NURSING 111 EXAM 2 QUESTIONS WITH ACCURATE
ANSWERS
2. what do clubbed fingers indicate? correct answer chronic hypoxia
briefly describe the controlled substances categories correct answer C-I. high
potential abuse, No medical use , severe dependency
C-II. high potential abuse, accepted for medical use, severe dependency
C-III. less than C-II for potential abuse, accepted for medical use, limited
dependency
C-IV. less than C-III for potential abuse, accepted for medical use, limited
dependency
C-V. less than C-IV for potential abuse, accepted for medical use, limited
dependency
can medications be in more than one class? correct answer yes
example: Aspirin is an analgesic, and antipyretic, anti-inflammatory and anti-
platelet
describe a arterial/ischemic wound correct answer located distally on toes,
forefoot "punched out" appearance, pale dry, painful, necrotic
Describe a deep tissue injury correct answer -purple or maroon
-localized
-intact skin or blood-filled blister
-due to damage of underlying soft tissue from pressure or shear
,-area may be preceded by tissue that is painful, firm, mushy, boggy, warmer or
cooler as compared to adjacent tissue
describe a narrative note correct answer traditional method of nursing
documentation
- chronological account of patient status, interventions, treatments and patient
responses
describe a stage 1 pressure injury correct answer non-blanchable erythema of
intact skin
describe a stage 2 pressure injury correct answer partial thickness skin loss
exposed dermis
no visible fat, muscle or bone
describe a stage 3 pressure injury correct answer full loss of skin thickness
fat visible
- possible epibole =rolled edges
- possible tunnel = sinus tract
describe a stage 4 pressure injury correct answer full thickness skin and tissue loss
- exposed or directly palpable fascia, muscle, tendon, ligament, bone or cartilage
describe a venous stasis wound correct answer typically located lower leg, medial
ankle, ruddy wound bed, edges irregular, usually drainage
,describe an unstageable pressure injury correct answer if you can not see the
wound bed
- site may be obscured by slough or eschar
describe cellular perfusion correct answer movement of blood to cells
describe diffustion correct answer movement of respiratory gases from and area
of higher to lower gas concentration
diffusion depends on:
- surface area
- ability of alveoli to expand
- presence of fluid impairs diffusion
describe enzyme interaction in medication correct answer - enzymes effect
reaction in cells
- protects target cells from enzyme's action
(ex: ACE inhibitors)
- drugs can interact with enzyme systems to alter response
- enzyme is 'fooled' into binding with drug instead of target cell
describe non-specifice interaction in medication: correct answer - not involved in
receptor sites or altering enzyme function
- main site of action is cell membrane or cellular process
- drugs will physically interfere or chemically alter cell process
- final product is altered causing defect or cell death
ex: cancer drugs, antibiotics
, describe respiratory transportation correct answer movement of blood to and
from tissues
describe the steps of medication administration correct answer - check patients
name and DOB
- give medications one at a time
- explain the medication to patient (ask them if they know what it is and why they
are taking it)
- open meds at bedside
- document medications given before going to next patient
describe ventilation correct answer movement of air in and out of the lungs
- exhalation is passive when muscles relax
differences in pediatric medication absorption correct answer - less acidic gastric
pH
- gastric emptying is slower
- topical absorption faster thru skin
- intramuscular absorption faster and irregular
differences in pediatric medication distribution correct answer - total body water
(TBW) higher in infants and children making water soluble drugs in greater
concentration
- decreased level of protein binding due to decreased production by immature
liver
ANSWERS
2. what do clubbed fingers indicate? correct answer chronic hypoxia
briefly describe the controlled substances categories correct answer C-I. high
potential abuse, No medical use , severe dependency
C-II. high potential abuse, accepted for medical use, severe dependency
C-III. less than C-II for potential abuse, accepted for medical use, limited
dependency
C-IV. less than C-III for potential abuse, accepted for medical use, limited
dependency
C-V. less than C-IV for potential abuse, accepted for medical use, limited
dependency
can medications be in more than one class? correct answer yes
example: Aspirin is an analgesic, and antipyretic, anti-inflammatory and anti-
platelet
describe a arterial/ischemic wound correct answer located distally on toes,
forefoot "punched out" appearance, pale dry, painful, necrotic
Describe a deep tissue injury correct answer -purple or maroon
-localized
-intact skin or blood-filled blister
-due to damage of underlying soft tissue from pressure or shear
,-area may be preceded by tissue that is painful, firm, mushy, boggy, warmer or
cooler as compared to adjacent tissue
describe a narrative note correct answer traditional method of nursing
documentation
- chronological account of patient status, interventions, treatments and patient
responses
describe a stage 1 pressure injury correct answer non-blanchable erythema of
intact skin
describe a stage 2 pressure injury correct answer partial thickness skin loss
exposed dermis
no visible fat, muscle or bone
describe a stage 3 pressure injury correct answer full loss of skin thickness
fat visible
- possible epibole =rolled edges
- possible tunnel = sinus tract
describe a stage 4 pressure injury correct answer full thickness skin and tissue loss
- exposed or directly palpable fascia, muscle, tendon, ligament, bone or cartilage
describe a venous stasis wound correct answer typically located lower leg, medial
ankle, ruddy wound bed, edges irregular, usually drainage
,describe an unstageable pressure injury correct answer if you can not see the
wound bed
- site may be obscured by slough or eschar
describe cellular perfusion correct answer movement of blood to cells
describe diffustion correct answer movement of respiratory gases from and area
of higher to lower gas concentration
diffusion depends on:
- surface area
- ability of alveoli to expand
- presence of fluid impairs diffusion
describe enzyme interaction in medication correct answer - enzymes effect
reaction in cells
- protects target cells from enzyme's action
(ex: ACE inhibitors)
- drugs can interact with enzyme systems to alter response
- enzyme is 'fooled' into binding with drug instead of target cell
describe non-specifice interaction in medication: correct answer - not involved in
receptor sites or altering enzyme function
- main site of action is cell membrane or cellular process
- drugs will physically interfere or chemically alter cell process
- final product is altered causing defect or cell death
ex: cancer drugs, antibiotics
, describe respiratory transportation correct answer movement of blood to and
from tissues
describe the steps of medication administration correct answer - check patients
name and DOB
- give medications one at a time
- explain the medication to patient (ask them if they know what it is and why they
are taking it)
- open meds at bedside
- document medications given before going to next patient
describe ventilation correct answer movement of air in and out of the lungs
- exhalation is passive when muscles relax
differences in pediatric medication absorption correct answer - less acidic gastric
pH
- gastric emptying is slower
- topical absorption faster thru skin
- intramuscular absorption faster and irregular
differences in pediatric medication distribution correct answer - total body water
(TBW) higher in infants and children making water soluble drugs in greater
concentration
- decreased level of protein binding due to decreased production by immature
liver
