NUR200 Exam Questions with 100% Correct
Answers
A client has an area of nonblanchable erythema on his coccyx. The nurse has
determined this to be a stage 1 pressure ulcer. What would be the most important
treatment for this client?
A. Frequent turn schedule
B. Enzymatic debridement
C. Transparent film dressing
D. Hydrogel
A. Frequent turn schedule
A client hospitalized in a long-term rehabilitation facility is immobile and requires
mechanical ventilation with a tracheostomy. There is a pressure area on the client's
coccyx measuring 5 x 3 cm. The area is covered with 100% eschar. What would the
nurse identify this as?
A. Stage 4 pressure injury
B. Stage 3 pressure injury
C. Stage 2 pressure injury
D. Unstageable pressure injury
D. Unstageable pressure injury
A client underwent emergency abdominal surgery for a ruptured appendix. The
surgeon did not surgically close the wound. The wound healing process described in this
situation is:
,A. Tertiary intention healing
B. Approximation intention healing
C. Secondary intention healing
D. Primary intention healing
C. Secondary intention healing
The home-health nurse learns that an elderly client isn't able to get to the grocery store.
They don't have much food in their home, and they eat and drink little. Most of their
time is spent sitting in their chair watching television, often not realizing that they have
had bladder leakage. Which nursing actions would be implemented to reduce the risk of
this client developing a pressure injury? Select all that apply.
A. Encourage the client to wear incontinence products
B. Help the client to get out of the chair every 2 hours
C. Change the client's clothing frequently
D. Promote intake of green tea throughout the day
A, B, C
The nurse assesses assigned clients and determines which of the following has the
highest risk for altered skin integrity?
A. An adolescent in bed with influenza, having periods of high fever and diaphoresis
B. A middle-aged adult with metabolic syndrome taking antihypertensives
C. An older client diagnosed with well-controlled type 2 diabetes
D. A young adult in traction who has a low-protein diet and dehydration
, A. An adolescent in bed with influenza, having periods of high fever and diaphoresis
The nurse caring for a patient who is 24 hours post-op after a major abdominal surgery
is assessing the operative site. The nurse observes internal viscera protruding through
the incision site. The nurse acts quickly and should complete all of the following, except:
A. Having the patient bend their knees and remain in bed.
B. Immediately notifying the surgeon.
C. Putting a binder on the patient.
D. Covering the wound with a sterile saline dressing.
C. Putting a binder on the patient.
The nurse documents that the new wound has serosanguineous drainage. How is
serosanguineous described?
A. Straw colored
B. Red, watery, clear
C. Bloody
D. Purulent drainage
B. Red, watery, clear
The nurse is assessing the client with a chronic wound. The client asks the nurse to
explain the difference between chronic and acute wounds. Which of the following would
best describe the primary difference between chronic and acute?
A. Chronic wounds are the result of pressure, but acute wounds result from surgery.
B. Chronic wounds are often full-thickness wounds, but acute wounds are superficial.
Answers
A client has an area of nonblanchable erythema on his coccyx. The nurse has
determined this to be a stage 1 pressure ulcer. What would be the most important
treatment for this client?
A. Frequent turn schedule
B. Enzymatic debridement
C. Transparent film dressing
D. Hydrogel
A. Frequent turn schedule
A client hospitalized in a long-term rehabilitation facility is immobile and requires
mechanical ventilation with a tracheostomy. There is a pressure area on the client's
coccyx measuring 5 x 3 cm. The area is covered with 100% eschar. What would the
nurse identify this as?
A. Stage 4 pressure injury
B. Stage 3 pressure injury
C. Stage 2 pressure injury
D. Unstageable pressure injury
D. Unstageable pressure injury
A client underwent emergency abdominal surgery for a ruptured appendix. The
surgeon did not surgically close the wound. The wound healing process described in this
situation is:
,A. Tertiary intention healing
B. Approximation intention healing
C. Secondary intention healing
D. Primary intention healing
C. Secondary intention healing
The home-health nurse learns that an elderly client isn't able to get to the grocery store.
They don't have much food in their home, and they eat and drink little. Most of their
time is spent sitting in their chair watching television, often not realizing that they have
had bladder leakage. Which nursing actions would be implemented to reduce the risk of
this client developing a pressure injury? Select all that apply.
A. Encourage the client to wear incontinence products
B. Help the client to get out of the chair every 2 hours
C. Change the client's clothing frequently
D. Promote intake of green tea throughout the day
A, B, C
The nurse assesses assigned clients and determines which of the following has the
highest risk for altered skin integrity?
A. An adolescent in bed with influenza, having periods of high fever and diaphoresis
B. A middle-aged adult with metabolic syndrome taking antihypertensives
C. An older client diagnosed with well-controlled type 2 diabetes
D. A young adult in traction who has a low-protein diet and dehydration
, A. An adolescent in bed with influenza, having periods of high fever and diaphoresis
The nurse caring for a patient who is 24 hours post-op after a major abdominal surgery
is assessing the operative site. The nurse observes internal viscera protruding through
the incision site. The nurse acts quickly and should complete all of the following, except:
A. Having the patient bend their knees and remain in bed.
B. Immediately notifying the surgeon.
C. Putting a binder on the patient.
D. Covering the wound with a sterile saline dressing.
C. Putting a binder on the patient.
The nurse documents that the new wound has serosanguineous drainage. How is
serosanguineous described?
A. Straw colored
B. Red, watery, clear
C. Bloody
D. Purulent drainage
B. Red, watery, clear
The nurse is assessing the client with a chronic wound. The client asks the nurse to
explain the difference between chronic and acute wounds. Which of the following would
best describe the primary difference between chronic and acute?
A. Chronic wounds are the result of pressure, but acute wounds result from surgery.
B. Chronic wounds are often full-thickness wounds, but acute wounds are superficial.
