TEST 3 NSG 100_61 QUESTIONS WITH VERIFIED
ANSWERS 2026
Use a transfer device to lift client up in bed - CORRECT ANSWER A nurse is
planning care for an older adult client who is at risk for developing pressure ulcers.
Which of the following should the nurse use to help maintain the integrity of the
clients skin?
Implement interventions for an At Risk for Impaired Skin Integrity client -
CORRECT ANSWER The nurse has given a newly admitted client a score of 10 on
the Braden scale. Which is the best nursing intervention for a client with a Braden
score of 10?
The transparent dressing keeps the wound moist - CORRECT ANSWER The nurse is
caring for a client who has a stage two pressure injury. The nurse applies a
transparent film dressing. The nurse understands the reason for a transparent
dressing is:
Develop an updated turning schedule for the client - CORRECT ANSWER The nurse
is caring for a client who has a reddened sacral area that is unrelieved by changing
positions. Which interventions should the nurse initiate?
Keep skin clean and dry
Assess nutritional status - CORRECT ANSWER The nurse is planning care to prevent
pressure ulcers in a client who is at high risk. Which interventions should the
nurse include in the plan of care?
, Elevate the affected leg on 2 pillows - CORRECT ANSWER A nurse is developing a
plan of care for a client who has cellulitis of the leg. Which of the following
interventions should the nurse include in the plan?
This will help debride the wound - CORRECT ANSWER The nurse is caring for a
client for whom the health care provider has prescribed wet-to-dry dressings for
an infected dermal ulcer with necrotic tissue. What should the nurse teach the
client about this intervention?
Elevate heels off of the bed and apply protective boots - CORRECT ANSWER The
nurse is turning an immobile client and notices that both heels have a deep purple
area on them. What independent intervention would the nurse initiate?
Cleaning and drying regularly within the clients skin folds - CORRECT ANSWER The
nurse is caring for a hospitalized client who is morbidly obese and has limited
mobility. The nurse should address the client's risk for skin breakdown by:
Cover the protruding internal organs with sterile gauze moistened with sterile
saline - CORRECT ANSWER The nurse enters the room of a postoperative client
and notes a wound evisceration. What is the most important action by the nurse?
A geriatric client type 2 diabetes - CORRECT ANSWER The nurse is caring for 4
postoperative clients. Which client would be at highest risk for impaired wound
healing?
Have the client splint the incision when coughing - CORRECT ANSWER The nurse is
caring for a postoperative client and is concerned that the client's incision may be
ANSWERS 2026
Use a transfer device to lift client up in bed - CORRECT ANSWER A nurse is
planning care for an older adult client who is at risk for developing pressure ulcers.
Which of the following should the nurse use to help maintain the integrity of the
clients skin?
Implement interventions for an At Risk for Impaired Skin Integrity client -
CORRECT ANSWER The nurse has given a newly admitted client a score of 10 on
the Braden scale. Which is the best nursing intervention for a client with a Braden
score of 10?
The transparent dressing keeps the wound moist - CORRECT ANSWER The nurse is
caring for a client who has a stage two pressure injury. The nurse applies a
transparent film dressing. The nurse understands the reason for a transparent
dressing is:
Develop an updated turning schedule for the client - CORRECT ANSWER The nurse
is caring for a client who has a reddened sacral area that is unrelieved by changing
positions. Which interventions should the nurse initiate?
Keep skin clean and dry
Assess nutritional status - CORRECT ANSWER The nurse is planning care to prevent
pressure ulcers in a client who is at high risk. Which interventions should the
nurse include in the plan of care?
, Elevate the affected leg on 2 pillows - CORRECT ANSWER A nurse is developing a
plan of care for a client who has cellulitis of the leg. Which of the following
interventions should the nurse include in the plan?
This will help debride the wound - CORRECT ANSWER The nurse is caring for a
client for whom the health care provider has prescribed wet-to-dry dressings for
an infected dermal ulcer with necrotic tissue. What should the nurse teach the
client about this intervention?
Elevate heels off of the bed and apply protective boots - CORRECT ANSWER The
nurse is turning an immobile client and notices that both heels have a deep purple
area on them. What independent intervention would the nurse initiate?
Cleaning and drying regularly within the clients skin folds - CORRECT ANSWER The
nurse is caring for a hospitalized client who is morbidly obese and has limited
mobility. The nurse should address the client's risk for skin breakdown by:
Cover the protruding internal organs with sterile gauze moistened with sterile
saline - CORRECT ANSWER The nurse enters the room of a postoperative client
and notes a wound evisceration. What is the most important action by the nurse?
A geriatric client type 2 diabetes - CORRECT ANSWER The nurse is caring for 4
postoperative clients. Which client would be at highest risk for impaired wound
healing?
Have the client splint the incision when coughing - CORRECT ANSWER The nurse is
caring for a postoperative client and is concerned that the client's incision may be
