Exam 2: NR224/ NR 224 Fundamentals Skills
Exam| 100% Correct Questions and Answers
(2023/ 2024 New Update) – Chamberlain
Q: A nurse is caring for a client who has a tracheostomy. Which of the following actions should
the nurse take when providing tracheostomy care? Select all that apply.
A. apply the oxygen source loosely if the SpO2 decreases during the procedure.
B. use surgical asepsis to remove and clean the inner cannula.
C. clean the outer surfaces in a circular motion from the stoma site outward.
D. replace the tracheostomy ties with new ties.
E. cut a slit in gauze squares to place beneath the tube holder.
Answer:
A. apply the oxygen source loosely if the SpO2 decreases during the procedure.
B. use surgical asepsis to remove and clean the inner cannula.
C. clean the outer surfaces in a circular motion from the stoma site outward.
Q: A function of the venous system includes:
a. holding more blood when blood volume increases.
b. conserving fluid and plasma proteins that leak out of the capillaries.
c. forming a major part of the immune system that defense the body against disease.
d. absorbing lipids from the intestinal tract.
Answer:
A. Holding more blood when blood volume increases.
Q: Which of the following organs aid the lymphatic system?
A. liver, lymph nodes, and stomach.
B. pancreas, small intestine, and thymus
C. spleen, tonsils, and thymus
D. pancreas, spleen, and tonsils
Answer:
C. spleen, tonsils, and thymus
Q: Ms. T has come for a prenatal visit. She reports dependent edema, varicosities in the legs,
and hemorrhoids. What is the best response?
A. If these symptoms persist, we will perform an amniocentesis.
B. If these symptoms persist, we will discuss having you hospitalized.
C. The symptoms are caused by the pressure of the growing uterus on the veins. They are usual
conditions of pregnancy.
D. At this time, the symptoms are a minor inconvenience. You should learn to accept them.
Answer:
C. The symptoms are caused by the pressure of the growing uterus on the veins. They are usual
conditions of pregnancy.
Q: A patient’s pulse with an amplitude of 3+ indicates:
a. irregular, with 3 premature beats
b. increased, full
c. normal
d. weak
Answer:
b. increased, full
Q: Inspection of a person’s right hand reveals a red swollen area. To further assess for infection,
you would palpate the:
a. cervical node
b. axillary node
c. epitrochlear node
d. inguinal node
Answer:
c. epitrochlear node
Q: To screen for deep vein thrombosis, you would:
A. measure the circumference of the ankle.
B. check the temperature with the palm of the hand.
C. compress the dorsalis pedis pulse, looking for blood return.
D. measure the widest point with a tape measure.
Answer:
D. measure the widest point with a tape measure.
Q: During the examination of the lower extremities, you are unable to palpate the popliteal
pulse. You should:
A. proceed with the examination. It is often impossible to palpate this pulse.
B. refer the patient to a vascular surgeon for further evaluation.
C. schedule the patient for a venogram.
D. Schedule the patient for an arteriogram.
Answer:
A. proceed with the examination. It is often impossible to palpate this pulse.
Q: You assess a patient who has 4+ edema of the right leg. What is the best way to document
this finding?
A. mild pitting, no perceptible swelling of the leg.
B. moderate pitting, indentation subsides rapidly.
C. deep pitting, leg looks swollen
D. very deep pitting, indentation lasts a long time.
Answer:
D. very deep pitting, indentation lasts a long time.
Q: You assess a patient for arterial deficit in the lower extremities. After raising the legs 12
inches off the table and then having the person sit up and dangle the leg, the color should return
in:
A. 5 seconds or less
B. 10 seconds or less
c. 15 seconds
d. 30 seconds.
Answer:
B. 10 seconds or less
Q: A 54-year old woman with 5 children has varicose veins of the lower extremities. Her most
characteristic sign is:
A. reduced arterial circulation
B. blanching, deathlike appearance of the extremities of elevation.
C. loss of hair and feet on toes
D. dilated, tortuous superficial bluish vessels.
Answer:
D. dilated, tortuous superficial bluish vessels.
Q: Atrophic skin changes that occur with peripheral arterial insufficiency include:
A. thin, shiny skin with loss of hair
B. brown discoloration
C. thick, leathery skin
D. slow-healing blisters on the skin
Answer:
A. thin, shiny skin with loss of hair
Q: Intermittent claudication includes:
a. Muscular pain relieved by exercise.
b. Neurologic pain relieved by exercise.
c. muscular pain brought on by exercise.
d. neurologic pain brought on by exercise.
Answer:
c. muscular pain brought on by exercise.
Q: A known risk factor for venous ulcer development is:
A. obesity
B. male gender
c. history of hypertension