NUR 155 EXAM 3 UPDATED ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS GRADED A+
T/F, When collecting a culture from a wound, do not use pus or pooled exudates. -
correct answerTrue
To prevent skin trauma from shearing the nurse should consider using - correct
answeralcohol free barrier film
Using the RYB color code of wounds, Red would what kind of dressing or treatment?
- correct answercover with hydrocolloid dressing
Using the RYB color code of wounds, YELLOW would what kind of dressing or
treatment? - correct answerclean to remove nonviable tissue
Using the RYB color code of wounds, BLACK would what kind of dressing or
treatment? - correct answerdebridement
Normal movement is - correct answersmooth and purposeful
A patient wearing an abdominal binder is having difficulty breathing, what would the
nurse do next? - correct answercheck the abdominal binder
_____ turns are used to bandage cylindrical parts of the body that are fairly uniform
in circumference - correct answerspiral
___ turns are used to bandage cylindrical parts of the body that are not uniform in
circumference - correct answerspiral reverse
You should exercise at least - correct answer30 minutes a day 5 days a week
Isotonic (dynamic) - correct answermuscle contraction + active movement. Swim,
run, walk
Isometric (static or setting) - correct answerNo joint movement (sit and squeeze)
Isokinetic (resistive) - correct answerMuscle contraction with resistance
__ turns are used to cover distal parts of the body, such as the stump of an
amputation. - correct answerRecurrent
Areobic - correct answerrequires oxygen
Anarobic - correct answerwithout oxygen
Figure-8 turns are used to bandage the elbow, knee, or ankle because they... -
correct answerpermit some movement after application
Cold applications are used for ___ injuries because it provides reduction of __ & __ -
correct answersports, swelling, bleeding
Application of cold causes - correct answervasoconstriction
A patient is asking for a heating pad who has a sprained ankle. What would you
teach? - correct answer24 hours after trauma, heat increases bleeding and swelling
When cleaning a sutured wound, the nurse would wipe in what order? - correct
answersutures, distal, proximal
This type of dressing would cover a central line - correct answerTegaderm
A pt suffered a wrist injury. What acronym describes how to take care of this injury? -
correct answerRICE
When assessing a wound the nurse notices clear, yellow drainage. How is this
described? - correct answerSerous
, The nurse notices a blue tinged thick drainage from the wound, this is called? -
correct answerPus
Venous Statis can lead to - correct answerDVT (deep vein thrombosis)
What is an example of a high flow oxygen system? - correct answerventuri mask
with large bore tubing
T/F: A simple face mask delivers oxygen concentrations from 40 to 60% at 5-8 L/min
- correct answerTrue
This is used when high humidity is needed and other oxygen delivery systems are
not tolerated. - correct answerFace tent
This allows delivery of oxygen when the patient is eating - correct answernasal
cannula
A pt with COPD needs 35% oxygen, what will the nurse choose? - correct
answerVenturi Mask
A pt is obtunded after a seizure & the tongue is obstructing the airway, what should
be used? - correct answeroropharyngeal airway
An obturator is used with a tracheostomy when - correct answerThe trach becomes
dislodged and needs to be reinserted
Postural drainage is done when the patient is in what position? - correct
answerProne
The use of an incentive spirometer can - correct answerexpand collapsed alveoli
You discover a COPD pt having SOB, what position would assist breathing for this
pt? - correct answerorthopneic position
PCP says informed consent needs to be signed. RN was not present during this
discussion. He should? - correct answersay "What did the PCP tell you about this
procedure?"
RN notes that PCP has ordered unusually large dose of a med. What should he do?
- correct answerNotify prescriber
RN administered the wrong dose, called the MD, client was monitored and had no
adverse effects. Can the RN be sued? - correct answerNo, client was not harmed.
UAP was asked by RN to insert the foley, What should the UAP say? - correct
answerRN will continue to implement all txs
RN's partner undergoes surgery where RN works. What is the most appropriate?
A. Because RN is employee, access to chart is allowed
B. Relationship w/client gives RN special access to chart
C. Access to chart requires signed release form
D. RN can ask surgeon to discuss outcome of surgery - correct answerC. Access to
chart requires a signed release form
When ethical issues arise, 1 of the most important nursing responsibilities is? -
correct answerto be able to defend morality of one's actions
RN disagrees but will follow wishes to keep brain dead child on life support. Moral
principle? - correct answerrespect for autonomy
Which situation is violation of underlying nursing ethics principles?
A. Literature supports & refutes a nsg practice
B. RN says "I never look up a med. I just do what MD tells me."
AND CORRECT ANSWERS GRADED A+
T/F, When collecting a culture from a wound, do not use pus or pooled exudates. -
correct answerTrue
To prevent skin trauma from shearing the nurse should consider using - correct
answeralcohol free barrier film
Using the RYB color code of wounds, Red would what kind of dressing or treatment?
- correct answercover with hydrocolloid dressing
Using the RYB color code of wounds, YELLOW would what kind of dressing or
treatment? - correct answerclean to remove nonviable tissue
Using the RYB color code of wounds, BLACK would what kind of dressing or
treatment? - correct answerdebridement
Normal movement is - correct answersmooth and purposeful
A patient wearing an abdominal binder is having difficulty breathing, what would the
nurse do next? - correct answercheck the abdominal binder
_____ turns are used to bandage cylindrical parts of the body that are fairly uniform
in circumference - correct answerspiral
___ turns are used to bandage cylindrical parts of the body that are not uniform in
circumference - correct answerspiral reverse
You should exercise at least - correct answer30 minutes a day 5 days a week
Isotonic (dynamic) - correct answermuscle contraction + active movement. Swim,
run, walk
Isometric (static or setting) - correct answerNo joint movement (sit and squeeze)
Isokinetic (resistive) - correct answerMuscle contraction with resistance
__ turns are used to cover distal parts of the body, such as the stump of an
amputation. - correct answerRecurrent
Areobic - correct answerrequires oxygen
Anarobic - correct answerwithout oxygen
Figure-8 turns are used to bandage the elbow, knee, or ankle because they... -
correct answerpermit some movement after application
Cold applications are used for ___ injuries because it provides reduction of __ & __ -
correct answersports, swelling, bleeding
Application of cold causes - correct answervasoconstriction
A patient is asking for a heating pad who has a sprained ankle. What would you
teach? - correct answer24 hours after trauma, heat increases bleeding and swelling
When cleaning a sutured wound, the nurse would wipe in what order? - correct
answersutures, distal, proximal
This type of dressing would cover a central line - correct answerTegaderm
A pt suffered a wrist injury. What acronym describes how to take care of this injury? -
correct answerRICE
When assessing a wound the nurse notices clear, yellow drainage. How is this
described? - correct answerSerous
, The nurse notices a blue tinged thick drainage from the wound, this is called? -
correct answerPus
Venous Statis can lead to - correct answerDVT (deep vein thrombosis)
What is an example of a high flow oxygen system? - correct answerventuri mask
with large bore tubing
T/F: A simple face mask delivers oxygen concentrations from 40 to 60% at 5-8 L/min
- correct answerTrue
This is used when high humidity is needed and other oxygen delivery systems are
not tolerated. - correct answerFace tent
This allows delivery of oxygen when the patient is eating - correct answernasal
cannula
A pt with COPD needs 35% oxygen, what will the nurse choose? - correct
answerVenturi Mask
A pt is obtunded after a seizure & the tongue is obstructing the airway, what should
be used? - correct answeroropharyngeal airway
An obturator is used with a tracheostomy when - correct answerThe trach becomes
dislodged and needs to be reinserted
Postural drainage is done when the patient is in what position? - correct
answerProne
The use of an incentive spirometer can - correct answerexpand collapsed alveoli
You discover a COPD pt having SOB, what position would assist breathing for this
pt? - correct answerorthopneic position
PCP says informed consent needs to be signed. RN was not present during this
discussion. He should? - correct answersay "What did the PCP tell you about this
procedure?"
RN notes that PCP has ordered unusually large dose of a med. What should he do?
- correct answerNotify prescriber
RN administered the wrong dose, called the MD, client was monitored and had no
adverse effects. Can the RN be sued? - correct answerNo, client was not harmed.
UAP was asked by RN to insert the foley, What should the UAP say? - correct
answerRN will continue to implement all txs
RN's partner undergoes surgery where RN works. What is the most appropriate?
A. Because RN is employee, access to chart is allowed
B. Relationship w/client gives RN special access to chart
C. Access to chart requires signed release form
D. RN can ask surgeon to discuss outcome of surgery - correct answerC. Access to
chart requires a signed release form
When ethical issues arise, 1 of the most important nursing responsibilities is? -
correct answerto be able to defend morality of one's actions
RN disagrees but will follow wishes to keep brain dead child on life support. Moral
principle? - correct answerrespect for autonomy
Which situation is violation of underlying nursing ethics principles?
A. Literature supports & refutes a nsg practice
B. RN says "I never look up a med. I just do what MD tells me."
