GALEN NUR 242 LATEST EXAM 1 MED-SURG
TESTED WITH 100 QUESTIONS WITH REVISED
RATIONALIZED ANSWERS, (A+ GUARANTEE)
QUESTION: True or False: Nurses should do skin assessments once a week. - ANSWER-False
Rational: Nurses should do full skin assessments a minimum of once per shift.
QUESTION: A pt goes to the ER for swelling and pain in her right calf. The PT states that it
occurred after she accidentally cut herself. Based on her symptoms, what skin condition might
the nurse suspect the patient has? - ANSWER-Cellulitis.
Cellulitis is inflammation of the skin and subq tissue.
QUESTION: Pt A is admitted from a nursing home with a stage 3 pressure ulcer. When creating
his plan of care, who else would be involved besides the primary care physician? - ANSWER-
Wound care nurse, Dietician, Physical therapist. OT can also be included, however they deal
more with fine motor skills.
QUESTION: An 85 year old woman is admitted to the hospital. When doing the initial
assessment, what are some factors that you know put her at risk for pressure injuries? -
ANSWER--if the pt is immobile
-if the pt is incontinent
-if the pt has comorbidities such as diabetes or PVD
-if the pt is malnourished or dehydrated
-if the pt suffers from decreased sensory perception
, QUESTION: The nurse notices a localized red area that is nonblanchable on the the patient's
coccyx. What stage pressure injury is this recognized as? - ANSWER-Stage 1
QUESTION: Patricia is an RN working at a rehabilitation center and witnesses a nurse aid
struggling to lift and reposition an elderly, bed ridden patient. She explains to the nurse aide that
there is a No Lift Policy in place in the establishment. What does this policy entail? - ANSWER-
The concept of a no-lift policy is a pledge from administrators that proper equipment, adequately
maintained and in sufficient numbers, will be available to care providers to reduce the risks
associated with manual patient handling
QUESTION: Immobility effects multiple body systems. What are some interventions that you
can implement to decrease these effects? Select all that apply.
A. Utilizing waffle mattress to reduce the need for repositioning
B. Teds/SCDs
C. Rubbing reddened areas
D. Limiting fluid intake
E. ROM exercises - ANSWER-Answer: B and E
Rational:
-A is incorrect because regardless of implemented mattress, positioning should be every 2 hours
-C is incorrect. You should not rub at reddened areas. This increases the risk for skin break.
-D is incorrect. You should encourage proper hydration to promote well hydrated and healthy
skin.
Stage 1 pressure injury means the skin is intact with a localized area of nonblanchable erythema
(fancy word for redness).
TESTED WITH 100 QUESTIONS WITH REVISED
RATIONALIZED ANSWERS, (A+ GUARANTEE)
QUESTION: True or False: Nurses should do skin assessments once a week. - ANSWER-False
Rational: Nurses should do full skin assessments a minimum of once per shift.
QUESTION: A pt goes to the ER for swelling and pain in her right calf. The PT states that it
occurred after she accidentally cut herself. Based on her symptoms, what skin condition might
the nurse suspect the patient has? - ANSWER-Cellulitis.
Cellulitis is inflammation of the skin and subq tissue.
QUESTION: Pt A is admitted from a nursing home with a stage 3 pressure ulcer. When creating
his plan of care, who else would be involved besides the primary care physician? - ANSWER-
Wound care nurse, Dietician, Physical therapist. OT can also be included, however they deal
more with fine motor skills.
QUESTION: An 85 year old woman is admitted to the hospital. When doing the initial
assessment, what are some factors that you know put her at risk for pressure injuries? -
ANSWER--if the pt is immobile
-if the pt is incontinent
-if the pt has comorbidities such as diabetes or PVD
-if the pt is malnourished or dehydrated
-if the pt suffers from decreased sensory perception
, QUESTION: The nurse notices a localized red area that is nonblanchable on the the patient's
coccyx. What stage pressure injury is this recognized as? - ANSWER-Stage 1
QUESTION: Patricia is an RN working at a rehabilitation center and witnesses a nurse aid
struggling to lift and reposition an elderly, bed ridden patient. She explains to the nurse aide that
there is a No Lift Policy in place in the establishment. What does this policy entail? - ANSWER-
The concept of a no-lift policy is a pledge from administrators that proper equipment, adequately
maintained and in sufficient numbers, will be available to care providers to reduce the risks
associated with manual patient handling
QUESTION: Immobility effects multiple body systems. What are some interventions that you
can implement to decrease these effects? Select all that apply.
A. Utilizing waffle mattress to reduce the need for repositioning
B. Teds/SCDs
C. Rubbing reddened areas
D. Limiting fluid intake
E. ROM exercises - ANSWER-Answer: B and E
Rational:
-A is incorrect because regardless of implemented mattress, positioning should be every 2 hours
-C is incorrect. You should not rub at reddened areas. This increases the risk for skin break.
-D is incorrect. You should encourage proper hydration to promote well hydrated and healthy
skin.
Stage 1 pressure injury means the skin is intact with a localized area of nonblanchable erythema
(fancy word for redness).
