PNVN 1521 UPDATED ACTUAL
Questions and CORRECT Answers
When do you stop CPR? - CORRECT ANSWER✔✔- The rescuer should try not to stop.
However, he or she may if:
- he or she becomes so exhausted they cannot continue
- someone of equal or greater training comes to take over
- his or her personal safety is in danger (as in the scene is not safe)
- the victim is pronounced dead by a medical doctor
What is dehiscence? - CORRECT ANSWER✔✔- partial or total separation of wound layers
What promotes wound healing? - CORRECT ANSWER✔✔- Adequate intake of protein and
Vitamin C (ascorbic acid)
circulatory shock - CORRECT ANSWER✔✔- any state in which cardiac output is
insufficient to meet the body's metabolic needs
A patient is admitted to the hospital after receiving a blow to the head. The patient begins to
show signs of shock. How should the pt be positioned. - CORRECT ANSWER✔✔- Flat on
the back.
The nurse is instructing a patient who has a drain in a surgical wound. How will the nurse
indicate that the wound will heal? - CORRECT ANSWER✔✔- Tertiary intention
The day following surgery, the nurse notes bloody drainage on the dressing. How will the
nurse describe this drainage when documenting? - CORRECT ANSWER✔✔- Sanguineous
What is the advantage of an occlusive dressing? - CORRECT ANSWER✔✔- Keeps the
incision moist.
, When removing the dressing on a patient, the nurse discovers that the gauze dressing has
adhered to the wound. What intervention should the nurse implement? - CORRECT
ANSWER✔✔- Moisten the dressing with sterile water.
The nurse is providing instruction to a patient regarding home wound irrigation. How far
should the patient hold the handheld showerhead from the wound when irrigating the wound?
- CORRECT ANSWER✔✔- 12 in
The nurse is removing every other staple from a surgical wound, which has been closed with
15 staples. The wound begins to separate after removal of 3 of the 15. What nursing action
should be implemented? - CORRECT ANSWER✔✔- Leave the 12 staples in place and
record the separation.
Hemostasis begins as soon as the injury occurs and a clot begins to form. What is the
substance in the clot that holds the wound together? - CORRECT ANSWER✔✔- Fibrin
The nurse is assisting a patient to a sitting position when the patient suddenly complains of
feeling that his surgical incision has separated. What does the nurse recognize that this
indicates? - CORRECT ANSWER✔✔- Dehiscence
The nurse is preparing to redress a wound and will secure the dressing using a gauze bandage
as ordered by the health care provider. What is an advantage of gauze bandages? -
CORRECT ANSWER✔✔- Prevents skin maceration.
The patient is admitted to the emergency department, having suffered frostbite to the hands,
which are grayish-white in color. What action should the nurse implement when attempting to
warm the hands? - CORRECT ANSWER✔✔- Wrap the hands in hot, moist towels.
A visitor in the hospital slips and falls. The patient's arm appears dislocated and the visitor is
unable to move it. What is the first action the nurse should implement? - CORRECT
ANSWER✔✔- Splint the arm.
The patient is brought to the emergency department after having fractured an arm 12 hours
ago. The arm is very edematous from the fingers to the elbow, and the patient cannot move it.
What should be the initial action of the nurse? - CORRECT ANSWER✔✔- Check fingers for
capillary refill.
Questions and CORRECT Answers
When do you stop CPR? - CORRECT ANSWER✔✔- The rescuer should try not to stop.
However, he or she may if:
- he or she becomes so exhausted they cannot continue
- someone of equal or greater training comes to take over
- his or her personal safety is in danger (as in the scene is not safe)
- the victim is pronounced dead by a medical doctor
What is dehiscence? - CORRECT ANSWER✔✔- partial or total separation of wound layers
What promotes wound healing? - CORRECT ANSWER✔✔- Adequate intake of protein and
Vitamin C (ascorbic acid)
circulatory shock - CORRECT ANSWER✔✔- any state in which cardiac output is
insufficient to meet the body's metabolic needs
A patient is admitted to the hospital after receiving a blow to the head. The patient begins to
show signs of shock. How should the pt be positioned. - CORRECT ANSWER✔✔- Flat on
the back.
The nurse is instructing a patient who has a drain in a surgical wound. How will the nurse
indicate that the wound will heal? - CORRECT ANSWER✔✔- Tertiary intention
The day following surgery, the nurse notes bloody drainage on the dressing. How will the
nurse describe this drainage when documenting? - CORRECT ANSWER✔✔- Sanguineous
What is the advantage of an occlusive dressing? - CORRECT ANSWER✔✔- Keeps the
incision moist.
, When removing the dressing on a patient, the nurse discovers that the gauze dressing has
adhered to the wound. What intervention should the nurse implement? - CORRECT
ANSWER✔✔- Moisten the dressing with sterile water.
The nurse is providing instruction to a patient regarding home wound irrigation. How far
should the patient hold the handheld showerhead from the wound when irrigating the wound?
- CORRECT ANSWER✔✔- 12 in
The nurse is removing every other staple from a surgical wound, which has been closed with
15 staples. The wound begins to separate after removal of 3 of the 15. What nursing action
should be implemented? - CORRECT ANSWER✔✔- Leave the 12 staples in place and
record the separation.
Hemostasis begins as soon as the injury occurs and a clot begins to form. What is the
substance in the clot that holds the wound together? - CORRECT ANSWER✔✔- Fibrin
The nurse is assisting a patient to a sitting position when the patient suddenly complains of
feeling that his surgical incision has separated. What does the nurse recognize that this
indicates? - CORRECT ANSWER✔✔- Dehiscence
The nurse is preparing to redress a wound and will secure the dressing using a gauze bandage
as ordered by the health care provider. What is an advantage of gauze bandages? -
CORRECT ANSWER✔✔- Prevents skin maceration.
The patient is admitted to the emergency department, having suffered frostbite to the hands,
which are grayish-white in color. What action should the nurse implement when attempting to
warm the hands? - CORRECT ANSWER✔✔- Wrap the hands in hot, moist towels.
A visitor in the hospital slips and falls. The patient's arm appears dislocated and the visitor is
unable to move it. What is the first action the nurse should implement? - CORRECT
ANSWER✔✔- Splint the arm.
The patient is brought to the emergency department after having fractured an arm 12 hours
ago. The arm is very edematous from the fingers to the elbow, and the patient cannot move it.
What should be the initial action of the nurse? - CORRECT ANSWER✔✔- Check fingers for
capillary refill.
