NUR 150 EXAM 2 STUDY GUIDE
(HONDROS) QUESTIONS & DETAILED
COMPLETE SOLUTIONS
Stage 1 wound - correct answer ✔✔Skin intact, no open areas and no drainage. Non blanch able
redness or darkly pigmented skin
Stage 2 wound - correct answer ✔✔partial thickness skin loss involving epidermis, dermis, or
both. (Serious drainage)
Stage 3 wound - correct answer ✔✔full thickness skin loss down to the subQ layer
Stage 4 wound - correct answer ✔✔Full-thickness tissue loss with exposed bone, tendon, or
muscle
heat treatment - correct answer ✔✔Place on the source of the area needed with a barrier
protecting the skin from burning.
cold treatment - correct answer ✔✔For the first 48 hours apply barrier between pt & source
Patient services and sensitivity - correct answer ✔✔Culture identifies the germ causing the
infection, sensitivity identifies the best. NEVER take specimens from old or removed dressing.
Signs of infection - correct answer ✔✔Redness, swelling, purulent drainage, paleness of wound
bed, or fever.
, Prevention of skin breakdown - correct answer ✔✔Reposition every 2 hrs in bed, ever one
house in chair, apply barrier cream timely when changing incontinent patiens
Braden Scale - correct answer ✔✔Assesses the patient's for skin breakdown
Basic categories of functional ability - correct answer ✔✔ADL's IADL's
ADLs - correct answer ✔✔Activities of Daily Living such as eating, dressing, bathing.
IADLs - correct answer ✔✔Activities to support daily life within the home and community that
often require more complex interactions than those used in ADLs
Lawton's IADLs - correct answer ✔✔Assess patients at risk for IADLs
Katz - correct answer ✔✔Assess patient's at risk for not being able to do their ADL's
Nutrition - correct answer ✔✔Everyone is at risk for poor nutrition and poor immunity
Moderate dysphasia - correct answer ✔✔Honey consistency; consumed with a spoon but still
remains a liquid like texture.( much slower off spoon than water)
Mild dysphasia - correct answer ✔✔Nectar consistency, liquid can be sipped from cup (a little
slower off the spoon than water)
Sever dysphasia - correct answer ✔✔Spoon/pudding consistency, extra thick and needs to be
eaten with a spoon, don't drip off spoon.
Diet altercation chart - correct answer ✔✔Advanced dysphasia, puréed, mechanical soft.
(HONDROS) QUESTIONS & DETAILED
COMPLETE SOLUTIONS
Stage 1 wound - correct answer ✔✔Skin intact, no open areas and no drainage. Non blanch able
redness or darkly pigmented skin
Stage 2 wound - correct answer ✔✔partial thickness skin loss involving epidermis, dermis, or
both. (Serious drainage)
Stage 3 wound - correct answer ✔✔full thickness skin loss down to the subQ layer
Stage 4 wound - correct answer ✔✔Full-thickness tissue loss with exposed bone, tendon, or
muscle
heat treatment - correct answer ✔✔Place on the source of the area needed with a barrier
protecting the skin from burning.
cold treatment - correct answer ✔✔For the first 48 hours apply barrier between pt & source
Patient services and sensitivity - correct answer ✔✔Culture identifies the germ causing the
infection, sensitivity identifies the best. NEVER take specimens from old or removed dressing.
Signs of infection - correct answer ✔✔Redness, swelling, purulent drainage, paleness of wound
bed, or fever.
, Prevention of skin breakdown - correct answer ✔✔Reposition every 2 hrs in bed, ever one
house in chair, apply barrier cream timely when changing incontinent patiens
Braden Scale - correct answer ✔✔Assesses the patient's for skin breakdown
Basic categories of functional ability - correct answer ✔✔ADL's IADL's
ADLs - correct answer ✔✔Activities of Daily Living such as eating, dressing, bathing.
IADLs - correct answer ✔✔Activities to support daily life within the home and community that
often require more complex interactions than those used in ADLs
Lawton's IADLs - correct answer ✔✔Assess patients at risk for IADLs
Katz - correct answer ✔✔Assess patient's at risk for not being able to do their ADL's
Nutrition - correct answer ✔✔Everyone is at risk for poor nutrition and poor immunity
Moderate dysphasia - correct answer ✔✔Honey consistency; consumed with a spoon but still
remains a liquid like texture.( much slower off spoon than water)
Mild dysphasia - correct answer ✔✔Nectar consistency, liquid can be sipped from cup (a little
slower off the spoon than water)
Sever dysphasia - correct answer ✔✔Spoon/pudding consistency, extra thick and needs to be
eaten with a spoon, don't drip off spoon.
Diet altercation chart - correct answer ✔✔Advanced dysphasia, puréed, mechanical soft.
