PNP Exam 2 Newest 2025 With Questions and
Verified Solutions Graded A+|Just Released!!!
Nursing diagnoses related to fluid-electrolyte or acid-base imbalance (11) -
DETAILED ANSWER 1. risk for injury
2. risk for electrolyte imbalance
3. impaired gas exchange
4. impaired skin integrity
5. impaired oral mucous membrane
6. ineffective tissue perfusion
7. acute confusion
8. decreased cardiac output
9. deficient fluid volume
10. deficient knowledge regarding disease management
,11. excess fluid volumeT/F you can delegate fluid IV administration and
hemodynamic assessment to the NAP - DETAILED ANSWER FALSE What can
you delegate to an NAP? - DETAILED ANSWER daily weights, I&O,
direct physical care, vitals
Risk factors for ulcer development (6) - DETAILED ANSWER 1. Impaired sensory
perception
2. Changed consciousness
3. impaired mobility
4. shear
5. friction
6. moisture
Tissue Ischemia - DETAILED ANSWER vessels are occluded for long periods of
time
Stage 1 - DETAILED ANSWER intact skin with nonblanchable redness
Stage 2 - DETAILED ANSWER partial thickness skin loss
Stage 3 - DETAILED ANSWER Full thickness tissue loss with visible fat
Stage 4 - DETAILED ANSWER full thickness tissue loss with exposed bone,
tendon or muscle
, Partial thickness wound repair - DETAILED ANSWER requires an inflammatory
response to heal and reestablishing of the epidermal layers
Full thickness wound repair stages (4) - DETAILED ANSWER 1. hemostasis -
clotting
2. inflammatory response - macrophages
3. Proliferative phase - epithelialization
4. remodeling - collagen scar
Hemorrhage - DETAILED ANSWER bleeding from a wound site
Hematoma - DETAILED ANSWER collection of blood under the tissues
Dehiscence - DETAILED ANSWER layers of skin and tissue separate
Evisceration - DETAILED ANSWER organs protrude from wound opening
What does a lower number mean on the Braden scale? - CORRECT ANSWERthe
lower the number, the higher the risk for pressure ulcers
At what number on the braden scale signifies that adult patients are at risk? -
DETAILED ANSWER 18
What nutrition adjustments should be made when a wound is healing? -
DETAILED ANSWER more vitamin A, C and protein
Verified Solutions Graded A+|Just Released!!!
Nursing diagnoses related to fluid-electrolyte or acid-base imbalance (11) -
DETAILED ANSWER 1. risk for injury
2. risk for electrolyte imbalance
3. impaired gas exchange
4. impaired skin integrity
5. impaired oral mucous membrane
6. ineffective tissue perfusion
7. acute confusion
8. decreased cardiac output
9. deficient fluid volume
10. deficient knowledge regarding disease management
,11. excess fluid volumeT/F you can delegate fluid IV administration and
hemodynamic assessment to the NAP - DETAILED ANSWER FALSE What can
you delegate to an NAP? - DETAILED ANSWER daily weights, I&O,
direct physical care, vitals
Risk factors for ulcer development (6) - DETAILED ANSWER 1. Impaired sensory
perception
2. Changed consciousness
3. impaired mobility
4. shear
5. friction
6. moisture
Tissue Ischemia - DETAILED ANSWER vessels are occluded for long periods of
time
Stage 1 - DETAILED ANSWER intact skin with nonblanchable redness
Stage 2 - DETAILED ANSWER partial thickness skin loss
Stage 3 - DETAILED ANSWER Full thickness tissue loss with visible fat
Stage 4 - DETAILED ANSWER full thickness tissue loss with exposed bone,
tendon or muscle
, Partial thickness wound repair - DETAILED ANSWER requires an inflammatory
response to heal and reestablishing of the epidermal layers
Full thickness wound repair stages (4) - DETAILED ANSWER 1. hemostasis -
clotting
2. inflammatory response - macrophages
3. Proliferative phase - epithelialization
4. remodeling - collagen scar
Hemorrhage - DETAILED ANSWER bleeding from a wound site
Hematoma - DETAILED ANSWER collection of blood under the tissues
Dehiscence - DETAILED ANSWER layers of skin and tissue separate
Evisceration - DETAILED ANSWER organs protrude from wound opening
What does a lower number mean on the Braden scale? - CORRECT ANSWERthe
lower the number, the higher the risk for pressure ulcers
At what number on the braden scale signifies that adult patients are at risk? -
DETAILED ANSWER 18
What nutrition adjustments should be made when a wound is healing? -
DETAILED ANSWER more vitamin A, C and protein
