PNVN 1521 UPDATED ACTUAL
Questions and CORRECT Answers
When do you stop CPR? - CORRECT ANSWER - The rescuer should try not to stop.
However, he or she may if:
- he or she becomes so exhausted they cannot continue
- someone of equal or greater training comes to take over
- his or her personal safety is in danger (as in the scene is not safe)
- the victim is pronounced dead by a medical doctor
What is dehiscence? - CORRECT ANSWER - partial or total separation of wound layers
What promotes wound healing? - CORRECT ANSWER - Adequate intake of protein and
Vitamin C (ascorbic acid)
circulatory shock - CORRECT ANSWER - any state in which cardiac output is
insufficient to meet the body's metabolic needs
A patient is admitted to the hospital after receiving a blow to the head. The patient begins to
show signs of shock. How should the pt be positioned. - CORRECT ANSWER - Flat on
the back.
The nurse is instructing a patient who has a drain in a surgical wound. How will the nurse
indicate that the wound will heal? - CORRECT ANSWER - Tertiary intention
The day following surgery, the nurse notes bloody drainage on the dressing. How will the nurse
describe this drainage when documenting? - CORRECT ANSWER - Sanguineous
What is the advantage of an occlusive dressing? - CORRECT ANSWER - Keeps the
incision moist.
, When removing the dressing on a patient, the nurse discovers that the gauze dressing has adhered
to the wound. What intervention should the nurse implement? - CORRECT ANSWER -
Moisten the dressing with sterile water.
The nurse is providing instruction to a patient regarding home wound irrigation. How far should
the patient hold the handheld showerhead from the wound when irrigating the wound? -
CORRECT ANSWER - 12 in
The nurse is removing every other staple from a surgical wound, which has been closed with 15
staples. The wound begins to separate after removal of 3 of the 15. What nursing action should
be implemented? - CORRECT ANSWER - Leave the 12 staples in place and record the
separation.
Hemostasis begins as soon as the injury occurs and a clot begins to form. What is the substance
in the clot that holds the wound together? - CORRECT ANSWER - Fibrin
The nurse is assisting a patient to a sitting position when the patient suddenly complains of
feeling that his surgical incision has separated. What does the nurse recognize that this indicates?
- CORRECT ANSWER - Dehiscence
The nurse is preparing to redress a wound and will secure the dressing using a gauze bandage as
ordered by the health care provider. What is an advantage of gauze bandages? - CORRECT
ANSWER - Prevents skin maceration.
The patient is admitted to the emergency department, having suffered frostbite to the hands,
which are grayish-white in color. What action should the nurse implement when attempting to
warm the hands? - CORRECT ANSWER - Wrap the hands in hot, moist towels.
A visitor in the hospital slips and falls. The patient's arm appears dislocated and the visitor is
unable to move it. What is the first action the nurse should implement? - CORRECT
ANSWER - Splint the arm.
Questions and CORRECT Answers
When do you stop CPR? - CORRECT ANSWER - The rescuer should try not to stop.
However, he or she may if:
- he or she becomes so exhausted they cannot continue
- someone of equal or greater training comes to take over
- his or her personal safety is in danger (as in the scene is not safe)
- the victim is pronounced dead by a medical doctor
What is dehiscence? - CORRECT ANSWER - partial or total separation of wound layers
What promotes wound healing? - CORRECT ANSWER - Adequate intake of protein and
Vitamin C (ascorbic acid)
circulatory shock - CORRECT ANSWER - any state in which cardiac output is
insufficient to meet the body's metabolic needs
A patient is admitted to the hospital after receiving a blow to the head. The patient begins to
show signs of shock. How should the pt be positioned. - CORRECT ANSWER - Flat on
the back.
The nurse is instructing a patient who has a drain in a surgical wound. How will the nurse
indicate that the wound will heal? - CORRECT ANSWER - Tertiary intention
The day following surgery, the nurse notes bloody drainage on the dressing. How will the nurse
describe this drainage when documenting? - CORRECT ANSWER - Sanguineous
What is the advantage of an occlusive dressing? - CORRECT ANSWER - Keeps the
incision moist.
, When removing the dressing on a patient, the nurse discovers that the gauze dressing has adhered
to the wound. What intervention should the nurse implement? - CORRECT ANSWER -
Moisten the dressing with sterile water.
The nurse is providing instruction to a patient regarding home wound irrigation. How far should
the patient hold the handheld showerhead from the wound when irrigating the wound? -
CORRECT ANSWER - 12 in
The nurse is removing every other staple from a surgical wound, which has been closed with 15
staples. The wound begins to separate after removal of 3 of the 15. What nursing action should
be implemented? - CORRECT ANSWER - Leave the 12 staples in place and record the
separation.
Hemostasis begins as soon as the injury occurs and a clot begins to form. What is the substance
in the clot that holds the wound together? - CORRECT ANSWER - Fibrin
The nurse is assisting a patient to a sitting position when the patient suddenly complains of
feeling that his surgical incision has separated. What does the nurse recognize that this indicates?
- CORRECT ANSWER - Dehiscence
The nurse is preparing to redress a wound and will secure the dressing using a gauze bandage as
ordered by the health care provider. What is an advantage of gauze bandages? - CORRECT
ANSWER - Prevents skin maceration.
The patient is admitted to the emergency department, having suffered frostbite to the hands,
which are grayish-white in color. What action should the nurse implement when attempting to
warm the hands? - CORRECT ANSWER - Wrap the hands in hot, moist towels.
A visitor in the hospital slips and falls. The patient's arm appears dislocated and the visitor is
unable to move it. What is the first action the nurse should implement? - CORRECT
ANSWER - Splint the arm.
