Nur 2520 Exam 1 Questions With Complete Solutions

Nur 2520 Exam 1 Questions With Complete Solutions

- The RN knows that prevention of ulceration can be
accomplished through limitation of time spent in which position
Correct Answers Fowlers

[age groups & aspiration risk]
Infants are at greater risk bc of their decreased abilities in terms
of which 2 congenital defects: Correct Answers GI reflux
cleft palate (can't create seal while sucking)

[age groups & aspiration risk]
Neonates are at greater risk bc of their decreased abilities in
terms of which specific muscular deficiency Correct Answers
GI sphincter muscle

[age groups & aspiration risk]
neonates have decreased GI sphincter muscle capabilities which
can lead to... Correct Answers (intestinal) reflux

[age groups & aspiration risk]
Older adults are at greater risk bc of their decreased Correct
Answers cough reflex, dental strength

[age groups & aspiration risk]
Premature infants are at greater risk bc of their decreased
abilities in terms of which 3 things Correct Answers swallow
reflex
sucking coordination
shallow breathing
(decreased lung capacity)

,[age groups & aspiration risk]
Toddlers are at greater risk bc of their choices to explore the
world with their mouths...this means they often times will do
which specific thing Correct Answers put things in their mouth
(candy, toys, nuts, grapes, hot dog) - have large airway opening

[age groups & choking]
Adult choking hazards Correct Answers when drinking alcohol
while laughing / talking
while eating foods

[age groups & choking]
Older adult: Correct Answers ill-fitting dentures
cannot chew, swallow w/o difficulty
live alone and unable to summon help
become confused about surroundings

[age groups]
5- 6 month old's Correct Answers put objects in mouth
rolls over & get caught
cannot roll back.

[age groups]
Children < 4 years old
are at what type of statistical risk of suffocation then children 5-
14 yrs old Correct Answers 15x >

[age groups]
Infants - at risk because of Correct Answers round face &
small jaw

,tight seal is easy to form
gets caught in tight spaces/rails

[age groups]
Toddler's are at the greatest risk of choking that occurs via
which mechanical issue & which specific information about
them Correct Answers small objects get lodged in the throat
explore the world w/ their mouths

[braden scale]
anything < or = to 9 means the pt is at which amount of risk
Correct Answers very high

[braden scale]
anything 15 & 18 means the pt is at which amount of risk
Correct Answers some risk

[braden scale]
anything btwn 10 & 12 means the pt is at which amount of risk
Correct Answers high

[braden scale]
anything btwn 10 & 12 means the pt is at which amount of risk
Correct Answers high risk for pressure ulceration

[braden scale]
anything btwn 13 & 14 means the pt is at which amount of risk
Correct Answers moderate

[braden scale]

, at which 4 periods does the RN conduct a Braden assessment
Correct Answers admission
weekly x 4
quarterly
w/ change of condition

[braden scale]
healthy skin consists of which 2 factors Correct Answers
adaptability
ability to w/stand pressure

[braden scale] (SAM N MF)
which 6 factors are evaluated during the RN process of
evaluation Correct Answers sensory perception
activity
moisture

nutrition

mobility
friction/shear

[evaluation & assessment]
RN assesses the potential for which 3 things Correct Answers -
decreased sensory perception
- moisture (incontinence / persperation)
- friction & shearing

[evaluation & assessment]
RN avoids massaging red areas bc it can lead to Correct
Answers damaged capillaries