AM
EXAM 2 REVIEW N300 EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED UPDATE
Terms in this set (89)
When repositioning an 4
immobile patient, the
nurse notices redness
over the hip bone.
What is indicated when
a reddened area
blanches on fingertip
touch?
1. A local skin
infection requiring
antibiotics
2. Sensitive skin that
requires special bed
linen
3. A stage 3 pressure
injury needing the
appropriate
dressing
4. Blanching hyperemia,
indicating
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After surgery the patient 1,4
with a closed
abdominal wound
reports a sudden
"pop" after coughing.
When the nurse
examines the surgical
wound site, the
sutures are open, and
pieces of small bowel
are noted at the
bottom of the now-
opened wound.
Which are the priority
nursing
interventions? (Select all
that apply.)
1. Notify the health
care provider.
2. Allow the area to
be exposed to air until
all drainage has
stopped.
3. Place several cold
packs over the area,
protecting the skin
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around the wound.
4. Cover the area with
sterile, saline-soaked
towels immediately.
5. Cover the area with
sterile gauze and
apply an abdominal
binder.
What is the correct 4,3,2,5,1
sequence of steps
when performing wound
irrigation to a large
open wound?
1. Use slow,
continuous pressure to
irrigate wound.
2. Attach 19-
gauge
angiocatheter to
syringe.
3. Fill syringe with irrigation
fluid.
4. Place biohazard bag
near bed.
5. Position angiocatheter
over wound
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Which skin-care measures 1,4,5
are used to
manage a patient who is
experiencing fecal and/or
urinary incontinence?
(Select all
that apply.)
1. Frequent position
changes
2. Keeping the buttocks
exposed to air at all
times
3. Using a large
absorbent diaper,
changing when
saturated
4. Using an incontinence
cleaner
5. Applying a moisture
barrier ointment
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