Graded A+
1. Describe the characteristics of a stage 3 pressure ulcer and the types of tissue
involved.
A stage 3 pressure ulcer primarily affects muscle tissue and does not
involve the dermis.
A stage 3 pressure ulcer is characterized by superficial skin damage
without tissue loss.
A stage 3 pressure ulcer involves full-thickness skin loss, exposing
subcutaneous tissue and dermis.
A stage 3 pressure ulcer only affects the epidermis and does not
involve deeper tissues.
2. What is the expected heart rate for a client with an oral temperature of 39° C
(102.2° F)?
Heart rate 108/min
Heart rate 90/min
Heart rate 72/min
Heart rate 60/min
3. Describe how the Nursing Process contributes to effective patient care.
The Nursing Process provides a structured approach that guides
nurses in assessing, planning, implementing, and evaluating patient
care.
The Nursing Process focuses solely on evaluating patient outcomes
without considering planning.
The Nursing Process is a guideline for ensuring patient safety only.
, The Nursing Process is primarily concerned with documentation and
record-keeping.
4. If a nurse fails to implement droplet precautions while caring for a patient
with a respiratory infection, what potential outcome could occur?
Decreased need for personal protective equipment
Increased risk of infection transmission
Improved patient recovery time
Enhanced communication with the patient
5. Why is it important to adhere to medication schedules in nursing practice?
It allows nurses to have more free time during their shifts.
It helps in maintaining patient records more efficiently.
It is a suggestion rather than a requirement in nursing.
Adhering to medication schedules ensures proper therapeutic
effects and minimizes risks of adverse reactions.
6. Describe the importance of wearing gloves when changing linens in a
healthcare setting.
Wearing gloves is only necessary for surgical procedures.
Wearing gloves is primarily for the nurse's protection from physical
injury.
Wearing gloves is optional if the linens appear clean.
Wearing gloves helps to prevent the transfer of pathogens from the
linens to the nurse and vice versa.
,7. In a scenario where a patient is at risk of falling, what additional measures
should a nurse take when assisting with a bedpan?
Leave the patient unattended to gather supplies.
Provide assistance without checking for safety risks.
Only assist if the patient requests help.
Use safety straps and ensure the call bell is within reach.
8. Describe the role of emotional communication in nursing practice.
Emotional communication allows nurses to connect with patients on
a personal level, fostering trust and understanding.
Emotional communication is not relevant in a clinical setting.
Emotional communication is primarily about conveying medical
information to patients.
Emotional communication focuses on the technical aspects of patient
care.
9. A patient with a deep laceration from a fall is treated by leaving the wound
open to heal. What type of wound healing is being utilized, and what
implications does this have for patient care?
Primary intention healing, which allows for quick recovery without
complications.
Secondary intention healing, which requires careful monitoring for
infection and proper wound care.
Delayed primary intention healing, which is used for all types of
wounds.
Tertiary intention healing, which involves immediate closure of the
wound.
, 10. What is one key responsibility of a nurse in the informed consent process?
Performing the procedure without consent.
Administering medication without consent.
Ensuring the patient understands the procedure and its risks.
Documenting the patient's refusal of treatment.
11. The patient is receiving an epidural PCA after surgery for bowel resection.
The nursing student knows this is what kind of anesthesia
Local
Monitored anesthesia care
Regional
General
12. Which of the following factors is associated with an increased risk of
developing pressure injuries? Select all that apply.
Decreased Circulation, Obesity, Peripheral Neuropathy, Immobility
Increased Activity, Good Nutrition, Hydration, Skin Integrity
High Blood Pressure, Diabetes, Age, Smoking
Regular Movement, Healthy Weight, Strong Muscles, Good Posture
13. If a nurse is caring for a patient recovering from oral surgery, which food
item would be most appropriate to include in their soft diet plan?
Raw vegetables
Mashed potatoes
Steak