______ exerts, a profound psychological effect on the body,
reducing inflammation caused by injury to the musculoskeletal
skeletal system
A. Normothermic.
B. Cold applications.
C. Moist heat.
D. Dry heat. Correct Answers B. Cold application
A nurse classifies a pressure ulcer, according to the type of
tissue in the wound bed what does it indicate if the wound bed
has granulation in it
A. The wound needs debridement.
B. The presence of significant infection.
C. Colonization by bacteria.
D. Movement towards healing. Correct Answers D. Movement
toward healing.
A patient is being transferred to a room from the post
anaesthesia care unit (PACU) what should the nurse do upon
transfer
A. Remove the indwelling urinary catheter.
B. Turn off the nasogastric tube suction
C. Use a black pen to note drainage on the dressing.
D. Change the dressing immediately when the patient reaches
the room. Correct Answers C. He was a black panda no
drainage on the dressing.
,A patient is planning to perform incentive spirometry after
abdominal surgery. The nurse should encourage the patient to do
which of the following.
A. Inhale as deeply as possible, and then exhale into the
incentive spirometry device.
B. Exhale as quickly as possible.
C. Hold the breath for at least three seconds before exhaling.
D. Get comfortable in a semi reclined position. Correct Answers
C. Hold the breath for at least three seconds before exhaling.
A patient with pneumonia is receiving supplemental oxygen,
which assessment findings by the nurse should be reported as an
early indication of hypoxia
A. Decreasing level of consciousness.
B. Cyanosis around the lips in oral mucosa.
C. Decrease blood pressure and respiratory rate.
D. Anxiety and restlessness. Correct Answers D. Anxiety and
restlessness.
A Penrose drain is in place with your postop client. The
rationale for using this type of drain is?
A. It is a close system
B. Collects large amounts of drainage.
C. Remove drainage from the wound and deposit it onto the skin
surface
D. Enhances development of granulation tissue Correct Answers
, An appropriate technique for nasogastric tube insertion is for the
nurse to?
A. Position the patient supine.
B. Measure the two blanks from the nose to the sternum.
C. Apply oil based lubricant to the plastic tube.
D. Advance the tube while the patient swallows. Correct
Answers D. Advance it to you while the patient swallows.
Before insertion of a nasogastric NG tube, of which findings,
should the physician be notified
A. Evident gag reflex.
B. Impaired swallowing.
C. Patent nares
D. Absent bowel sounds. Correct Answers D. Absent bowel
sounds.
Charting by exception is a system of documentation it should
not include
A. Normal findings.
B. Concise documentation of routine care.
C. Identify trends.
D. Use standardized flow sheet of assessment and interventions.
Correct Answers
During administration of a patient, the nurse notes that the
patient speaks another language and may have difficulty
understanding English. What should the nurse do to facilitate
communication