ACTUAL EXAM 2025/2025 COMPLETE ACCURATE EXAM REAL
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
SOLUTIONS) LATEST UPDATED VERSION |GUARANTEED PASS A+
(BRAND NEW!!) FULL REVISED
The nurse is caring for a client who had major abdominal surgery 1 day
ago. Which factor increases the risk of this client developing wound
dehiscence?
a. Placement of a tube
b. A body mass index (BMI) of 35
c. Presence of excessive flatus
d. Receiving beta blockers
answer- b
Which intervention is most important in preventing hospital-acquired
catheter-associated urinary tract infections (CAUTIS)?
a. Removing the catheter
b. Keeping the drainage bag off of the floor
c. Washing hands before and after assessing the catheter
d. Cleansing the urinary meatus with soap and water daily
answer- a
,Which combination of client responses would the nurse determine
represents the highest risk for the development of pressure injuries?
a. Incontinence; inability to move independently
b. Periodic diaphoresis; occasional sliding down in bed
c. Minimal reaction to painful stimuli; receiving tube feedings
d. Spending extensive time in a chair body mass index (BMI) of 23
answer- a
Which rationale supports the nursing intervention to turn the client with
paraplegia every to 2 hours? a. To maintain client comfort
b. To prevent development of pressure injuries
c. To prevent contractures of the extremities
d. To improve venous circulation in the lower extremities
answer- b
While assessing the client for a pressure injury, the nurse identifies
exposed bone and tendons Which stage would the nurse document for
this pressure injury?
a. l
b. all
, c. lull
d. lv
answer- d
Which dressings would the nurse view as beneficial for the recovery of a
client's red-colored wound that was caused by pressure?
a. Absorptive dressings
b. Hydrocolloid dressings
c. Transparent film dressings
d. Moist gauze dressings with antibiotics.
e. Non-adhering dressings with antibiotic ointment
bocce
Which term would the nurse use to document a client experiencing
urinary incontinence via involuntary loss of small amounts (25 - 35mL)
of urine from an over distended bladder?
a. Urge incontinence
b. Stress incontinence
c. Overflow incontinence
d. Functional incontinence
answer- c