TERM 2 FINAL UNITEKCOLLEGE
EXAM 2025 QUESTIONS AND ANSWERS
What does stage 1 pressure ulcer look like? what to do to help in that area? - ANS stage 1
localized area of skin , typically bony prominence, that is intact with non-blanchable redness.
Turn the patient every 2 hours/ avoid full lateral position because it puts direct pressure on the
trochanteric region
stage II - ANS presents clinically as an abrasion , blister or SHALLOW crater
What intervention is most appropriate to prevent respiratory complications resulting from
immobility? What should you do to the patient? What is the immobilized patient at risk for? -
ANS Pneumonia-ask the patient to cough, deep breathe, reposition at least every 2 hours
What causes constipation in patients who have pressure injuries? - ANS -I never constipated i
take gentle laxatives every night -Immobility, dehydration, poor diet
a nurse is instructing a patient on performing isometric exercise. what instruction should the
nurse include? - ANS contract the muscle for several seconds, then relax the muscle for a few
second and contract it again
Patient has erythema around the sacrum area due to immobility. What is the nurses first
priority? - ANS Reposition the patient
When differentiating between delirium and dementia in a pt, what would a pt with dementia
exhibit? - ANS Forgets things relatively quickly and is unable to learn new things
1 Copyright ©2025 FYNDLAY ALL RIGHTS RESERVED.
, Mother of a child asks if their child can get chickenpox more than once. What kind of immunity
would be most accurate? - ANS Active acquired immunity
What should you administer after a pt experience anaphylaxis? - ANS oxygen
Best way to prevent communicable diseases? - ANS Hand Washing
What do we call different animals that carry germs? - ANS Vector
What is the nursing priority for a patient who is immunocompromised? - ANS Protect them
from infection or illness
What illnesses would require you to take airborne precautions? - ANS TB, measles, Varicella,
Contact precaution illnesses? - ANS Would infection
Respiratory Infection
Kidney infection
Impetigo
Viral Conjunctiva
Cdiff
What does the impetigo look like? - ANS a honey colored crust over a thin-walled vesicle
You are giving blood to a patient and they start to have terrible chills. What should be the first
course of action? - ANS Stop IV and notify provider immediately
What is the best for a nurse to offer when encouraging a patient after a tonsillectomy to
increase fluid intake? - ANS Flavored popsicles to suck
2 Copyright ©2025 FYNDLAY ALL RIGHTS RESERVED.
EXAM 2025 QUESTIONS AND ANSWERS
What does stage 1 pressure ulcer look like? what to do to help in that area? - ANS stage 1
localized area of skin , typically bony prominence, that is intact with non-blanchable redness.
Turn the patient every 2 hours/ avoid full lateral position because it puts direct pressure on the
trochanteric region
stage II - ANS presents clinically as an abrasion , blister or SHALLOW crater
What intervention is most appropriate to prevent respiratory complications resulting from
immobility? What should you do to the patient? What is the immobilized patient at risk for? -
ANS Pneumonia-ask the patient to cough, deep breathe, reposition at least every 2 hours
What causes constipation in patients who have pressure injuries? - ANS -I never constipated i
take gentle laxatives every night -Immobility, dehydration, poor diet
a nurse is instructing a patient on performing isometric exercise. what instruction should the
nurse include? - ANS contract the muscle for several seconds, then relax the muscle for a few
second and contract it again
Patient has erythema around the sacrum area due to immobility. What is the nurses first
priority? - ANS Reposition the patient
When differentiating between delirium and dementia in a pt, what would a pt with dementia
exhibit? - ANS Forgets things relatively quickly and is unable to learn new things
1 Copyright ©2025 FYNDLAY ALL RIGHTS RESERVED.
, Mother of a child asks if their child can get chickenpox more than once. What kind of immunity
would be most accurate? - ANS Active acquired immunity
What should you administer after a pt experience anaphylaxis? - ANS oxygen
Best way to prevent communicable diseases? - ANS Hand Washing
What do we call different animals that carry germs? - ANS Vector
What is the nursing priority for a patient who is immunocompromised? - ANS Protect them
from infection or illness
What illnesses would require you to take airborne precautions? - ANS TB, measles, Varicella,
Contact precaution illnesses? - ANS Would infection
Respiratory Infection
Kidney infection
Impetigo
Viral Conjunctiva
Cdiff
What does the impetigo look like? - ANS a honey colored crust over a thin-walled vesicle
You are giving blood to a patient and they start to have terrible chills. What should be the first
course of action? - ANS Stop IV and notify provider immediately
What is the best for a nurse to offer when encouraging a patient after a tonsillectomy to
increase fluid intake? - ANS Flavored popsicles to suck
2 Copyright ©2025 FYNDLAY ALL RIGHTS RESERVED.
