ADVANCED NURSING EXAM.
The nurse documented on the patient care report that there was visible exudate at the site of
injuries. Exudate means
A) Drainage
B) Swelling
C) Breakdown of tissue
D) Discoloration
A) Drainage
____ Debridement is a nonselective removal of viable and nonviable tissue and debris; includes
the use of wet-to-wet dressings, wet-to-dry dressings, wound irrigation, or pulsating lavage.
A) Autolytic
B) Enzymatic
C) Mechanical
D) Conservative Sharp
C) Mechanical
_____ Debridement is a slower, selective method that relies on enzymes applied externally on
the wound bed. Depending on the type of enzyme used, the preparation either digests or
dissolves the tissue.
A) Autolytic
B) Enzymatic
C) Mechanical
D) Conservative Sharp
B) Enzymatic
______ is a process in which water moves through a membrane that separates fluids with
different particle concentrations.
Osmosis
______ is selective removal of loose, nonviable tissue using sharp instruments.
A) Autolytic Debridement
B) Enzymatic Debridement
C) Mechanical Debridement
D) Conservative Sharp Debridement
D) Conservative Sharp Debridement
,All of the following are true about wound packing EXCEPT:
A) The dressing needs to be flexible and in contact with the entire wound surface
B) Do not pack the wound too tightly
C) Under-packing could cause pressure on the wound bed tissue hindering the healing process
D) It promotes the formation of granulation tissue and also debrides the wound.
C) Under-packing could cause pressure on the wound bed tissue hindering the healing process
AMN Todd has a pressure ulcer on his right leg. After examining the wound, the physician stated
the wound edges are not closed and should be left open until it becomes filled by scar tissue.
This is an example of a __________.
A) STAT order
B) Primary Intention
C) Secondary Intention
D) Medical Suggestion
C) Secondary Intention
Amn Wilmer was working out on the track in 99 degree weather when he suddenly felt light
headed. He told the nurse he had half a cup of water prior to working out and was sweating
profusely during the workout. What type of intravenous solution is recommended for
rehydration?
A) Isotonic Solution
B) Hypotonic Solution
C) Hypertonic Solution
D) 5% Dextrose in water
B) Hypotonic Solution
An ulcer that is superficial and present clinically as an abrasion, blister or shallow crater is in
stage:
A) I
B) II
C) III
D) IV
B) II
Approximately ___% of the body weight in children is water.
A) 55%
B) 60%
C) 65%
D) 75%
C) 65%
, Approximately ___% of the body weight in female is water.
A) 55%
B) 60%
C) 65%
D) 75%
A) 55%
As SrAmn Ben checked patient Smith's IV therapy, he noted redness, tenderness, and possible
red streak starting at the access site and along the vein. What kind of complication did SrAmn
Ben discovered?
A) Phlebitis
B) Infection
C) Extravasation
D) Circulatory overload
A) Phlebitis
Dacron is what type of material?
Polyester
Drainage that has a foul odor may indicate
A) A true emergency
B) Excessive moisture
C) Infection
D) All of the above
C) Infection
During this healing process phase, mast cells secrete histamine, initiating vasodilation of
surrounding capillaries and movement of serum and white blood cells to the damaged tissues.
A) Inflammatory Phase
B) Maturation
C) Hemostasis
D) Proliferative Phase
A) Inflammatory Phase
How many classifications of a pressure ulcer are there?
Five
If heat is applied for one hour or more, the body will respond with reflex ________ reducing
blood flow to area.
A) Vasodilation
B) Vasoconstriction
The nurse documented on the patient care report that there was visible exudate at the site of
injuries. Exudate means
A) Drainage
B) Swelling
C) Breakdown of tissue
D) Discoloration
A) Drainage
____ Debridement is a nonselective removal of viable and nonviable tissue and debris; includes
the use of wet-to-wet dressings, wet-to-dry dressings, wound irrigation, or pulsating lavage.
A) Autolytic
B) Enzymatic
C) Mechanical
D) Conservative Sharp
C) Mechanical
_____ Debridement is a slower, selective method that relies on enzymes applied externally on
the wound bed. Depending on the type of enzyme used, the preparation either digests or
dissolves the tissue.
A) Autolytic
B) Enzymatic
C) Mechanical
D) Conservative Sharp
B) Enzymatic
______ is a process in which water moves through a membrane that separates fluids with
different particle concentrations.
Osmosis
______ is selective removal of loose, nonviable tissue using sharp instruments.
A) Autolytic Debridement
B) Enzymatic Debridement
C) Mechanical Debridement
D) Conservative Sharp Debridement
D) Conservative Sharp Debridement
,All of the following are true about wound packing EXCEPT:
A) The dressing needs to be flexible and in contact with the entire wound surface
B) Do not pack the wound too tightly
C) Under-packing could cause pressure on the wound bed tissue hindering the healing process
D) It promotes the formation of granulation tissue and also debrides the wound.
C) Under-packing could cause pressure on the wound bed tissue hindering the healing process
AMN Todd has a pressure ulcer on his right leg. After examining the wound, the physician stated
the wound edges are not closed and should be left open until it becomes filled by scar tissue.
This is an example of a __________.
A) STAT order
B) Primary Intention
C) Secondary Intention
D) Medical Suggestion
C) Secondary Intention
Amn Wilmer was working out on the track in 99 degree weather when he suddenly felt light
headed. He told the nurse he had half a cup of water prior to working out and was sweating
profusely during the workout. What type of intravenous solution is recommended for
rehydration?
A) Isotonic Solution
B) Hypotonic Solution
C) Hypertonic Solution
D) 5% Dextrose in water
B) Hypotonic Solution
An ulcer that is superficial and present clinically as an abrasion, blister or shallow crater is in
stage:
A) I
B) II
C) III
D) IV
B) II
Approximately ___% of the body weight in children is water.
A) 55%
B) 60%
C) 65%
D) 75%
C) 65%
, Approximately ___% of the body weight in female is water.
A) 55%
B) 60%
C) 65%
D) 75%
A) 55%
As SrAmn Ben checked patient Smith's IV therapy, he noted redness, tenderness, and possible
red streak starting at the access site and along the vein. What kind of complication did SrAmn
Ben discovered?
A) Phlebitis
B) Infection
C) Extravasation
D) Circulatory overload
A) Phlebitis
Dacron is what type of material?
Polyester
Drainage that has a foul odor may indicate
A) A true emergency
B) Excessive moisture
C) Infection
D) All of the above
C) Infection
During this healing process phase, mast cells secrete histamine, initiating vasodilation of
surrounding capillaries and movement of serum and white blood cells to the damaged tissues.
A) Inflammatory Phase
B) Maturation
C) Hemostasis
D) Proliferative Phase
A) Inflammatory Phase
How many classifications of a pressure ulcer are there?
Five
If heat is applied for one hour or more, the body will respond with reflex ________ reducing
blood flow to area.
A) Vasodilation
B) Vasoconstriction
