COMPLETE QUESTIONS & VERIFIED CORRECT ANSWERS
(LATEST UPDATE)
This document offers a fully updated and comprehensive collection of
NUR 155 Exam 3 questions paired with verified correct answers. It
covers essential Foundations of Nursing concepts, including safe patient
care practices, fundamental clinical skills, nursing process application,
therapeutic communication, hygiene, mobility, and basic health
assessment. Designed to reflect the latest course expectations, this
resource supports thorough exam preparation by presenting material in
a clear, structured, and student-friendly format. It is suitable for learners
seeking reliable guidance and high-accuracy practice for NUR 155.
,Delirium - Correct Reversible state of confusion-usually caused by a medical condition
Depression - Correct Mood disorder; sense of hopelessness and persistent unhappiness
dementia - Correct a gradual and irreversible loss of intellectual function
Hemiparesis - Correct weakness on one side of the body
*damage from right side of the brain affects the left side of the body and vis versa
Types of sensory deficits and examples - Correct Tactile: touch; peripheral neuropathy
Smell: Olfactory; anosmia
Taste: Gustatory; decreased gustatory cells
Hearing: Auditory; conductive hearing loss, sensorineural hearing loss, and presbycusis
(age related hearing loss)
Equilibrium: motion sickness or Meniere's disease
Vision: Visual; myopia, presbyopia (far sightedness-age related), cataracts (lens of the
eye affected), glaucoma (pressure on optic nerve), diabetic retinopathy (blood vessels of
eye are damaged due to diabetes), and macular degeneration
If patient begins to complain of pair or if resistance to joint movement is met, range of
motion exercises should be_____ - Correct Range of motion exercises should be stopped;
never hyperextend or flex a joint beyond position of comfort
page 560 safety practice alert
,The nurse is preparing to provide wound care to a client with a stage 1 pressure injury.
Which dressing would the nurse expect to be prescribed in the treatment
of this wound?
1. Hydrogel dressing
2. Transparent dressing
3. Antimicrobial dressing
4. Calcium alginate dressing - Correct 2. Transparent dressing
A stage 1 pressure injury is characterized by intact
skin with nonblanchable erythema. Dressings used to manage a stage 1 pressure injury
include transparent dressings, hydrocolloid dressings, or no dressing and leaving the
wound open to air. The wound should resolve without epidermal loss over a period of 7
to 14 days. Hydrogel dressings are used to maintain a moist environment for wound
healing. Calcium alginate is absorbent and is used in stage 4 wounds or those with
deeper tissue injury. Antimicrobial dressings are used for pressure injuries that are
infected.
Test-Taking Strategy: Focus on the subject, the wound dressing that is appropriate in
the treatment of a stage 1 pressure injury. Remember that dressing use is conservative
in this type of pressure injury, and includes the use of transparent dressings or no
dressing. The wound is expected to heal without epidermal loss over a period of 7 to 14
days.
The nurse in a long-term care facility is observing a nursing student provide foot care to
a client with diabetes mellitus. Which action by the nursing student would indicate a
need for further teaching?
1. The nursing student tells the client to avoid soaking the feet.
2. The nursing student dries the feet thoroughly, including in between the toes.
3. The nursing student advises the client to consult the physician or a podiatrist
regarding nail trimming.
, 4. The nursing student applies lotion to the dorsal and plantar surfaces of the feet and in
between the toes. - Correct 4. The nursing student applies lotion to the dorsal and plantar
surfaces of the feet and in between the toes.
Clients with diabetes mellitus are at an increased
risk for impaired skin integrity related to peripheral neuropathy or vascular
insufficiency. The feet are at an increased risk for the development of wounds and some
clients may be unable to thoroughly inspect the feet regularly due to impaired mobility
or other impairments. Meticulous foot care is necessary to prevent complications. The
client's feet would
not be soaked to prevent maceration, or skin softening, as this increases the risk of
infection. Regarding nail trimming, a podiatrist or a physician's order may be necessary
to trim the nails, as a client with diabetes mellitus is at increased risk for infection if the
skin were to be accidentally cut. The feet need to be dried thoroughly, with special
attention given to the areas between the toes, as skin breakdown or ulcers can go
undetected in this area. Lotion needs to be applied to the dorsal and plantar surfaces of
the foot. However, it would not be applied between the toes as this area needs to be kept
dry. Therefore, option 4 is the action by the nursing student that requires a need for
further teaching.
As the nurse, you are providing care for a client and notice tiny, pinpoint red or purple
spots. It would appropriate for you to document these spots as
A)mottling
B)petechiae
C)cyanosis
D)jaundice. - Correct B) Petechiae
As they nurse, you are performing a physical assessment of a client and find an area of
bluish marbling. You should document this area as
A) flushing
B) mottling
C) ecchymosis
D) cyanosis. - Correct C) Ecchymosis