NU 311 EXAM 3 QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS GRADED A++ LATEST UPDATE
A sterile dressing with no absorbent capacity that is impermeable to fluids and
bacteria and is used as prophylaxis for high-risk intact skin (high risk friction
areas), superficial wounds with minimal or no exudate best describes:
Transparent film
When aseptic procedures are performed, the nurse must have a sterile work area
or sterile field. Which statement regarding maintenance of sterile fields is true?
Once a sterile field is outside of the vision of the nurse, the sterile field is considered
contaminated.
The RN caring for a client following recent abdominal surgery finds the wound
edges of the incision well approximated. The RN knows the wound is healing by:
Primary intention
Dr. Swanzy is at the bedside with a clinical student preparing to perform a sterile
procedure. The student makes an A in clinical for the day when he/she:
Opens the outermost flap of the sterile field away from the body, keeping arm
outstretched and avoiding crossing the sterile field.
The nurse assesses a Stage I pressure injury as:
intact skin with nonblanchable redness.
, When repositioning an immobile client, the student nurse notices a deep red-
maroon color over a bony prominence. When the area is further assessed, it does
not blanch indicating:
a deep tissue pressure injury.
Which statement/s regarding the application of ice, or cryotherapy is/are true?
-Cold therapy is one of the most widely used therapeutic modalities in the management
of acute musculoskeletal injuries.
-Cold applications must be removed from areas that have turned red or blue during
therapy related to the possibility of worsening ischemia.
The RN is caring for a client recovering from major abdominal surgery 2 days
ago. The RN realizes factors affecting surgical wound healing include:
-Nutritional status
-Diabetes
-Advanced age
-Wound Infection
The RN is performing a pressure injury risk assessment using the Braden Scale.
The Braden Scale predicts client risk for pressure injury by evaluating:
Friction and Shear, Nutrition, Mobility, Activity, Moisture, and Sensory Perception.
Serosanguineous drainage from a wound may be described as:
pale red, watery drainage.
The RN finds the post cardiac catheterization client with a large amount of bright
red blood soaking the femoral dressing. What is the priority action of the nurse?
Look underneath the dressing and then apply pressure to the bleeding site.
COMPLETE SOLUTIONS GRADED A++ LATEST UPDATE
A sterile dressing with no absorbent capacity that is impermeable to fluids and
bacteria and is used as prophylaxis for high-risk intact skin (high risk friction
areas), superficial wounds with minimal or no exudate best describes:
Transparent film
When aseptic procedures are performed, the nurse must have a sterile work area
or sterile field. Which statement regarding maintenance of sterile fields is true?
Once a sterile field is outside of the vision of the nurse, the sterile field is considered
contaminated.
The RN caring for a client following recent abdominal surgery finds the wound
edges of the incision well approximated. The RN knows the wound is healing by:
Primary intention
Dr. Swanzy is at the bedside with a clinical student preparing to perform a sterile
procedure. The student makes an A in clinical for the day when he/she:
Opens the outermost flap of the sterile field away from the body, keeping arm
outstretched and avoiding crossing the sterile field.
The nurse assesses a Stage I pressure injury as:
intact skin with nonblanchable redness.
, When repositioning an immobile client, the student nurse notices a deep red-
maroon color over a bony prominence. When the area is further assessed, it does
not blanch indicating:
a deep tissue pressure injury.
Which statement/s regarding the application of ice, or cryotherapy is/are true?
-Cold therapy is one of the most widely used therapeutic modalities in the management
of acute musculoskeletal injuries.
-Cold applications must be removed from areas that have turned red or blue during
therapy related to the possibility of worsening ischemia.
The RN is caring for a client recovering from major abdominal surgery 2 days
ago. The RN realizes factors affecting surgical wound healing include:
-Nutritional status
-Diabetes
-Advanced age
-Wound Infection
The RN is performing a pressure injury risk assessment using the Braden Scale.
The Braden Scale predicts client risk for pressure injury by evaluating:
Friction and Shear, Nutrition, Mobility, Activity, Moisture, and Sensory Perception.
Serosanguineous drainage from a wound may be described as:
pale red, watery drainage.
The RN finds the post cardiac catheterization client with a large amount of bright
red blood soaking the femoral dressing. What is the priority action of the nurse?
Look underneath the dressing and then apply pressure to the bleeding site.
