NUR 155 EXAM 2 QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS ALREADY PASSED
LATEST UPDATED 2026
Question: What are the key clinical risk factors for the development of pressure
injuries (pressure ulcers)?
Answer: ✔✔ High-risk patient characteristics include:
Incontinence (exposure to moisture breaks down the skin barrier)
Chronic systemic illnesses (such as Diabetes Mellitus)
Extremes of age (elderly individuals or fragile infants)
Immobility or prolonged bed rest
Impaired peripheral blood circulation
Malnutrition or inadequate dietary protein intake
Question: What is the normal pH range expected for aspirated gastric contents?
Answer: ✔✔ A highly acidic pH between 2 and 4.
Question: What evidence-based non-pharmacological interventions support better
sleep hygiene for a hospitalized patient?
Answer: ✔✔
Dimming room lighting and shutting off overhead fixtures.
Minimizing ambient sound levels (closing doors, lowering monitor
volumes).
Avoiding strenuous physical therapy or exercise right before bed.
Assisting the patient to the bathroom to void before sleeping.
Limiting fluid intake during the late evening hours to prevent nocturia.
Offering a light, carbohydrate-dense evening snack if permitted by diet
orders.
, Question: Which elements must be documented when performing and recording a
standard wound dressing change? (Select All That Apply)
Answer: ✔✔ All of the following must be documented:
The patient’s subjective pain level and tolerance of the procedure.
The appearance, color, odor, and amount of drainage noted on the old
dressing.
A clear statement confirming that the dressing change was successfully
performed.
The exact time and calendar date the procedure took place.
Question: How is a pressure injury classified if it presents as a broken skin surface
with partial-thickness skin loss and a serous-filled blister or pink wound bed?
Answer: ✔✔ Stage 2 Pressure Injury.
Question: Educating a new mother about timely childhood immunizations is an
example of which health promotion concept?
Answer: ✔✔ Primary Prevention (aimed at preventing the onset of disease
before it occurs).
Question: What validated clinical risk-assessment scale is standardly utilized to
predict a patient's vulnerability to developing pressure injuries?
Answer: ✔✔ The Braden Scale.
How do you ensure proper placement of a NG tube? **SELECT ALL THAT
APPLY** -ANSWER ✔✔- air swoosh
- stomach contents
- checking residual
- checking length/measurement for proper placement
When we do an enema, what temperature water should we use? -ANSWER
✔✔Tepid or warm temperature
ANSWERS WITH COMPLETE
SOLUTIONS ALREADY PASSED
LATEST UPDATED 2026
Question: What are the key clinical risk factors for the development of pressure
injuries (pressure ulcers)?
Answer: ✔✔ High-risk patient characteristics include:
Incontinence (exposure to moisture breaks down the skin barrier)
Chronic systemic illnesses (such as Diabetes Mellitus)
Extremes of age (elderly individuals or fragile infants)
Immobility or prolonged bed rest
Impaired peripheral blood circulation
Malnutrition or inadequate dietary protein intake
Question: What is the normal pH range expected for aspirated gastric contents?
Answer: ✔✔ A highly acidic pH between 2 and 4.
Question: What evidence-based non-pharmacological interventions support better
sleep hygiene for a hospitalized patient?
Answer: ✔✔
Dimming room lighting and shutting off overhead fixtures.
Minimizing ambient sound levels (closing doors, lowering monitor
volumes).
Avoiding strenuous physical therapy or exercise right before bed.
Assisting the patient to the bathroom to void before sleeping.
Limiting fluid intake during the late evening hours to prevent nocturia.
Offering a light, carbohydrate-dense evening snack if permitted by diet
orders.
, Question: Which elements must be documented when performing and recording a
standard wound dressing change? (Select All That Apply)
Answer: ✔✔ All of the following must be documented:
The patient’s subjective pain level and tolerance of the procedure.
The appearance, color, odor, and amount of drainage noted on the old
dressing.
A clear statement confirming that the dressing change was successfully
performed.
The exact time and calendar date the procedure took place.
Question: How is a pressure injury classified if it presents as a broken skin surface
with partial-thickness skin loss and a serous-filled blister or pink wound bed?
Answer: ✔✔ Stage 2 Pressure Injury.
Question: Educating a new mother about timely childhood immunizations is an
example of which health promotion concept?
Answer: ✔✔ Primary Prevention (aimed at preventing the onset of disease
before it occurs).
Question: What validated clinical risk-assessment scale is standardly utilized to
predict a patient's vulnerability to developing pressure injuries?
Answer: ✔✔ The Braden Scale.
How do you ensure proper placement of a NG tube? **SELECT ALL THAT
APPLY** -ANSWER ✔✔- air swoosh
- stomach contents
- checking residual
- checking length/measurement for proper placement
When we do an enema, what temperature water should we use? -ANSWER
✔✔Tepid or warm temperature
