NU 136 EXAM 2: FUNDAMENTALS OF NURSING | NEWEST
VERSION | UPDATED ACTUAL QUESTIONS AND VERIFIED
ANSWERS
• Walker -✓✓ANSWER: a device used to assist with walking, 15-30degree while
standing upright and grasping the handgrips, resting the body's weight on the
axillary bar puts pressure on the vital nerves and can occlude blood vessels in the
axilla causing temporary or permanent damage, including paralysis
• cane -✓✓ANSWER: assistive device used by the resident with weakness on one
side, 15-30 degree
• crutches -✓✓ANSWER: Devices used to assist injured or weak patients with
walking, 15-20 degrees, pad should be 3 to 4 fingerbreadths under the axilla, tips
at 4-6 inches in front of the patients feet
• Wheelchair -✓✓ANSWER: Always lock the brakes when the wheels are not in
motion,
• Neurovascular Assessment -✓✓ANSWER: Normally capillary refill is less than 3
seconds or within 5 second within an older adult
• Applying first aid splint -✓✓ANSWER: Cover any open wounds with material as
clean as can be found to help prevent infection
Pad bony prominences with soft material to prevent pressure wounds
Check circulation distal to the injury and loosen the splint ties if the tissue
becomes pale, cold, or blue
, • Principles of traction -✓✓ANSWER: must be continuous, weights must be free
hanging, nothing should interfere with the pulleys, patient must aligned correctly,
check orders for amount of weights
• physical assesment -✓✓ANSWER: systematic examination of the patient for
objective data to better define the patient's condition and to help the nurse in
planning care, usually performed in a head-to-toe format; a collection of objective
data about changes in the patient's body systems
• pressure sore -✓✓ANSWER: an ulcerated area in which prolonged pressure has
caused tissue death
• gait -✓✓ANSWER: a person's manner of walking
• recurrent turns (bandages) -✓✓ANSWER: - type of turn that is used to cover
distal parts of the body
- ex: skull, stump of an amputation
• figure-eight turns (bandages) -✓✓ANSWER: - type of turn that is used to
bandage and elbow, knee, or ankle because they permit movement after
application
• spiral reverse turn -✓✓ANSWER: used to bandage body parts that are not
uniform in circumference such as the lower leg or forearm
VERSION | UPDATED ACTUAL QUESTIONS AND VERIFIED
ANSWERS
• Walker -✓✓ANSWER: a device used to assist with walking, 15-30degree while
standing upright and grasping the handgrips, resting the body's weight on the
axillary bar puts pressure on the vital nerves and can occlude blood vessels in the
axilla causing temporary or permanent damage, including paralysis
• cane -✓✓ANSWER: assistive device used by the resident with weakness on one
side, 15-30 degree
• crutches -✓✓ANSWER: Devices used to assist injured or weak patients with
walking, 15-20 degrees, pad should be 3 to 4 fingerbreadths under the axilla, tips
at 4-6 inches in front of the patients feet
• Wheelchair -✓✓ANSWER: Always lock the brakes when the wheels are not in
motion,
• Neurovascular Assessment -✓✓ANSWER: Normally capillary refill is less than 3
seconds or within 5 second within an older adult
• Applying first aid splint -✓✓ANSWER: Cover any open wounds with material as
clean as can be found to help prevent infection
Pad bony prominences with soft material to prevent pressure wounds
Check circulation distal to the injury and loosen the splint ties if the tissue
becomes pale, cold, or blue
, • Principles of traction -✓✓ANSWER: must be continuous, weights must be free
hanging, nothing should interfere with the pulleys, patient must aligned correctly,
check orders for amount of weights
• physical assesment -✓✓ANSWER: systematic examination of the patient for
objective data to better define the patient's condition and to help the nurse in
planning care, usually performed in a head-to-toe format; a collection of objective
data about changes in the patient's body systems
• pressure sore -✓✓ANSWER: an ulcerated area in which prolonged pressure has
caused tissue death
• gait -✓✓ANSWER: a person's manner of walking
• recurrent turns (bandages) -✓✓ANSWER: - type of turn that is used to cover
distal parts of the body
- ex: skull, stump of an amputation
• figure-eight turns (bandages) -✓✓ANSWER: - type of turn that is used to
bandage and elbow, knee, or ankle because they permit movement after
application
• spiral reverse turn -✓✓ANSWER: used to bandage body parts that are not
uniform in circumference such as the lower leg or forearm
