11. A patient who had undergone abdominal surgery experienced wound evisceration . Which of the following is the most appropriate immediate nursing action? A. Cover the wound with sterile gauze moistened with sterile normal saline. B. Cover the wound with sterile dry gauze. C. Cover the wound with water-soaked gauze. D. Leave the wound uncovered and pull the skin edges together 12. The nurse is preparing to take vital sign in an alert client admitted to the hospital with dehydration secondary to vomiting and diarrhea. What is the best method used to assess the client's temperature? A. Oral C. Heat sensitive tape B. Axillary D. Rectal 13. Mr. Ibrahim has a fever of 38.50C. It increases suddenly at around 40 Degrees and go back to 38.5 Degree 6 times today in a typical pattern what kind of fever is Mr . Ibrahim having? A. Relapsing C. Remittent B . Intermittent D. Constant 14. Which of the following constitutes a break in sterile technique while preparing a sterile field for a dressing change? A. Using sterile forceps . rather than sterile gloves , to handle a sterile item B. Touching the outside wrapper of sterilized material without sterile gloves C. Placing a sterile object on the edge of the sterile field D. Pouring out a small amount of solution (15 to 30 ml)before pouring the solution into a sterile container 15. All of the following measures are recommended to prevent pressure ulcers except: A. Massaging the reddened are with lotion B. Using a cotton or air ring C. Adhering to a schedule for positioning and turning D. Providing meticulous skin care 16. Which of the following steps of instrument processing is the correct one? A. Cleaning -Decontaminat ion-Sterilization -Cooling B. Cooling -Decontaminatio n-Cleaning -Sterilization C Decontaminatior -Cleaning -Cooling -Sterilization D . Decontamination-Cleaning -Sterilization-Cooling 17. The mid-DEL .TOID injection site is seldom used for I.M . injections because it: A.Accommodate only 2 ml or less B. Does not readily parenteral medication C. Bruises too easily D. Can be used only when the patient is lying down 18. A client is to receive 3.000 mL of 0.9% NaCl IV in 24 hours.The intravenous set delivers 15 drops per milliliter. The nurse should regulate the flow rate, so that the client receives how many drops of fluid per minute? A. 21 C. 31 B. 28 D. 42