VSIM Josephine Morrow Pre-Sim & Post-Sim Answers
UPDATED Q&A 2023-2024
The nurse is reviewing the patient's laboratory results. Which lab test most accurately represents current
nutritional status? -ANSW- Prealbumin
The nurse is completing an admission assessment on a patient admitted for impaired skin integrity.
Which questions would be appropriate for the nurse to ask the patient? -ANSW- -Have you noticed any
swelling on your feet, ankles, or fingers?
-Do some areas of your skin seem warmer or colder than others?
-Have you used pads or special pants because you can't control your urine?
-Do you have any sores on your body?
The nurse is caring for a patient admitted with bilateral lower extremity edema. What questions should
the nurse ask when completing a health history? -ANSW- -When did the edema start?
-Can you describe the edema?
-Do you have any recent history of surgery or illness?
The nurse is conducting a skin assessment using the Braden scale. How would the nurse interpret a score
of 12? -ANSW- High Risk
The nurse is assessing a patient admitted with a venous stasis ulcer on the right lower extremity. What
would the nurse expect to find when assessing the leg? -ANSW- Dark discoloration of the skin
surrounding the wound site
The nurse is preparing to irrigate a wound. Which statement, if made by the nurse, indicates an
understanding of the procedure? -ANSW- I will gently direct a stream of fluid into the wound, keeping
the syringe tip at least one inch from the upper tip of the wound.
The nurse removes a dressing and assesses yellow, foul smelling drainage. How would the nurse
document this finding? -ANSW- Purulent
UPDATED Q&A 2023-2024
The nurse is reviewing the patient's laboratory results. Which lab test most accurately represents current
nutritional status? -ANSW- Prealbumin
The nurse is completing an admission assessment on a patient admitted for impaired skin integrity.
Which questions would be appropriate for the nurse to ask the patient? -ANSW- -Have you noticed any
swelling on your feet, ankles, or fingers?
-Do some areas of your skin seem warmer or colder than others?
-Have you used pads or special pants because you can't control your urine?
-Do you have any sores on your body?
The nurse is caring for a patient admitted with bilateral lower extremity edema. What questions should
the nurse ask when completing a health history? -ANSW- -When did the edema start?
-Can you describe the edema?
-Do you have any recent history of surgery or illness?
The nurse is conducting a skin assessment using the Braden scale. How would the nurse interpret a score
of 12? -ANSW- High Risk
The nurse is assessing a patient admitted with a venous stasis ulcer on the right lower extremity. What
would the nurse expect to find when assessing the leg? -ANSW- Dark discoloration of the skin
surrounding the wound site
The nurse is preparing to irrigate a wound. Which statement, if made by the nurse, indicates an
understanding of the procedure? -ANSW- I will gently direct a stream of fluid into the wound, keeping
the syringe tip at least one inch from the upper tip of the wound.
The nurse removes a dressing and assesses yellow, foul smelling drainage. How would the nurse
document this finding? -ANSW- Purulent
