NUR242 / NUR 242 Exam 1
Medical-Surgical Nursing Concepts
100% Guarantee passing score of 90% or higher
1. Patricia is an RN working at a rehabilitation center and witnesses a nurse aid
c c c c c c c c c c c c c
struggling to lift and reposition an elderly, bed ridden patient. She explains to the
c c c c c c c c c c c c c c
nurse aide that there is a No Lift Policy in place in the establishment.What does
c c c c c c c c c c c c c c c c
this policy entail
c c c
: Answer The concept of a no-lift policy is a pledge from adminis- trators that
c c c c c c c c c c c c c
proper equipment, adequately maintained and in sufficient numbers, will be
c c c c c c c c c
c available to care providers to reduce the risks associated with manual patient
c c c c c c c c c c c
c handling
2. Immobility effects multiple body systems.What are some interventions that
c c c c c c c c c
you can implement to decrease these effects? Select all that apply.
c c c c c c c c c c c
1/5 c c
,A. Utilizing waffle mattress to reduce the need for repositioning c c c c c c c c
B. Teds/SCDs
C. Rubbing reddened areas c c
D. Limiting fluid intake c c
E. ROM exercises c
: Answer: B and E
c c c
Rational:
-A is incorrect because regardless of implemented mattress, positioning should be
c c c c c c c c c c
c every 2 hours c c
-C is incorrect.You should not rub at reddened areas.This increases the risk for skin break
c c c c c c c c c c c c c c c c
-D is incorrect.You should encourage proper hydration to promote well hydrated and
c c c c c c c c c c c c
c healthy skin. c
3. True or False: Nurses should do skin assessments once a week
c c c c c c c c c c
: Answer False
c
Rational: Nurses should do full skin assessments a minimum of once per shift.
c c c c c c c c c c c c
4. A pt goes to the ER for swelling and pain in her right calf.The PT states that it
c c c c c c c c c c c c c c c c c
occurred after she accidentally cut herself. Based on her symptoms, what skin
c c c c c c c c c c c c
condition might the nurse suspect the patient has
c c c c c c c c
2/5
c c
, : Answer Cellulitis.
c
Cellulitis is inflammation of the skin and subq tissue.
c c c c c c c c
5. Pt A is admitted from a nursing home with a stage 3 pressure ulcer.When
c c c c c c c c c c c c c c
c creating his plan of care, who else would be involved besides the primary care
c c c c c c c c c c c c c
c physician
: Answer Wound care nurse, Dietician, Physical therapist. OT can also be
c c c c c c c c c c
included, however they deal more with fine motor skills.
c c c c c c c c
6. An 85 year old woman is admitted to the hospital. When doing the initial
c c c c c c c c c c c c c
c assessment, what are some factors that you know put her at risk for pressure
c c c c c c c c c c c c c
c injuries
: Answer -if the pt is immobile
c c c c c
-if the pt is incontinent
c c c c
3/5 c c
Medical-Surgical Nursing Concepts
100% Guarantee passing score of 90% or higher
1. Patricia is an RN working at a rehabilitation center and witnesses a nurse aid
c c c c c c c c c c c c c
struggling to lift and reposition an elderly, bed ridden patient. She explains to the
c c c c c c c c c c c c c c
nurse aide that there is a No Lift Policy in place in the establishment.What does
c c c c c c c c c c c c c c c c
this policy entail
c c c
: Answer The concept of a no-lift policy is a pledge from adminis- trators that
c c c c c c c c c c c c c
proper equipment, adequately maintained and in sufficient numbers, will be
c c c c c c c c c
c available to care providers to reduce the risks associated with manual patient
c c c c c c c c c c c
c handling
2. Immobility effects multiple body systems.What are some interventions that
c c c c c c c c c
you can implement to decrease these effects? Select all that apply.
c c c c c c c c c c c
1/5 c c
,A. Utilizing waffle mattress to reduce the need for repositioning c c c c c c c c
B. Teds/SCDs
C. Rubbing reddened areas c c
D. Limiting fluid intake c c
E. ROM exercises c
: Answer: B and E
c c c
Rational:
-A is incorrect because regardless of implemented mattress, positioning should be
c c c c c c c c c c
c every 2 hours c c
-C is incorrect.You should not rub at reddened areas.This increases the risk for skin break
c c c c c c c c c c c c c c c c
-D is incorrect.You should encourage proper hydration to promote well hydrated and
c c c c c c c c c c c c
c healthy skin. c
3. True or False: Nurses should do skin assessments once a week
c c c c c c c c c c
: Answer False
c
Rational: Nurses should do full skin assessments a minimum of once per shift.
c c c c c c c c c c c c
4. A pt goes to the ER for swelling and pain in her right calf.The PT states that it
c c c c c c c c c c c c c c c c c
occurred after she accidentally cut herself. Based on her symptoms, what skin
c c c c c c c c c c c c
condition might the nurse suspect the patient has
c c c c c c c c
2/5
c c
, : Answer Cellulitis.
c
Cellulitis is inflammation of the skin and subq tissue.
c c c c c c c c
5. Pt A is admitted from a nursing home with a stage 3 pressure ulcer.When
c c c c c c c c c c c c c c
c creating his plan of care, who else would be involved besides the primary care
c c c c c c c c c c c c c
c physician
: Answer Wound care nurse, Dietician, Physical therapist. OT can also be
c c c c c c c c c c
included, however they deal more with fine motor skills.
c c c c c c c c
6. An 85 year old woman is admitted to the hospital. When doing the initial
c c c c c c c c c c c c c
c assessment, what are some factors that you know put her at risk for pressure
c c c c c c c c c c c c c
c injuries
: Answer -if the pt is immobile
c c c c c
-if the pt is incontinent
c c c c
3/5 c c
