D439 FOUNDATIONS OF NURSING EXAM
QUESTIONS AND CORRECT ANSWERS!!
What is sanguineous drainage from a wound?
Primarily containing red blood cells and serum, this is thick and reddish. If the drainage is
brighter, it indicates active bleeding, and if it's darker, that indicates older bleeding/drainage.
What is serosanguineous drainage from a wound?
Primarily containing serum and blood, this is watery, pale, and pinkish in color (due to the
red and clear fluid).
What is purulent drainage from a wound?
This is indicating an infection in the wound. It is thick, contains WBC, tissue debris and bacteria.
It may have an odor and different colors depending on the type of organism present (yellow, tan,
green, and brown).
What is purosanguineous drainage from a wound?
Drainage that contains pus and blood, is commonly found in newly infected wounds.
What angle should a nurse put a pt in to help release pressure on a wound?
Thirty-degree lateral inclined position
Does an advanced directive have to be notarized?
No, but it can be constructed in the hospital with two healthcare witnesses not in direct care of
the pt.
What is a durable power of attorney?
Assigns another person to make medical decisions.
What is a living will?
A written statement detailing a person's desires regarding their medical treatment in
circumstances in which they are no longer able to express informed consent.
What is the code "AND"?
, Allow natural death
What is a chemical code?
Medications only but no CPR/shocks
What is perceived loss?
Experienced by a person but cannot be verified by others.
How do you respond with a therapeutic response?
Ask open ended questions, state facts. Don't use why because it can seem judgmental. Ex.
I understand you are worried (fact), can you tell me about your feelings?
What is important information to note regarding enteral feeding tubes?
-NG tubes are short-term and can cause nose and throat irritation; nasoduodenal, jejunostomy,
and gastrojejunal tubes.
-When giving feeding, elevate the head 30-45 degrees to prevent aspiration.
-Aspirate before feeding and measure the contents. If the aspirate is more than 500 mL, call
the doctor. If less than that, return to the stomach and document.
-Flush the tube with 30 mL of water before and after every feed; continuous feeds get
flushed every 24hrs. Change the tubing every 24hrs.
What is important information to note regarding parenteral feeding tubes?
-Avoids the GI tract and goes directly into the bloodstream; PICC or central venous catheter only
-Change fluid bag every 24hrs and if there is no new bag available still change and give 10-20%
dextrose in water to the pt until the next bag is available.
What is the correct way to use crutches?
-Support body weight at the hand grips with elbows flexed at 30°; put all the weight on the
hands -Position the crutches on the unaffected side when sitting or rising from a chair
What is the correct way to use a cane?
-Maintain two points of support on the ground at all times.
-Keep the cane on the stronger side of the body.
QUESTIONS AND CORRECT ANSWERS!!
What is sanguineous drainage from a wound?
Primarily containing red blood cells and serum, this is thick and reddish. If the drainage is
brighter, it indicates active bleeding, and if it's darker, that indicates older bleeding/drainage.
What is serosanguineous drainage from a wound?
Primarily containing serum and blood, this is watery, pale, and pinkish in color (due to the
red and clear fluid).
What is purulent drainage from a wound?
This is indicating an infection in the wound. It is thick, contains WBC, tissue debris and bacteria.
It may have an odor and different colors depending on the type of organism present (yellow, tan,
green, and brown).
What is purosanguineous drainage from a wound?
Drainage that contains pus and blood, is commonly found in newly infected wounds.
What angle should a nurse put a pt in to help release pressure on a wound?
Thirty-degree lateral inclined position
Does an advanced directive have to be notarized?
No, but it can be constructed in the hospital with two healthcare witnesses not in direct care of
the pt.
What is a durable power of attorney?
Assigns another person to make medical decisions.
What is a living will?
A written statement detailing a person's desires regarding their medical treatment in
circumstances in which they are no longer able to express informed consent.
What is the code "AND"?
, Allow natural death
What is a chemical code?
Medications only but no CPR/shocks
What is perceived loss?
Experienced by a person but cannot be verified by others.
How do you respond with a therapeutic response?
Ask open ended questions, state facts. Don't use why because it can seem judgmental. Ex.
I understand you are worried (fact), can you tell me about your feelings?
What is important information to note regarding enteral feeding tubes?
-NG tubes are short-term and can cause nose and throat irritation; nasoduodenal, jejunostomy,
and gastrojejunal tubes.
-When giving feeding, elevate the head 30-45 degrees to prevent aspiration.
-Aspirate before feeding and measure the contents. If the aspirate is more than 500 mL, call
the doctor. If less than that, return to the stomach and document.
-Flush the tube with 30 mL of water before and after every feed; continuous feeds get
flushed every 24hrs. Change the tubing every 24hrs.
What is important information to note regarding parenteral feeding tubes?
-Avoids the GI tract and goes directly into the bloodstream; PICC or central venous catheter only
-Change fluid bag every 24hrs and if there is no new bag available still change and give 10-20%
dextrose in water to the pt until the next bag is available.
What is the correct way to use crutches?
-Support body weight at the hand grips with elbows flexed at 30°; put all the weight on the
hands -Position the crutches on the unaffected side when sitting or rising from a chair
What is the correct way to use a cane?
-Maintain two points of support on the ground at all times.
-Keep the cane on the stronger side of the body.
