Ignatavicius: Medical-Surgical Nursing, 6th
Edition 2026|Actual Exam Test questions and
verified answers (multiple choices) and
rationales|GET IT 100% ACCURATE!!
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Terms in this set (52)
The client has dry skin and a history ANS: D
of cardiovascular disease. Which is The client should bathe in warm water for at least
the best intervention for the nurse to 20 minutes and then apply lotion immediately
teach the client? because this will keep the moisture in the skin.
a. "Wear pajamas to cover your legs Covering the legs at night will not increase
at night." moisture. Increasing fluid intake to 3 L/day would
b. "Avoid wearing stockings." not be recommended for a client with a history of
c. "Increase your fluid intake to 3 cardiovascular disease. Stockings may dry the skin,
L/day." so the best intervention is to keep moisture in the
d. "Bathe in warm water and then skin with lotion.
apply lotion immediately."
,Which intervention will best assist ANS: A
the client with pruritus? Pruritus is exacerbated by poor skin hydration,
a. "Avoid activities and environments increased skin temperature, perspiration, and
that increase perspiration." vasodilation. Drinking alcoholic beverages will
b. "Drinking alcoholic beverages will further dehydrate clients. Warm clothing will
decrease stimulation of the itch vasodilate, adding to dehydration. Warm baths are
receptors." recommended, with lotion applied immediately
c. "Wear clothing to keep the skin afterward.
warm."
d. "Avoid immersing the affected
areas in water."
Which precaution will the nurse ANS: B
teach the client with urticaria who is Benadryl is an antihistamine that will decrease
prescribed to take diphenhydramine itching. For most people, diphenhydramine causes
(Benadryl)? drowsiness. This side effect is intensified when
a. "Avoid sun exposure." alcohol also is consumed, placing the client at
b. "Avoid alcoholic beverages." increased risk for injury and falling. Aspirin will not
c. "Avoid aspirin or aspirin-containing interact with this medication. Weight gain and sun
drugs." exposure should not affect the administration of
d. "Avoid weight gain." the drug.
When changing the dressing on a ANS: B
partial-thickness wound, a nurse The small, pale pink bumps are granulation tissue
observes small, pale pink bumps characteristic of new capillary bed growth, an
within the wound bed. Which is the indication of proper wound healing. The nurse
nurse's best action? should continue current treatment and
a. Removing the bumps with a sterile assessments. Attempting to remove the bumps in
scalpel any way can interfere with healing.
b. Documenting and continuing
current treatment
c. Cleaning the wound vigorously,
wiping off the bumps
d. Culturing the wound and placing
the client on contact precautions
, Which nursing intervention is best for ANS: A
the nurse to use to enhance healing The presence of necrotic tissue retards
of a 1-week-old partial-thickness epithelialization and granulation development.
wound? Accuzyme is a cream that removes necrotic tissue.
a. Using papain-urea (Accuzyme) Restricting fluid and covering the wound will
cream as ordered deprive the new tissue of nutrition and will not
b. Restricting the client's fluid intake enhance healing. Hydrocortisone cream may
c. Covering the wound with an decrease itching but will not enhance healing.
airtight dressing
d. Applying hydrocortisone cream as
ordered
Which is the priority nursing ANS: B
diagnosis for the client going home Any wound left to heal by second intention is an
with a surgical wound on the coccyx open wound and is at risk for infection. Usually,
that is to heal by second intention? within 2 days after the surgery, discomfort is
a. Acute Pain minimal and the wound is not draining sufficiently
b. Risk for Infection for the client's fluid balance to be deficient. The
c. Disturbed Body Image client could have a disturbed body image in this
d. Risk for Deficient Fluid Volume situation, although wounds on the coccyx are not
visible to the public. However, the priority in this
situation is to prevent infection.
Which nursing intervention will best ANS: D
assist a client who is bedridden to Friction forces are generated when the client is
keep skin intact? dragged or pulled across bed linen. Using a lift
a. Keeping the skin dry sheet will prevent friction. Keeping the skin dry will
b. Repositioning the client every 2 not keep skin intact. Research actually
hours recommends turning the client every 20 minutes to
c. Using a foam mattress pad minimize vasoconstriction from dependency. A
d. Using a lift sheet to move the foam mattress will not significantly decrease
client up in bed pressure to an area.
Edition 2026|Actual Exam Test questions and
verified answers (multiple choices) and
rationales|GET IT 100% ACCURATE!!
Save
Terms in this set (52)
The client has dry skin and a history ANS: D
of cardiovascular disease. Which is The client should bathe in warm water for at least
the best intervention for the nurse to 20 minutes and then apply lotion immediately
teach the client? because this will keep the moisture in the skin.
a. "Wear pajamas to cover your legs Covering the legs at night will not increase
at night." moisture. Increasing fluid intake to 3 L/day would
b. "Avoid wearing stockings." not be recommended for a client with a history of
c. "Increase your fluid intake to 3 cardiovascular disease. Stockings may dry the skin,
L/day." so the best intervention is to keep moisture in the
d. "Bathe in warm water and then skin with lotion.
apply lotion immediately."
,Which intervention will best assist ANS: A
the client with pruritus? Pruritus is exacerbated by poor skin hydration,
a. "Avoid activities and environments increased skin temperature, perspiration, and
that increase perspiration." vasodilation. Drinking alcoholic beverages will
b. "Drinking alcoholic beverages will further dehydrate clients. Warm clothing will
decrease stimulation of the itch vasodilate, adding to dehydration. Warm baths are
receptors." recommended, with lotion applied immediately
c. "Wear clothing to keep the skin afterward.
warm."
d. "Avoid immersing the affected
areas in water."
Which precaution will the nurse ANS: B
teach the client with urticaria who is Benadryl is an antihistamine that will decrease
prescribed to take diphenhydramine itching. For most people, diphenhydramine causes
(Benadryl)? drowsiness. This side effect is intensified when
a. "Avoid sun exposure." alcohol also is consumed, placing the client at
b. "Avoid alcoholic beverages." increased risk for injury and falling. Aspirin will not
c. "Avoid aspirin or aspirin-containing interact with this medication. Weight gain and sun
drugs." exposure should not affect the administration of
d. "Avoid weight gain." the drug.
When changing the dressing on a ANS: B
partial-thickness wound, a nurse The small, pale pink bumps are granulation tissue
observes small, pale pink bumps characteristic of new capillary bed growth, an
within the wound bed. Which is the indication of proper wound healing. The nurse
nurse's best action? should continue current treatment and
a. Removing the bumps with a sterile assessments. Attempting to remove the bumps in
scalpel any way can interfere with healing.
b. Documenting and continuing
current treatment
c. Cleaning the wound vigorously,
wiping off the bumps
d. Culturing the wound and placing
the client on contact precautions
, Which nursing intervention is best for ANS: A
the nurse to use to enhance healing The presence of necrotic tissue retards
of a 1-week-old partial-thickness epithelialization and granulation development.
wound? Accuzyme is a cream that removes necrotic tissue.
a. Using papain-urea (Accuzyme) Restricting fluid and covering the wound will
cream as ordered deprive the new tissue of nutrition and will not
b. Restricting the client's fluid intake enhance healing. Hydrocortisone cream may
c. Covering the wound with an decrease itching but will not enhance healing.
airtight dressing
d. Applying hydrocortisone cream as
ordered
Which is the priority nursing ANS: B
diagnosis for the client going home Any wound left to heal by second intention is an
with a surgical wound on the coccyx open wound and is at risk for infection. Usually,
that is to heal by second intention? within 2 days after the surgery, discomfort is
a. Acute Pain minimal and the wound is not draining sufficiently
b. Risk for Infection for the client's fluid balance to be deficient. The
c. Disturbed Body Image client could have a disturbed body image in this
d. Risk for Deficient Fluid Volume situation, although wounds on the coccyx are not
visible to the public. However, the priority in this
situation is to prevent infection.
Which nursing intervention will best ANS: D
assist a client who is bedridden to Friction forces are generated when the client is
keep skin intact? dragged or pulled across bed linen. Using a lift
a. Keeping the skin dry sheet will prevent friction. Keeping the skin dry will
b. Repositioning the client every 2 not keep skin intact. Research actually
hours recommends turning the client every 20 minutes to
c. Using a foam mattress pad minimize vasoconstriction from dependency. A
d. Using a lift sheet to move the foam mattress will not significantly decrease
client up in bed pressure to an area.
