NIGHTINGALE BSN206 PRACTICAL
EXAM QUESTIONS AND VERIFIED
CORRECT ANSWERS FOR A
GUARANTEED PASS
which result indicates an acceptable fit when performing a fit test for an n95
respirator?
the mask collapses slightly with rapid inhalation
a heatlh tema member comes to the door of an examination room with a
patient in droplet precautions. the team member needs to ask a question of
the team member caring for the patient what if an ppe is required for the
team member at the door? droplet precautions
mask
a contaminated or traumatic wound may show signs of infection w/in 24
hours - a surgical infections usually develops postop w/in 14 days
true or false
false
contaminated or traumatic wound 2-3 days
surgical 4-5 days
healing by primary intention is expected when the edges of a clean surgical
incision are sutured or stapled together, tissue loss is minimal or absent and
the wound is uncontaminated by microorganisms
,true or false
true
which of the following patients has teh least risk for developing a wound
infection
a 30 year old woman who had an episiotomy with childbirth
the nurse is caring for a pt after major abdominal surgery. which of the
following demonstrates correct understanding of wound dehiscence?
the nurse should be alert for an increase in serosenguineous
drainage from the wound
and increase of drainage is a symptom of dehiscence
when does wound dehiscence most commonly occur
before collagen formation 3-11 days after injury.
to prevent dehiscence place folded thin blanket or pillow over ab wound
when coughing
the nurse reports that a patient has a wound on his abdomne that is healing
by secondary intention. the nurse understands taht this means the pt
is at greater risk for infection.
,stage 1 pressure ulcer
color change
intact skin
stage 2 pressure injury
can be described as an abrasion, blister, or shallow crater with skin loss
invoving the epidermis and or dermis
stage 3 pressure injury
deep crater
stage 4 pressure injury
involves bone, muscle, or supporting structures
the pt asks the nurse what the purpose is for his hemovac drain. what is the
nurse's best response?
to provide suction to remove and collect drainage from your would to help it
heal
a patient is to go home with a jackson-pratt drain. which of the following
statements if made by the patient indicates further teaching
, if the drainage suddenly stop, it means the drain is ready to come be
removed
(if drainage suddenly stops, the drainage tubing may have a blockage)
empty the drain every 8 hrs or 1/2 -2/3 full
when should drainage be cultured
when there is a change in color, amount, or odor of drainage
the nurse is teaching a patient how to empty his hemovac drain. which
action of the patient indicates that further instruction is needed?
the patient empties the hemovac drain, replaces the plug, and records the
amount of drainage
the patient must reestablish the vacuum for the hemovac to be effective -
press bottom and top of the hemovac together
because a pt has a penros drain, the nurse inspects the patients skin and
changes the dressing by placing a drainage sponge around the drain. what is
taht rationale for doing this
because drainage can be irritating to the skin and may cause skin
breakdown.
a penrose drain does not have a collection device. therefore the nurse should
inspect the skin and change the dressings as needed to prevent skin
breakdown. a safety pin is inserted trhough a penrose drain
EXAM QUESTIONS AND VERIFIED
CORRECT ANSWERS FOR A
GUARANTEED PASS
which result indicates an acceptable fit when performing a fit test for an n95
respirator?
the mask collapses slightly with rapid inhalation
a heatlh tema member comes to the door of an examination room with a
patient in droplet precautions. the team member needs to ask a question of
the team member caring for the patient what if an ppe is required for the
team member at the door? droplet precautions
mask
a contaminated or traumatic wound may show signs of infection w/in 24
hours - a surgical infections usually develops postop w/in 14 days
true or false
false
contaminated or traumatic wound 2-3 days
surgical 4-5 days
healing by primary intention is expected when the edges of a clean surgical
incision are sutured or stapled together, tissue loss is minimal or absent and
the wound is uncontaminated by microorganisms
,true or false
true
which of the following patients has teh least risk for developing a wound
infection
a 30 year old woman who had an episiotomy with childbirth
the nurse is caring for a pt after major abdominal surgery. which of the
following demonstrates correct understanding of wound dehiscence?
the nurse should be alert for an increase in serosenguineous
drainage from the wound
and increase of drainage is a symptom of dehiscence
when does wound dehiscence most commonly occur
before collagen formation 3-11 days after injury.
to prevent dehiscence place folded thin blanket or pillow over ab wound
when coughing
the nurse reports that a patient has a wound on his abdomne that is healing
by secondary intention. the nurse understands taht this means the pt
is at greater risk for infection.
,stage 1 pressure ulcer
color change
intact skin
stage 2 pressure injury
can be described as an abrasion, blister, or shallow crater with skin loss
invoving the epidermis and or dermis
stage 3 pressure injury
deep crater
stage 4 pressure injury
involves bone, muscle, or supporting structures
the pt asks the nurse what the purpose is for his hemovac drain. what is the
nurse's best response?
to provide suction to remove and collect drainage from your would to help it
heal
a patient is to go home with a jackson-pratt drain. which of the following
statements if made by the patient indicates further teaching
, if the drainage suddenly stop, it means the drain is ready to come be
removed
(if drainage suddenly stops, the drainage tubing may have a blockage)
empty the drain every 8 hrs or 1/2 -2/3 full
when should drainage be cultured
when there is a change in color, amount, or odor of drainage
the nurse is teaching a patient how to empty his hemovac drain. which
action of the patient indicates that further instruction is needed?
the patient empties the hemovac drain, replaces the plug, and records the
amount of drainage
the patient must reestablish the vacuum for the hemovac to be effective -
press bottom and top of the hemovac together
because a pt has a penros drain, the nurse inspects the patients skin and
changes the dressing by placing a drainage sponge around the drain. what is
taht rationale for doing this
because drainage can be irritating to the skin and may cause skin
breakdown.
a penrose drain does not have a collection device. therefore the nurse should
inspect the skin and change the dressings as needed to prevent skin
breakdown. a safety pin is inserted trhough a penrose drain
