Ignatavicius: Medical-Surgical
Nursing, 6th Edition 2026|Actual Exam
Test questions and verified answers
(multiple choices) and rationales|GET
IT 100% ACCURATE!!
Thecclientchascdrycskincandcachistorycofccardiovascularcdisease.cWhichciscthecbestcinterventioncforct
hecnursectocteachcthecclient?
a.c"Wearcpajamasctoccovercyourclegscatcnight."
b.c"Avoidcwearingcstockings."
c.c"Increasecyourcfluidcintakectoc3cL/day."
d.c"Bathecincwarmcwatercandcthencapplyclotioncimmediately."c-ccCORRECTcANSWERSANS:cD
Thecclientcshouldcbathecincwarmcwatercforcatcleastc20cminutescandcthencapplyclotioncimmediatelyc
becausecthiscwillckeepcthecmoisturecincthecskin.cCoveringctheclegscatcnightcwillcnotcincreasecmoistur
e.cIncreasingcfluidcintakectoc3cL/daycwouldcnotcbecrecommendedcforcacclientcwithcachistorycofccardi
ovascularcdisease.cStockingscmaycdrycthecskin,csocthecbestcinterventioncisctockeepcmoisturecincthecs
kincwithclotion.
Whichcinterventioncwillcbestcassistcthecclientcwithcpruritus?
a.c"Avoidcactivitiescandcenvironmentscthatcincreasecperspiration."
b.c"Drinkingcalcoholiccbeveragescwillcdecreasecstimulationcofcthecitchcreceptors."
c.c"Wearcclothingctockeepcthecskincwarm."
d.c"Avoidcimmersingcthecaffectedcareascincwater."c-ccCORRECTcANSWERSANS:cA
Pruritusciscexacerbatedcbycpoorcskinchydration,cincreasedcskinctemperature,cperspiration,candcvaso
dilation.cDrinkingcalcoholiccbeveragescwillcfurthercdehydratecclients.cWarmcclothingcwillcvasodilate
,caddingctocdehydration.cWarmcbathscarecrecommended,cwithclotioncappliedcimmediatelycafterwa
rd.
Whichcprecautioncwillcthecnursecteachcthecclientcwithcurticariacwhociscprescribedctoctakecdiphenhy
draminec(Benadryl)?
,a.c"Avoidcsuncexposure."
b.c"Avoidcalcoholiccbeverages."
c.c"Avoidcaspirincorcaspirin-containingcdrugs."
d.c"Avoidcweightcgain."c-ccCORRECTcANSWERSANS:cB
Benadrylciscancantihistaminecthatcwillcdecreasecitching.cForcmostcpeople,cdiphenhydramineccauses
cdrowsiness.cThiscsideceffectciscintensifiedcwhencalcoholcalsociscconsumed,cplacingcthecclientcatcincr
easedcriskcforcinjurycandcfalling.cAspirincwillcnotcinteractcwithcthiscmedication.cWeightcgaincandcsunc
exposurecshouldcnotcaffectcthecadministrationcofcthecdrug.
Whencchangingcthecdressingconcacpartial-
thicknesscwound,cacnursecobservescsmall,cpalecpinkcbumpscwithincthecwoundcbed.cWhichciscthecnu
rse'scbestcaction?
a.cRemovingcthecbumpscwithcacsterilecscalpel
b.cDocumentingcandccontinuingccurrentctreatment
c.cCleaningcthecwoundcvigorously,cwipingcoffcthecbumps
d.cCulturingcthecwoundcandcplacingcthecclientconccontactcprecautionsc-ccCORRECTcANSWERSANS:cB
Thecsmall,cpalecpinkcbumpscarecgranulationctissueccharacteristiccofcnewccapillarycbedcgrowth,cancin
dicationcofcpropercwoundchealing.cThecnursecshouldccontinueccurrentctreatmentcandcassessments
.cAttemptingctocremovecthecbumpscincanycwayccancinterferecwithchealing.
Whichcnursingcinterventionciscbestcforcthecnursectocusectocenhancechealingcofcac1-week-oldcpartial-
thicknesscwound?
a.cUsingcpapain-ureac(Accuzyme)ccreamcascordered
b.cRestrictingcthecclient'scfluidcintake
c.cCoveringcthecwoundcwithcancairtightcdressing
d.cApplyingchydrocortisoneccreamcascorderedc-ccCORRECTcANSWERSANS:cA
Thecpresencecofcnecroticctissuecretardscepithelializationcandcgranulationcdevelopment.cAccuzymec
iscaccreamcthatcremovescnecroticctissue.cRestrictingcfluidcandccoveringcthecwoundcwillcdeprivecthec
newctissuecofcnutritioncandcwillcnotcenhancechealing.cHydrocortisoneccreamcmaycdecreasecitchingc
butcwillcnotcenhancechealing.
Whichciscthecprioritycnursingcdiagnosiscforcthecclientcgoingchomecwithcacsurgicalcwoundconctheccoc
cyxcthatcisctochealcbycsecondcintention?
, a.cAcutecPain
b.cRiskcforcInfection
c.cDisturbedcBodycImage
d.cRiskcforcDeficientcFluidcVolumec-ccCORRECTcANSWERSANS:cB
Anycwoundcleftctochealcbycsecondcintentionciscancopencwoundcandciscatcriskcforcinfection.cUsually,cw
ithinc2cdayscaftercthecsurgery,cdiscomfortciscminimalcandcthecwoundciscnotcdrainingcsufficientlycforct
hecclient'scfluidcbalancectocbecdeficient.cThecclientccouldchavecacdisturbedcbodycimagecincthiscsituat
ion,calthoughcwoundsconctheccoccyxcarecnotcvisiblectocthecpublic.cHowever,cthecprioritycincthiscsitua
tioncisctocpreventcinfection.
Whichcnursingcinterventioncwillcbestcassistcacclientcwhociscbedriddenctockeepcskincintact?
a.cKeepingcthecskincdry
b.cRepositioningcthecclientceveryc2chours
c.cUsingcacfoamcmattresscpad
d.cUsingcacliftcsheetctocmovecthecclientcupcincbedc-ccCORRECTcANSWERSANS:cD
Frictioncforcescarecgeneratedcwhencthecclientciscdraggedcorcpulledcacrosscbedclinen.cUsingcacliftcshe
etcwillcpreventcfriction.cKeepingcthecskincdrycwillcnotckeepcskincintact.cResearchcactuallycrecommen
dscturningcthecclientceveryc20cminutesctocminimizecvasoconstrictioncfromcdependency.cAcfoamcma
ttresscwillcnotcsignificantlycdecreasecpressurectocancarea.
AcnursecdeterminescacclientcaschavingcacBradencscalecscorecofc9.cWhichciscthecnurse'scbestcintervent
ioncrelatedctocthiscassessment?
a.cEncouragingcthecclientctoclaycascstillcascpossiblecincbed
b.cReassessingcthecclientcweekly
c.cIncreasingcthecclient'scfluidcintakecdaily
d.cConsultingcwithcthechealthccarecprovidercaboutcincreasedcinterventionsc-
ccCORRECTcANSWERSANS:cD
Acscorecofc11corclessconcthecBradencscalecindicatescseverecriskcforcpressureculcercdevelopmentcincte
rmscofcdecreasedcsensorycperception,cexposurectocmoisture,cdecreasedcindependentcactivity,cdecr
easedcmobility,cpoorcnutrition,candcchroniccexposurectocfrictioncandcshear.
Whichcclientciscatcgreatestcriskcforcpressureculcercdevelopment?
Nursing, 6th Edition 2026|Actual Exam
Test questions and verified answers
(multiple choices) and rationales|GET
IT 100% ACCURATE!!
Thecclientchascdrycskincandcachistorycofccardiovascularcdisease.cWhichciscthecbestcinterventioncforct
hecnursectocteachcthecclient?
a.c"Wearcpajamasctoccovercyourclegscatcnight."
b.c"Avoidcwearingcstockings."
c.c"Increasecyourcfluidcintakectoc3cL/day."
d.c"Bathecincwarmcwatercandcthencapplyclotioncimmediately."c-ccCORRECTcANSWERSANS:cD
Thecclientcshouldcbathecincwarmcwatercforcatcleastc20cminutescandcthencapplyclotioncimmediatelyc
becausecthiscwillckeepcthecmoisturecincthecskin.cCoveringctheclegscatcnightcwillcnotcincreasecmoistur
e.cIncreasingcfluidcintakectoc3cL/daycwouldcnotcbecrecommendedcforcacclientcwithcachistorycofccardi
ovascularcdisease.cStockingscmaycdrycthecskin,csocthecbestcinterventioncisctockeepcmoisturecincthecs
kincwithclotion.
Whichcinterventioncwillcbestcassistcthecclientcwithcpruritus?
a.c"Avoidcactivitiescandcenvironmentscthatcincreasecperspiration."
b.c"Drinkingcalcoholiccbeveragescwillcdecreasecstimulationcofcthecitchcreceptors."
c.c"Wearcclothingctockeepcthecskincwarm."
d.c"Avoidcimmersingcthecaffectedcareascincwater."c-ccCORRECTcANSWERSANS:cA
Pruritusciscexacerbatedcbycpoorcskinchydration,cincreasedcskinctemperature,cperspiration,candcvaso
dilation.cDrinkingcalcoholiccbeveragescwillcfurthercdehydratecclients.cWarmcclothingcwillcvasodilate
,caddingctocdehydration.cWarmcbathscarecrecommended,cwithclotioncappliedcimmediatelycafterwa
rd.
Whichcprecautioncwillcthecnursecteachcthecclientcwithcurticariacwhociscprescribedctoctakecdiphenhy
draminec(Benadryl)?
,a.c"Avoidcsuncexposure."
b.c"Avoidcalcoholiccbeverages."
c.c"Avoidcaspirincorcaspirin-containingcdrugs."
d.c"Avoidcweightcgain."c-ccCORRECTcANSWERSANS:cB
Benadrylciscancantihistaminecthatcwillcdecreasecitching.cForcmostcpeople,cdiphenhydramineccauses
cdrowsiness.cThiscsideceffectciscintensifiedcwhencalcoholcalsociscconsumed,cplacingcthecclientcatcincr
easedcriskcforcinjurycandcfalling.cAspirincwillcnotcinteractcwithcthiscmedication.cWeightcgaincandcsunc
exposurecshouldcnotcaffectcthecadministrationcofcthecdrug.
Whencchangingcthecdressingconcacpartial-
thicknesscwound,cacnursecobservescsmall,cpalecpinkcbumpscwithincthecwoundcbed.cWhichciscthecnu
rse'scbestcaction?
a.cRemovingcthecbumpscwithcacsterilecscalpel
b.cDocumentingcandccontinuingccurrentctreatment
c.cCleaningcthecwoundcvigorously,cwipingcoffcthecbumps
d.cCulturingcthecwoundcandcplacingcthecclientconccontactcprecautionsc-ccCORRECTcANSWERSANS:cB
Thecsmall,cpalecpinkcbumpscarecgranulationctissueccharacteristiccofcnewccapillarycbedcgrowth,cancin
dicationcofcpropercwoundchealing.cThecnursecshouldccontinueccurrentctreatmentcandcassessments
.cAttemptingctocremovecthecbumpscincanycwayccancinterferecwithchealing.
Whichcnursingcinterventionciscbestcforcthecnursectocusectocenhancechealingcofcac1-week-oldcpartial-
thicknesscwound?
a.cUsingcpapain-ureac(Accuzyme)ccreamcascordered
b.cRestrictingcthecclient'scfluidcintake
c.cCoveringcthecwoundcwithcancairtightcdressing
d.cApplyingchydrocortisoneccreamcascorderedc-ccCORRECTcANSWERSANS:cA
Thecpresencecofcnecroticctissuecretardscepithelializationcandcgranulationcdevelopment.cAccuzymec
iscaccreamcthatcremovescnecroticctissue.cRestrictingcfluidcandccoveringcthecwoundcwillcdeprivecthec
newctissuecofcnutritioncandcwillcnotcenhancechealing.cHydrocortisoneccreamcmaycdecreasecitchingc
butcwillcnotcenhancechealing.
Whichciscthecprioritycnursingcdiagnosiscforcthecclientcgoingchomecwithcacsurgicalcwoundconctheccoc
cyxcthatcisctochealcbycsecondcintention?
, a.cAcutecPain
b.cRiskcforcInfection
c.cDisturbedcBodycImage
d.cRiskcforcDeficientcFluidcVolumec-ccCORRECTcANSWERSANS:cB
Anycwoundcleftctochealcbycsecondcintentionciscancopencwoundcandciscatcriskcforcinfection.cUsually,cw
ithinc2cdayscaftercthecsurgery,cdiscomfortciscminimalcandcthecwoundciscnotcdrainingcsufficientlycforct
hecclient'scfluidcbalancectocbecdeficient.cThecclientccouldchavecacdisturbedcbodycimagecincthiscsituat
ion,calthoughcwoundsconctheccoccyxcarecnotcvisiblectocthecpublic.cHowever,cthecprioritycincthiscsitua
tioncisctocpreventcinfection.
Whichcnursingcinterventioncwillcbestcassistcacclientcwhociscbedriddenctockeepcskincintact?
a.cKeepingcthecskincdry
b.cRepositioningcthecclientceveryc2chours
c.cUsingcacfoamcmattresscpad
d.cUsingcacliftcsheetctocmovecthecclientcupcincbedc-ccCORRECTcANSWERSANS:cD
Frictioncforcescarecgeneratedcwhencthecclientciscdraggedcorcpulledcacrosscbedclinen.cUsingcacliftcshe
etcwillcpreventcfriction.cKeepingcthecskincdrycwillcnotckeepcskincintact.cResearchcactuallycrecommen
dscturningcthecclientceveryc20cminutesctocminimizecvasoconstrictioncfromcdependency.cAcfoamcma
ttresscwillcnotcsignificantlycdecreasecpressurectocancarea.
AcnursecdeterminescacclientcaschavingcacBradencscalecscorecofc9.cWhichciscthecnurse'scbestcintervent
ioncrelatedctocthiscassessment?
a.cEncouragingcthecclientctoclaycascstillcascpossiblecincbed
b.cReassessingcthecclientcweekly
c.cIncreasingcthecclient'scfluidcintakecdaily
d.cConsultingcwithcthechealthccarecprovidercaboutcincreasedcinterventionsc-
ccCORRECTcANSWERSANS:cD
Acscorecofc11corclessconcthecBradencscalecindicatescseverecriskcforcpressureculcercdevelopmentcincte
rmscofcdecreasedcsensorycperception,cexposurectocmoisture,cdecreasedcindependentcactivity,cdecr
easedcmobility,cpoorcnutrition,candcchroniccexposurectocfrictioncandcshear.
Whichcclientciscatcgreatestcriskcforcpressureculcercdevelopment?