Nur 185 exam 2 | Questions with 100% Verified Answers |
Latest Update 2026/2027
Question: Safety
Answer: Prevention of health care errors and the elimination or migration of injury caused by
health care errors
Question: Active errors
Answer: *made by nurses, physicians and technicians
*who are providing care, responding to patient needs at the "sharp end"
Question: Latent errors
Answer: Are organizational and are errors occurring at the "blunt end"
Question: Diagnostic errors
Answer: Delay in diagnosis
Question: Treatment errors
Answer: Wrong dose, error in performance of treatment
Question: Preventive errors
Answer: Failures in prophylactic treatment and inadequate monitoring or follow up
Question: Communication failure
Answer: Lack of communication that leads to harm
Question: Error prevention
Answer: *prevent problems from occurring with confirmation messages
*errors can only be addressed if they are reported
Question: What is the Morse Fall Scale?
Answer: A rapid and simple method of assessing a patient's likelihood of falling
Question: Stage 1 wound
Answer: *intact skin with non-blanched redness of a localized area usually over a bone
*darkly pigmented skin may not have visible blanching; it's color may differ from the
surrounding area
Question: Stage 2 wound
Answer: *partial thickness loss of dermis presenting as a shallow open ulcer with a red pink
wound
bed without slough
*may also present as an intact or open/ruptured serum-filled blister
, Question: Stage 3 wound
Answer: *full thickness tissue loss
*subcutaneous fat maybe visible but bone, tendon or muscles are not exposed
*slough maybe present but does not obscure the depth of tissue loss
*may include undermining and tunneling
Question: Stage 4 wound
Answer: *full thickness tissue loss with exposed tendon or muscle
*slough or ex had may be present on some parts of the wound bed
*often includes undermining and tunneling
Question: suspected deep tissue injury
Answer: *Purple or maroon localized area of discolored intact skin or blood-filled blister due to
damage of underlying soft tissue from pressure and/or shear.
*the area may be preceded tissue that is painful, firm, mushy, boggy, warmer or cooler as
compared to adjacent tissue
Question: Unstageable wound
Answer: *full thickness tissue loss in which the base of the ulcer is covered by yellow, tan,
grey,
green or brown and/or Escher (tan brown or black) in the wound bed
Question: What is the Braden Scale?
Answer: an evidence-based tool that looks at various factors that put patients at risk for
developing a pressure ulcer. Includes:
sensory perception
moisture
activity
mobility
nutrition
friction
shear
Question: How do you assess for change of conditions?
Answer: *check skin (heels, buttocks, elbows, etc)
*vital signs
*assess for resp depression (respirations less then 12, elevated WBC, elevated temp, low
or high BP, ETC)
*change in mental status
*monitor and assess for swallowing
*monitor weight loss and labs
*monitor for urine retention
*monitor IV sites for complications
Question: infiltration
Answer: IV solution leaking outside IV catheter into the surrounding tissue
Latest Update 2026/2027
Question: Safety
Answer: Prevention of health care errors and the elimination or migration of injury caused by
health care errors
Question: Active errors
Answer: *made by nurses, physicians and technicians
*who are providing care, responding to patient needs at the "sharp end"
Question: Latent errors
Answer: Are organizational and are errors occurring at the "blunt end"
Question: Diagnostic errors
Answer: Delay in diagnosis
Question: Treatment errors
Answer: Wrong dose, error in performance of treatment
Question: Preventive errors
Answer: Failures in prophylactic treatment and inadequate monitoring or follow up
Question: Communication failure
Answer: Lack of communication that leads to harm
Question: Error prevention
Answer: *prevent problems from occurring with confirmation messages
*errors can only be addressed if they are reported
Question: What is the Morse Fall Scale?
Answer: A rapid and simple method of assessing a patient's likelihood of falling
Question: Stage 1 wound
Answer: *intact skin with non-blanched redness of a localized area usually over a bone
*darkly pigmented skin may not have visible blanching; it's color may differ from the
surrounding area
Question: Stage 2 wound
Answer: *partial thickness loss of dermis presenting as a shallow open ulcer with a red pink
wound
bed without slough
*may also present as an intact or open/ruptured serum-filled blister
, Question: Stage 3 wound
Answer: *full thickness tissue loss
*subcutaneous fat maybe visible but bone, tendon or muscles are not exposed
*slough maybe present but does not obscure the depth of tissue loss
*may include undermining and tunneling
Question: Stage 4 wound
Answer: *full thickness tissue loss with exposed tendon or muscle
*slough or ex had may be present on some parts of the wound bed
*often includes undermining and tunneling
Question: suspected deep tissue injury
Answer: *Purple or maroon localized area of discolored intact skin or blood-filled blister due to
damage of underlying soft tissue from pressure and/or shear.
*the area may be preceded tissue that is painful, firm, mushy, boggy, warmer or cooler as
compared to adjacent tissue
Question: Unstageable wound
Answer: *full thickness tissue loss in which the base of the ulcer is covered by yellow, tan,
grey,
green or brown and/or Escher (tan brown or black) in the wound bed
Question: What is the Braden Scale?
Answer: an evidence-based tool that looks at various factors that put patients at risk for
developing a pressure ulcer. Includes:
sensory perception
moisture
activity
mobility
nutrition
friction
shear
Question: How do you assess for change of conditions?
Answer: *check skin (heels, buttocks, elbows, etc)
*vital signs
*assess for resp depression (respirations less then 12, elevated WBC, elevated temp, low
or high BP, ETC)
*change in mental status
*monitor and assess for swallowing
*monitor weight loss and labs
*monitor for urine retention
*monitor IV sites for complications
Question: infiltration
Answer: IV solution leaking outside IV catheter into the surrounding tissue
