4006 MIDTERM EXAM PRACTICE QUESTIONS
WITH DETAILED EXPLANATIONS 2026
◉ The nurse recognizes that skin integrity can be compromised
when skin is exposed to body fluids. The greatest risk exists for the
client who has exposure to which one of the following fluids?
Select one:
a. Urine
b. Purulent exudates
c. Pancreatic fluids
d. Serosanguineous drainage.
Answer: c. Pancreatic fluids
◉ The client has rheumatoid arthritis, is prone to skin breakdown,
and is also somewhat immobile because of arthritic discomfort.
Which of the following interventions is the best one for this client's
skin integrity?
Select one:
a. Having the client sit up in a chair for four-hour intervals
b. Keeping the head of the bed in a high-Fowler's position to increase
circulation
c. Keeping a written schedule of turning and positioning
,d. Encouraging the client to perform pelvic muscle training exercises
several times a day.
Answer: c. Keeping a written schedule of turning and positioning
◉ Which of the following information about how smoking influences
healing does the nurse include when planning a program on wound
healing?
Select one:
a. Smoking suppresses protein synthesis.
b. Smoking creates increased tissue fragility.
c. Smoking depresses bone marrow function.
d. Smoking reduces the amount of functional hemoglobin in the
blood..
Answer: d. Smoking reduces the amount of functional hemoglobin in
the blood.
◉ The client has a large, deep wound on the sacral region. The nurse
correctly packs the wound by doing which one of the following?
Select one:
a. Filling two-thirds of the wound cavity
b. Leaving saline-soaked folded gauze squares in place
c. Putting the dressing in very tightly
d. Extending only to the surface of the wound.
, Answer: d. Extending only to the surface of the wound
◉ How should the nurse clean a wound?
Select one:
a. Go over the wound twice and discard that swab.
b. Move from the outer region of the wound toward the centre.
c. Clean wound from least contaminated to most contaminated area.
d. Use an antiseptic solution followed by a normal saline rinse..
Answer: c. Clean wound from least contaminated to most
contaminated area.
◉ The nurse observes thin, watery fluid draining from the left ear of
a client who has sustained a head injury. How is this drainage
described?
Select one:
a. Serous
b. Purulent
c. Cerebrospinal fluid
d. Serosanguineous.
Answer: a. Serous
WITH DETAILED EXPLANATIONS 2026
◉ The nurse recognizes that skin integrity can be compromised
when skin is exposed to body fluids. The greatest risk exists for the
client who has exposure to which one of the following fluids?
Select one:
a. Urine
b. Purulent exudates
c. Pancreatic fluids
d. Serosanguineous drainage.
Answer: c. Pancreatic fluids
◉ The client has rheumatoid arthritis, is prone to skin breakdown,
and is also somewhat immobile because of arthritic discomfort.
Which of the following interventions is the best one for this client's
skin integrity?
Select one:
a. Having the client sit up in a chair for four-hour intervals
b. Keeping the head of the bed in a high-Fowler's position to increase
circulation
c. Keeping a written schedule of turning and positioning
,d. Encouraging the client to perform pelvic muscle training exercises
several times a day.
Answer: c. Keeping a written schedule of turning and positioning
◉ Which of the following information about how smoking influences
healing does the nurse include when planning a program on wound
healing?
Select one:
a. Smoking suppresses protein synthesis.
b. Smoking creates increased tissue fragility.
c. Smoking depresses bone marrow function.
d. Smoking reduces the amount of functional hemoglobin in the
blood..
Answer: d. Smoking reduces the amount of functional hemoglobin in
the blood.
◉ The client has a large, deep wound on the sacral region. The nurse
correctly packs the wound by doing which one of the following?
Select one:
a. Filling two-thirds of the wound cavity
b. Leaving saline-soaked folded gauze squares in place
c. Putting the dressing in very tightly
d. Extending only to the surface of the wound.
, Answer: d. Extending only to the surface of the wound
◉ How should the nurse clean a wound?
Select one:
a. Go over the wound twice and discard that swab.
b. Move from the outer region of the wound toward the centre.
c. Clean wound from least contaminated to most contaminated area.
d. Use an antiseptic solution followed by a normal saline rinse..
Answer: c. Clean wound from least contaminated to most
contaminated area.
◉ The nurse observes thin, watery fluid draining from the left ear of
a client who has sustained a head injury. How is this drainage
described?
Select one:
a. Serous
b. Purulent
c. Cerebrospinal fluid
d. Serosanguineous.
Answer: a. Serous
