VSIMS MORROW CASE QUESTIONS AND ANSWERS #15
The nurse is reviewing Ms. Morrow's nutritional status. Which laboratory value would be
of most concern to the nurse?
a. Potassium 4.0 mEq/L
b. Prealbumin 6 mg/dL
c. Urine protein 60 mg/ 24 hours
d. Albumin 5.2 g/dL - correct answer b. Prealbumin 6 mg/dL
Ms. Morrow asks "What is the Braden scale that you keep talking about?" What is the
correct response by the nurse?
a. This assessment will help me find out if you will be able to take care of yourself at
home.
b. It is a tool to determine whether or not you are at risk for falls.
c. This tool will help me determine if you are at risk for developing pressure ulcers.
d. It is a technique used to identify common problems in older adults. - correct answer c.
This tool will help me determine if you are at risk for developing pressure ulcers.
The nurse is inspecting Ms. Morrow's skin. To which areas should the nurse pay extra
attention during the assessment (select all that apply)
a. Under the breasts
b. Surface of the abdomen
c. Hair and scalp
d. Groin
e. Limbs - correct answer a. Under the breasts
d. Groin
e. Limbs
The nurse is completing a skin assessment of an older adult patient. Which finding
would require immediate attention?
a. Striae on the abdomen and thighs
b. Reddened area on the patient's heel
c. Small, flat macules on both shoulders
d. A raised nevus on the back of the neck - correct answer b. Reddened area on the
patient's heel
The nurse is assessing a wound on a patient's lower extremity that has a mottled, bluish
appearance and localized edema. How should the nurse describe this type of wound?
a. Stage III Pressure ulcer
b. Arterial ulcer
c. Unstageable pressure ulcer
, d. Venous stasis ulcer - correct answer d. Venous stasis ulcer
The nurse is providing teaching to Ms. Morrow on how to prevent additional venous
stasis ulcers. Which statements would be appropriate to include in the teaching plan?
(select all that apply)
a. Install safety rails in your bathroom to help prevent falls.
b. Watch for signs and symptoms of new ulcers.
c. Participate in activities that require physical contact to promote circulation
d. Wear support stockings to help prevent ulcers and heal existing ones
e. Choose footwear that is nonskid with a low heel. - correct answer b. Watch for signs
and symptoms of new ulcers.
d. Wear support stockings to help prevent ulcers and heal existing ones
Which statement, if made by Ms. Morrow, would indicate the need for additional
teaching by the nurse?
a. I can expect my wound to heal in 1 to 3 months.
b. I should let my nurse know if the wound gets bigger, starts to hurt more, or smells
bad.
c. My caregivers should follow the provider's instructions precisely when changing the
dressing.
d. I should keep the wound clean to prevent it from becoming infected. - correct answer
a. I can expect my wound to heal in 1 to 3 months.
The nurse is inspecting Ms. Morrow's leg for the development of additional venous
stasis ulcers. Which findings would alert the nurse to the possible development of an
additional venous wound?
a. Leg pain and brownish or blue skin discoloration
b. Diminished pulses in the affected extremity
c. Pallor in the lower extremity
d. Dependent rubor - correct answer a. Leg pain and brownish or blue skin discoloration
The nurse is educating Ms. Morrow and her daughter on food choices that will promote
wound healing. Which diet choices should be included in the teaching session?
a. Green, leafy vegetables
b. Cereals and fruits
c. Meats, cheese, and beans
d. Whole wheat bread and brown rice - correct answer c. Meats, cheese, and beans
The nurse is preparing to inspect Ms. Morrow's hair and scalp. What should the nurse
include in the assessment? (select all that apply)
a. Condition
The nurse is reviewing Ms. Morrow's nutritional status. Which laboratory value would be
of most concern to the nurse?
a. Potassium 4.0 mEq/L
b. Prealbumin 6 mg/dL
c. Urine protein 60 mg/ 24 hours
d. Albumin 5.2 g/dL - correct answer b. Prealbumin 6 mg/dL
Ms. Morrow asks "What is the Braden scale that you keep talking about?" What is the
correct response by the nurse?
a. This assessment will help me find out if you will be able to take care of yourself at
home.
b. It is a tool to determine whether or not you are at risk for falls.
c. This tool will help me determine if you are at risk for developing pressure ulcers.
d. It is a technique used to identify common problems in older adults. - correct answer c.
This tool will help me determine if you are at risk for developing pressure ulcers.
The nurse is inspecting Ms. Morrow's skin. To which areas should the nurse pay extra
attention during the assessment (select all that apply)
a. Under the breasts
b. Surface of the abdomen
c. Hair and scalp
d. Groin
e. Limbs - correct answer a. Under the breasts
d. Groin
e. Limbs
The nurse is completing a skin assessment of an older adult patient. Which finding
would require immediate attention?
a. Striae on the abdomen and thighs
b. Reddened area on the patient's heel
c. Small, flat macules on both shoulders
d. A raised nevus on the back of the neck - correct answer b. Reddened area on the
patient's heel
The nurse is assessing a wound on a patient's lower extremity that has a mottled, bluish
appearance and localized edema. How should the nurse describe this type of wound?
a. Stage III Pressure ulcer
b. Arterial ulcer
c. Unstageable pressure ulcer
, d. Venous stasis ulcer - correct answer d. Venous stasis ulcer
The nurse is providing teaching to Ms. Morrow on how to prevent additional venous
stasis ulcers. Which statements would be appropriate to include in the teaching plan?
(select all that apply)
a. Install safety rails in your bathroom to help prevent falls.
b. Watch for signs and symptoms of new ulcers.
c. Participate in activities that require physical contact to promote circulation
d. Wear support stockings to help prevent ulcers and heal existing ones
e. Choose footwear that is nonskid with a low heel. - correct answer b. Watch for signs
and symptoms of new ulcers.
d. Wear support stockings to help prevent ulcers and heal existing ones
Which statement, if made by Ms. Morrow, would indicate the need for additional
teaching by the nurse?
a. I can expect my wound to heal in 1 to 3 months.
b. I should let my nurse know if the wound gets bigger, starts to hurt more, or smells
bad.
c. My caregivers should follow the provider's instructions precisely when changing the
dressing.
d. I should keep the wound clean to prevent it from becoming infected. - correct answer
a. I can expect my wound to heal in 1 to 3 months.
The nurse is inspecting Ms. Morrow's leg for the development of additional venous
stasis ulcers. Which findings would alert the nurse to the possible development of an
additional venous wound?
a. Leg pain and brownish or blue skin discoloration
b. Diminished pulses in the affected extremity
c. Pallor in the lower extremity
d. Dependent rubor - correct answer a. Leg pain and brownish or blue skin discoloration
The nurse is educating Ms. Morrow and her daughter on food choices that will promote
wound healing. Which diet choices should be included in the teaching session?
a. Green, leafy vegetables
b. Cereals and fruits
c. Meats, cheese, and beans
d. Whole wheat bread and brown rice - correct answer c. Meats, cheese, and beans
The nurse is preparing to inspect Ms. Morrow's hair and scalp. What should the nurse
include in the assessment? (select all that apply)
a. Condition
