JOSEPHINE MORROW VSIM CASE TEST QUESTIONS
AND ANSWERS #4
The nurse is reviewing a pt's lab results. Which lab test most accurately represent
nutritional status? - correct answer pre-albumin ( has a shorter half life and is a more
sensitive measure of current nutritional status)
The nurse is completing an admission assessment on a pt admitted for impaired skin
integrity. Which questions would be appropriate for the nurse to ask the patient? -
correct answer have you noticed any swelling on your feet, ankles or fingers?, do some
area of your skin seem warmer or colder than others?, have you used pads or special
pants because you cannot control your urine?, do you have any sores on your body?
The nurse is caring for a patient admitted with bilateral lower extremity edema. What
questions should the nurse ask when completing a health history? - correct answer
when did the edema start?, can you describe the edema?, what were you doing before
you noticed the edema?, do you have any recent hx of surgery or illness?, what are
your usual ADL?, do you stand a lot?, what meds do you take?, do you have heart
disease or blood vessel disease?
The nurse is conducting a skin assessment using braden scale. How would the nurse
interpret the score 12? - correct answer high risk
The nurse is assessing a pt admitted with a venous stasis ulcer on the right lower
extremity. What should the nurse expect to find when assessing the leg? - correct
answer dark discoloration of the skin surrounding the wound site
The nurse is preparing to irrigate a wound. Which statement, if made by the nurse,
indicates an understanding of the procedure? - correct answer i will gently direct a
stream of fluid into the wound, keeping the syringe tip at least one inch from the upper
tip of the wound
The nurse removes a dressing and assesses yellow foul smelling drainage. How would
the nurse document this finding? - correct answer purulent
The nurse is performing a sterile dressing change. After donning sterile gloves, the
nurse drops the dressing on the bed and does not have a replacement. What is the
appropriate action at this time? - correct answer ask the pt to press the call bell to
summon a co-worker to obtain another dressing
The nurse is completing an admission assessment on a pt admitted for an infected non-
healing wound.which factors in the pt history may contribute to this condition? - correct
answer poor hygiene, obesity, DM, poor circulation
AND ANSWERS #4
The nurse is reviewing a pt's lab results. Which lab test most accurately represent
nutritional status? - correct answer pre-albumin ( has a shorter half life and is a more
sensitive measure of current nutritional status)
The nurse is completing an admission assessment on a pt admitted for impaired skin
integrity. Which questions would be appropriate for the nurse to ask the patient? -
correct answer have you noticed any swelling on your feet, ankles or fingers?, do some
area of your skin seem warmer or colder than others?, have you used pads or special
pants because you cannot control your urine?, do you have any sores on your body?
The nurse is caring for a patient admitted with bilateral lower extremity edema. What
questions should the nurse ask when completing a health history? - correct answer
when did the edema start?, can you describe the edema?, what were you doing before
you noticed the edema?, do you have any recent hx of surgery or illness?, what are
your usual ADL?, do you stand a lot?, what meds do you take?, do you have heart
disease or blood vessel disease?
The nurse is conducting a skin assessment using braden scale. How would the nurse
interpret the score 12? - correct answer high risk
The nurse is assessing a pt admitted with a venous stasis ulcer on the right lower
extremity. What should the nurse expect to find when assessing the leg? - correct
answer dark discoloration of the skin surrounding the wound site
The nurse is preparing to irrigate a wound. Which statement, if made by the nurse,
indicates an understanding of the procedure? - correct answer i will gently direct a
stream of fluid into the wound, keeping the syringe tip at least one inch from the upper
tip of the wound
The nurse removes a dressing and assesses yellow foul smelling drainage. How would
the nurse document this finding? - correct answer purulent
The nurse is performing a sterile dressing change. After donning sterile gloves, the
nurse drops the dressing on the bed and does not have a replacement. What is the
appropriate action at this time? - correct answer ask the pt to press the call bell to
summon a co-worker to obtain another dressing
The nurse is completing an admission assessment on a pt admitted for an infected non-
healing wound.which factors in the pt history may contribute to this condition? - correct
answer poor hygiene, obesity, DM, poor circulation
