NUR2115 Exam 3 V2 | NUR 2115
Fundamentals of Professional Nursing Exam
Q&A | Rasmussen University
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This study guide is intended to provide comprehensive preparation for nursing assessments
related to acute care nursing, complex patient care management, and therapeutic nursing
interventions. The content reflects practical nursing concepts commonly tested in nursing
examinations.
This version contains realistic exam-style questions designed to strengthen understanding of
nursing priorities, patient assessment findings, and therapeutic nursing interventions. Detailed
expert explanations support concept mastery and practical nursing application.
════════════════════════════════════
Why Use This Exam:
• Improves understanding of acute care nursing
• Reinforces patient assessment techniques
• Strengthens therapeutic intervention knowledge
• Supports practical nursing application
• Enhances nursing decision-making skills
• Provides detailed expert explanations
• Encourages evidence-based clinical thinking
• Helps students prepare for complex nursing exams
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1. A nurse is assessing a patient’s risk for pressure injuries using the Braden Scale. Which
score would indicate the highest risk?
A. 23
B. 9
,C. 14
D. 18
Correct Answer: B
Expert Explanation: The Braden Scale ranges from 6 to 23, where a lower score indicates
a higher risk for developing pressure injuries. A score of 9 is considered very high risk and
requires immediate preventive interventions. This tool assesses six categories: sensory
perception, moisture, activity, mobility, nutrition, and friction/shear.
2. When performing a physical assessment, the nurse notes a patient’s skin is non-blanchable
and red but intact over a bony prominence. How should this be documented?
A. Unstageable pressure injury
B. Stage 2 pressure injury
C. Deep tissue injury
D. Stage 1 pressure injury
Correct Answer: D
Expert Explanation: A Stage 1 pressure injury is characterized by intact skin with a
localized area of non-blanchable erythema. This means the redness does not fade when
pressure is applied. It serves as an early warning sign that the tissue is under stress and
requires repositioning and skin protection.
, 3. A nurse is caring for a patient who is post-operative and has been ordered to wear
sequential compression devices (SCDs). What is the primary purpose of this intervention?
A. To prevent skin breakdown on the heels
B. To measure the patient’s lower extremity blood pressure
C. To increase arterial blood flow to the lower extremities
D. To promote venous return and prevent deep vein thrombosis
Correct Answer: D
Expert Explanation: Sequential compression devices (SCDs) are used to prevent venous
stasis by mimicking the action of the calf muscle pump. This promotes venous return to the
heart and significantly reduces the risk of deep vein thrombosis (DVT) in immobile
patients. Consistent use is vital for effectiveness in the acute care setting.
4. Which clinical finding is most indicative of urinary retention in a patient who has just had a
Foley catheter removed?
A. Burning sensation during the first void
B. Clear, straw-colored urine
C. Voiding small amounts (30-50 mL) frequently
D. Urine specific gravity of 1.015
Correct Answer: C
Fundamentals of Professional Nursing Exam
Q&A | Rasmussen University
────────────────────────────────────
This study guide is intended to provide comprehensive preparation for nursing assessments
related to acute care nursing, complex patient care management, and therapeutic nursing
interventions. The content reflects practical nursing concepts commonly tested in nursing
examinations.
This version contains realistic exam-style questions designed to strengthen understanding of
nursing priorities, patient assessment findings, and therapeutic nursing interventions. Detailed
expert explanations support concept mastery and practical nursing application.
════════════════════════════════════
Why Use This Exam:
• Improves understanding of acute care nursing
• Reinforces patient assessment techniques
• Strengthens therapeutic intervention knowledge
• Supports practical nursing application
• Enhances nursing decision-making skills
• Provides detailed expert explanations
• Encourages evidence-based clinical thinking
• Helps students prepare for complex nursing exams
════════════════════════════════════
1. A nurse is assessing a patient’s risk for pressure injuries using the Braden Scale. Which
score would indicate the highest risk?
A. 23
B. 9
,C. 14
D. 18
Correct Answer: B
Expert Explanation: The Braden Scale ranges from 6 to 23, where a lower score indicates
a higher risk for developing pressure injuries. A score of 9 is considered very high risk and
requires immediate preventive interventions. This tool assesses six categories: sensory
perception, moisture, activity, mobility, nutrition, and friction/shear.
2. When performing a physical assessment, the nurse notes a patient’s skin is non-blanchable
and red but intact over a bony prominence. How should this be documented?
A. Unstageable pressure injury
B. Stage 2 pressure injury
C. Deep tissue injury
D. Stage 1 pressure injury
Correct Answer: D
Expert Explanation: A Stage 1 pressure injury is characterized by intact skin with a
localized area of non-blanchable erythema. This means the redness does not fade when
pressure is applied. It serves as an early warning sign that the tissue is under stress and
requires repositioning and skin protection.
, 3. A nurse is caring for a patient who is post-operative and has been ordered to wear
sequential compression devices (SCDs). What is the primary purpose of this intervention?
A. To prevent skin breakdown on the heels
B. To measure the patient’s lower extremity blood pressure
C. To increase arterial blood flow to the lower extremities
D. To promote venous return and prevent deep vein thrombosis
Correct Answer: D
Expert Explanation: Sequential compression devices (SCDs) are used to prevent venous
stasis by mimicking the action of the calf muscle pump. This promotes venous return to the
heart and significantly reduces the risk of deep vein thrombosis (DVT) in immobile
patients. Consistent use is vital for effectiveness in the acute care setting.
4. Which clinical finding is most indicative of urinary retention in a patient who has just had a
Foley catheter removed?
A. Burning sensation during the first void
B. Clear, straw-colored urine
C. Voiding small amounts (30-50 mL) frequently
D. Urine specific gravity of 1.015
Correct Answer: C
