NURS 209 ATI FINAL EXAM QUESTIONS
WITH CORRECT ANSWERS
A |nurse |is |caring |for |a |client |who |is |2 |days |postoperative |following |an |appendectomy |and |has |type |1 |
diabetes |mellitus. |Their |Hgb |is |12 |g/dL |and |BMI |is |17.1. |The |incision |is |approximated |and |free |of |
redness, |with |scant |serous |drainage |on |the |dressing, |The |nurse |should |recognize |that |the |client |has |
which |of |the |following |risk |factors |for |impaired |wound |healing? |(Select |all |that |apply).
a. |extremes |in |age
b. |chronic |illness
c. |low |hemoglobin
d. |malnutrition
e. |poor |wound |care |- |VERIFIED |ANSWER✔✔-b, |c, |d
A |nurse |is |collecting |data |from |a |client |who |is |5 |days |postoperative |following |abdominal |surgery. |The |
surgeon |suspects |an |incisional |wound |infection |and |has |prescribed |antibiotic |therapy |for |the |nurse |to
|initiate |after |collecting |wound |and |blood |specimens |for |culture |and |sensitivity. |Which |of |the |
following |findings |should |the |nurse |expect? |(Select |all |that |apply).
a. |increase |in |incisional |pain
b. |fever |and |chills
c. |reddened |wound |edges
d. |increase |in |serosanguineous |drainage
e. |decrease |in |thirst |- |VERIFIED |ANSWER✔✔-a, |b, |c
A |nurse |educator |is |reviewing |the |wound |healing |process |with |a |group |of |nurses. |The |nurse |educator
|should |include |in |the |information |which |of |the |following |alterations |for |wound |healing |by |secondary |
intention? |(Select |all |that |apply).
a. |stage |3 |pressure |injury
b. |sutured |surgical |incision
, c. |casted |bone |fracture
d. |laceration |sealed |with |adhesive
e. |open |burn |area |- |VERIFIED |ANSWER✔✔-a, |e
A |client |who |had |abdominal |surgery |24 |hours |ago |suddenly |reports |a |pulling |sensation |and |pain |in |
their |surgical |incision. |The |nurse |checks |the |surgical |wound |and |finds |it |seperated |with |viscera |
protruding. |Which |of |the |following |actions |should |the |nurse |take? |(Select |all |that |apply).
a. |cover |the |area |with |saline-soaked |sterile |dressings.
b. |apply |an |abdominal |binder |snugly |around |the |abdomen.
c. |use |sterile |gauze |to |apply |gentle |pressure |to |the |exposed |tissues
d. |position |the |client |supine |with |hips |and |knees |bent
e. |offer |the |client |a |warm |beverage |(herbal |tea) |- |VERIFIED |ANSWER✔✔-a, |d
A |nurse |is |caring |for |a |client |who |is |at |risk |for |developing |pressure |injury. |Which |of |the |following |
interventions |should |the |nurse |use |to |help |maintain |the |integrity |of |the |client's |skin? |(Select |all |that |
apply).
a. |keep |the |head |of |the |bed |elevated |30 |degrees
b. |massage |the |client's |bony |prominences |frequently
c. |apply |cornstarch |liberally |to |the |skin |after |bathing
d. |have |the |client |sit |on |a |gel |cushion |when |in |a |chair
e. |reposition |the |client |at |least |every |3 |hr |while |in |bed |- |VERIFIED |ANSWER✔✔-a, |d
When |entering |a |client's |room |to |change |a |surgical |dressing, |a |nurse |notes |that |the |client |is |coughing
|and |sneezing. |Which |of |the |following |actions |should |the |nurse |take |when |preparing |the |sterile |field? |
A. |keep |the |sterile |field |at |least |6 |ft |away |from |the |client's |bedside.
B. |instruct |the |client |to |refrain |from |coughing |and |sneezing |during |the |dressing |change.
C. |place |a |mask |on |the |client |to |limit |the |spread |of |micro-organisms |into |the |surgical |wound.
WITH CORRECT ANSWERS
A |nurse |is |caring |for |a |client |who |is |2 |days |postoperative |following |an |appendectomy |and |has |type |1 |
diabetes |mellitus. |Their |Hgb |is |12 |g/dL |and |BMI |is |17.1. |The |incision |is |approximated |and |free |of |
redness, |with |scant |serous |drainage |on |the |dressing, |The |nurse |should |recognize |that |the |client |has |
which |of |the |following |risk |factors |for |impaired |wound |healing? |(Select |all |that |apply).
a. |extremes |in |age
b. |chronic |illness
c. |low |hemoglobin
d. |malnutrition
e. |poor |wound |care |- |VERIFIED |ANSWER✔✔-b, |c, |d
A |nurse |is |collecting |data |from |a |client |who |is |5 |days |postoperative |following |abdominal |surgery. |The |
surgeon |suspects |an |incisional |wound |infection |and |has |prescribed |antibiotic |therapy |for |the |nurse |to
|initiate |after |collecting |wound |and |blood |specimens |for |culture |and |sensitivity. |Which |of |the |
following |findings |should |the |nurse |expect? |(Select |all |that |apply).
a. |increase |in |incisional |pain
b. |fever |and |chills
c. |reddened |wound |edges
d. |increase |in |serosanguineous |drainage
e. |decrease |in |thirst |- |VERIFIED |ANSWER✔✔-a, |b, |c
A |nurse |educator |is |reviewing |the |wound |healing |process |with |a |group |of |nurses. |The |nurse |educator
|should |include |in |the |information |which |of |the |following |alterations |for |wound |healing |by |secondary |
intention? |(Select |all |that |apply).
a. |stage |3 |pressure |injury
b. |sutured |surgical |incision
, c. |casted |bone |fracture
d. |laceration |sealed |with |adhesive
e. |open |burn |area |- |VERIFIED |ANSWER✔✔-a, |e
A |client |who |had |abdominal |surgery |24 |hours |ago |suddenly |reports |a |pulling |sensation |and |pain |in |
their |surgical |incision. |The |nurse |checks |the |surgical |wound |and |finds |it |seperated |with |viscera |
protruding. |Which |of |the |following |actions |should |the |nurse |take? |(Select |all |that |apply).
a. |cover |the |area |with |saline-soaked |sterile |dressings.
b. |apply |an |abdominal |binder |snugly |around |the |abdomen.
c. |use |sterile |gauze |to |apply |gentle |pressure |to |the |exposed |tissues
d. |position |the |client |supine |with |hips |and |knees |bent
e. |offer |the |client |a |warm |beverage |(herbal |tea) |- |VERIFIED |ANSWER✔✔-a, |d
A |nurse |is |caring |for |a |client |who |is |at |risk |for |developing |pressure |injury. |Which |of |the |following |
interventions |should |the |nurse |use |to |help |maintain |the |integrity |of |the |client's |skin? |(Select |all |that |
apply).
a. |keep |the |head |of |the |bed |elevated |30 |degrees
b. |massage |the |client's |bony |prominences |frequently
c. |apply |cornstarch |liberally |to |the |skin |after |bathing
d. |have |the |client |sit |on |a |gel |cushion |when |in |a |chair
e. |reposition |the |client |at |least |every |3 |hr |while |in |bed |- |VERIFIED |ANSWER✔✔-a, |d
When |entering |a |client's |room |to |change |a |surgical |dressing, |a |nurse |notes |that |the |client |is |coughing
|and |sneezing. |Which |of |the |following |actions |should |the |nurse |take |when |preparing |the |sterile |field? |
A. |keep |the |sterile |field |at |least |6 |ft |away |from |the |client's |bedside.
B. |instruct |the |client |to |refrain |from |coughing |and |sneezing |during |the |dressing |change.
C. |place |a |mask |on |the |client |to |limit |the |spread |of |micro-organisms |into |the |surgical |wound.
