NURS 202 EXAM 2 Xavier ABSN 84 QUESTIONS
WITH VERIFIED ANSWERS 2026
- Tear in the tympanic membrane
- Obstruction (due to swelling or other causes) in auditory canal - CORRECT
ANSWER causes.) Conductive Hearing Loss
Interference with the conduction of sound waves through the external and middle
ear structures - CORRECT ANSWER define.) Conductive Hearing Loss
Loss of power to express oneself by writing, making signs, or speaking.
*may be able to recall words, but cannot combine speech sounds into words -
CORRECT ANSWER define.) Motor/Expressive Aphasia
Name: Accessory
Type: Motor
*Function: Head movement; shrugging of shoulders
Assessment: Ask client to shrug shoulders and turn head side to side against
resistance - CORRECT ANSWER Cranial Nerve XI (11): Name, Type, Function,
Assessment
Name: Hypoglassal
Type: Motor
*Function: Protrusion of tongue; moves tongue up and down/side to side
,Assessment: Ask client to protrude tongue at midline, then move it side to side/up
and down - CORRECT ANSWER Cranial Nerve XII (12): Name, Type, Function,
Assessment
(under 3 y.o) pull pinna down and back
rationale: ear canal is directed upward
(over 3 y.o) pull pinna up and back - CORRECT ANSWER How do you position an
infant's ear when giving drops? why?
-uninfected wounds w/ minimal inflammation
-has NOT entered respiratory, GI, genital, or urinary tract
-primarily closed - CORRECT ANSWER define.) *Clean Wound
-surgical wounds
-HAVE entered respiratory, GI, genital, or urinary tract
-evidence of infection - CORRECT ANSWER define.) Clean Contaminated Wound
-open, fresh, accidental and surgical wounds involving major break in sterile
technique or large amount of spillage from GI
-evidence of inflammation - CORRECT ANSWER define.) Contaminated Wounds
-wounds containing dead tissue
-wounds containing evidence of clinical infection (e.g. purulent drainage) -
CORRECT ANSWER define.) *Dirty or Infected Wounds
, -after skin has been compressed
-appears pale (as if blood has been squeezed out of it)
-skin takes on bright red flush when pressure is relieved (AKA reactive hyperemia)
- CORRECT ANSWER etiology.) Pressure Ulcers
-force acting parallel to the skin surface (e.g. sheets rubbing against skin)
-can abrade the skin (remove superficial layers) which makes skin more prone to
breakdown - CORRECT ANSWER define.) Friction
-combination of friction and pressure
-occurs commonly when client assumes sitting position in bed (rationale: body
tends to slide downward toward the foot of the bed) - CORRECT ANSWER define.)
Shearing
-LIFT them and move, DO NOT SLIDE!
-use a sheet or pad to move a patient
-2 people should always move a patient
-can be delegated to a UAP
-leave back of gown open (rationale: help reduce friction) - CORRECT ANSWER
prevention.) Friction and Shearing
-friction and shearing
-immobility
-inadequate nutrition
-fecal/urinary incontinence
WITH VERIFIED ANSWERS 2026
- Tear in the tympanic membrane
- Obstruction (due to swelling or other causes) in auditory canal - CORRECT
ANSWER causes.) Conductive Hearing Loss
Interference with the conduction of sound waves through the external and middle
ear structures - CORRECT ANSWER define.) Conductive Hearing Loss
Loss of power to express oneself by writing, making signs, or speaking.
*may be able to recall words, but cannot combine speech sounds into words -
CORRECT ANSWER define.) Motor/Expressive Aphasia
Name: Accessory
Type: Motor
*Function: Head movement; shrugging of shoulders
Assessment: Ask client to shrug shoulders and turn head side to side against
resistance - CORRECT ANSWER Cranial Nerve XI (11): Name, Type, Function,
Assessment
Name: Hypoglassal
Type: Motor
*Function: Protrusion of tongue; moves tongue up and down/side to side
,Assessment: Ask client to protrude tongue at midline, then move it side to side/up
and down - CORRECT ANSWER Cranial Nerve XII (12): Name, Type, Function,
Assessment
(under 3 y.o) pull pinna down and back
rationale: ear canal is directed upward
(over 3 y.o) pull pinna up and back - CORRECT ANSWER How do you position an
infant's ear when giving drops? why?
-uninfected wounds w/ minimal inflammation
-has NOT entered respiratory, GI, genital, or urinary tract
-primarily closed - CORRECT ANSWER define.) *Clean Wound
-surgical wounds
-HAVE entered respiratory, GI, genital, or urinary tract
-evidence of infection - CORRECT ANSWER define.) Clean Contaminated Wound
-open, fresh, accidental and surgical wounds involving major break in sterile
technique or large amount of spillage from GI
-evidence of inflammation - CORRECT ANSWER define.) Contaminated Wounds
-wounds containing dead tissue
-wounds containing evidence of clinical infection (e.g. purulent drainage) -
CORRECT ANSWER define.) *Dirty or Infected Wounds
, -after skin has been compressed
-appears pale (as if blood has been squeezed out of it)
-skin takes on bright red flush when pressure is relieved (AKA reactive hyperemia)
- CORRECT ANSWER etiology.) Pressure Ulcers
-force acting parallel to the skin surface (e.g. sheets rubbing against skin)
-can abrade the skin (remove superficial layers) which makes skin more prone to
breakdown - CORRECT ANSWER define.) Friction
-combination of friction and pressure
-occurs commonly when client assumes sitting position in bed (rationale: body
tends to slide downward toward the foot of the bed) - CORRECT ANSWER define.)
Shearing
-LIFT them and move, DO NOT SLIDE!
-use a sheet or pad to move a patient
-2 people should always move a patient
-can be delegated to a UAP
-leave back of gown open (rationale: help reduce friction) - CORRECT ANSWER
prevention.) Friction and Shearing
-friction and shearing
-immobility
-inadequate nutrition
-fecal/urinary incontinence
