AND VERIFIED CORRECT
ANSWERS LATEST 2026-2027
decreased bowel sounds - CORRECT ANSWER-constipation
increased bowel sounds - CORRECT ANSWER-diarrhea
Integumentary focused assessment - CORRECT ANSWER-98.6
Braden scale
tugor-elasticity
no redness, lesions, masses, or discoloration
serous drainage - CORRECT ANSWER-clear, watery plasma
purulent drainage - CORRECT ANSWER-Thick, yellow, green, tan, or brown drainage
pus
Seroussanguineous drainage - CORRECT ANSWER-watery, pink, pale, red
sanguineous drainage - CORRECT ANSWER-bloody drainage
,Stage 1 pressure ulcer - CORRECT ANSWER-intact skin with nonblanchable redness
stage 2 pressure ulcer - CORRECT ANSWER-partial thickness skin loss involving epidermis,
dermis, or both
stage 3 pressure ulcer - CORRECT ANSWER-full thickness tissue loss with visible fat
stage 4 pressure ulcer - CORRECT ANSWER-Full-thickness tissue loss with exposed bone,
muscle, or tendon
urology - CORRECT ANSWER-incontinences
Mobility - CORRECT ANSWER-Morris Fall Scale
Assistive devices(crutches, gait belt, wheelchair, cane)
OPQRSTV - CORRECT ANSWER-onset timing(duration)
what is making it worse
describe quality
radiation. does it move
severity. 1-10
treatments. what helps
goals
who does the intial assessment? why? for how long? - CORRECT ANSWER-the RN. To develop
care plan. Within 24 hours.
, what is the environment like for an assessment - CORRECT ANSWER-quiet, calm, private, free
from distractions
what is th emost important fact regarding pt education - CORRECT ANSWER-if the pt
understands. demonstration
pt motivation
why is culture important? - CORRECT ANSWER-have to be aware of culture o provide quality
care
false reassurance - CORRECT ANSWER-"Don't worry; everything will be all right."
ISBARR - CORRECT ANSWER-Identify self
background information related to situation
assessment
provide recommendations
read back orders.
linguitics - CORRECT ANSWER-face to face, news paper, cell phone texting
Parlinguistics - CORRECT ANSWER-eye contact, facial expressions
Metacommunication - CORRECT ANSWER-how messages are received and interpreted
adverse event - CORRECT ANSWER-unintentional harm
near miss - CORRECT ANSWER-harm could have occurred but did not