Galen NUR 242 Exam 1 Review With 100% correct answers 2025-2026 already graded A+

Which infections require STANDARD precautions?

MRSA and Pediculosis

Which infections require AIRBORNE precautions?

TB, Measles, and Varicella

Which infections require DROPLET precautions?

Influenza, Pneumonia, and Meningitis

A patient with MRSA on contact precautions needs to get a CT scan. What action by the nurse is most appropriate?

Call Radiology and make them aware of the isolation precaution

A client has a wound infection to the right arm. What comfort measure can the nurse delegate to the unlicensed assistive personal?

Elevate the arm above the heart

A nurse assess client on med-surg unit. Which client is at greater risk for pressure ulcer development?

68 year old with left sided paralysis

A nurse is caring for a client who has a pressure ulcer on the right heel. Which action should the nurse take first?

Assess the patient's leg pulses and cap refill

The nurse is performing a skin assessment on a client with a facial lesion. It appears as a well-defined, red, scaling, thick bump.

Squamous Cell Carcinoma

What is the best instruction by the nurse to reduce the risk factors for melanoma?

Avoid exposure to the sun and protective measure when exposure occur

The home health nurse is performing an assessment on one of her new clients. Which of the following assessment findings should the nurse recognize as possible scabies?

Wavy thread-like lines on the body and pruritus

A nurse on the med-surg unit has received a hand-off report. Which client should the nurse see first?

Client with new-onset abdominal pain, rated as a 6 on a 0 to 10 scale

A client who had surgery has extreme post operative pain that is worsened when trying to participate in PT. What intervention for pain management does the nurse include in the client's care plan?

Round the clock analgesic with PRN analgesics

The diabetic patient who had undergone abdominal surgery has developed wound evisceration. Which of the following is the most appropriate immediate nursing action?

Cover the wound with sterile gauze, moistened with sterile normal saline

The nurse is caring for four patients who had abdominal surgery in the past 2 days. Which of the following patient should the nurse see first?

The patient complaining of aching pain in her right leg

An older client is hospitalized after an operation. When assessing the client for post-op infection, which of the following would the nurse assess for first?

Change in behavior

A client has been given midazolam in the pre-op holding area. What action by the nurse is most important for this client?

Raise the siderails on the bed

The nurse assesses a patient on the 2nd post op day after abdominal surgery to repair a perforated duodenal ulcer. Which finding is the priority for the nurse to report to the surgeon?

200 mL sanguineous fluid in the wound drain

A patient with severe burn has been receiving hydromorphone through PCA for 1 week. The nurse caring for the patient during the previous shift reports that the patient wakes up frequently during the night reporting pain. What action by the nurse is appropriate?

Consult with the HCP about using a different treatment protocol to control the patient's pain

To prevent complications of immobility, which activities would help the nurse plan for the first post-op day after colon resection?

Get client out of bed and ambulate to a bedside chair

Which statement by a patient indicates good understanding of the nurse's teaching about preventing sickle cell crisis?

Risk for a crisis is decreased by having an annual influenza vaccination

A client with iron deficiency anemia is receiving dietary teaching. Which food item should the nurse recommend to increase iron intake?

Kidney beans

A nursing assistant in a nursing home reports to the nurse that an 87 year old client has a 6 inch reddened wound with pus draining from it on its shin where he scratched it open yesterday. After directly assessing the client's wound, what are the most relevant priority actions for the nurse to take?

A. Take a photo of the wound to show the primary health care provider when rounds are made 2 days from now.

B. Assess the client for signs and symptoms of systemic infection, including temperature elevation.

C. Ask the primary health care provider to prescribe a tetanus booster vaccination.

D. Immediately obtain a specimen for culture and sensitivity testing.

E. Cleanse the wound and apply a dry dressing to it

A, B, C, E

How do plasma cells provide immune protection?

They actively secrete immunoglobulins against specific antigens.

You are the nurse caring for a patient that has an order for 2 PRBCs due to anemia. What are you required to verify for safety measures?

The client's name, DOB, and MRN on hospital band.

The physician orders

Assess blood from blood bank along with component tag, name, and number

Ensure that the type and screen is at least 72 hours old.

Your patient has been receiving blood for 1 hour. What signs and symptoms will alert you that the patient is having an acute transfusion reaction? What type of reaction is the patient experiencing?

Temp 101.9, HR 122, c/o chills and BP 90/50

Febrile Reaction

The nurse is completing a preop physical assessment for a client who will have surgery this afternoon. Which assessment finding will the nurse report to the operative team?

Left arm prothesis

BP 160/100 mm Hg

Presence of chest rigidity

The nurse is caring for a post op patient who has asked for pain medicine an hour before its due. What is the priority nursing response?

Can you describe the pain you are having, and rate it on a scale of 1-10?

You are preparing a nursing care plan for a client who is undergoing surgery. Which phase will you obtain a health history, allergies, and medications?

Preoperative

A client has been receiving the same dose of IV opioid for 2 days to manage post-surgical pain. The client reports that the drug is no longer controlling the pain. What does the nurse suspect?

Tolerance to the opioid is developing

True or False: Nociceptive pain is caused by actual or potential tissue damage or inflammation and is often categorized as mental and processing stimuli.

TRUE