Galen College of Nursing NUR 3280
Exam 2 Review Comprehensive
Questions (Frequently Tested) with
Verified Answers Graded A+
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When repositioning an immobile patient, the nurse notices redness
over the hip bone. What is indicated when a reddened area blanches
on fingertip touch?
1. A local skin infection requiring antibiotics
,2. Sensitive skin that requires special bed linen
3. A Stage 3 pressure injury needing the appropriate dressing
4. Blanching hyperemia, indicating the attempt by the body to
overcome the ischemic episode - Answer: 4
After surgery the patient with a closed abdominal wound reports a
sudden "pop" after coughing. When the nurse examines the surgical
wound site, the sutures are open, and small bowel sections are
observed at the bottom of the now-opened wound. Which are the
priority nursing interventions? (Select all that apply.)
1. Notify the health care provider.
2. Allow the area to be exposed to air until all drainage has stopped.
3. Place several cold packs over the area, protecting the skin around the
wound.
4. Cover the area with sterile, saline-soaked towels immediately.
5. Cover the area with sterile gauze and apply an abdominal binder. -
Answer: 1,4
Place the steps when performing wound irrigation of a large open
wound in the correct sequence.
1. Use slow, continuous pressure to irrigate wound.
2. Attach 19-gauge angiocatheter to syringe.
3. Fill syringe with irrigation fluid.
4. Place biohazard bag near bed.
, 5. Position angiocatheter over wound. - Answer: 4,3,2,5,1
Which skin-care measures are used to manage a patient who is
experiencing fecal and/or urinary incontinence? (Select all that apply.)
1. Frequent position changes
2. Keeping the buttocks exposed to air at all times
3. Using a large absorbent diaper, changing when saturated
4. Using an incontinence cleaner
5. Applying a moisture barrier ointment - Answer: 1,4,5
Which of the following are measures to reduce tissue damage from
shear? (Select all that apply.)
1. Use a transfer device (e.g., transfer board).
2. Have head of bed elevated when transferring patient.
3. Have head of bed flat when repositioning patient.
4. Raise head of bed 60 degrees when patient is positioned supine.
5. Raise head of bed 30 degrees when patient is positioned supine. -
Answer: 1,3,5
Which of the following is an indication for a binder to be placed around
a surgical patient with a new abdominal wound? (Select all that apply.)
1. Collection of wound drainage
2. Provision of support to abdominal tissues when coughing or walking
Exam 2 Review Comprehensive
Questions (Frequently Tested) with
Verified Answers Graded A+
Professional Academic Assistance Services
Services Offered
• Proctored Exam Assistance
• Online Class Management (Full Course Support)
• Exam Preparation & Study Materials
• Assignments and Coursework Support
• Essay and Research Paper Writing
• Discussion Posts & Responses
• Editing and Proofreading
• Confidential Academic Consultation
Helping Students Achieve Academic Excellence
When repositioning an immobile patient, the nurse notices redness
over the hip bone. What is indicated when a reddened area blanches
on fingertip touch?
1. A local skin infection requiring antibiotics
,2. Sensitive skin that requires special bed linen
3. A Stage 3 pressure injury needing the appropriate dressing
4. Blanching hyperemia, indicating the attempt by the body to
overcome the ischemic episode - Answer: 4
After surgery the patient with a closed abdominal wound reports a
sudden "pop" after coughing. When the nurse examines the surgical
wound site, the sutures are open, and small bowel sections are
observed at the bottom of the now-opened wound. Which are the
priority nursing interventions? (Select all that apply.)
1. Notify the health care provider.
2. Allow the area to be exposed to air until all drainage has stopped.
3. Place several cold packs over the area, protecting the skin around the
wound.
4. Cover the area with sterile, saline-soaked towels immediately.
5. Cover the area with sterile gauze and apply an abdominal binder. -
Answer: 1,4
Place the steps when performing wound irrigation of a large open
wound in the correct sequence.
1. Use slow, continuous pressure to irrigate wound.
2. Attach 19-gauge angiocatheter to syringe.
3. Fill syringe with irrigation fluid.
4. Place biohazard bag near bed.
, 5. Position angiocatheter over wound. - Answer: 4,3,2,5,1
Which skin-care measures are used to manage a patient who is
experiencing fecal and/or urinary incontinence? (Select all that apply.)
1. Frequent position changes
2. Keeping the buttocks exposed to air at all times
3. Using a large absorbent diaper, changing when saturated
4. Using an incontinence cleaner
5. Applying a moisture barrier ointment - Answer: 1,4,5
Which of the following are measures to reduce tissue damage from
shear? (Select all that apply.)
1. Use a transfer device (e.g., transfer board).
2. Have head of bed elevated when transferring patient.
3. Have head of bed flat when repositioning patient.
4. Raise head of bed 60 degrees when patient is positioned supine.
5. Raise head of bed 30 degrees when patient is positioned supine. -
Answer: 1,3,5
Which of the following is an indication for a binder to be placed around
a surgical patient with a new abdominal wound? (Select all that apply.)
1. Collection of wound drainage
2. Provision of support to abdominal tissues when coughing or walking
