NU202 Exam 4 (ATI - Book) (Latest UPDATES STUDY) Exam Reviews Questions and Verified Answers 100 Correct Grade A
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Course
BSN 266
Institution
BSN 266
NU202 Exam 4 (ATI - Book) (Latest UPDATES STUDY) Exam Reviews Questions and Verified Answers 100 Correct Grade A
NU202 Exam 4 (ATI/Book)
Study online at
1. A nurse is teaching a client who has a pressure injury
on their leg about proper nutrition to facilitate wound
healing. Which of the f...
NU202 Exam 4 (ATI/Book)
Study online at https://quizlet.com/_etrc3z
1. A nurse is teaching a client who has a pressure injury b. "I should in-
on their leg about proper nutrition to facilitate wound crease my protein
healing. Which of the following client statements in- intake."
dicates an understanding of the teaching?
a. "I should consume a diet high in carbohydrates."
b. "I should increase my protein intake."
c. "I should include fruit and vegetables with every
meal."
d. "I should avoid meat products."
2. A nurse is performing an admission skin assessment a. "Stage 3 pres-
on a client and notes that the client has a stage 3 sure injury to the
pressure injury to the coccyx. How should the nurse coccyx observed
document the appearance of this pressure injury? with full-thickness
a. "Stage 3 pressure injury to the coccyx observed skin loss and vis-
with full-thickness skin loss and visible adipose tis- ible adipose tis-
sue." sue."
b. "Stage 3 pressure injury to the coccyx observed
with a non-blanchable area of erythema."
c. "Stage 3 pressure injury to the coccyx observed
with partial-thickness skin loss, wound bed pink and
moist."
d. "Stage 3 pressure injury to the coccyx observed
with full-thickness skin loss, muscle and bones visi-
ble."
3. A nurse is providing discharge teaching to the care- c. Flex the client's
giver for a client who has a stage 1 pressure injury knees while in
to the sacrum. Which of the following instructions bed.
should be included to the caregiver to prevent further
skin breakdown?
a. Be sure to keep the skin moist.
b. Do not use pillows to support extremities.
c. Flex the client's knees while in bed.
d. Provide a firm mattress for the client.
4. A nurse is providing teaching to a client about staple d. "Your staples
removal. Which of the following statements should will be removed in
the nurse include in the teaching? about 2 weeks."
, NU202 Exam 4 (ATI/Book)
Study online at https://quizlet.com/_etrc3z
a. "Your staples will dissolve in about 4 weeks."
b. "You will need to be placed under general anesthe-
sia for the staples to be removed."
c. "Staples are unlikely to become embedded in the
skin, making removal simple."
d. "Your staples will be removed in about 2 weeks."
5. A nurse is monitoring a client following a cholecys- b. increased blood
tectomy. Which of the following findings should the glucose
nurse identify as a potential manifestation of sepsis?
a. Hypertension
b. Increased blood glucose
c. Decreased WBC count
d. Increased BUN
6. A nurse is assisting with the care of a client fol- a. Dehiscence
lowing abdominal surgery. The nurse removes the
client's surgical dressing and notes a separation of
the wound edges. The nurse should identify that the
client is experiencing which of the following compli-
cations?
a. Dehiscence
b. Evisceration
c. Hematoma
d. Fistula
7. A nurse is observing an assistive personnel (AP) care a. the AP places
for a client. Which of the following actions by the the client in
AP places the client at risk for alterations in skin high-Fowler's po-
integrity? sition
a. The AP places the client in high-Fowler's position.
b. The AP places pillows under the client's lower ex-
tremities.
c. The AP feeds the client 80% of each meal.
d. The AP cleans and dries the client's perineum after
each episode of incontinence.
8. A nurse is teaching a newly licensed nurse about b. "This type of
wound healing by secondary intention. Which of the healing begins in
following statements by the newly licensed nurse the wound bed
, NU202 Exam 4 (ATI/Book)
Study online at https://quizlet.com/_etrc3z
indicates an understanding of healing by secondary with the genera-
intention? tion of granulation
a. "This type of healing carries a lower risk of infec- tissue."
tion than others."
b. "This type of healing begins in the wound bed with
the generation of granulation tissue."
c. "These wounds heal faster than those that heal by
other processes."
d. "These wounds require a dry wound bed in order
for healing to occur."
9. A nurse is caring for a client who has dime-sized c. a transparent
stage 1 pressures injury located on the sacrum. film
Which of the following dressing types should the
nurse use?
a. A hydrogel dressing
b. A wet gauze dressing
c. A transparent film
d. An alginate dressing
10. A nurse is caring for a client who has a portable c. empty and mea-
wound bulb suction device and notes that the sure the drainage
drainage bulb is three-fourths full. Which of the fol-
lowing actions should the nurse take?
a. Decrease the drainage suction force.
b. Place the bulb on a flat surface and measure the
amount of drainage.
c. Empty and measure the drainage.
d. Kink the tubing to prevent further drainage.
11. A nurse is caring for a group of clients. Which of the a. a client who is
following clients should the nurse identify as having incontinent and is
the highest risk for developing alterations in tissue taking prescribed
integrity? diuretic
a. A client who is incontinent and is taking a pre-
scribed diuretic.
b. A client who has a lower extremity fracture and
uses the overhead bed trapeze to move.
c. A client who is NPO for surgery and is receiving IV
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