NR224 Exam 2 Questions with Answers (100% Correct
Answers)
a. debridement —ANS: What is the removal of devitalized tissue from a wound
called?
a. debridement
b. pressure reduction
c. negative pressure wound therapy
d. sanitization
b. oropharyngeal suctioning of a stable patient
d. permanent tracheostomy tube suctioning —ANS: 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
© 2025 All rights reserved
,2
d. permanent tracheostomy tube suctioning
e. care of an endotracheal tube
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 —ANS: 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
© 2025 All rights reserved
,3
6. increased supplemental oxygen
7. reapply oxygen
8. suction airway
a. sharp pleuritic pain that worsens on inspiration
d. worsening dyspnea
e. absent lung sounds to auscultation on affected side —ANS: 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
B (Frequent change of position)
© 2025 All rights reserved
, 4
(Movement not only mobilizes secretions but helps strengthen respiratory muscles by
impacting the effectiveness of gas exchange processes.) —ANS: 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
b. frequent change of position
c. oxygen humidification
d. chest physiotherapy
B. Decrease or avoid caffeine
D. Avoid drinking alcohol —ANS: A nurse in a provider's office is evaluating a client
who reports losing control of urine whenever she coughs, laughs, or sneezes. THe
client relates a history of three vaginal births, but no serious accidents or illnesses.
Which of the following interventions should the nurse suggest for helping to control or
eliminate the client's incontinence? Select all that apply.
A. limit total daily fluid intake
B. decrease or avoid caffeine
© 2025 All rights reserved