NUR 242 Final Exam Review 2025/2026
Exam Questions and Correct Answers |
New Update
Exam 1: - 🧠 ANSWER ✔✔
Cane: - 🧠 ANSWER ✔✔-Appropriate height (at wrist level when arm is at
side)
-Pt strong hand on cane
*MOVE CANE WITH WEAKER LEG*
At risk for falls due to: - 🧠 ANSWER ✔✔incontenience
Transferring pt to WC: - 🧠 ANSWER ✔✔-Place WC on strong side angled
to bed
,-Strong hand to armrest, then pivot
Safe pt handling: - 🧠 ANSWER ✔✔-Keep pt directly in front of you and as
close as possible to prevent back injuries
Skin integrity: - 🧠 ANSWER ✔✔-dont wear restrictive clothing
-WC pt lift themselves off buttock for 10 seconds q1hr
Pressure Ulcer stages: - 🧠 ANSWER ✔✔*Stage 2- skin is not intact; open
or fluid blister*
Wet-to-damp wound care: - 🧠 ANSWER ✔✔mechanically removes necrotic
tissue
does more damage than good bc it removes the good tissue as well
Informed consent: - 🧠 ANSWER ✔✔-surgeon is responsible for having
consent signed
-Pt who can not sign can sign with an "X" but must be witnessed by two
people
-If the pt doesn't understand the surgery, the surgeon has to be notified
-A blind pt can sign the consent, has to be witnessed by 2 people
,-Nurses DO NOT clarify orders/procedure/risks, must call the MD to explain
to pt
Pre-OP: - 🧠 ANSWER ✔✔-Report these to surgeon:
-increased PT/INR/aPTT/Creatinine
-Verify operative permit is signed
-Side rails up, bed down, call light within reach
Intra-OP: - 🧠 ANSWER ✔✔-Pts are lifted into position onto the OR table to
prevent shearing
-Gel pads are placed on the OR table to prevent pressure ulcers
-Warming blankets are used
-Cover the pts head and feet (decrease hypothermia)
*If saving is necessary, hair should be removed using disposable sterile
supplies immediately before the start of the procedure*
-Sterile scrubbing from fingertips to elbow for 3-5 minutes
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, Post-OP: - 🧠 ANSWER ✔✔-in PACU, nurse immediately assess pt airway,
LOC
-RR <10 may indicate respiratory depression due to anesthesia
-Sanguineous to serosanguineous drainage is normal
-Crusting at incision line and swelling is normal
Malignant hyperthermia: - 🧠 ANSWER ✔✔-life threatening
-you will see HIGH TEMPERATURE
-early sign is tachycardia, muscle rigidity
-Dantrolene is used to treat
Pain Management: - 🧠 ANSWER ✔✔*Pain management referral for pts in
chronic pain unrelieved*
-Pain after abdominal sx is from trapped carbon dioxide, ambulate pt as
soon as possible
-Use FACES scale in pts with dementia
PCA Pump: - 🧠 ANSWER ✔✔-Lockout interval of 5-15 minutes
-Pt cannot be cognitively impaired
Exam Questions and Correct Answers |
New Update
Exam 1: - 🧠 ANSWER ✔✔
Cane: - 🧠 ANSWER ✔✔-Appropriate height (at wrist level when arm is at
side)
-Pt strong hand on cane
*MOVE CANE WITH WEAKER LEG*
At risk for falls due to: - 🧠 ANSWER ✔✔incontenience
Transferring pt to WC: - 🧠 ANSWER ✔✔-Place WC on strong side angled
to bed
,-Strong hand to armrest, then pivot
Safe pt handling: - 🧠 ANSWER ✔✔-Keep pt directly in front of you and as
close as possible to prevent back injuries
Skin integrity: - 🧠 ANSWER ✔✔-dont wear restrictive clothing
-WC pt lift themselves off buttock for 10 seconds q1hr
Pressure Ulcer stages: - 🧠 ANSWER ✔✔*Stage 2- skin is not intact; open
or fluid blister*
Wet-to-damp wound care: - 🧠 ANSWER ✔✔mechanically removes necrotic
tissue
does more damage than good bc it removes the good tissue as well
Informed consent: - 🧠 ANSWER ✔✔-surgeon is responsible for having
consent signed
-Pt who can not sign can sign with an "X" but must be witnessed by two
people
-If the pt doesn't understand the surgery, the surgeon has to be notified
-A blind pt can sign the consent, has to be witnessed by 2 people
,-Nurses DO NOT clarify orders/procedure/risks, must call the MD to explain
to pt
Pre-OP: - 🧠 ANSWER ✔✔-Report these to surgeon:
-increased PT/INR/aPTT/Creatinine
-Verify operative permit is signed
-Side rails up, bed down, call light within reach
Intra-OP: - 🧠 ANSWER ✔✔-Pts are lifted into position onto the OR table to
prevent shearing
-Gel pads are placed on the OR table to prevent pressure ulcers
-Warming blankets are used
-Cover the pts head and feet (decrease hypothermia)
*If saving is necessary, hair should be removed using disposable sterile
supplies immediately before the start of the procedure*
-Sterile scrubbing from fingertips to elbow for 3-5 minutes
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, Post-OP: - 🧠 ANSWER ✔✔-in PACU, nurse immediately assess pt airway,
LOC
-RR <10 may indicate respiratory depression due to anesthesia
-Sanguineous to serosanguineous drainage is normal
-Crusting at incision line and swelling is normal
Malignant hyperthermia: - 🧠 ANSWER ✔✔-life threatening
-you will see HIGH TEMPERATURE
-early sign is tachycardia, muscle rigidity
-Dantrolene is used to treat
Pain Management: - 🧠 ANSWER ✔✔*Pain management referral for pts in
chronic pain unrelieved*
-Pain after abdominal sx is from trapped carbon dioxide, ambulate pt as
soon as possible
-Use FACES scale in pts with dementia
PCA Pump: - 🧠 ANSWER ✔✔-Lockout interval of 5-15 minutes
-Pt cannot be cognitively impaired
