NR224 Exam 2 OA Final Exam
Questions with Correct
Solutions|| Updated 2025/2026 A+
Graded||100% Guaranteed Pass!!!
Brain natriuretic peptide (BNP) - ANSWER ✓ Increased levels may be used to
help determine severity of CHF
C-reactive protein - ANSWER ✓ Test to detect inflammation for suspicion of
injury or infection or risk for developing CAD or stroke
1.0053-1.03 - ANSWER ✓ Normal specific gravity
blood in urine. Could mean tumors, infection, calculi, trauma to urinary tract. -
ANSWER ✓ hematuria
Urinary Assessment questions - ANSWER ✓ Nature of Problem
Signs/Symptoms
Onset/Duration
Severity
Predisposing Factors
Effect on Patient
full thickness but depth unknown, slough (string yellow or white), may be eschar
(has to be removed). Point to remember - before you do any dressing changes, you
have to be sure you have medicate the patient because it is painful. At the top is
most painful, down to bone and muscle not as painful but you have to deal with the
top anyway. - ANSWER ✓ Unstageable Ulcer
Get a sterile gauze or pad and cover it, notify the provider immediately -
ANSWER ✓ Evisceration
Determines ability to heal a wound based on sensory perception, moisture,
activity, mobility, nutrition, friction/shear risk, etc., lower number is higher risk -
ANSWER ✓ Braden Scale
, gel forming polymer such as gelatin, pectin, and carboxymethylcellulose with a
strong film or foam adhesive backing. absorb exudate by swelling into a gel like
mass and vary from being occlusive to semi permeable. does not attach to actual
wound itself and is instead anchored to intact skin surrounding the wound. -
ANSWER ✓ Hydrocolloid dressing
Gel used to regulate fluid exchange and relieve pain during wound healing -
ANSWER ✓ Hydrogel dressing
special adhesive strips that are applied when dressings must be changed frequently
at the surgical site, good for large abdominal wounds - ANSWER ✓ Montgomery
Straps
1 mL fluid - ANSWER ✓ 1 g drainage
increases blood flow to area, can reduce swelling - ANSWER ✓ Heating
decreases swelling and pain - ANSWER ✓ Ice
frequent, gentle brushing with soft toothbrush
flossing
rinsing with bland rinse
limiting diet to soft foods
applying water-based moisturizer to lips - ANSWER ✓ Care for stomatitis
What is the removal of devitalized tissue from a wound called?
a. debridement
b. pressure reduction
c. negative pressure wound therapy
d. sanitization - ANSWER ✓ a. debridement
Which of the following skills can the nurse delegate to nursing assistive
personnel? Select all that apply.
a. nasotracheal suctioning
b. oropharyngeal suctioning of a stable patient
c. suctioning a new artificial airway
d. permanent tracheostomy tube suctioning
, e. care of an endotracheal tube - ANSWER ✓ b. oropharyngeal suctioning of a
stable patient
d. permanent tracheostomy tube suctioning
Place the following in correct sequence for suctioning a patient.
1. open kit and basin
2. apply gloves
3. lubricate catheter
4. verify functioning of suction device and pressure
5. connect suction tubing to suction catheter
6. increased supplemental oxygen
7. reapply oxygen
8. suction airway - ANSWER ✓ 4. verify functioning of suction device and
pressure
6. increased supplemental oxygen
1. open kit and basin
3. lubricate catheter
2. apply gloves
5. connect suction tubing to suction catheter
8. suction airway
7. reapply oxygen
A patient was admitted following a motor vehicle accident with multiple fractured
ribs. Respiratory assessment includes signs/symptoms of secondary pneumothorax.
Which are the most common assessment findings associated with a pneumothorax?
Select all that apply.
a. sharp pleuritic pain that worsens on inspiration
b. crackles over lung bases of affected lung
c. tracheal deviation toward the affected lung
d. worsening dyspnea
e. absent lung sounds to auscultation on affected side - ANSWER ✓ a. sharp
pleuritic pain that worsens on inspiration
d. worsening dyspnea
e. absent lung sounds to auscultation on affected side
The nurse is caring for a patient who has decreased mobility. Which intervention
is a simple and cost-effective method for reducing the risks of pulmonary
complication?
a. antibiotics
Questions with Correct
Solutions|| Updated 2025/2026 A+
Graded||100% Guaranteed Pass!!!
Brain natriuretic peptide (BNP) - ANSWER ✓ Increased levels may be used to
help determine severity of CHF
C-reactive protein - ANSWER ✓ Test to detect inflammation for suspicion of
injury or infection or risk for developing CAD or stroke
1.0053-1.03 - ANSWER ✓ Normal specific gravity
blood in urine. Could mean tumors, infection, calculi, trauma to urinary tract. -
ANSWER ✓ hematuria
Urinary Assessment questions - ANSWER ✓ Nature of Problem
Signs/Symptoms
Onset/Duration
Severity
Predisposing Factors
Effect on Patient
full thickness but depth unknown, slough (string yellow or white), may be eschar
(has to be removed). Point to remember - before you do any dressing changes, you
have to be sure you have medicate the patient because it is painful. At the top is
most painful, down to bone and muscle not as painful but you have to deal with the
top anyway. - ANSWER ✓ Unstageable Ulcer
Get a sterile gauze or pad and cover it, notify the provider immediately -
ANSWER ✓ Evisceration
Determines ability to heal a wound based on sensory perception, moisture,
activity, mobility, nutrition, friction/shear risk, etc., lower number is higher risk -
ANSWER ✓ Braden Scale
, gel forming polymer such as gelatin, pectin, and carboxymethylcellulose with a
strong film or foam adhesive backing. absorb exudate by swelling into a gel like
mass and vary from being occlusive to semi permeable. does not attach to actual
wound itself and is instead anchored to intact skin surrounding the wound. -
ANSWER ✓ Hydrocolloid dressing
Gel used to regulate fluid exchange and relieve pain during wound healing -
ANSWER ✓ Hydrogel dressing
special adhesive strips that are applied when dressings must be changed frequently
at the surgical site, good for large abdominal wounds - ANSWER ✓ Montgomery
Straps
1 mL fluid - ANSWER ✓ 1 g drainage
increases blood flow to area, can reduce swelling - ANSWER ✓ Heating
decreases swelling and pain - ANSWER ✓ Ice
frequent, gentle brushing with soft toothbrush
flossing
rinsing with bland rinse
limiting diet to soft foods
applying water-based moisturizer to lips - ANSWER ✓ Care for stomatitis
What is the removal of devitalized tissue from a wound called?
a. debridement
b. pressure reduction
c. negative pressure wound therapy
d. sanitization - ANSWER ✓ a. debridement
Which of the following skills can the nurse delegate to nursing assistive
personnel? Select all that apply.
a. nasotracheal suctioning
b. oropharyngeal suctioning of a stable patient
c. suctioning a new artificial airway
d. permanent tracheostomy tube suctioning
, e. care of an endotracheal tube - ANSWER ✓ b. oropharyngeal suctioning of a
stable patient
d. permanent tracheostomy tube suctioning
Place the following in correct sequence for suctioning a patient.
1. open kit and basin
2. apply gloves
3. lubricate catheter
4. verify functioning of suction device and pressure
5. connect suction tubing to suction catheter
6. increased supplemental oxygen
7. reapply oxygen
8. suction airway - ANSWER ✓ 4. verify functioning of suction device and
pressure
6. increased supplemental oxygen
1. open kit and basin
3. lubricate catheter
2. apply gloves
5. connect suction tubing to suction catheter
8. suction airway
7. reapply oxygen
A patient was admitted following a motor vehicle accident with multiple fractured
ribs. Respiratory assessment includes signs/symptoms of secondary pneumothorax.
Which are the most common assessment findings associated with a pneumothorax?
Select all that apply.
a. sharp pleuritic pain that worsens on inspiration
b. crackles over lung bases of affected lung
c. tracheal deviation toward the affected lung
d. worsening dyspnea
e. absent lung sounds to auscultation on affected side - ANSWER ✓ a. sharp
pleuritic pain that worsens on inspiration
d. worsening dyspnea
e. absent lung sounds to auscultation on affected side
The nurse is caring for a patient who has decreased mobility. Which intervention
is a simple and cost-effective method for reducing the risks of pulmonary
complication?
a. antibiotics
