NUR242 / NUR 242 Medical-Surgical
Nursing Exam 1 Actual Exam 2026/2027
– Complete Exam-Style Questions | 100%
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Q1. Patricia is an RN working at a rehabilitation center and witnesses a
nurse aide struggling to lift and reposition an elderly, bedridden
patient. She explains to the nurse aide that there is a No Lift Policy in
place in the establishment. What does this policy entail?
• A) Staff must manually lift patients to improve mobility
• B) Only RNs may lift and reposition dependent patients
• C) A pledge from administrators that proper equipment, adequately
maintained and in sufficient numbers, will be available to reduce
risks associated with manual patient handling
• D) Patients must assist with all repositioning to reduce staff injury
Correct ,,,answer,,,,: C) A pledge from administrators that proper
equipment will be available to reduce risks associated with manual
patient handling
Rationale: A "no-lift policy" emphasizes mechanical lifting devices and
safe patient-handling equipment with administrative support (availability,
maintenance, training) to reduce caregiver injuries and patient harm.
Manual lifting is discouraged due to high injury rates among healthcare
workers .
,Q2. Immobility affects multiple body systems. Which interventions can
you implement to decrease these effects? Select all that apply.
• A) Utilizing waffle mattress to reduce the need for repositioning
• B) TEDs/SCDs
• C) Rubbing reddened areas
• D) Limiting fluid intake
• E) ROM exercises
Correct ,,,answer,,,,: B and E
Rationale: TEDs/SCDs (sequential compression devices) prevent venous
stasis and DVT. ROM exercises maintain joint mobility and prevent
contractures. Option A is incorrect because regardless of mattress type,
repositioning should occur every 2 hours. Option C is incorrect—rubbing
reddened areas increases risk for skin breakdown. Option D is incorrect—
adequate hydration promotes healthy skin .
Q3. True or False: Nurses should do skin assessments once a week.
• A) True
• B) False
Correct ,,,answer,,,,: B) False
Rationale: Nurses should perform full skin assessments a minimum of
once per shift (every 8-12 hours), not weekly. More frequent assessment
is needed for patients at high risk for pressure injuries .
,Q4. A patient goes to the ER for swelling and pain in her right calf. The
patient states that it occurred after she accidentally cut herself. Based
on her symptoms, what skin condition might the nurse suspect?
• A) Cellulitis
• B) Erysipelas
• C) Contact dermatitis
• D) Psoriasis
Correct ,,,answer,,,,: A) Cellulitis
Rationale: Cellulitis is inflammation of the skin and subcutaneous tissue,
typically occurring after a break in the skin (cut, scratch, insect bite).
Symptoms include localized swelling, pain, erythema, and warmth .
Q5. A patient is admitted from a nursing home with a stage 3 pressure
ulcer. When creating his plan of care, who else would be involved
besides the primary care physician?
• A) Respiratory therapist only
• B) Wound care nurse, dietitian, physical therapist
• C) Pharmacy only
• D) Social work only
Correct ,,,answer,,,,: B) Wound care nurse, dietitian, physical therapist
Rationale: Stage 3 pressure injuries require interdisciplinary
management: wound care nurse for staging/treatment, dietitian for
nutrition support (protein/calories for healing), and PT/OT to optimize
, mobility and offloading. Interprofessional collaboration is essential for
pressure injury healing .
Q6. An 85-year-old woman is admitted to the hospital. What factors put
her at risk for pressure injuries? (Select all that apply)
• A) Immobility
• B) Incontinence
• C) Comorbidities such as diabetes or PVD
• D) Malnutrition or dehydration
• E) Decreased sensory perception
Correct ,,,answer,,,,: All of the above (A, B, C, D, E)
Rationale: Pressure injury risk factors include impaired mobility, moisture
(incontinence), poor perfusion (diabetes, PVD), poor nutrition/hydration,
and reduced sensation. All these contribute to tissue ischemia and
delayed healing .
Q7. The nurse notices a localized red area that is nonblanchable on the
patient's coccyx. What stage pressure injury is this recognized as?
• A) Stage 1
• B) Stage 2
• C) Stage 3
• D) Stage 4
Correct ,,,answer,,,,: A) Stage 1
Nursing Exam 1 Actual Exam 2026/2027
– Complete Exam-Style Questions | 100%
Verified – Pass Guaranteed – A+ Graded
Q1. Patricia is an RN working at a rehabilitation center and witnesses a
nurse aide struggling to lift and reposition an elderly, bedridden
patient. She explains to the nurse aide that there is a No Lift Policy in
place in the establishment. What does this policy entail?
• A) Staff must manually lift patients to improve mobility
• B) Only RNs may lift and reposition dependent patients
• C) A pledge from administrators that proper equipment, adequately
maintained and in sufficient numbers, will be available to reduce
risks associated with manual patient handling
• D) Patients must assist with all repositioning to reduce staff injury
Correct ,,,answer,,,,: C) A pledge from administrators that proper
equipment will be available to reduce risks associated with manual
patient handling
Rationale: A "no-lift policy" emphasizes mechanical lifting devices and
safe patient-handling equipment with administrative support (availability,
maintenance, training) to reduce caregiver injuries and patient harm.
Manual lifting is discouraged due to high injury rates among healthcare
workers .
,Q2. Immobility affects multiple body systems. Which interventions can
you implement to decrease these effects? Select all that apply.
• A) Utilizing waffle mattress to reduce the need for repositioning
• B) TEDs/SCDs
• C) Rubbing reddened areas
• D) Limiting fluid intake
• E) ROM exercises
Correct ,,,answer,,,,: B and E
Rationale: TEDs/SCDs (sequential compression devices) prevent venous
stasis and DVT. ROM exercises maintain joint mobility and prevent
contractures. Option A is incorrect because regardless of mattress type,
repositioning should occur every 2 hours. Option C is incorrect—rubbing
reddened areas increases risk for skin breakdown. Option D is incorrect—
adequate hydration promotes healthy skin .
Q3. True or False: Nurses should do skin assessments once a week.
• A) True
• B) False
Correct ,,,answer,,,,: B) False
Rationale: Nurses should perform full skin assessments a minimum of
once per shift (every 8-12 hours), not weekly. More frequent assessment
is needed for patients at high risk for pressure injuries .
,Q4. A patient goes to the ER for swelling and pain in her right calf. The
patient states that it occurred after she accidentally cut herself. Based
on her symptoms, what skin condition might the nurse suspect?
• A) Cellulitis
• B) Erysipelas
• C) Contact dermatitis
• D) Psoriasis
Correct ,,,answer,,,,: A) Cellulitis
Rationale: Cellulitis is inflammation of the skin and subcutaneous tissue,
typically occurring after a break in the skin (cut, scratch, insect bite).
Symptoms include localized swelling, pain, erythema, and warmth .
Q5. A patient is admitted from a nursing home with a stage 3 pressure
ulcer. When creating his plan of care, who else would be involved
besides the primary care physician?
• A) Respiratory therapist only
• B) Wound care nurse, dietitian, physical therapist
• C) Pharmacy only
• D) Social work only
Correct ,,,answer,,,,: B) Wound care nurse, dietitian, physical therapist
Rationale: Stage 3 pressure injuries require interdisciplinary
management: wound care nurse for staging/treatment, dietitian for
nutrition support (protein/calories for healing), and PT/OT to optimize
, mobility and offloading. Interprofessional collaboration is essential for
pressure injury healing .
Q6. An 85-year-old woman is admitted to the hospital. What factors put
her at risk for pressure injuries? (Select all that apply)
• A) Immobility
• B) Incontinence
• C) Comorbidities such as diabetes or PVD
• D) Malnutrition or dehydration
• E) Decreased sensory perception
Correct ,,,answer,,,,: All of the above (A, B, C, D, E)
Rationale: Pressure injury risk factors include impaired mobility, moisture
(incontinence), poor perfusion (diabetes, PVD), poor nutrition/hydration,
and reduced sensation. All these contribute to tissue ischemia and
delayed healing .
Q7. The nurse notices a localized red area that is nonblanchable on the
patient's coccyx. What stage pressure injury is this recognized as?
• A) Stage 1
• B) Stage 2
• C) Stage 3
• D) Stage 4
Correct ,,,answer,,,,: A) Stage 1
