TRADING COMPS MODELING WALL
STREET PREP UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
◉ The nurse is teaching a nursing student about interventions
that reduce the risk of pressure ulcers in a clientWhich statements
made by the nursing student indicate effective Select all that
apply. One, some , or all responses may be correct.
1. " I will elevate the head of the client's bed to no more than 30
degrees .
2. " I will ensure that the client is turned and repositioned at least
every 2 hours"
3. " I will advise the client to apply talc directly to the perineum .
4. "I will ensure that the client's fluid intake is 2000 to 100
mL/day; "
5. "I will teach the client to refrain from eating a highprotein and
calorie diet."
Answer: 1, 2, 4
,◉ Which rationale supports the nursing intervention to turn the
client with paraplegia every to 2 hours? a. To maintain client
comfort
b. To prevent development of pressure injuries
c. To prevent contractures of the extremities
d. To improve venous circulation in the lower extremities
Answer: b
◉ While assessing the client for a pressure injury, the nurse
identifies exposed bone and tendons Which stage would the nurse
document for this pressure injury?
a. l
b. ll
c. lll
d. lv
Answer: d
◉ Which combination of client responses would the nurse
determine represents the highest risk for the development of
pressure injuries?
a. Incontinence; inability to move independently
b. Periodic diaphoresis; occasional sliding down in bed
, c. Minimal reaction to painful stimuli; receiving tube feedings
d. Spending extensive time in a chairbody mass index (BMI) of 23
Answer: a
◉ Which instruction from the nurse to an 80-year-old client with
thinning of a subcutaneous layer would be beneficial?
a. Dress warmly in cold weather.
b. Use soaps with high fat content.
c. Change the position of bed once every 5 hours. d. Apply
moisturizer 2 hours after bathing .
Answer: a
◉ A client has a stage pressure injury. Which nursing intervention
can prevent further injury by eliminating shearing force?
a. Maintain the head of the bed at 30 degrees or less .
b. Use draw sheets to pull up, transfer , and position the client .
c. Reposition the client every 2 hours, propping with pillows.
d. Perform passive range -of-motion exercises every 8 hours.
Answer: b
◉ In which area of the body will the nurse most likely discover a
pressure injury in a client who is maintained in the low-Fowler
position excessively? a. Elbows
b. Occiput
c. Hium
STREET PREP UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
◉ The nurse is teaching a nursing student about interventions
that reduce the risk of pressure ulcers in a clientWhich statements
made by the nursing student indicate effective Select all that
apply. One, some , or all responses may be correct.
1. " I will elevate the head of the client's bed to no more than 30
degrees .
2. " I will ensure that the client is turned and repositioned at least
every 2 hours"
3. " I will advise the client to apply talc directly to the perineum .
4. "I will ensure that the client's fluid intake is 2000 to 100
mL/day; "
5. "I will teach the client to refrain from eating a highprotein and
calorie diet."
Answer: 1, 2, 4
,◉ Which rationale supports the nursing intervention to turn the
client with paraplegia every to 2 hours? a. To maintain client
comfort
b. To prevent development of pressure injuries
c. To prevent contractures of the extremities
d. To improve venous circulation in the lower extremities
Answer: b
◉ While assessing the client for a pressure injury, the nurse
identifies exposed bone and tendons Which stage would the nurse
document for this pressure injury?
a. l
b. ll
c. lll
d. lv
Answer: d
◉ Which combination of client responses would the nurse
determine represents the highest risk for the development of
pressure injuries?
a. Incontinence; inability to move independently
b. Periodic diaphoresis; occasional sliding down in bed
, c. Minimal reaction to painful stimuli; receiving tube feedings
d. Spending extensive time in a chairbody mass index (BMI) of 23
Answer: a
◉ Which instruction from the nurse to an 80-year-old client with
thinning of a subcutaneous layer would be beneficial?
a. Dress warmly in cold weather.
b. Use soaps with high fat content.
c. Change the position of bed once every 5 hours. d. Apply
moisturizer 2 hours after bathing .
Answer: a
◉ A client has a stage pressure injury. Which nursing intervention
can prevent further injury by eliminating shearing force?
a. Maintain the head of the bed at 30 degrees or less .
b. Use draw sheets to pull up, transfer , and position the client .
c. Reposition the client every 2 hours, propping with pillows.
d. Perform passive range -of-motion exercises every 8 hours.
Answer: b
◉ In which area of the body will the nurse most likely discover a
pressure injury in a client who is maintained in the low-Fowler
position excessively? a. Elbows
b. Occiput
c. Hium
