NSG 501 EXAM 2 - FALL 2022 EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
True or False:
Wounds that are kept moist for several days heal faster than those that are kept
dry
True
True or False:
The centers for Medicare and Medicaid Services (CMS) do not reimburse an acute
care facility if a patient with intact skin develops a stage 3-4 pressure injury while
hospitalized
true
True or False:
For incontinent patients, underpads and diapers with a plastic outer lining are the
best supplies
False
True or False:
The usual wound care in the home environment is performed by the patient or
family using sterile technique
False
True or False:
High pressure over a short time and low pressure over a long time cause skin
breakdown
,True
True or False:
Povidone-iodine (betadine), Hydrogen Peroxide, and acetic acid should not be
used to irrigate a clean, granular wound
True
To avoid pressure injury for an immobilized patient at home, a nurse
recommends a surface to use on the bed. A surface type that is low cost and easy
to use in the home is a(n):
a. foam overlay
b. water mattress
c. air fluidized bed
d. low-air-loss surface
a
For a patient in the extended care facility who has a risk for pressure injuries, a
nurse will implement:
a. massage of reddened skin areas
b. movement of the patient in the chair every 3 hours
c. maintenance of a position while in bed at 30 degrees or lower
d. placement of plastic absorptive pads directly beneath the patient
c
A patient has experienced a traumatic injury that will require applications of heat.
The nurse implements the treatment based on the principle that:
a. patient response is best to minor temperature adjustments
,b. the foot and palm of the hand are most sensitive to temperature
c. long exposures help the patient develop tolerance to the procedure
d. patient are more tolerant to temperature changes over a large body of surface
area
a
A severely overweight patient has returned to the unit after having major
abdominal surgery. When the nurse enters the room, it is evident that the patient
has moved or coughed and the wound has eviscerated. The nurse should
immediately:
a. assess the vital signs
b. contact the doctor
c. apply light pressure on the exposed organs
d. place sterile towels soaked in saline over the area.
d
A patient with a knife protruding from his upper leg is taken into the emergency
department. A nurse is waiting for the physician to arrive when a newly hired
nurse comes to assist. The nurse delegates the new staff nurse to do all of the
following as soon as possible except:
a. assess vital signs
b. remove the knife to cleanse the wound
c. wrap a bandage around the knife and injured site
d. apply pressure to the surrounding area to stop the bleeding
b
, A nurse is planning care for a patient who has a red area over a bony prominence
that blanches when assessed. Which of the following interventions are
appropriate? (Select all that apply.)
1. Massage the area to improve the local circulation.
2. Reposition the patient off the area.
3. Reassess the area after the patient is off the area for 1 hour.
4. Request nonbleached sheets for this patient's bed.
5. Place a cold pack under the area and reassess in 1 hour.
2, 3
Nursing interventions to manage a patient who is experiencing frequent fecal and
urinary incontinence include which of the following? (Select all that apply.)
1. Frequent perineal and sacral skin assessments
2. Using a large absorbent diaper, changing when saturated
3. Keeping the buttocks exposed to air at all times
4. Using an incontinence cleanser, followed by application of a moisture-barrier
ointment
5. Offering frequent ambulation and help to the toilet
1, 4, 5
Place the following steps in correct order for performing a wound irrigation.
1. Use slow continuous pressure to irrigate wound.
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
True or False:
Wounds that are kept moist for several days heal faster than those that are kept
dry
True
True or False:
The centers for Medicare and Medicaid Services (CMS) do not reimburse an acute
care facility if a patient with intact skin develops a stage 3-4 pressure injury while
hospitalized
true
True or False:
For incontinent patients, underpads and diapers with a plastic outer lining are the
best supplies
False
True or False:
The usual wound care in the home environment is performed by the patient or
family using sterile technique
False
True or False:
High pressure over a short time and low pressure over a long time cause skin
breakdown
,True
True or False:
Povidone-iodine (betadine), Hydrogen Peroxide, and acetic acid should not be
used to irrigate a clean, granular wound
True
To avoid pressure injury for an immobilized patient at home, a nurse
recommends a surface to use on the bed. A surface type that is low cost and easy
to use in the home is a(n):
a. foam overlay
b. water mattress
c. air fluidized bed
d. low-air-loss surface
a
For a patient in the extended care facility who has a risk for pressure injuries, a
nurse will implement:
a. massage of reddened skin areas
b. movement of the patient in the chair every 3 hours
c. maintenance of a position while in bed at 30 degrees or lower
d. placement of plastic absorptive pads directly beneath the patient
c
A patient has experienced a traumatic injury that will require applications of heat.
The nurse implements the treatment based on the principle that:
a. patient response is best to minor temperature adjustments
,b. the foot and palm of the hand are most sensitive to temperature
c. long exposures help the patient develop tolerance to the procedure
d. patient are more tolerant to temperature changes over a large body of surface
area
a
A severely overweight patient has returned to the unit after having major
abdominal surgery. When the nurse enters the room, it is evident that the patient
has moved or coughed and the wound has eviscerated. The nurse should
immediately:
a. assess the vital signs
b. contact the doctor
c. apply light pressure on the exposed organs
d. place sterile towels soaked in saline over the area.
d
A patient with a knife protruding from his upper leg is taken into the emergency
department. A nurse is waiting for the physician to arrive when a newly hired
nurse comes to assist. The nurse delegates the new staff nurse to do all of the
following as soon as possible except:
a. assess vital signs
b. remove the knife to cleanse the wound
c. wrap a bandage around the knife and injured site
d. apply pressure to the surrounding area to stop the bleeding
b
, A nurse is planning care for a patient who has a red area over a bony prominence
that blanches when assessed. Which of the following interventions are
appropriate? (Select all that apply.)
1. Massage the area to improve the local circulation.
2. Reposition the patient off the area.
3. Reassess the area after the patient is off the area for 1 hour.
4. Request nonbleached sheets for this patient's bed.
5. Place a cold pack under the area and reassess in 1 hour.
2, 3
Nursing interventions to manage a patient who is experiencing frequent fecal and
urinary incontinence include which of the following? (Select all that apply.)
1. Frequent perineal and sacral skin assessments
2. Using a large absorbent diaper, changing when saturated
3. Keeping the buttocks exposed to air at all times
4. Using an incontinence cleanser, followed by application of a moisture-barrier
ointment
5. Offering frequent ambulation and help to the toilet
1, 4, 5
Place the following steps in correct order for performing a wound irrigation.
1. Use slow continuous pressure to irrigate wound.
