RNRS 117- PRESSURE INJURIES PEARSON (EXAM I)
QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS GRADED A++
The nurse is providing teaching to the family caregiver of an older patient who
has become increasingly immobile at home.
Which instruction should the nurse provide to reduce the patient's risk of
developing a pressure injury?
Massage the bony prominences daily.
Monitor the diet to ensure adequate intake of proteins and calories.
Use an alcohol-based sanitizer to clean the skin after incidences of incontinence.
Help the patient to move at least every 4 hours.
Monitor the diet to ensure adequate intake of proteins and calories.
The nurse identifies that a patient with decreased mental status is at risk for a
pressure injury.
Which action should the nurse take to maintain skin hygiene and prevent a
pressure injury?
Applying lotion to moist skin after bathing
Monitoring the skin once a week during bathing
, Massaging bony prominences during bathing
Using hot water and mild soap during bathing
Applying lotion to moist skin after bathing
The nurse is caring for a patient with limited mobility.
Which action should the nurse take to prevent a skin injury caused by friction?
Avoiding use of a draw sheet when repositioning the patient
Placing the patient in the prone position
Sprinkling baby powder on the sheets to keep the skin dry
Elevating the head of the bed to a 60-degree angle
Placing the patient in the prone position
A patient with a stage 3 pressure injury reports pain at the site which has
developed a yellow-white exudate on the wound bed.
Which laboratory test should the nurse anticipate being prescribed?
Hemoglobin and hematocrit
Arteral blood gas (ABG)
Serum protein
Complete blood count
Complete blood count
A patient with a pressure injury on the sacrum has obvious necrosis of
subcutaneous tissue.
For which pressure stage should the nurse plan care for this patient?
QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS GRADED A++
The nurse is providing teaching to the family caregiver of an older patient who
has become increasingly immobile at home.
Which instruction should the nurse provide to reduce the patient's risk of
developing a pressure injury?
Massage the bony prominences daily.
Monitor the diet to ensure adequate intake of proteins and calories.
Use an alcohol-based sanitizer to clean the skin after incidences of incontinence.
Help the patient to move at least every 4 hours.
Monitor the diet to ensure adequate intake of proteins and calories.
The nurse identifies that a patient with decreased mental status is at risk for a
pressure injury.
Which action should the nurse take to maintain skin hygiene and prevent a
pressure injury?
Applying lotion to moist skin after bathing
Monitoring the skin once a week during bathing
, Massaging bony prominences during bathing
Using hot water and mild soap during bathing
Applying lotion to moist skin after bathing
The nurse is caring for a patient with limited mobility.
Which action should the nurse take to prevent a skin injury caused by friction?
Avoiding use of a draw sheet when repositioning the patient
Placing the patient in the prone position
Sprinkling baby powder on the sheets to keep the skin dry
Elevating the head of the bed to a 60-degree angle
Placing the patient in the prone position
A patient with a stage 3 pressure injury reports pain at the site which has
developed a yellow-white exudate on the wound bed.
Which laboratory test should the nurse anticipate being prescribed?
Hemoglobin and hematocrit
Arteral blood gas (ABG)
Serum protein
Complete blood count
Complete blood count
A patient with a pressure injury on the sacrum has obvious necrosis of
subcutaneous tissue.
For which pressure stage should the nurse plan care for this patient?
