NSG 300 ACTUAL FINAL EXAM TEST QUESTIONS WITH WELL DETAILED
SOLUTIONS |ALREADY GRADED A+
A patient discharged a week ago following a stroke is currently participating in rehabilitation
sessions provided by nurses, physical therapists, and registered dietitians in an outpatient
setting. In what level of prevention is the patient participating?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Transtheoretical prevention
Answer: C
* Tertiary prevention minimizes the effects of disease or disability through restoration and
rehabilitation
What is the proper position to use for an unresponsive patient during oral care to prevent
aspiration?
a. Prone position
b. Trendelenburg position
c. Semi-Fowler's position with head to side
d. Supine position
Answer: c
A nurse is assigned to care for the following patients. Which patient is most at risk for
developing skin problems and thus requiring thorough bathing and skin care?
,a. A 44-year-old female patient who has had removal of a breast lesion and is having her
menstrual period
b. A 56-year-old male patient who is homeless and admitted to the emergency department
with malnutrition and dehydration and who has an intravenous line
c. A 60-year-old female patient who experienced a stroke with right-sided paralysis and has
an orthopedic brace applied to the left leg
d. A 70-year-old patient who has diabetes and dementia and has been incontinent of stool
Answer: d
When repositioning an immobile patient, the nurse notices redness over the hip bone.
What is indicated when a reddened area blanches on fingertip touch?
a. A local skin infection requiring antibiotics
b. Sensitive skin that requires special bed linen
c. A stage 3 pressure injury needing the appropriate dressing
d. Blanching hyperemia, indicating the attempt by the body to overcome the ischemic
episode
Answer: d
After surgery the patient with a closed abdominal wound reports a sudden "pop" after
coughing. When the nurse examines the surgical wound site, the sutures are open, and
pieces of small bowel are noted at the bottom of the now-opened wound. Which are the
priority nursing interventions? (Select all that apply)
,a. Notify the health care provider.
b. Allow the area to be exposed to air until all drainage has stopped.
c. Place several cold packs over the area, protecting the skin around the wound.
d. Cover the area with sterile, saline-soaked towels immediately.
e. Cover the area with sterile gauze and apply an abdominal binder
Answer: a & d
What is the removal of devitalized tissue from a wound called?
a. Debridement
b. Pressure distribution
c. Negative-pressure wound therapy
d. Sanitization
Answer: a
Which of the following is not a measure used to reduce tissue damage from shear?
a. Use a transfer device (e.g., transfer board)
b. Have head of bed elevated when transferring patient
c. Have head of bed flat when repositioning patient
d. Raise head of bed 30 degrees when patient positioned supine
, Answer: b
Which skin-care measure is not used to manage a patient who is experiencing fecal and/or
urinary incontinence?
a. Frequent position changes
b. Using a large absorbent diaper, changing when saturated
c. Using an incontinence cleaner
d. Applying a moisture barrier ointment
Answer: b
Which is a characteristic of abnormal healing of a primary wound?
a. Slough tissue in the wound base
b. A fruity, earthy, or putrid odor
c. A dry or moist granulation tissue bed
d. Drainage for more than 3 days after closure
Answer: d
* Slough tissue in the wound base, a fruity, earthy, or putrid odor, and a dry or moist
granulation tissue bed are signs of abnormal healing of a secondary-intention wound
Which nutrient supports healing by promoting wound closure?1
SOLUTIONS |ALREADY GRADED A+
A patient discharged a week ago following a stroke is currently participating in rehabilitation
sessions provided by nurses, physical therapists, and registered dietitians in an outpatient
setting. In what level of prevention is the patient participating?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Transtheoretical prevention
Answer: C
* Tertiary prevention minimizes the effects of disease or disability through restoration and
rehabilitation
What is the proper position to use for an unresponsive patient during oral care to prevent
aspiration?
a. Prone position
b. Trendelenburg position
c. Semi-Fowler's position with head to side
d. Supine position
Answer: c
A nurse is assigned to care for the following patients. Which patient is most at risk for
developing skin problems and thus requiring thorough bathing and skin care?
,a. A 44-year-old female patient who has had removal of a breast lesion and is having her
menstrual period
b. A 56-year-old male patient who is homeless and admitted to the emergency department
with malnutrition and dehydration and who has an intravenous line
c. A 60-year-old female patient who experienced a stroke with right-sided paralysis and has
an orthopedic brace applied to the left leg
d. A 70-year-old patient who has diabetes and dementia and has been incontinent of stool
Answer: d
When repositioning an immobile patient, the nurse notices redness over the hip bone.
What is indicated when a reddened area blanches on fingertip touch?
a. A local skin infection requiring antibiotics
b. Sensitive skin that requires special bed linen
c. A stage 3 pressure injury needing the appropriate dressing
d. Blanching hyperemia, indicating the attempt by the body to overcome the ischemic
episode
Answer: d
After surgery the patient with a closed abdominal wound reports a sudden "pop" after
coughing. When the nurse examines the surgical wound site, the sutures are open, and
pieces of small bowel are noted at the bottom of the now-opened wound. Which are the
priority nursing interventions? (Select all that apply)
,a. Notify the health care provider.
b. Allow the area to be exposed to air until all drainage has stopped.
c. Place several cold packs over the area, protecting the skin around the wound.
d. Cover the area with sterile, saline-soaked towels immediately.
e. Cover the area with sterile gauze and apply an abdominal binder
Answer: a & d
What is the removal of devitalized tissue from a wound called?
a. Debridement
b. Pressure distribution
c. Negative-pressure wound therapy
d. Sanitization
Answer: a
Which of the following is not a measure used to reduce tissue damage from shear?
a. Use a transfer device (e.g., transfer board)
b. Have head of bed elevated when transferring patient
c. Have head of bed flat when repositioning patient
d. Raise head of bed 30 degrees when patient positioned supine
, Answer: b
Which skin-care measure is not used to manage a patient who is experiencing fecal and/or
urinary incontinence?
a. Frequent position changes
b. Using a large absorbent diaper, changing when saturated
c. Using an incontinence cleaner
d. Applying a moisture barrier ointment
Answer: b
Which is a characteristic of abnormal healing of a primary wound?
a. Slough tissue in the wound base
b. A fruity, earthy, or putrid odor
c. A dry or moist granulation tissue bed
d. Drainage for more than 3 days after closure
Answer: d
* Slough tissue in the wound base, a fruity, earthy, or putrid odor, and a dry or moist
granulation tissue bed are signs of abnormal healing of a secondary-intention wound
Which nutrient supports healing by promoting wound closure?1
