NU 311 Exam 2 Questions With Complete Solutions
A sterile dressing with no absorbent capacity that is
impermeable to fluids and bacteria and is used as prophlaxis for
high-risk intact skin (high risk friction areas), superficial
wounds with minimal or no exudate best describes:
a. Wound Vac (Negative- Pressure Wound Therapy)
b. Abdominal pad (ABD)
c. Transparent film
d. Moist to drive Correct Answer
A surgical would is expected to drain approximately 500 mL or
more 24/hours. Which type of treatment does the RN anticipate?
a. Hydrocolloid dressing
b. Transparent film dressing
c. Jackson- Pratt (JP) drain
d. Hemovac drain Correct Answer d.
Pressure injuries occur: (Select all that apply)
a. only on bed bound clients and are correctly termed bedsores
b. because of tissue ischemia
c. only on light-skinned clients
d. from poorly positioned medical devices
e. on any area of skin subjected to pressure Correct Answer b.
d.
e.
Serosanguineous drainage from a wound may be described as:
a. thick, yellow drainage
b. fresh bleeding, bright red drainage
c. beige to brown, foul smelling drainage
, d. pale red, watery drainage Correct Answer d.
The appropriate technique for the student nurse to use when
donning sterile gloves is to:
a. interlock the hands after both gloves are applied
b. with gloved dominant hand, grasp the outside cuff of the
second glove
c. keep thumb of dominant hand tucked under fingers
d. pull the cuffs down on both gloves after donning to make sure
there are no wrinkles Correct Answer a.
The client has an order for the application of an elastic bandage
for compression. Which action by the nurse indicates proper
understanding of the procedure?
a. lowering the arm below the level of the heart before applying
bandage
b. wrapping the bandage from distal to proximal point
c. wrap bandage tightly enough to occlude pulses in the
extremity
d. delegating the procedure to the nursing assistive personnel
(NAP) with 20 years of experience Correct Answer b.
The nurse assesses a Stage I pressure injury as:
a. intact skin with nonblanchable redness
b. a shallow ulcer with a red-pink wound bed without slough
c. tissue that is painful, firm boggy, warmer, or cooler compared
to adjacent tissue
d. tissue with undermining and tunneling Correct Answer a.
The postoperative client with a closed abdominal wound reports
a sudden "pop" after coughing. The student nurse examines the
A sterile dressing with no absorbent capacity that is
impermeable to fluids and bacteria and is used as prophlaxis for
high-risk intact skin (high risk friction areas), superficial
wounds with minimal or no exudate best describes:
a. Wound Vac (Negative- Pressure Wound Therapy)
b. Abdominal pad (ABD)
c. Transparent film
d. Moist to drive Correct Answer
A surgical would is expected to drain approximately 500 mL or
more 24/hours. Which type of treatment does the RN anticipate?
a. Hydrocolloid dressing
b. Transparent film dressing
c. Jackson- Pratt (JP) drain
d. Hemovac drain Correct Answer d.
Pressure injuries occur: (Select all that apply)
a. only on bed bound clients and are correctly termed bedsores
b. because of tissue ischemia
c. only on light-skinned clients
d. from poorly positioned medical devices
e. on any area of skin subjected to pressure Correct Answer b.
d.
e.
Serosanguineous drainage from a wound may be described as:
a. thick, yellow drainage
b. fresh bleeding, bright red drainage
c. beige to brown, foul smelling drainage
, d. pale red, watery drainage Correct Answer d.
The appropriate technique for the student nurse to use when
donning sterile gloves is to:
a. interlock the hands after both gloves are applied
b. with gloved dominant hand, grasp the outside cuff of the
second glove
c. keep thumb of dominant hand tucked under fingers
d. pull the cuffs down on both gloves after donning to make sure
there are no wrinkles Correct Answer a.
The client has an order for the application of an elastic bandage
for compression. Which action by the nurse indicates proper
understanding of the procedure?
a. lowering the arm below the level of the heart before applying
bandage
b. wrapping the bandage from distal to proximal point
c. wrap bandage tightly enough to occlude pulses in the
extremity
d. delegating the procedure to the nursing assistive personnel
(NAP) with 20 years of experience Correct Answer b.
The nurse assesses a Stage I pressure injury as:
a. intact skin with nonblanchable redness
b. a shallow ulcer with a red-pink wound bed without slough
c. tissue that is painful, firm boggy, warmer, or cooler compared
to adjacent tissue
d. tissue with undermining and tunneling Correct Answer a.
The postoperative client with a closed abdominal wound reports
a sudden "pop" after coughing. The student nurse examines the
