NSE 111 FINAL TEST QUESTIONS
AND ANSWERS ALL CORRECT
Movement direction - Answer- Face of direction of movement prevent abnormal twisting
of the spine.
Transfer sheet use - Answer- Use transfer sheet to reduce friction between the patient
and the surface.
Lifting plan - Answer- Plan your lift and ask for help when needed.
Lifting technique - Answer- Widen your base of support; bend at your knees; tighten
your abdominal muscles; lift with your leg muscles; keep the object close to your body;
keep your back straight.
Pressure injury definition - Answer- Identify what a pressure injury is and relate the risk
factors that contribute to the development of one.
Extrinsic factors for pressure injuries - Answer- Excessive uniaxial pressure; friction and
shear forces; impact injury; heat; moisture; posture; incontinence.
Intrinsic factors for pressure injuries - Answer- Immobility; sensory loss; age; disease;
body type; poor nutrition; infection; incontinence.
Risk factors for pressure injuries - Answer- Impaired sensory perception; impaired
mobility; alteration in level of consciousness; shear; friction; moisture; nutrition; tissue
perfusion; infection; pain; age.
Formation of pressure injuries - Answer- Pressure slows the blood flow to an area which
leads to tissue death; friction, shear, and maceration can add to the problem.
Braden scale purpose - Answer- Directs the attention of the nurse to six specific risk
subscales: sensory perception, moisture, activity, mobility, nutrition, friction and shear.
Braden scale scoring - Answer- Lower the score, higher the risk for pressure ulcer
development; a total score of 18 is the cut-off for the onset of pressure ulcer and
anything lower increases the risk.
Interventions for immobility complications - Answer- Recognize nursing interventions to
decrease complications associated with immobility.
Center of Gravity - Answer- Point where body weight is balanced.
,Body Balance - Answer- Maintaining gravity line within support base.
Postural Sway - Answer- Minimal movement while maintaining body balance.
Friction - Answer- Opposing force between two moving surfaces.
Pressure Injuries - Answer- Skin damage due to prolonged pressure.
Gravity - Answer- Downward force exerted on the body.
Shear Force - Answer- Force parallel to skin from gravity and movement.
Morse Falls Scale - Answer- Tool for assessing fall risk in patients.
Predictive Validity - Answer- Accuracy of a tool in predicting outcomes.
Interrater Reliability - Answer- Consistency of scores between different raters.
Infection Control Practices - Answer- Methods to prevent infection during care.
Asepsis - Answer- Absence of pathogenic microorganisms during procedures.
Personal Hygiene Factors - Answer- Influences on hygiene practices and preferences.
Cognitive Impairment - Answer- Reduced ability to think and understand.
Limited Mobility - Answer- Restricted movement affecting daily activities.
Adaptive Devices - Answer- Tools to assist with daily living activities.
Chronic Illness - Answer- Long-term health conditions requiring ongoing management.
Bed Bath - Answer- Cleansing performed while patient is in bed.
Bag Bath - Answer- Waterless cleansing using pre-moistened wipes.
Hygiene Care Approaches - Answer- Methods for assisting clients with personal
hygiene.
Toileting Assistance - Answer- Support provided for bathroom needs.
Comfortable Environment - Answer- Safe and pleasant space for patient care.
Cognitive Functioning Assessment - Answer- Evaluating understanding of elimination
needs.
, Physical Functioning Assessment - Answer- Evaluating mobility and independence in
activities.
Neuropathy Assessment - Answer- Evaluating nerve damage and sensation loss.
Skin Integrity Monitoring - Answer- Regular checks to prevent skin breakdown.
Communication Needs - Answer- Assessing methods for effective patient interaction.
Bath Preparation - Answer- Gathering supplies and ensuring patient comfort.
Chronic Disease - Answer- Conditions like MS, stroke affecting elimination.
Acute Infection - Answer- Infections or trauma impacting urinary function.
Medical History - Answer- Details of medications affecting elimination.
Relevant Surgical History - Answer- Past surgeries affecting urinary or bowel function.
Mobility - Answer- Ability to use toilet independently.
Indwelling Catheter History - Answer- Previous catheter use linked to complications.
Environmental Barriers - Answer- Obstacles in home or healthcare settings.
Bowel Pattern - Answer- Constipation can disrupt normal urine elimination.
Micturition - Answer- Process of emptying the bladder.
Voiding - Answer- Synonym for micturition; bladder emptying.
Nocturia - Answer- Waking at night to urinate.
Urinary Retention - Answer- Inability to fully empty the bladder.
Urinary Incontinence - Answer- Involuntary loss of urine.
Defecation - Answer- Process of emptying the bowel.
Constipation - Answer- Difficulty passing stool; hard feces.
Diarrhea - Answer- Increased stool frequency with liquid consistency.
Bowel Incontinence - Answer- Inability to control bowel movements.
AND ANSWERS ALL CORRECT
Movement direction - Answer- Face of direction of movement prevent abnormal twisting
of the spine.
Transfer sheet use - Answer- Use transfer sheet to reduce friction between the patient
and the surface.
Lifting plan - Answer- Plan your lift and ask for help when needed.
Lifting technique - Answer- Widen your base of support; bend at your knees; tighten
your abdominal muscles; lift with your leg muscles; keep the object close to your body;
keep your back straight.
Pressure injury definition - Answer- Identify what a pressure injury is and relate the risk
factors that contribute to the development of one.
Extrinsic factors for pressure injuries - Answer- Excessive uniaxial pressure; friction and
shear forces; impact injury; heat; moisture; posture; incontinence.
Intrinsic factors for pressure injuries - Answer- Immobility; sensory loss; age; disease;
body type; poor nutrition; infection; incontinence.
Risk factors for pressure injuries - Answer- Impaired sensory perception; impaired
mobility; alteration in level of consciousness; shear; friction; moisture; nutrition; tissue
perfusion; infection; pain; age.
Formation of pressure injuries - Answer- Pressure slows the blood flow to an area which
leads to tissue death; friction, shear, and maceration can add to the problem.
Braden scale purpose - Answer- Directs the attention of the nurse to six specific risk
subscales: sensory perception, moisture, activity, mobility, nutrition, friction and shear.
Braden scale scoring - Answer- Lower the score, higher the risk for pressure ulcer
development; a total score of 18 is the cut-off for the onset of pressure ulcer and
anything lower increases the risk.
Interventions for immobility complications - Answer- Recognize nursing interventions to
decrease complications associated with immobility.
Center of Gravity - Answer- Point where body weight is balanced.
,Body Balance - Answer- Maintaining gravity line within support base.
Postural Sway - Answer- Minimal movement while maintaining body balance.
Friction - Answer- Opposing force between two moving surfaces.
Pressure Injuries - Answer- Skin damage due to prolonged pressure.
Gravity - Answer- Downward force exerted on the body.
Shear Force - Answer- Force parallel to skin from gravity and movement.
Morse Falls Scale - Answer- Tool for assessing fall risk in patients.
Predictive Validity - Answer- Accuracy of a tool in predicting outcomes.
Interrater Reliability - Answer- Consistency of scores between different raters.
Infection Control Practices - Answer- Methods to prevent infection during care.
Asepsis - Answer- Absence of pathogenic microorganisms during procedures.
Personal Hygiene Factors - Answer- Influences on hygiene practices and preferences.
Cognitive Impairment - Answer- Reduced ability to think and understand.
Limited Mobility - Answer- Restricted movement affecting daily activities.
Adaptive Devices - Answer- Tools to assist with daily living activities.
Chronic Illness - Answer- Long-term health conditions requiring ongoing management.
Bed Bath - Answer- Cleansing performed while patient is in bed.
Bag Bath - Answer- Waterless cleansing using pre-moistened wipes.
Hygiene Care Approaches - Answer- Methods for assisting clients with personal
hygiene.
Toileting Assistance - Answer- Support provided for bathroom needs.
Comfortable Environment - Answer- Safe and pleasant space for patient care.
Cognitive Functioning Assessment - Answer- Evaluating understanding of elimination
needs.
, Physical Functioning Assessment - Answer- Evaluating mobility and independence in
activities.
Neuropathy Assessment - Answer- Evaluating nerve damage and sensation loss.
Skin Integrity Monitoring - Answer- Regular checks to prevent skin breakdown.
Communication Needs - Answer- Assessing methods for effective patient interaction.
Bath Preparation - Answer- Gathering supplies and ensuring patient comfort.
Chronic Disease - Answer- Conditions like MS, stroke affecting elimination.
Acute Infection - Answer- Infections or trauma impacting urinary function.
Medical History - Answer- Details of medications affecting elimination.
Relevant Surgical History - Answer- Past surgeries affecting urinary or bowel function.
Mobility - Answer- Ability to use toilet independently.
Indwelling Catheter History - Answer- Previous catheter use linked to complications.
Environmental Barriers - Answer- Obstacles in home or healthcare settings.
Bowel Pattern - Answer- Constipation can disrupt normal urine elimination.
Micturition - Answer- Process of emptying the bladder.
Voiding - Answer- Synonym for micturition; bladder emptying.
Nocturia - Answer- Waking at night to urinate.
Urinary Retention - Answer- Inability to fully empty the bladder.
Urinary Incontinence - Answer- Involuntary loss of urine.
Defecation - Answer- Process of emptying the bowel.
Constipation - Answer- Difficulty passing stool; hard feces.
Diarrhea - Answer- Increased stool frequency with liquid consistency.
Bowel Incontinence - Answer- Inability to control bowel movements.
