NUR 242 Exam 1 Ques ons and answers Newest RATED
A+ 2025/2026 NEW!!
Patricia is an RN working at a rehabilita on center and witnesses a nurse aid struggling to li
and reposi on an elderly, bed ridden pa ent. She explains to the nurse aide that there is a No
Li Policy in place in the establishment. What does this policy entail?
The concept of a no-li policy is a pledge from administrators that proper equipment,
adequately maintained and in sufficient numbers, will be available to care providers to reduce
the risks associated with manual pa ent handling
Immobility effects mul ple body systems. What are some interven ons that you can implement
to decrease these effects? Select all that apply.
A. U lizing waffle ma.ress to reduce the need for reposi oning
B. Teds/SCDs
C. Rubbing reddened areas
D. Limi ng fluid intake
E. ROM exercises
Answer: B and E
Ra onal:
-A is incorrect because regardless of implemented ma.ress, posi oning should be every 2 hours
-C is incorrect. You should not rub at reddened areas. This increases the risk for skin break.
-D is incorrect. You should encourage proper hydra on to promote well hydrated and healthy
skin.
True or False: Nurses should do skin assessments once a week.
False
Ra onal: Nurses should do full skin assessments a minimum of once per shi .
A pt goes to the ER for swelling and pain in her right calf. The PT states that it occurred a er she
accidentally cut herself. Based on her symptoms, what skin condi on might the nurse suspect
the pa ent has?
Celluli s.
Celluli s is inflamma on of the skin and subq ssue.
,Pt A is admi.ed from a nursing home with a stage 3 pressure ulcer. When crea ng his plan of
care, who else would be involved besides the primary care physician?
Wound care nurse, Die cian, Physical therapist. OT can also be included, however they deal
more with fine motor skills.
An 85 year old woman is admi.ed to the hospital. When doing the ini al assessment, what are
some factors that you know put her at risk for pressure injuries?
-if the pt is immobile
-if the pt is incon nent
-if the pt has comorbidi es such as diabetes or PVD
-if the pt is malnourished or dehydrated
-if the pt suffers from decreased sensory percep on
The nurse no ces a localized red area that is nonblanchable on the the pa ent's coccyx. What
stage pressure injury is this recognized as?
Stage 1
Stage 1 pressure injury means the skin is intact with a localized area of nonblanchable erythema
(fancy word for redness).
A pt asks you why what he eats has anything to do with wound healing. What is your response?
Successful healing of pressure injuries depends on adequate intake of calories protein, vitamins,
minerals and water.
A er receiving shi report, the night nurse looks at the lab values for a pa ent with celluli s.
What abnormal lab values might you see?
-WBC - elevated
-Crea nine- elevated
-Bicarbonate- low
-Albumin- low
-Calcium- low
What pain ra ng scale might you use for a child or a nonverbal pa ent?
Wong Baker-Faces Scale
When assessing a pt's pain. He tells you that the pain comes and goes. What part of the pain
assessment is he describing?
, A. Quality
B. Intensity
C. Onset and Dura on
D. Loca on
C. Onset and Dura on
When explaining to a pt what an intraspinal analgesic the pt states "So the medica on will be
given to me through the IV in my arm." How would you correct him?
instraspinal analgesics are delivered into the epidural space of the spine, also known as the
subarachnoid space.
When adjus ng a TENs machine on a pa ent, how do you know the conduc on of electricity
has reached a therapeu c level?
The pa ent will verbalize feeling a sensa on of pins and needles.
Your pt verbalizes a pain of 2/10 and requests their dose of morphine. How would you educate
your pt?
Morphine is an opioid analgesic used for moderate to severe pain.
What is the most common side effect of analgesic use and how can we prevent it?
Cons pa on.
A high fiber diet, plenty of fluids, and stool so eners are prophylac c measures.
The pa ent is undergoing surgery to fix a cle palate. What type of surgery is this considered?
Construc ve
A biopsy is what type of procedure?
Diagnos c
This type of surgery prolongs life but does not cure the underlying disease
Pallia ve
A pa ent has received 10 mg of Morphine via IV 20 minutes ago and is no ceably groggy. The
physician requests you witness the signature of his informed consent. How would you, as a
pa ent advocate, proceed?
Informed consent should be received before pa ent is given any preop analgesics to ensure a
clear state of mind.
A+ 2025/2026 NEW!!
Patricia is an RN working at a rehabilita on center and witnesses a nurse aid struggling to li
and reposi on an elderly, bed ridden pa ent. She explains to the nurse aide that there is a No
Li Policy in place in the establishment. What does this policy entail?
The concept of a no-li policy is a pledge from administrators that proper equipment,
adequately maintained and in sufficient numbers, will be available to care providers to reduce
the risks associated with manual pa ent handling
Immobility effects mul ple body systems. What are some interven ons that you can implement
to decrease these effects? Select all that apply.
A. U lizing waffle ma.ress to reduce the need for reposi oning
B. Teds/SCDs
C. Rubbing reddened areas
D. Limi ng fluid intake
E. ROM exercises
Answer: B and E
Ra onal:
-A is incorrect because regardless of implemented ma.ress, posi oning should be every 2 hours
-C is incorrect. You should not rub at reddened areas. This increases the risk for skin break.
-D is incorrect. You should encourage proper hydra on to promote well hydrated and healthy
skin.
True or False: Nurses should do skin assessments once a week.
False
Ra onal: Nurses should do full skin assessments a minimum of once per shi .
A pt goes to the ER for swelling and pain in her right calf. The PT states that it occurred a er she
accidentally cut herself. Based on her symptoms, what skin condi on might the nurse suspect
the pa ent has?
Celluli s.
Celluli s is inflamma on of the skin and subq ssue.
,Pt A is admi.ed from a nursing home with a stage 3 pressure ulcer. When crea ng his plan of
care, who else would be involved besides the primary care physician?
Wound care nurse, Die cian, Physical therapist. OT can also be included, however they deal
more with fine motor skills.
An 85 year old woman is admi.ed to the hospital. When doing the ini al assessment, what are
some factors that you know put her at risk for pressure injuries?
-if the pt is immobile
-if the pt is incon nent
-if the pt has comorbidi es such as diabetes or PVD
-if the pt is malnourished or dehydrated
-if the pt suffers from decreased sensory percep on
The nurse no ces a localized red area that is nonblanchable on the the pa ent's coccyx. What
stage pressure injury is this recognized as?
Stage 1
Stage 1 pressure injury means the skin is intact with a localized area of nonblanchable erythema
(fancy word for redness).
A pt asks you why what he eats has anything to do with wound healing. What is your response?
Successful healing of pressure injuries depends on adequate intake of calories protein, vitamins,
minerals and water.
A er receiving shi report, the night nurse looks at the lab values for a pa ent with celluli s.
What abnormal lab values might you see?
-WBC - elevated
-Crea nine- elevated
-Bicarbonate- low
-Albumin- low
-Calcium- low
What pain ra ng scale might you use for a child or a nonverbal pa ent?
Wong Baker-Faces Scale
When assessing a pt's pain. He tells you that the pain comes and goes. What part of the pain
assessment is he describing?
, A. Quality
B. Intensity
C. Onset and Dura on
D. Loca on
C. Onset and Dura on
When explaining to a pt what an intraspinal analgesic the pt states "So the medica on will be
given to me through the IV in my arm." How would you correct him?
instraspinal analgesics are delivered into the epidural space of the spine, also known as the
subarachnoid space.
When adjus ng a TENs machine on a pa ent, how do you know the conduc on of electricity
has reached a therapeu c level?
The pa ent will verbalize feeling a sensa on of pins and needles.
Your pt verbalizes a pain of 2/10 and requests their dose of morphine. How would you educate
your pt?
Morphine is an opioid analgesic used for moderate to severe pain.
What is the most common side effect of analgesic use and how can we prevent it?
Cons pa on.
A high fiber diet, plenty of fluids, and stool so eners are prophylac c measures.
The pa ent is undergoing surgery to fix a cle palate. What type of surgery is this considered?
Construc ve
A biopsy is what type of procedure?
Diagnos c
This type of surgery prolongs life but does not cure the underlying disease
Pallia ve
A pa ent has received 10 mg of Morphine via IV 20 minutes ago and is no ceably groggy. The
physician requests you witness the signature of his informed consent. How would you, as a
pa ent advocate, proceed?
Informed consent should be received before pa ent is given any preop analgesics to ensure a
clear state of mind.
