HONDROS NUR 150 EXAM 2 2026/2027 | NUR 150 EXAM 2 STUDY GUIDE,
PRACTICE QUESTIONS & ANSWERS
Used to treat inflammatory responses- decreases edema, muscle spasms, pain, and decreases blood flow
to the area. - ✔✔Cold and Heat Therapy
when is cold and heat therapy recommended for an injury - ✔✔first 24 to 48 hours
whose responsibility is it to evaluate proper application, adverse signs and symptoms and is also
responsible for the patient's safety - ✔✔LPN
where should you not apply a cold pack to - ✔✔red or blue areas
how often should you check the skin of a patient who is using an electrical cooling device or an electrical
heating device - ✔✔every 5 minutes
what are common symptoms when using an electrical cooling device - ✔✔numbness and tingling
How long should you leave a cooling device in place - ✔✔15 to 20 minutes
what are some adverse skin reactions when using a cooling device - ✔✔mottling, redness, burning,
blistering and numbness
what should you record when using a cooling device or heating device - ✔✔what device you used,
location, duration, patient response, patient teaching and patients response to teaching
when should you immediately stop application of a cooling device - ✔✔areas become mottled, red or
blue/purple, or if the patient Is complaining of pain/numbness
when should you immediately stop application of a heating device - ✔✔skin becomes reddened and
sensitive to touch, extreme warmth noted at the area, and body part becomes painful to move
How long should you leave the heating device in place - ✔✔20 to 30 minutes or as prescribed
whose responsibility is it to assess skin areas prior to applications of heating and cooling device and
assess for risks - ✔✔LPN
what is one of the nurse's highest priority of care - ✔✔prevention and treatment of skin impairment
how often should you reposition a chair bound patient - ✔✔every hour
how often should you reposition a patient that is bed bound - ✔✔every 2 hours at a 30 degree angle
whose responsibility is it to properly collect a culture of the pressure ulcer - ✔✔nurse
, how do you properly label a specimen - ✔✔patients name, medical record number, date of birth, date
and time of collection, what the collection is for, your name and initials. send as quickly as possible to
the lab
what are anaerobic collections of - ✔✔inside of body cavities
what are aerobic collections of - ✔✔wound secretions
occurs when the tissue layers of skin slide on each other , causing subcutaneous blood vessels to kink or
stretch resulting in an interruption of blood flow to the skin - ✔✔shearing force
the rubbing of skin against another surface produces what - ✔✔friction
what are the 2 mechanical factors that play a common role in the development of pressure ulcers -
✔✔shearing force and friction
which patients are at risk for pressure ulcers - ✔✔chronically ill, debilitated, older, disabled, or
incontinent patients, patients with spinal cord injuries, circulatory impairment or poor overall nutrition
how can the nurse assess a patients skin for skin impairment - ✔✔blanching the area
a pressure ulcer in a localized area of skin, typically over a bony prominence , that is intact with
nonblanchable redness. Areas may be painful, firm, soft, warm or cool compared with adjacent tissue.
difficult to detect in patients with dark skin tones - ✔✔Stage 1
partial thickness loss of dermis. shallow open ulcer, usually shiny or dry, with a red-pink wound bed
without slough or bruising. some may present as serum- filled blisters - ✔✔Stage 2
full tissue thickness loss in which subcutaneous fat is sometimes visible, but bone, tendon, and muscle
are not exposed. if slough is present it does not obscure the depth of tissue loss. possible undermining
and tunneling - ✔✔Stage 3
full thickness loss with exposed bone, tendon, or muscle. sometimes slough or eschar is present on
some parts of the wound. Includes undermining and tunneling. - ✔✔Stage 4
which stage of pressure ulcer would put a patient at risk for osteomyelitis - ✔✔stage 4 pressure ulcer
the true depth and stage of this ulcer can not be determined. wound bed is covered by slough this is
yellow, tan, gray, green or brown. eschar wound bed is tan, brown or black. stable eschar on the heels
provide a natural biologic cover. DO NOT REMOVE IT! - ✔✔unstageable/unclassified
the wound appears as a localized purple or maroon area of discolored intact skin or a blood filled blister.
painful, firm, mushy, boggy, or warm to cool compared with adjacent tissue. the wound is sometimes
covered in thin eschar - ✔✔suspected deep tissue injury
If chair bound patients are able to adjust their weight how often should they change their position -
✔✔every 15 minutes
PRACTICE QUESTIONS & ANSWERS
Used to treat inflammatory responses- decreases edema, muscle spasms, pain, and decreases blood flow
to the area. - ✔✔Cold and Heat Therapy
when is cold and heat therapy recommended for an injury - ✔✔first 24 to 48 hours
whose responsibility is it to evaluate proper application, adverse signs and symptoms and is also
responsible for the patient's safety - ✔✔LPN
where should you not apply a cold pack to - ✔✔red or blue areas
how often should you check the skin of a patient who is using an electrical cooling device or an electrical
heating device - ✔✔every 5 minutes
what are common symptoms when using an electrical cooling device - ✔✔numbness and tingling
How long should you leave a cooling device in place - ✔✔15 to 20 minutes
what are some adverse skin reactions when using a cooling device - ✔✔mottling, redness, burning,
blistering and numbness
what should you record when using a cooling device or heating device - ✔✔what device you used,
location, duration, patient response, patient teaching and patients response to teaching
when should you immediately stop application of a cooling device - ✔✔areas become mottled, red or
blue/purple, or if the patient Is complaining of pain/numbness
when should you immediately stop application of a heating device - ✔✔skin becomes reddened and
sensitive to touch, extreme warmth noted at the area, and body part becomes painful to move
How long should you leave the heating device in place - ✔✔20 to 30 minutes or as prescribed
whose responsibility is it to assess skin areas prior to applications of heating and cooling device and
assess for risks - ✔✔LPN
what is one of the nurse's highest priority of care - ✔✔prevention and treatment of skin impairment
how often should you reposition a chair bound patient - ✔✔every hour
how often should you reposition a patient that is bed bound - ✔✔every 2 hours at a 30 degree angle
whose responsibility is it to properly collect a culture of the pressure ulcer - ✔✔nurse
, how do you properly label a specimen - ✔✔patients name, medical record number, date of birth, date
and time of collection, what the collection is for, your name and initials. send as quickly as possible to
the lab
what are anaerobic collections of - ✔✔inside of body cavities
what are aerobic collections of - ✔✔wound secretions
occurs when the tissue layers of skin slide on each other , causing subcutaneous blood vessels to kink or
stretch resulting in an interruption of blood flow to the skin - ✔✔shearing force
the rubbing of skin against another surface produces what - ✔✔friction
what are the 2 mechanical factors that play a common role in the development of pressure ulcers -
✔✔shearing force and friction
which patients are at risk for pressure ulcers - ✔✔chronically ill, debilitated, older, disabled, or
incontinent patients, patients with spinal cord injuries, circulatory impairment or poor overall nutrition
how can the nurse assess a patients skin for skin impairment - ✔✔blanching the area
a pressure ulcer in a localized area of skin, typically over a bony prominence , that is intact with
nonblanchable redness. Areas may be painful, firm, soft, warm or cool compared with adjacent tissue.
difficult to detect in patients with dark skin tones - ✔✔Stage 1
partial thickness loss of dermis. shallow open ulcer, usually shiny or dry, with a red-pink wound bed
without slough or bruising. some may present as serum- filled blisters - ✔✔Stage 2
full tissue thickness loss in which subcutaneous fat is sometimes visible, but bone, tendon, and muscle
are not exposed. if slough is present it does not obscure the depth of tissue loss. possible undermining
and tunneling - ✔✔Stage 3
full thickness loss with exposed bone, tendon, or muscle. sometimes slough or eschar is present on
some parts of the wound. Includes undermining and tunneling. - ✔✔Stage 4
which stage of pressure ulcer would put a patient at risk for osteomyelitis - ✔✔stage 4 pressure ulcer
the true depth and stage of this ulcer can not be determined. wound bed is covered by slough this is
yellow, tan, gray, green or brown. eschar wound bed is tan, brown or black. stable eschar on the heels
provide a natural biologic cover. DO NOT REMOVE IT! - ✔✔unstageable/unclassified
the wound appears as a localized purple or maroon area of discolored intact skin or a blood filled blister.
painful, firm, mushy, boggy, or warm to cool compared with adjacent tissue. the wound is sometimes
covered in thin eschar - ✔✔suspected deep tissue injury
If chair bound patients are able to adjust their weight how often should they change their position -
✔✔every 15 minutes
