NURSA 1105 FINAL EXAM ACTUAL QUESTIONS AND
SOLUTIONS GRADED A+
✔✔you are helping the resident dress. which action can cause skin tears - ✔✔pulling
buttons across fragile skin
✔✔to prevent skin tears, what should you do - ✔✔keep your fingernails short and
smoothly filed
✔✔a patient has a venous ulcer. the person needs re-positioning at least - ✔✔every 2
hours
✔✔the type of stockings used to prevent blood clots are called - ✔✔anti-embolism
stockings
✔✔after applying an elastic bandage to a patient's leg, the person complains of pain
and tingling in their right foot. what should you do - ✔✔remove the bandage and tell the
nurse at once
✔✔which sign or symptom regarding a dressing change should be reported to the nurse
a. the skin is clean and dry
b. the type of dressing used
c. the area around the wound is warm to touch
d. the patient tolerated the dressing change well - ✔✔c. the area around the wound is
warm to the touch
✔✔the nurse asks you to apply a dry, non-sterile dressing. you remove the old dressing.
after you observe the wound and wound drainage, what should you do - ✔✔remove and
discard the gloves. practice hand hygiene
✔✔heat and cold application are applied for no longer than - ✔✔15 to 20 minutes
✔✔a therapy pad that is connected to hoses on an electrical heating unit -
✔✔aquathermia pad
✔✔during a sitz bath, you need to carefully observe the person for - ✔✔weakness and
faintness
✔✔what complications can occur from applications that are very cold - ✔✔blisters and
burns
✔✔these devices are made of foam padding and fit the shape of heels and elbows -
✔✔heel and elbow protectors
, ✔✔a dressing is dislodged and loose. what can happen - ✔✔microbes can enter the
wound
✔✔a person can breathe deeply and comfortably only when sitting. this is -
✔✔orthopnea
✔✔early signs of hypoxia are - ✔✔restlessness, dizziness, and disorientation
✔✔a patient is recovering from abdominal surgery. you are assisting the person with
deep-breathing and coughing exercises. which will promote the person's comfort during
coughing
a. placing a pillow on the table
b. holding a pillow over the person's incision
c. positioning the person supine
d. having the person take shallow breaths - ✔✔b. holding a pillow over the person's
incision
✔✔a resident receives oxygen at 2 L/min. you note that the flow rate is at 4 L/min. what
should you do - ✔✔tell the nurse
✔✔a disability - ✔✔any lost, absent, or impaired physical or mental function
✔✔rehabilitation - ✔✔the process of restoring the person to their highest possible level
of function
✔✔rehabilitation starts when the person - ✔✔seeks health care
✔✔a patient has aphasia following a stroke. which of the following are helpful
a. speech therapy and a dysphagia diet
b. physical therapy and braces
c. speech therapy and communication devices
d. occupational therapy and a transfer board - ✔✔c. speech therapy and communication
devices
✔✔a patient takes a long time getting dressed. what should you do - ✔✔give the person
time to complete the task
✔✔why is privacy important during rehabilitation - ✔✔it protects the person's dignity and
promotes self-respect
SOLUTIONS GRADED A+
✔✔you are helping the resident dress. which action can cause skin tears - ✔✔pulling
buttons across fragile skin
✔✔to prevent skin tears, what should you do - ✔✔keep your fingernails short and
smoothly filed
✔✔a patient has a venous ulcer. the person needs re-positioning at least - ✔✔every 2
hours
✔✔the type of stockings used to prevent blood clots are called - ✔✔anti-embolism
stockings
✔✔after applying an elastic bandage to a patient's leg, the person complains of pain
and tingling in their right foot. what should you do - ✔✔remove the bandage and tell the
nurse at once
✔✔which sign or symptom regarding a dressing change should be reported to the nurse
a. the skin is clean and dry
b. the type of dressing used
c. the area around the wound is warm to touch
d. the patient tolerated the dressing change well - ✔✔c. the area around the wound is
warm to the touch
✔✔the nurse asks you to apply a dry, non-sterile dressing. you remove the old dressing.
after you observe the wound and wound drainage, what should you do - ✔✔remove and
discard the gloves. practice hand hygiene
✔✔heat and cold application are applied for no longer than - ✔✔15 to 20 minutes
✔✔a therapy pad that is connected to hoses on an electrical heating unit -
✔✔aquathermia pad
✔✔during a sitz bath, you need to carefully observe the person for - ✔✔weakness and
faintness
✔✔what complications can occur from applications that are very cold - ✔✔blisters and
burns
✔✔these devices are made of foam padding and fit the shape of heels and elbows -
✔✔heel and elbow protectors
, ✔✔a dressing is dislodged and loose. what can happen - ✔✔microbes can enter the
wound
✔✔a person can breathe deeply and comfortably only when sitting. this is -
✔✔orthopnea
✔✔early signs of hypoxia are - ✔✔restlessness, dizziness, and disorientation
✔✔a patient is recovering from abdominal surgery. you are assisting the person with
deep-breathing and coughing exercises. which will promote the person's comfort during
coughing
a. placing a pillow on the table
b. holding a pillow over the person's incision
c. positioning the person supine
d. having the person take shallow breaths - ✔✔b. holding a pillow over the person's
incision
✔✔a resident receives oxygen at 2 L/min. you note that the flow rate is at 4 L/min. what
should you do - ✔✔tell the nurse
✔✔a disability - ✔✔any lost, absent, or impaired physical or mental function
✔✔rehabilitation - ✔✔the process of restoring the person to their highest possible level
of function
✔✔rehabilitation starts when the person - ✔✔seeks health care
✔✔a patient has aphasia following a stroke. which of the following are helpful
a. speech therapy and a dysphagia diet
b. physical therapy and braces
c. speech therapy and communication devices
d. occupational therapy and a transfer board - ✔✔c. speech therapy and communication
devices
✔✔a patient takes a long time getting dressed. what should you do - ✔✔give the person
time to complete the task
✔✔why is privacy important during rehabilitation - ✔✔it protects the person's dignity and
promotes self-respect
