NR 224 EXAM 2 LATEST 2 VERSIONS (VERSION A, B)
ACTUAL EXAM 250 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|ALREADY
GRADED A+||CHAMBERLAINE COLLEGE
What is the removal of devitalized tissue from a wound called?
a. debridement
b. pressure reduction
c. negative pressure wound therapy
d. sanitization
.....ANSWER.....a. debridement
Which of the following skills can the nurse delegate to nursing
assistive personnel? Select all that apply.
a. nasotracheal suctioning
b. oropharyngeal suctioning of a stable patient
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c. suctioning a new artificial airway
d. permanent tracheostomy tube suctioning
e. care of an endotracheal tube
.....ANSWER.....b. oropharyngeal suctioning of a stable patient
d. permanent tracheostomy tube suctioning
Place the following in correct sequence for suctioning a patient.
1. open kit and basin
2. apply gloves
3. lubricate catheter
4. verify functioning of suction device and pressure
5. connect suction tubing to suction catheter
6. increased supplemental oxygen
7. reapply oxygen
8. suction airway
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.....ANSWER.....4. verify functioning of suction device and
pressure
6. increased supplemental oxygen
1. open kit and basin
3. lubricate catheter
2. apply gloves
5. connect suction tubing to suction catheter
8. suction airway
7. reapply oxygen
A patient was admitted following a motor vehicle accident with
multiple fractured ribs. Respiratory assessment includes
signs/symptoms of secondary pneumothorax. Which are the most
common assessment findings associated with a pneumothorax?
Select all that apply.
a. sharp pleuritic pain that worsens on inspiration
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b. crackles over lung bases of affected lung
c. tracheal deviation toward the affected lung
d. worsening dyspnea
e. absent lung sounds to auscultation on affected side
.....ANSWER.....a. sharp pleuritic pain that worsens on inspiration
d. worsening dyspnea
e. absent lung sounds to auscultation on affected side
The nurse is caring for a patient who has decreased mobility.
Which intervention is a simple and cost-effective method for
reducing the risks of pulmonary complication?
a. antibiotics
b. frequent change of position
c. oxygen humidification