NR 226 FINAL REVIEW QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY
GRADED A+
QUESTIONS AND ANSWERS
ADPIE. ANSWER - assessment, diagnosis, plan, implementation, evaluation
SMART goals. ANSWER - specific, measurable, achievable, relevant, time bound
2017 National Patient Safety Goals. ANSWER - improve accuracy of patient
identification, improve staff communication, use medications safely, prevent
infection, identify patient safety risks, prevent surgery mistakes
Prioritizing Client Care. ANSWER - airway, breathing, circulation
Actual vs At Risk diagnosis. ANSWER - actual has current diagnosis, at risk doesn't
Chain of infection. ANSWER - pathogen, reservoir, portal of exit, transmission, portal
of entry, host
High risk for infection. ANSWER - sick, immunocompromised, young and elderly
Adult Vital Sign Ranges: T, P, R, BP, SpO2. ANSWER - 96.8-100.4, 60-100, 12-20,
120/80, 95%
Surface temp. ANSWER - oral, axillary
Location for apical HR. ANSWER - 5th intercoastal mid clavicular line
, Stage 1 pressure ulcer. ANSWER - skin in tact, Nonblanchable erythema
stage 2 pressure ulcer. ANSWER - partial thickness skin loss, wound bed pink
stage 3 pressure ulcer. ANSWER - full thickness, tunneling, undermining
stage 4 pressure ulcer. ANSWER - full thickness, exposed bone, ligament
unstageable pressure ulcer. ANSWER - would bed covered in slough or eschar
Deep tissue injury. ANSWER - discolored intact skin, mushy
serous drainage. ANSWER - thing, clear, watery
serosanguineous drainage. ANSWER - thin, watery, pale red
sanguineous drainage. ANSWER - thin bright red
Primary intention healing. ANSWER - wound stapled or sutured
secondary intention healing. ANSWER - heals from ground up
hematoma. ANSWER - localized collection of blood under skin
Dehiscence. ANSWER - separation of wound
evisceration. ANSWER - protrusion of visceral organs
fistula. ANSWER - opening between two or more organs
Braden scale. ANSWER - 6-23 worse-best
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY
GRADED A+
QUESTIONS AND ANSWERS
ADPIE. ANSWER - assessment, diagnosis, plan, implementation, evaluation
SMART goals. ANSWER - specific, measurable, achievable, relevant, time bound
2017 National Patient Safety Goals. ANSWER - improve accuracy of patient
identification, improve staff communication, use medications safely, prevent
infection, identify patient safety risks, prevent surgery mistakes
Prioritizing Client Care. ANSWER - airway, breathing, circulation
Actual vs At Risk diagnosis. ANSWER - actual has current diagnosis, at risk doesn't
Chain of infection. ANSWER - pathogen, reservoir, portal of exit, transmission, portal
of entry, host
High risk for infection. ANSWER - sick, immunocompromised, young and elderly
Adult Vital Sign Ranges: T, P, R, BP, SpO2. ANSWER - 96.8-100.4, 60-100, 12-20,
120/80, 95%
Surface temp. ANSWER - oral, axillary
Location for apical HR. ANSWER - 5th intercoastal mid clavicular line
, Stage 1 pressure ulcer. ANSWER - skin in tact, Nonblanchable erythema
stage 2 pressure ulcer. ANSWER - partial thickness skin loss, wound bed pink
stage 3 pressure ulcer. ANSWER - full thickness, tunneling, undermining
stage 4 pressure ulcer. ANSWER - full thickness, exposed bone, ligament
unstageable pressure ulcer. ANSWER - would bed covered in slough or eschar
Deep tissue injury. ANSWER - discolored intact skin, mushy
serous drainage. ANSWER - thing, clear, watery
serosanguineous drainage. ANSWER - thin, watery, pale red
sanguineous drainage. ANSWER - thin bright red
Primary intention healing. ANSWER - wound stapled or sutured
secondary intention healing. ANSWER - heals from ground up
hematoma. ANSWER - localized collection of blood under skin
Dehiscence. ANSWER - separation of wound
evisceration. ANSWER - protrusion of visceral organs
fistula. ANSWER - opening between two or more organs
Braden scale. ANSWER - 6-23 worse-best
