. Implementing wound care
D. Monitoring wound healing
✅
Correct Answer: A. Preventing breakdown
4. The police arrive at the emergency department with a patient who has lacerated
both wrists. Which is the INITIAL nursing action?
A. Administer an anti-anxiety agent
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Download NUR305: Masterclass Quiz Pack – Nursing and the Adult Systems II (Exam-Ready Edition) and more Exams Nursing in PDF only on Docsity!

Systems II (Exam-Ready Edition)

  1. Which amount of protein per kilogram of body weight a day would the nurse recommend a patient consume to support wound healing? A. 1.25 to 1.5 g B. 2 to 3.5 g C. 3.5 to 4.5 g D. 5.15 to 6.5 g ✅ Correct Answer: A. 1.25 to 1.5 g Rationale: This amount supports tissue repair. Higher levels are excessive.
  2. A nurse is performing mouth care for a patient who is unconscious. Which of the following actions should the nurse take? A. Turn the patient’s head to the side B. Place two fingers in the patient’s mouth to open C. Brush the patient’s teeth once per day D. Inject a mouth rinse into the center of the patient’s mouth ✅ Correct Answer: A. Turn the patient’s head to the side
  3. Which intervention would be MOST effective for compromised skin integrity? A. Preventing breakdown B. Administering medication C. Implementing wound care D. Monitoring wound healing ✅ Correct Answer: A. Preventing breakdown
  4. The police arrive at the emergency department with a patient who has lacerated both wrists. Which is the INITIAL nursing action? A. Administer an anti-anxiety agent

Systems II (Exam-Ready Edition)

B. Assess & treat wound sites C. Secure & record a detailed history D. Encourage the patient to ventilate feelings ✅ Correct Answer: B. Assess & treat wound sites

  1. The nurse is the first responder after a tornado has destroyed many homes. Which victim should the nurse attend to FIRST? A. A pregnant woman who exclaims, "My baby is not moving!" B. A young child crying for her mommy C. A woman stating, "My leg is bleeding so bad, I am afraid it is going to fall off!" D. An elderly woman sobbing, "My husband is dead." ✅ Correct Answer: C. A woman with severe bleeding
  2. Which finding would the nurse expect to note on a stage II pressure injury? A. Intact skin B. Full-thickness skin loss C. Exposed bone, tendon, or muscle D. Partial-thickness skin loss of the dermis ✅ Correct Answer: D. Partial-thickness skin loss of the dermis
  3. A mother reports her child ingested liquid furniture polish. What should the nurse instruct FIRST? A. Bring the child to the emergency department B. Call poison control C. Induce vomiting D. Call an ambulance ✅ Correct Answer: B. Call poison control

Systems II (Exam-Ready Edition)

D. “If my multivitamin has calcium, I’ll skip my other pill.” ✅ Correct Answer: D. Skip other calcium supplement

  1. A stroke patient is tearful and struggling to eat. What should the nurse do? A. Teach about special utensils for meals B. Order food that doesn’t need utensils C. Place a consult for a home health nurse D. Obtain an antidepressant order ✅ Correct Answer: A. Teach about special devices for meals
  2. Which nursing diagnosis best addresses the risk of injury in a patient with glaucoma? A. Risk for falls B. Body image disturbance C. Social isolation D. Fear ✅ Correct Answer: A. Risk for falls
  3. Which amount of zinc supports wound healing? A. 15-30 mg B. 30-50 mg C. 25-60 mg D. 50-70 mg ✅ Correct Answer: A. 15-30 mg
  4. A long-term care facility uses six subscales to assess pressure injury risk. Which tool is this?

Systems II (Exam-Ready Edition)

A. GNASC

B. Braden Scale C. BWAT D. WOCN Scale ✅ Correct Answer: B. Braden Scale

  1. What does the Braden Scale measure? A. Skin integrity at bony prominences B. Risk of pressure injury C. Repositioning tolerance D. Risk of poor wound healing ✅ Correct Answer: B. Risk of pressure injury
  2. Which vitamins promote wound healing? (Select all that apply) A. Vitamin A B. Vitamin B C. Vitamin C D. Vitamin D E. Vitamin E ✅ Correct Answers: A. Vitamin A, C. Vitamin C
  3. The removal of devitalized tissue from a wound describes which process? A. Debridement B. Pressure reduction C. Negative pressure wound therapy D. Sanitization ✅ Correct Answer: A. Debridement Rationale: Debridement removes nonliving tissue, supports healing, and prevents infection.

Systems II (Exam-Ready Edition)

  1. Which prescription is most appropriate for new-onset bowel incontinence affecting skin integrity? A. Diuretic B. Change in diet C. Timed voiding D. Physical therapy ✅ Correct Answer: B. Change in diet
  2. Which type of joint is the hip joint? A. Hinge B. Pivot C. Cartilaginous D. Ball-and-socket ✅ Correct Answer: D. Ball-and-socket
  3. How can nurses reduce the risk of musculoskeletal injuries when lifting? A. Keep object away B. Bend at hips C. Relax abdominal muscles D. Keep trunk erect and bend knees ✅ Correct Answer: D. Keep trunk erect and bend knees
  4. What does a red wristband signify in hospitals? A. Allergies B. Poisoning C. Risk of falls

Systems II (Exam-Ready Edition)

D. Immunization ✅ Correct Answer: A. Allergies

  1. Why should massage be avoided in a leg with a thrombus? A. It may be painful B. It may dislodge the thrombus C. It may cause skin breakdown D. It may cause an ulcer ✅ Correct Answer: B. It may dislodge the thrombus
  2. Why are elastic stockings used post-surgery? A. Prevent varicose veins B. Prevent muscle atrophy C. Ensure joint mobility D. Promote venous return ✅ Correct Answer: D. Promote venous return
  3. What health promotion advice prevents hearing loss? A. Avoid crowds B. Delay immunizations C. Prophylactic antibiotics D. Use protective devices for loud noise ✅ Correct Answer: D. Use protective devices for loud noise
  4. What mineral supplement helps manage osteoporosis? A. Zinc B. Calcium

Systems II (Exam-Ready Edition)

  1. Which symptom in a patient receiving heparin requires immediate provider notification? A. Pale yellow urine B. Unilateral neglect C. Slight limb movement D. Coffee-ground NG aspirate ✅ Correct Answer: D. Coffee-ground NG aspirate
  2. Which home items must be corrected for a post-stroke patient? (Select all that apply) ✅ Correct Answers:  Three-legged stool on wheels in the kitchen

 Braided throw rugs in the hallway

These pose fall hazards. Night-lights and rubber mats are safety-enhancing.

  1. Which factor is the greatest risk of injury for an adolescent? A. Home accidents B. Physiological changes of aging C. Poisoning & child abduction D. Automobile accidents, suicide, and substance abuse ✅ Correct Answer: D. Automobile accidents, suicide, and substance abuse Adolescents are more prone to risk-taking behaviors and injuries related to these factors.
  2. Which datum indicates that additional assistance is needed to transfer a patient from the bed to the stretcher? A. The patient is 5'6" and weighs 120 lb. B. The patient speaks and understands English C. The patient received morphine 30 minutes ago

Systems II (Exam-Ready Edition)

D. The nurse is confident handling the patient ✅ Correct Answer: C. The patient received morphine 30 minutes ago The medication may impair alertness and motor function, requiring more support.

  1. What is the most common cause of fractures in postmenopausal women? A. Osteosarcoma B. Osteoclastoma C. Osteomyelitis D. Osteoporosis ✅ Correct Answer: D. Osteoporosis Postmenopausal bone resorption weakens bone structure, increasing fracture risk.
  2. Which route is used for administering a suppository? A. Oral B. Skin C. Rectal D. Parenteral ✅ Correct Answer: C. Rectal Suppositories are inserted into body cavities like the rectum or vagina.
  3. Which order remains in effect until canceled by the provider? A. PRN B. Now C. One-time D. Standing ✅ Correct Answer: D. Standing Standing orders are routine and ongoing unless discontinued.

Systems II (Exam-Ready Edition)

B. Tablet C. Capsule D. Lozenge ✅ Correct Answer: A. Elixir Elixirs are clear, sweetened liquids for oral use.

  1. Which topical medication typically contains alcohol? A. Lotion B. Liniment C. Ointment D. Transdermal disk ✅ Correct Answer: B. Liniment Liniments are alcohol-based rubs used externally for relief.
  2. Which injection route uses the Z-track method? A. Intravenous B. Intradermal C. Intramuscular D. Subcutaneous ✅ Correct Answer: C. Intramuscular Used to seal medication in the muscle and prevent leakage.
  3. Which forms are suitable for parenteral administration? (Select all that apply) ✅ Correct Answers:  Powder

 Solution

Both are typically reconstituted and injected.

Systems II (Exam-Ready Edition)

  1. Which route mainly uses aerosol sprays? A. Oral B. Buccal C. Inhalation D. Transdermal ✅ Correct Answer: C. Inhalation Aerosols target the lungs for rapid absorption.
  2. Which drug is administered under a STAT order? A. Cetirizine B. Hydralazine C. Vancomycin D. Acetaminophen ✅ Correct Answer: B. Hydralazine Given urgently in hypertensive emergencies.
  3. Best site for heparin injection? A. Thigh B. Abdomen C. Upper arm D. Dorsal gluteal area ✅ Correct Answer: B. Abdomen Preferred site due to better absorption and fewer side effects.
  4. Who can legally use a pill-splitting device to split tablets in half? A. patient B. caregiver C. pharmacist

Systems II (Exam-Ready Edition)

Which delegation actions are appropriate? (Select all that apply) ✅ B. The nurse directs the patient care tech to reposition & offer comfort. ✅ C. The nurse directs the tech to set up meal trays. ✅ E. The nurse directs the tech to assist a stable patient up to a chair. Rationale: Delegation of non-invasive, routine tasks is appropriate; medication histories and unstable assessments are not.

  1. Which of the following demonstrate good clinical decision making during intervention? (Select all that apply) ✅ A. The nurse reviews pain relief options. ✅ B. Reassesses effectiveness of prn medication. ✅ D. Considers patient reaction if pain med is delayed until PT. Rationale: These actions reflect thoughtful clinical judgment and individualized patient care.
  2. Which patient is the nurse’s current greatest priority? A. the patient in pain B. the newly admitted patient C. the patient who returned from surgery D. the patient requesting assistance with a meal tray Answer: C. the patient who returned from surgery Rationale: Post-op patients are at highest risk and require immediate assessment.
  3. The nurse administers a tube feeding via a nasogastric tube. This is an example of: A. physical care technique B. activity of daily living

Systems II (Exam-Ready Edition)

C. indirect care measure D. lifesaving measure Answer: A. physical care technique Rationale: Administering feedings is a direct physical nursing intervention.

  1. Most important principle when using a clinical practice guideline: A. knowing the source B. reviewing the evidence C. individualizing for the patient D. explaining the purpose to the patient Answer: C. individualizing for the patient Rationale: Guidelines must be tailored to each patient's unique condition and needs.
  2. Which factors affect the nurse’s clinical decision-making for patient adherence? (Select all that apply) ✅ B. Determining the value the patient places on taking medications ✅ D. Determining consequences of missing doses Rationale: Understanding the patient's motivation and the risks involved helps shape effective intervention.
  3. Which describe the nurse's actions? (Select all that apply) ✅ B. Call to specialist = indirect care ✅ C. Skin cleansing = direct care Rationale: Direct care involves hands-on actions; consulting is indirect care. Skin inspection is part of assessment.

Systems II (Exam-Ready Edition)

Rationale: Self-reports are subjective and may not align with actual clinical changes.

  1. Which statements describe the evaluation process? (Select all that apply) ✅ A. Involves reflection ✅ C. Involves clinical decisions ✅ D. Requires assessment skills Rationale: Evaluation is more than task completion—it’s critical reflection, clinical judgment, and reassessment.
  2. Appropriate evaluative measures for a teen self-managing insulin: (Select all that apply) ✅ A. Quality of life ✅ C. Clinic follow-up visits ✅ D. Adherence to insulin regimen Rationale: These measures assess real-world self-management, not just knowledge or satisfaction.
  3. A nurse has been caring for a patient over 2 consecutive days. During that time, the patient had an intravenous (IV) catheter in the right forearm. At the end of shift on the second day, the nurse inspects the catheter site, observes for redness, and asks whether the patient feels tenderness when the site is palpated. The nurse reviews the medical record from 24 hours ago & finds the catheter site without redness or tenderness. Which of the following reflect the nurse’s ability to perform patient evaluation? (Select all that apply.) ✅ A. Comparing patient response with previous response ✅ B. Examining results of clinical data Rationale: These steps show evaluation by assessing current condition against

Systems II (Exam-Ready Edition)

prior findings. Self-reflection or error recognition was not triggered in this situation.

  1. A nurse asks how a patient’s condition from a serious infection changed since yesterday while receiving hand-off report. The nurse begins to provide care and compares today’s findings to prior outcomes. Which critical thinking indicators reflect the nurse’s ability to perform evaluation? (Select all that apply.) ✅ A. Checking the summary notes ✅ B. Asking the leaving RN about the patient’s condition ✅ D. Comparing current outcomes with patient’s goals ✅ E. Reflecting on the patient’s progress Rationale: All selected actions involve synthesizing information to judge outcomes. Delegating intake/output is appropriate but not part of evaluation itself.
  2. A nurse in the recovery room monitors a patient post-knee replacement. The patient is restless, with elevated heart rate, and analgesics are delayed. What is most likely to cause the nurse to reflect on the situation? A. The patient recovering normally B. The symptoms reflecting restlessness C. The patient’s blood pressure trend D. The delay in administration of the analgesic Rationale: Reflection is often triggered by a missed or delayed intervention and its consequences.
  3. While assessing a new diet plan’s effectiveness, the nurse also evaluates the patient’s care expectations. Which question is appropriate?