NUR 3280 Exam 2 Review Questions
Study online at https://quizlet.com/_fwjyz4
1. When repositioning an immobile patient, the nurse 4
notices redness over the hip bone. What is indicated
when a reddened area blanches on fingertip touch?
1. A local skin infection requiring antibiotics
2. Sensitive skin that requires special bed linen
3. A Stage 3 pressure injury needing the appropriate
dressing
4. Blanching hyperemia, indicating the attempt by the
body to overcome the ischemic episode
2. After surgery the patient with a closed abdominal 1,4
wound reports a sudden "pop" after coughing. When
the nurse examines the surgical wound site, the su-
tures are open, and small bowel sections are observed
at the bottom of the now-opened wound. Which are
the priority nursing interventions? (Select all that ap-
ply.)
1. Notify the health care provider.
2. Allow the area to be exposed to air until all drainage
has stopped.
3. Place several cold packs over the area, protecting the
skin around the wound.
4. Cover the area with sterile, saline-soaked towels
immediately.
5. Cover the area with sterile gauze and apply an ab-
dominal binder.
3. Place the steps when performing wound irrigation of 4,3,2,5,1
a large open wound in the correct sequence.
1. Use slow, continuous pressure to irrigate wound.
2. Attach 19-gauge angiocatheter to syringe.
3. Fill syringe with irrigation fluid.
, NUR 3280 Exam 2 Review Questions
Study online at https://quizlet.com/_fwjyz4
4. Place biohazard bag near bed.
5. Position angiocatheter over wound.
4. Which skin-care measures are used to manage a pa- 1,4,5
tient who is experiencing fecal and/or urinary inconti-
nence? (Select all that apply.)
1. Frequent position changes
2. Keeping the buttocks exposed to air at all times
3. Using a large absorbent diaper, changing when sat-
urated
4. Using an incontinence cleaner
5. Applying a moisture barrier ointment
5. Which of the following are measures to reduce tissue 1,3,5
damage from shear? (Select all that apply.)
1. Use a transfer device (e.g., transfer board).
2. Have head of bed elevated when transferring pa-
tient.
3. Have head of bed flat when repositioning patient.
4. Raise head of bed 60 degrees when patient is posi-
tioned supine.
5. Raise head of bed 30 degrees when patient is posi-
tioned supine.
6. Which of the following is an indication for a binder to 2,4
be placed around a surgical patient with a new abdom-
inal wound? (Select all that apply.)
1. Collection of wound drainage
2. Provision of support to abdominal tissues when
coughing or walking
3. Reduction of abdominal swelling
4. Reduction of stress on the abdominal incision
, NUR 3280 Exam 2 Review Questions
Study online at https://quizlet.com/_fwjyz4
5. Stimulation of peristalsis (return of bowel function)
from direct pressure
7. Medical adhesives, such as tape securing a wound 1,3,4
dressing, cause MARSI. Which of the following inter-
ventions reduce the risk for MARSI?
1. Gently loosen the ends of the tape and gently pull
the outer end parallel with the skin surface toward the
wound.
2. Change dressing only when saturated.
3. Apply adhesive remover.
4. Use Montgomery ties to secure the dressing.
5. Immobilize area of wound.
8. What is the removal of devitalized tissue from a wound 1
called?
1. Debridement
2. Pressure distribution
3. Negative-pressure wound therapy
4. Sanitization
9. Which of the following nursing activities apply to an 2,3,4,5
MDRPI? (Select all that apply.)
1. Assess skin under devices every 2 hours.
2. Cushion at risk areas (e.g., ears, nose with foam or
protective dressing).
3. Choose correct size of device.
4. Observe for erythema or irritation that conforms to
pattern or shape of device.
5. Observe under casts and splints.
10. The nurse is preparing to perform nasotracheal suc- 7,2,6,4,5,3,1
tioning on a patient. Arrange the steps in order.
Study online at https://quizlet.com/_fwjyz4
1. When repositioning an immobile patient, the nurse 4
notices redness over the hip bone. What is indicated
when a reddened area blanches on fingertip touch?
1. A local skin infection requiring antibiotics
2. Sensitive skin that requires special bed linen
3. A Stage 3 pressure injury needing the appropriate
dressing
4. Blanching hyperemia, indicating the attempt by the
body to overcome the ischemic episode
2. After surgery the patient with a closed abdominal 1,4
wound reports a sudden "pop" after coughing. When
the nurse examines the surgical wound site, the su-
tures are open, and small bowel sections are observed
at the bottom of the now-opened wound. Which are
the priority nursing interventions? (Select all that ap-
ply.)
1. Notify the health care provider.
2. Allow the area to be exposed to air until all drainage
has stopped.
3. Place several cold packs over the area, protecting the
skin around the wound.
4. Cover the area with sterile, saline-soaked towels
immediately.
5. Cover the area with sterile gauze and apply an ab-
dominal binder.
3. Place the steps when performing wound irrigation of 4,3,2,5,1
a large open wound in the correct sequence.
1. Use slow, continuous pressure to irrigate wound.
2. Attach 19-gauge angiocatheter to syringe.
3. Fill syringe with irrigation fluid.
, NUR 3280 Exam 2 Review Questions
Study online at https://quizlet.com/_fwjyz4
4. Place biohazard bag near bed.
5. Position angiocatheter over wound.
4. Which skin-care measures are used to manage a pa- 1,4,5
tient who is experiencing fecal and/or urinary inconti-
nence? (Select all that apply.)
1. Frequent position changes
2. Keeping the buttocks exposed to air at all times
3. Using a large absorbent diaper, changing when sat-
urated
4. Using an incontinence cleaner
5. Applying a moisture barrier ointment
5. Which of the following are measures to reduce tissue 1,3,5
damage from shear? (Select all that apply.)
1. Use a transfer device (e.g., transfer board).
2. Have head of bed elevated when transferring pa-
tient.
3. Have head of bed flat when repositioning patient.
4. Raise head of bed 60 degrees when patient is posi-
tioned supine.
5. Raise head of bed 30 degrees when patient is posi-
tioned supine.
6. Which of the following is an indication for a binder to 2,4
be placed around a surgical patient with a new abdom-
inal wound? (Select all that apply.)
1. Collection of wound drainage
2. Provision of support to abdominal tissues when
coughing or walking
3. Reduction of abdominal swelling
4. Reduction of stress on the abdominal incision
, NUR 3280 Exam 2 Review Questions
Study online at https://quizlet.com/_fwjyz4
5. Stimulation of peristalsis (return of bowel function)
from direct pressure
7. Medical adhesives, such as tape securing a wound 1,3,4
dressing, cause MARSI. Which of the following inter-
ventions reduce the risk for MARSI?
1. Gently loosen the ends of the tape and gently pull
the outer end parallel with the skin surface toward the
wound.
2. Change dressing only when saturated.
3. Apply adhesive remover.
4. Use Montgomery ties to secure the dressing.
5. Immobilize area of wound.
8. What is the removal of devitalized tissue from a wound 1
called?
1. Debridement
2. Pressure distribution
3. Negative-pressure wound therapy
4. Sanitization
9. Which of the following nursing activities apply to an 2,3,4,5
MDRPI? (Select all that apply.)
1. Assess skin under devices every 2 hours.
2. Cushion at risk areas (e.g., ears, nose with foam or
protective dressing).
3. Choose correct size of device.
4. Observe for erythema or irritation that conforms to
pattern or shape of device.
5. Observe under casts and splints.
10. The nurse is preparing to perform nasotracheal suc- 7,2,6,4,5,3,1
tioning on a patient. Arrange the steps in order.
