HONDROS NUR 150 EXAM 1 UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
◉ Pressure ulcer Stage 2.
Answer: Partial thickness loss of dermis as it appears as a shallow
open injury usually shiny or dry, with a red-pink wound bed without
slough or bruising.
◉ Pressure ulcer Stage 3.
Answer: Full thickness tissue loss; in which subcutaneous fat is
sometimes visible; but bone, tendon, and muscle are not exposed.
◉ Pressure ulcer Stage 4.
Answer: Full thickness tissue loss with exposed bone, tendon,
cartilage, or muscle with slough or eschar may be present on some
parts of the wound bed.
◉ Ongoing assessment and evaluation.
Answer: Continuous monitoring of the patient's condition and
response to treatment.
◉ Assessment data for pressure injuries.
Answer: Include the length, width, and depth of injury.
,◉ Move patient every 2 hours.
Answer: A preventive measure to reduce the risk of pressure
injuries.
◉ Heat and cold therapy.
Answer: Therapeutic interventions using temperature to manage
pain and inflammation.
◉ Signs of an infected wound.
Answer: Indicators that a wound may be infected, requiring further
assessment.
◉ Braden scale.
Answer: A tool used in healthcare to assess and predict a patient's
risk for developing pressure ulcers.
◉ Ice therapy.
Answer: Should be used in the early stages to reduce inflammation.
◉ Heat therapy.
Answer: May be considered later in the healing process for muscle
relaxation, but only if the injury is not acute.
, ◉ Katz index-ADL's.
Answer: Activities of daily living including bathing, ambulation,
toileting, transferring, eating, and dressing.
◉ IADLs.
Answer: Instrumental activities of daily living including ability to use
a telephone, shopping, food prep, housekeeping, laundry,
transportation, medication management, and financial management.
◉ Assessing ADLs & IADLs.
Answer: Utilizes direct observation, interviews, and standardized
scales.
◉ Risks for Functional impairment.
Answer: Chronic health conditions, cognitive impairment,
depression, and decreased mobility.
◉ Causes of cognitive impairment.
Answer: Include infection, stroke, and drug overdose.
◉ Preventing Cognitive impairment.
Answer: Involves nutrition, activity, and stress management.
QUESTIONS AND CORRECT ANSWERS
◉ Pressure ulcer Stage 2.
Answer: Partial thickness loss of dermis as it appears as a shallow
open injury usually shiny or dry, with a red-pink wound bed without
slough or bruising.
◉ Pressure ulcer Stage 3.
Answer: Full thickness tissue loss; in which subcutaneous fat is
sometimes visible; but bone, tendon, and muscle are not exposed.
◉ Pressure ulcer Stage 4.
Answer: Full thickness tissue loss with exposed bone, tendon,
cartilage, or muscle with slough or eschar may be present on some
parts of the wound bed.
◉ Ongoing assessment and evaluation.
Answer: Continuous monitoring of the patient's condition and
response to treatment.
◉ Assessment data for pressure injuries.
Answer: Include the length, width, and depth of injury.
,◉ Move patient every 2 hours.
Answer: A preventive measure to reduce the risk of pressure
injuries.
◉ Heat and cold therapy.
Answer: Therapeutic interventions using temperature to manage
pain and inflammation.
◉ Signs of an infected wound.
Answer: Indicators that a wound may be infected, requiring further
assessment.
◉ Braden scale.
Answer: A tool used in healthcare to assess and predict a patient's
risk for developing pressure ulcers.
◉ Ice therapy.
Answer: Should be used in the early stages to reduce inflammation.
◉ Heat therapy.
Answer: May be considered later in the healing process for muscle
relaxation, but only if the injury is not acute.
, ◉ Katz index-ADL's.
Answer: Activities of daily living including bathing, ambulation,
toileting, transferring, eating, and dressing.
◉ IADLs.
Answer: Instrumental activities of daily living including ability to use
a telephone, shopping, food prep, housekeeping, laundry,
transportation, medication management, and financial management.
◉ Assessing ADLs & IADLs.
Answer: Utilizes direct observation, interviews, and standardized
scales.
◉ Risks for Functional impairment.
Answer: Chronic health conditions, cognitive impairment,
depression, and decreased mobility.
◉ Causes of cognitive impairment.
Answer: Include infection, stroke, and drug overdose.
◉ Preventing Cognitive impairment.
Answer: Involves nutrition, activity, and stress management.
