NUR 242: EXAM 1 MED – SURG
FREQUENTLY ASKED
QUESTIONS WITH VERIFIED
SOLUTIONS 100% CORRECT
2026/2027 STUDY
PATRICIA IS AN RN WORKING AT A REHABILITATION CENTER AND WITNESSES A NURSE AID
STRUGGLING TO LIFT AND REPOSITION AN ELDERLY, BED RIDDEN PATIENT. SHE EXPLAINS TO
THE NURSE AIDE THAT THERE IS A NO LIFT POLICY IN PLACE IN THE ESTABLISHMENT. WHAT
DOES THIS POLICY ENTAIL?
THE CONCEPT OF A NO-LIFT POLICY IS A PLEDGE FROM ADMINISTRATORS THAT PROPER
EQUIPMENT, ADEQUATELY MAINTAINED AND IN SUFFICIENT NUMBERS, WILL BE AVAILABLE
TO CARE PROVIDERS TO REDUCE THE RISKS ASSOCIATED WITH MANUAL PATIENT HANDLING
IMMOBILITY EFFECTS MULTIPLE BODY SYSTEMS. WHAT ARE SOME INTERVENTIONS THAT YOU
CAN IMPLEMENT TO DECREASE THESE EFFECTS? SELECT ALL THAT APPLY.
A. UTILIZING WAFFLE MATTRESS TO REDUCE THE NEED FOR REPOSITIONING
B. TEDS/SCDS
C. RUBBING REDDENED AREAS
D. LIMITING FLUID INTAKE
E. ROM EXERCISES
ANSWER: B AND E
RATIONAL:
, -A IS INCORRECT BECAUSE REGARDLESS OF IMPLEMENTED MATTRESS, POSITIONING SHOULD
BE EVERY 2 HOURS
-C IS INCORRECT. YOU SHOULD NOT RUB AT REDDENED AREAS. THIS INCREASES THE RISK FOR
SKIN BREAK.
-D IS INCORRECT. YOU SHOULD ENCOURAGE PROPER HYDRATION TO PROMOTE WELL
HYDRATED AND HEALTHY SKIN.
TRUE OR FALSE: NURSES SHOULD DO SKIN ASSESSMENTS ONCE A WEEK.
FALSE
RATIONAL: NURSES SHOULD DO FULL SKIN ASSESSMENTS A MINIMUM OF ONCE PER SHIFT.
A PT GOES TO THE ER FOR SWELLING AND PAIN IN HER RIGHT CALF. THE PT STATES THAT IT
OCCURRED AFTER SHE ACCIDENTALLY CUT HERSELF. BASED ON HER SYMPTOMS, WHAT SKIN
CONDITION MIGHT THE NURSE SUSPECT THE PATIENT HAS?
CELLULITIS.
CELLULITIS IS INFLAMMATION OF THE SKIN AND SUBQ TISSUE.
PT A IS ADMITTED FROM A NURSING HOME WITH A STAGE 3 PRESSURE ULCER. WHEN
CREATING HIS PLAN OF CARE, WHO ELSE WOULD BE INVOLVED BESIDES THE PRIMARY CARE
PHYSICIAN?
WOUND CARE NURSE, DIETICIAN, PHYSICAL THERAPIST. OT CAN ALSO BE INCLUDED,
HOWEVER THEY DEAL MORE WITH FINE MOTOR SKILLS.
AN 85 YEAR OLD WOMAN IS ADMITTED TO THE HOSPITAL. WHEN DOING THE INITIAL
ASSESSMENT, WHAT ARE SOME FACTORS THAT YOU KNOW PUT HER AT RISK FOR PRESSURE
INJURIES?
-IF THE PT IS IMMOBILE
-IF THE PT IS INCONTINENT
FREQUENTLY ASKED
QUESTIONS WITH VERIFIED
SOLUTIONS 100% CORRECT
2026/2027 STUDY
PATRICIA IS AN RN WORKING AT A REHABILITATION CENTER AND WITNESSES A NURSE AID
STRUGGLING TO LIFT AND REPOSITION AN ELDERLY, BED RIDDEN PATIENT. SHE EXPLAINS TO
THE NURSE AIDE THAT THERE IS A NO LIFT POLICY IN PLACE IN THE ESTABLISHMENT. WHAT
DOES THIS POLICY ENTAIL?
THE CONCEPT OF A NO-LIFT POLICY IS A PLEDGE FROM ADMINISTRATORS THAT PROPER
EQUIPMENT, ADEQUATELY MAINTAINED AND IN SUFFICIENT NUMBERS, WILL BE AVAILABLE
TO CARE PROVIDERS TO REDUCE THE RISKS ASSOCIATED WITH MANUAL PATIENT HANDLING
IMMOBILITY EFFECTS MULTIPLE BODY SYSTEMS. WHAT ARE SOME INTERVENTIONS THAT YOU
CAN IMPLEMENT TO DECREASE THESE EFFECTS? SELECT ALL THAT APPLY.
A. UTILIZING WAFFLE MATTRESS TO REDUCE THE NEED FOR REPOSITIONING
B. TEDS/SCDS
C. RUBBING REDDENED AREAS
D. LIMITING FLUID INTAKE
E. ROM EXERCISES
ANSWER: B AND E
RATIONAL:
, -A IS INCORRECT BECAUSE REGARDLESS OF IMPLEMENTED MATTRESS, POSITIONING SHOULD
BE EVERY 2 HOURS
-C IS INCORRECT. YOU SHOULD NOT RUB AT REDDENED AREAS. THIS INCREASES THE RISK FOR
SKIN BREAK.
-D IS INCORRECT. YOU SHOULD ENCOURAGE PROPER HYDRATION TO PROMOTE WELL
HYDRATED AND HEALTHY SKIN.
TRUE OR FALSE: NURSES SHOULD DO SKIN ASSESSMENTS ONCE A WEEK.
FALSE
RATIONAL: NURSES SHOULD DO FULL SKIN ASSESSMENTS A MINIMUM OF ONCE PER SHIFT.
A PT GOES TO THE ER FOR SWELLING AND PAIN IN HER RIGHT CALF. THE PT STATES THAT IT
OCCURRED AFTER SHE ACCIDENTALLY CUT HERSELF. BASED ON HER SYMPTOMS, WHAT SKIN
CONDITION MIGHT THE NURSE SUSPECT THE PATIENT HAS?
CELLULITIS.
CELLULITIS IS INFLAMMATION OF THE SKIN AND SUBQ TISSUE.
PT A IS ADMITTED FROM A NURSING HOME WITH A STAGE 3 PRESSURE ULCER. WHEN
CREATING HIS PLAN OF CARE, WHO ELSE WOULD BE INVOLVED BESIDES THE PRIMARY CARE
PHYSICIAN?
WOUND CARE NURSE, DIETICIAN, PHYSICAL THERAPIST. OT CAN ALSO BE INCLUDED,
HOWEVER THEY DEAL MORE WITH FINE MOTOR SKILLS.
AN 85 YEAR OLD WOMAN IS ADMITTED TO THE HOSPITAL. WHEN DOING THE INITIAL
ASSESSMENT, WHAT ARE SOME FACTORS THAT YOU KNOW PUT HER AT RISK FOR PRESSURE
INJURIES?
-IF THE PT IS IMMOBILE
-IF THE PT IS INCONTINENT
