NUR 209 MEDICAL SURGICAL NURSING II
EXAM 1 2026 STUDY BUNDLE PRACTICE
QUESTIONS WITH DETAILED VERIFIED
SOLUTIONS
◉ What considerations are required for any patient in restraints?
Answer: Current standard for long-term care facilities is to provide safe
care without the use of physical or chemical restraints
Acute care settings should use restraints only as a last resort - The Joint
commission and well as Federal and State mandates
not a restraint unless the patient wants to
Effects: Aspiration
Impaired Circulation
Alteration in skin integrity
Pressure Ulcers
◉ How do you document an unexpected patient event? Answer: Must be
completed after any accident or incident in a healthcare facility that
compromises safety
Describes the circumstances of the accident or incident
Details the patient's response to the examination and treatment of the
patient after the incident
Completed by the nurse immediately after the incident
, Is not part of the medical record and should not be mentioned in
documentation
◉ Hendrich II Fall Risk Model Answer: Determines the risk for falling
based on gender, mental status, medication side-effects, and disease
symptoms such as dizziness
◉ How do you establish learning priorities? Answer: Identify key goals
◉ What factors promote or hinder learning? Answer: Hinder: Cultural
ethnic influences Language (HealthInfoTranslations.org) (Medline Plus)
Literacy skills (ability to read and write)
Health literacy
Promote: Be sincere, honest, interested; ask for questions; use simple
words; listen do not interrupt when the patient simple words; listen do
not interrupt when the patient speak
Perceived benefit Enhanced health literacy Ongoing client participation
Nonjudgmental support Quiet, low-stimulus environment Repetition
◉ What methods can you use to determine whether learning has
occurred? Answer: oral questions can assess cognitive learning, patient
responses can assess affective learning, and a return demonstration can
assess psychomotor learning
EXAM 1 2026 STUDY BUNDLE PRACTICE
QUESTIONS WITH DETAILED VERIFIED
SOLUTIONS
◉ What considerations are required for any patient in restraints?
Answer: Current standard for long-term care facilities is to provide safe
care without the use of physical or chemical restraints
Acute care settings should use restraints only as a last resort - The Joint
commission and well as Federal and State mandates
not a restraint unless the patient wants to
Effects: Aspiration
Impaired Circulation
Alteration in skin integrity
Pressure Ulcers
◉ How do you document an unexpected patient event? Answer: Must be
completed after any accident or incident in a healthcare facility that
compromises safety
Describes the circumstances of the accident or incident
Details the patient's response to the examination and treatment of the
patient after the incident
Completed by the nurse immediately after the incident
, Is not part of the medical record and should not be mentioned in
documentation
◉ Hendrich II Fall Risk Model Answer: Determines the risk for falling
based on gender, mental status, medication side-effects, and disease
symptoms such as dizziness
◉ How do you establish learning priorities? Answer: Identify key goals
◉ What factors promote or hinder learning? Answer: Hinder: Cultural
ethnic influences Language (HealthInfoTranslations.org) (Medline Plus)
Literacy skills (ability to read and write)
Health literacy
Promote: Be sincere, honest, interested; ask for questions; use simple
words; listen do not interrupt when the patient simple words; listen do
not interrupt when the patient speak
Perceived benefit Enhanced health literacy Ongoing client participation
Nonjudgmental support Quiet, low-stimulus environment Repetition
◉ What methods can you use to determine whether learning has
occurred? Answer: oral questions can assess cognitive learning, patient
responses can assess affective learning, and a return demonstration can
assess psychomotor learning
