NS 660 Exam 2 | COMPLETE QUESTIONS WITH 100%
RATED CORRECT ANSWERS || ALREADY GRADED
A+||LATEST 2025(BRAND NEW!!!)
Which statement would indicate the need for further teaching?
A. If skin area gets red but red goas away after turning, I should report it to the nurse
B. Putting foam pads under the heels or other bony prominences can help decrease
pressure
C. If a person cannot turn himself in bed, someone should help them change position
every 4 hours
D. Skin should be washed with only warm water (not hot) and lotion put on wile it is still
little whet -CORRECT ANSWER C. If a person cannot turn himself in bed, someone
should help them change position every 4 hours
Rationale:
This should happen every 2 hrs.
Wound draining thick yellow material. What type of drainage? -CORRECT ANSWER
Purulent
Client enters ED after motor cycle accident, resulting in skidding across pavement.
Client wearing shorts, so large areas skin ripped off. Best describe this wound as:
A. Abrasion
B. Approximated
C. Laceration
D. Eschar -CORRECT ANSWER C. Laceration
Key word: Ripped
,Laceration because large amounts of skin ripped off.
Although abrasion is usually related to road rash, the large amount of skin damaged is
why it is considered a laceration
Nurse caring for patients with variety of wounds. Which wound will most likely heal by
primary intention?
A. Cut in skin from kitchen knife
B. Excoriated perineal area
C. Abrasion of the skin
D. Pressure ulcer -CORRECT ANSWER A. Cut in skin from kitchen knife
3 other options will heal by secondary intention
Nurse preparing to measure depth of client's tunneled wound. Which of the following
tools should nurse use to measure depth accurately?
A. Otic curette
B. Sterile tongue blade lubricated with water soluble gel
C. Sterile flexible applicator moistened with saline
D. Small ruler -CORRECT ANSWER C. Sterile flexible applicator moistened with saline
,Older patient is most likely to experience which of the following changes with aging?
A. Thinning of epidermis
B. Thickening of epidermis
C. Oiliness of skin
D. Increased elasticity of skin -CORRECT ANSWER A. Thinning of epidermis
Age causes thinning, decreased elasticity, and increased dryness.
Caring for client and notice a superficial ulcer on left hip that appears shallow crater, red
pink wound bed and no slough or eschar. Which stage would best describe the break in
skin integrity?
A. Stage I
B. Stage II
C. Stage III
D. Stage IV
E. Unstageable -CORRECT ANSWER B. Stage II
Stage I = no skin loss
Minimal skin loss/shallow depth = stage II
, Caring for client at high risk for developing pressure ulcers. Which of the following are
intrinsic factors that increase risk of pressure ulcers? Select All that Apply:
A. Friction
B. Impaired sensation d/t spinal cord injury
C. Poor nutrition
D. Shearing
E. Edema
F. Compression -CORRECT ANSWER B. impaired sensation d/t spinal cord injury
C. Poor nutrition - specifically protein
E. Edema
Friction, Shearing, and Compression are extrinsic factors associated with risk of
pressure injury.
Applying saline-moistened dressing to clients wound. Client asks, "Wouldn't it be better
to let wound dry out so scab can form?" Which is the most appropriate response?
A. Wounds heal better when moist wound bed is maintained
B. you may be correct, I will check with your primary HCP
C. Allowing a scab to form would prevent from observing wound for signs of infection
D. Wound too large for scab to form over it, so a moist dressing is the best alternative -
CORRECT ANSWER A. Wounds heal better when moist wound bed is maintained
RATED CORRECT ANSWERS || ALREADY GRADED
A+||LATEST 2025(BRAND NEW!!!)
Which statement would indicate the need for further teaching?
A. If skin area gets red but red goas away after turning, I should report it to the nurse
B. Putting foam pads under the heels or other bony prominences can help decrease
pressure
C. If a person cannot turn himself in bed, someone should help them change position
every 4 hours
D. Skin should be washed with only warm water (not hot) and lotion put on wile it is still
little whet -CORRECT ANSWER C. If a person cannot turn himself in bed, someone
should help them change position every 4 hours
Rationale:
This should happen every 2 hrs.
Wound draining thick yellow material. What type of drainage? -CORRECT ANSWER
Purulent
Client enters ED after motor cycle accident, resulting in skidding across pavement.
Client wearing shorts, so large areas skin ripped off. Best describe this wound as:
A. Abrasion
B. Approximated
C. Laceration
D. Eschar -CORRECT ANSWER C. Laceration
Key word: Ripped
,Laceration because large amounts of skin ripped off.
Although abrasion is usually related to road rash, the large amount of skin damaged is
why it is considered a laceration
Nurse caring for patients with variety of wounds. Which wound will most likely heal by
primary intention?
A. Cut in skin from kitchen knife
B. Excoriated perineal area
C. Abrasion of the skin
D. Pressure ulcer -CORRECT ANSWER A. Cut in skin from kitchen knife
3 other options will heal by secondary intention
Nurse preparing to measure depth of client's tunneled wound. Which of the following
tools should nurse use to measure depth accurately?
A. Otic curette
B. Sterile tongue blade lubricated with water soluble gel
C. Sterile flexible applicator moistened with saline
D. Small ruler -CORRECT ANSWER C. Sterile flexible applicator moistened with saline
,Older patient is most likely to experience which of the following changes with aging?
A. Thinning of epidermis
B. Thickening of epidermis
C. Oiliness of skin
D. Increased elasticity of skin -CORRECT ANSWER A. Thinning of epidermis
Age causes thinning, decreased elasticity, and increased dryness.
Caring for client and notice a superficial ulcer on left hip that appears shallow crater, red
pink wound bed and no slough or eschar. Which stage would best describe the break in
skin integrity?
A. Stage I
B. Stage II
C. Stage III
D. Stage IV
E. Unstageable -CORRECT ANSWER B. Stage II
Stage I = no skin loss
Minimal skin loss/shallow depth = stage II
, Caring for client at high risk for developing pressure ulcers. Which of the following are
intrinsic factors that increase risk of pressure ulcers? Select All that Apply:
A. Friction
B. Impaired sensation d/t spinal cord injury
C. Poor nutrition
D. Shearing
E. Edema
F. Compression -CORRECT ANSWER B. impaired sensation d/t spinal cord injury
C. Poor nutrition - specifically protein
E. Edema
Friction, Shearing, and Compression are extrinsic factors associated with risk of
pressure injury.
Applying saline-moistened dressing to clients wound. Client asks, "Wouldn't it be better
to let wound dry out so scab can form?" Which is the most appropriate response?
A. Wounds heal better when moist wound bed is maintained
B. you may be correct, I will check with your primary HCP
C. Allowing a scab to form would prevent from observing wound for signs of infection
D. Wound too large for scab to form over it, so a moist dressing is the best alternative -
CORRECT ANSWER A. Wounds heal better when moist wound bed is maintained
