Questions and Correct Answers
Question 1
When developing a plan of care for a patient who is at high risk for skin breakdown,
what does the nurse include in the plan of care?
Correct Answer
-Applying a pressure reduction overlay to the mattress
-Frequent repositioning of the patient
-Using positioning devices to keep heels pressure-free
Question 2
Which chronic health condition is most likely to contribute to delayed wound healing
or recurrence of a pressure ulcer after healing has occurred?
Correct Answer
Diabetes mellitus
Question 3
A patient on the unit has herpes zoster. Which staff members would be the best to
assign to the care of this patient?
Correct Answer
Staff members who have had chicken pox
Question 4
A patient has a partial-thickness wound. How long does the nurse anticipate the
healing by epithelilization will take?
Correct Answer
5-7 days
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, Question 5
The nurse is teaching an older adult about how to deal with and prevent dry skin.
What information does the nurse include?
Correct Answer
-Use a room humidifier during the winter months or whenever the furnace is in use
-Avoid clothing that continuously rubs the skin, such as tight belts or pantyhose
-Thoroughly rinse soap from skin
Question 6
The nurse is directing the home health unlicensed assistive personnel (UAP) in the
care of an older adult patient. The patient reports dry skin and wants help in applying
an emollient cream. What does the nurse direct the UAP to do?
Correct Answer
Assist the patient to soak for 10 minutes in a warm bath and then apply the cream
to slightly damp skin within 2 to 3 minutes after bathing
Question 7
A 60- year-old patient requests a Zostavax vaccination. Which health history needs
further investigation before Zostavax is administered?
Correct Answer
Is being treated for an autoimmune disease
Question 8
The nurse is caring for a patient with arterial insufficiency in the lower right leg. In
order to prevent leg ulcers, what does the nurse do?
Correct Answer
Places the leg in a dependent position
Question 9
Which statement is true about the application and use of topical preparations?
Correct Answer
Using an oil-based ointment in the axillary area could cause folliculitis
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