NUR 242 Exam 1 Unit 1, 2 and 3
QUESTIONS AND CORRECT ANSWERS
AND RATIONAL | NEW UPDATE 2025
Patricia is an RN working at a rehabilitation center and witnesses a nurse aid
struggling to lift and reposition an elderly, bed ridden patient. She explains to the
nurse aide that there is a No Lift Policy in place in the establishment. What does
this policy entail? - ANSWER The concept of a no-lift policy is a pledge from
administrators that proper equipment, adequately maintained and in sufficient
numbers, will be available to care providers to reduce the risks associated with
manual patient handling
Immobility effects multiple body systems. What are some interventions that you
can implement to decrease these effects? Select all that apply.
A. Utilizing waffle mattress to reduce the need for repositioning
B. Teds/SCDs
C. Rubbing reddened areas
D. Limiting fluid intake
E. ROM exercises - ANSWER Answer: B and E
Rational:
-A is incorrect because regardless of implemented mattress, positioning should be
every 2 hours
, -C is incorrect. You should not rub at reddened areas. This increases the risk for
skin break.
-D is incorrect. You should encourage proper hydration to promote well hydrated
and healthy skin.
True or False: Nurses should do skin assessments once a week. - ANSWER False
Rational: Nurses should do full skin assessments a minimum of once per shift.
A pt goes to the ER for swelling and pain in her right calf. The PT states that it
occurred after she accidentally cut herself. Based on her symptoms, what skin
condition might the nurse suspect the patient has? - ANSWER Cellulitis.
Cellulitis is inflammation of the skin and subq tissue.
Pt A is admitted from a nursing home with a stage 3 pressure ulcer. When creating
his plan of care, who else would be involved besides the primary care physician? -
ANSWER Wound care nurse, Dietician, Physical therapist. OT can also be
included, however they deal more with fine motor skills.
An 85 year old woman is admitted to the hospital. When doing the initial
assessment, what are some factors that you know put her at risk for pressure
injuries? - ANSWER -if the pt is immobile
-if the pt is incontinent
-if the pt has comorbidities such as diabetes or PVD
QUESTIONS AND CORRECT ANSWERS
AND RATIONAL | NEW UPDATE 2025
Patricia is an RN working at a rehabilitation center and witnesses a nurse aid
struggling to lift and reposition an elderly, bed ridden patient. She explains to the
nurse aide that there is a No Lift Policy in place in the establishment. What does
this policy entail? - ANSWER The concept of a no-lift policy is a pledge from
administrators that proper equipment, adequately maintained and in sufficient
numbers, will be available to care providers to reduce the risks associated with
manual patient handling
Immobility effects multiple body systems. What are some interventions that you
can implement to decrease these effects? Select all that apply.
A. Utilizing waffle mattress to reduce the need for repositioning
B. Teds/SCDs
C. Rubbing reddened areas
D. Limiting fluid intake
E. ROM exercises - ANSWER Answer: B and E
Rational:
-A is incorrect because regardless of implemented mattress, positioning should be
every 2 hours
, -C is incorrect. You should not rub at reddened areas. This increases the risk for
skin break.
-D is incorrect. You should encourage proper hydration to promote well hydrated
and healthy skin.
True or False: Nurses should do skin assessments once a week. - ANSWER False
Rational: Nurses should do full skin assessments a minimum of once per shift.
A pt goes to the ER for swelling and pain in her right calf. The PT states that it
occurred after she accidentally cut herself. Based on her symptoms, what skin
condition might the nurse suspect the patient has? - ANSWER Cellulitis.
Cellulitis is inflammation of the skin and subq tissue.
Pt A is admitted from a nursing home with a stage 3 pressure ulcer. When creating
his plan of care, who else would be involved besides the primary care physician? -
ANSWER Wound care nurse, Dietician, Physical therapist. OT can also be
included, however they deal more with fine motor skills.
An 85 year old woman is admitted to the hospital. When doing the initial
assessment, what are some factors that you know put her at risk for pressure
injuries? - ANSWER -if the pt is immobile
-if the pt is incontinent
-if the pt has comorbidities such as diabetes or PVD
