Final Exam: NUR 2356/ NUR2356 (Latest
2023/ 2024) Multidimensional Care I/ MDC 1
Exam Review | Modules 8-10 Covered|
Complete Guide with Questions and Verified
Answers (100% Correct)- Rasmussen
Q: Wounds may heal by
Answer:
•regeneration or by primary, secondary, or tertiary intention
Q: •Regenerative/Epithelial Healing
Answer:
•occurs when a wound affects only the epidermis and dermis
Q: Primary Intention Healing
Answer:
•occurs when a wound involves minimal or no tissue loss and has edges that are well
approximated (closed); little scarring is expected
Q: a clean surgical incision heals by what method
Answer:
Primary Intention Healing
client with a surgical abdominal incision that is closed with sutures
Q: Inflammatory Phase of wound healing occurs
Answer:
•at the time of injury and last about 3 – 5 days
Q: Proliferative Phase
Answer:
•granulation (also called regeneration or healing)
•occurs from days 5 to 21
Q: •Nursing interventions that decrease the risk of pressure injuries:
Answer:
•Padding hard surfaces
•Keep head of bed (HOB) at or less than 30 degrees
•Place pillows between bony surfaces
Q: •Secondary Intention Healing
Answer:
•occurs when a wound involves extensive tissue loss, which prevents wound edges from
approximating (coming together), or should not be closed (e.g., because it is infected)
Q: •Tertiary intention healing (also called delayed primary closure)
Answer:
•Such wounds require strict aseptic technique during all dressing changes because they are prone
to infection
Q: •Key concepts when preparing a sterile field includes:
Answer:
•Prepare the client before setting up the sterile field
•Do not turn away from the sterile field
•Add items to the sterile field by dropping them gently
Q: Nurse’s priority action for a client experiencing oozing from the wound is to
Answer:
inspect the wound and assess the drainage
Q: exudate
Answer:
Drainage that oozes from a wound or cavity
•When documenting exudate include color, odor, consistency, and amount
Q: Serous exudate
Answer:
•straw colored/ pale yellow
Q: Sanguineous exudate
Answer:
•- bloody drainage
Final Exam: NUR 2356/ NUR2356 (Latest
2023/ 2024) Multidimensional Care I/ MDC 1
Exam | Questions and Verified Answers|
Grade A- Rasmussen
Q: What is a primary defense to infection?
Inflammation
Fever
Phagocytosis
Intact skin
Answer:
Intact skin
Q: If contact precautions are in place, what link in the chain of infection is broken?
Answer:
Mode of transmission
Q: If a patient recently traveled and developed a fever and cough, what type of isolation should
the patient be placed in?
Answer:
Airborne precautions
Q: It is ok for a patient who is immunocompromised to have fresh flowers in his/her room
(true/false)
Answer:
false
Q: Antiretroviral drugs are used to treat HIV and work by inhibiting viral replication
(true/false)
Answer:
true
Q: A patient with systemic sclerosis (scleroderma) is likely to have what symptoms first?
Joint pain
Wrinkles
Raynaud’s phenomenon
Hypertension
Answer:
Raynaud’s phenomenon
Q: An intervention to avoid a Raynaud’s flare up is to wear gloves in the winter (true/false)
Answer:
true
Q: What patient education is expected for a patient with fibromyalgia to help reduce
symptoms?
Establish a regular sleep pattern
Do not exercise during a flare up
High intensity interval training (HIIT)
Increase calcium and caffeine intake
Answer:
Establish a regular sleep pattern
Q: A nurse is teaching a patient with debilitating rheumatoid arthritis about home safety. The
following statement is appropriate: “There are many adaptive devices such as grab bars, reaching
tools, grasping devices, and adaptive silverware available that may help you.”(true/false)
Answer:
true
Q: What do you expect to see with the rheumatoid factor (lab) for a patient experiencing a flare
up of her rheumatoid arthritis?
Positive RF
Negative RF
Answer:
Positive RF
Q: What assessment findings do you expect to see in a patient experiencing Raynaud’s
phenomenon?
Answer:
Cold and purple nailbeds
Skin of hands may look white
Q: A patient just had shoulder surgery and has rheumatoid arthritis. What symptoms might
prompt the nurse to call the provider immediately?
Patient has gas and mild abdominal discomfort
Patient has a minor headache
Patient is completing physical therapy without her pain medication
Patient has numbness and tingling in her fingers and intense pain that is worsening in her
shoulder
Answer:
Patient has numbness and tingling in her fingers and intense pain that is worsening in her
shoulder