JOYCE UNIVERSITY OF NURSING EXAM 2 (NUR125 - NURSING FUNDAMENTALS ) QUESTIONS WITH COMPLETE SOLUTIONS

JOYCE UNIVERSITY OF NURSING EXAM 2
(NUR125 - NURSING FUNDAMENTALS )
QUESTIONS WITH COMPLETE
SOLUTIONS




Complete Q&A


1. A client has a Braden score of 9. What is the nurse's priority?

 a. Encourage ambulation
 b. Initiate aggressive pressure injury prevention
 c. Document only
 d. Increase linens

Answer: b




2. A client reports dizziness upon standing. Which intervention is priority?

 a. Encourage rapid ambulation
 b. Assess orthostatic BP
 c. Apply restraints
 d. Elevate HOB to 90°

, Answer: b




3. A client with immobility is at risk for which complications? (Select all that apply)

 a. Atelectasis
 b. Constipation
 c. DVT
 d. Osteoporosis
 e. Hypercalcemia

Answers: a, b, c, d




4. A medical bed should always be locked and in the lowest position.

 a. True
 b. False

Answer: a




5. A nurse is applying restraints. Which actions are appropriate? (Select all that apply)

 a. Obtain provider order
 b. Tie restraints to bed rails
 c. Use quick-release knot
 d. Perform frequent skin checks
 e. Attempt alternatives first

Answers: a, c, d, e

, 6. A nurse is caring for a client on bedrest for 5 days. Which assessment finding requires
immediate intervention?

 a. Diminished bowel sounds
 b. Orthostatic hypotension
 c. Unilateral calf warmth and swelling
 d. Mild anxiety

Answer: c




7. A nurse notes thick, yellow, foul-smelling drainage. This indicates:

 a. Serous drainage
 b. Sanguineous drainage
 c. Purulent drainage
 d. Normal inflammatory response

Answer: c




8. A surgical incision closed with staples heals by:

 a. Secondary intention
 b. Tertiary intention
 c. Primary intention
 d. Delayed intention

Answer: c




9. A wound with visible adipose tissue is classified as:

 a. Stage 2
 b. Stage 3
 c. Stage 4