NUR242 / NUR 242 Exam 1 w w w w w w
Medical-Surgical Nursing Concepts w w
100% Guarantee passing score of 90% or higher
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Consist of 50 Questions with Answers
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1. Patricia is an RN working at a rehabilitation center and witnesses a nurse aid
w w w w w w w w w w w w w
w struggling to lift and reposition an elderly, bed ridden patient. She explains to
w w w w w w w w w w w w
w the nurse aide that there is a No Lift Policy in place in the establishment. What
w w w w w w w w w w w w w w w
w does this policy entail
w w w
: Answer The concept of a no-lift policy is a pledge from adminis- trators that
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proper equipment, adequately maintained and in sufficient numbers, will be
w w w w w w w w w
w available to care providers to reduce the risks associated with manual patient
w w w w w w w w w w w
w handling
2. Immobility effects multiple body systems. What are some interventions that
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w you can implement to decrease these effects? Select all that apply.
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1/5 w w
,A. Utilizing waffle mattress to reduce the need for repositioning
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B. Teds/SCDs
C. Rubbing reddened areas w w
D. Limiting fluid intake w w
E. ROM exercises w
: Answer: B and E
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Rational:
-A is incorrect because regardless of implemented mattress, positioning should be
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w every 2 hours w w
-C is incorrect. You should not rub at reddened areas. This increases the risk for skin
w w w w w w w w w w w w w w w
w break.
-D is incorrect.You should encourage proper hydration to promote well hydrated
w w w w w w w w w w w
w and healthy skin.
w w
3. True or False: Nurses should do skin assessments once a week
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: Answer False
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Rational: Nurses should do full skin assessments a minimum of once per shift.
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4. A pt goes to the ER for swelling and pain in her right calf.The PT states that it
w w w w w w w w w w w w w w w w w
w occurred after she accidentally cut herself. Based on her symptoms, what skin
w w w w w w w w w w w
w condition might the nurse suspect the patient has
w w w w w w w
2/5 w w
, : Answer Cellulitis.
w
Cellulitis is inflammation of the skin and subq tissue.
w w w w w w w w
5. Pt A is admitted from a nursing home with a stage 3 pressure ulcer. When
w w w w w w w w w w w w w w
w creating his plan of care, who else would be involved besides the primary care
w w w w w w w w w w w w w
w physician
: Answer Wound care nurse, Dietician, Physical therapist. OT can also be
w w w w w w w w w w
included, however they deal more with fine motor skills.
w w w w w w w w
6. An 85 year old woman is admitted to the hospital. When doing the initial
w w w w w w w w w w w w w
w assessment, what are some factors that you know put her at risk for pressure
w w w w w w w w w w w w w
w injuries
: Answer -if the pt is immobile
w w w w w
-if the pt is incontinent
w w w w
3/5
w w
Medical-Surgical Nursing Concepts w w
100% Guarantee passing score of 90% or higher
w w w w w w w
Consist of 50 Questions with Answers
w w w w w
1. Patricia is an RN working at a rehabilitation center and witnesses a nurse aid
w w w w w w w w w w w w w
w struggling to lift and reposition an elderly, bed ridden patient. She explains to
w w w w w w w w w w w w
w the nurse aide that there is a No Lift Policy in place in the establishment. What
w w w w w w w w w w w w w w w
w does this policy entail
w w w
: Answer The concept of a no-lift policy is a pledge from adminis- trators that
w w w w w w w w w w w w w
proper equipment, adequately maintained and in sufficient numbers, will be
w w w w w w w w w
w available to care providers to reduce the risks associated with manual patient
w w w w w w w w w w w
w handling
2. Immobility effects multiple body systems. What are some interventions that
w w w w w w w w w
w you can implement to decrease these effects? Select all that apply.
w w w w w w w w w w
1/5 w w
,A. Utilizing waffle mattress to reduce the need for repositioning
w w w w w w w w
B. Teds/SCDs
C. Rubbing reddened areas w w
D. Limiting fluid intake w w
E. ROM exercises w
: Answer: B and E
w w w
Rational:
-A is incorrect because regardless of implemented mattress, positioning should be
w w w w w w w w w w
w every 2 hours w w
-C is incorrect. You should not rub at reddened areas. This increases the risk for skin
w w w w w w w w w w w w w w w
w break.
-D is incorrect.You should encourage proper hydration to promote well hydrated
w w w w w w w w w w w
w and healthy skin.
w w
3. True or False: Nurses should do skin assessments once a week
w w w w w w w w w w
: Answer False
w
Rational: Nurses should do full skin assessments a minimum of once per shift.
w w w w w w w w w w w w
4. A pt goes to the ER for swelling and pain in her right calf.The PT states that it
w w w w w w w w w w w w w w w w w
w occurred after she accidentally cut herself. Based on her symptoms, what skin
w w w w w w w w w w w
w condition might the nurse suspect the patient has
w w w w w w w
2/5 w w
, : Answer Cellulitis.
w
Cellulitis is inflammation of the skin and subq tissue.
w w w w w w w w
5. Pt A is admitted from a nursing home with a stage 3 pressure ulcer. When
w w w w w w w w w w w w w w
w creating his plan of care, who else would be involved besides the primary care
w w w w w w w w w w w w w
w physician
: Answer Wound care nurse, Dietician, Physical therapist. OT can also be
w w w w w w w w w w
included, however they deal more with fine motor skills.
w w w w w w w w
6. An 85 year old woman is admitted to the hospital. When doing the initial
w w w w w w w w w w w w w
w assessment, what are some factors that you know put her at risk for pressure
w w w w w w w w w w w w w
w injuries
: Answer -if the pt is immobile
w w w w w
-if the pt is incontinent
w w w w
3/5
w w
