2023 BN5 Final Summative EXAM 2023 A+BN5 Final Summative EXAM 2023 A+
BN5 FINAL SUMMATIVE EXAM 2023
Mrs Fuimaono is 69yrs old and has type 2 diabetes with poor glycaemic control (HbA1c = 95mmol/mol). She has a wound on her lower leg that is showing signs and symptoms of local infection and is tak...
Question 1
pts
BN5 FINAL SUMMATIVE EXAM 2023
Mrs Fuimaono is 69yrs old and has type 2 diabetes with poor glycaemic control (HbA1c =
95mmol/mol). She has a wound on her lower leg that is showing signs and symptoms of
local infection and is taking longer to heal than she expected. The District Nurse asks you
which of the following may be affecting her skin integrity and slowing the healing process?
Poor diet control and obesity and hypoglycaemia
Peripheral vascular insufficiency and hyperglycaemia
Living in over-crowded housing conditions
Inappropriate skin care and hygiene practices
Question 2
pts
You are assessing Katherine‟s chronic wound while you are on placement at a General
Practice (GP) and Urgent Care clinic, and you note that her wound is healing by:
Secondary intention
Primary prevention
Primary intention
Tertiary intention
Question 3
pts
Alison (10 years old) is prescribed amoxicillin 750mg IV OD. You need to reconstitute the
powder with water for injection. The powder space is 19mL and you dilute with 81mL
water for injection. You have 250mg/5mL. How many ml do you give?
3ml
15ml
20ml
10ml
Question 4
pts
Seta needs some support with personal cares. She lives with her daughter's family but does
not wish to ask her family to assist her. As the District Nurse involved in her care, what other
service might you initially refer her to?
,Social Worker Support Service
Palliative Care Service Coordination
Needs Assessment & Service Coordination
Occupational Therapist Service Coordination
Question 5
pts
Elisapeta (67yrs) is concerned about how long her leg wound is taking to heal. What would
you explain to Elisapeta about the length of time her wound might take to heal?
“Chronic wounds usually heal fast with the right dressing. Just make sure you come back to
get your dressings changed regularly"
“The healing of chronic wounds that have become critically colonised with pathogenic
bacteria are influenced by both intrinsic and extrinsic factors and it is impossible to give a
precise time frame for integumentary healing”
“You don‟t need to worry about that. It will heal when it heals, and we will just keep dressing
it"
"Wounds on the lower leg can take a long time to heal because the skin is thin, gravity
reduces blood flow, and because of other health issues, such as your diabetes"
Question 6
pts
TIMES is a valuable clinical decision tool to provide systematic assessment
and documentation of wounds. What does TIMES stand for?
Tissue, inflammation/infection, movement, edge, surrounding skin
Tissue, inflammation/infection, moisture, edge, surrounding skin
Temperature, inflammation, moisture, exudate, surrounding skin
Transcutaneous, infection, maceration, exudate, surrounding skin
Question 7
pts
Improving Alofa‟s (58) health literacy is one goal of his plan of care when you are seeing him
in clinic. Health literacy is defined as:
,The health of the population as a whole, especially as the subject of government regulation
and support
The process of obtaining and enabling people to increase control over their own health
information, and to improve their health outcomes
The capacity to obtain, process, and understand basic health information and services
needed to make informed and appropriate health decisions
The process and actions aimed at avoiding the manifestation of a disease and the related
disease complications
Question 8
pts
As a practice nurse you are involved in offering many types of assessments and screening.
An example of opportunistic screening is:
CVD Risk Assessment
National Bowel Screening
Coronary Angioplasty
An Electrocardiogram
Question 9
pts
You conduct opportunistic and organised screening tests as part of your nursing role in the
community. Which one of the following criteria indicates a good screening test?
It will detect even untreatable conditions
It can detect diseases before the patient knows they have it
It detects disease as soon as it causes tissue damage
It can be used at any stage of the disease
Question 10
pts
Kahu is a 45-year-old male who has recently had a Myocardial Infarction (MI). His BMI is 46,
he has a history of gout and hypertension, and is a current smoker. What is the
priority nursing action in the agreed treatment plan for Kahu?
A comprehensive smoking cessation plan in partnership with Kahu
, Ensuring he is on the correct blood pressure, cholesterol and gout medications
Optimising self-management of his gout and hypertension
Encouraging Kahu to lose weight with a medical weight loss management programme
Question 11
pts
You are conducting a cardiovascular (CVD) risk assessment with Aleki. At what age
should Maori, Pacific and South Asian (Indian) men start to be screened for cardiovascular
risk according to the Ministry of Health (MoH) guidelines?
40
55
25
30
Question 12
pts
Robert (63) has started on a new antihypertensive medication. How would you ensure
Robert understands about his new medication?
using brief intervention
apply opportunistic intervention
ask Robert to take the medication
by applying the teach back method
Question 13
pts
You assess that your patient Phoenix‟s health literacy is low. When is the best time to check
a client's health literacy?
After education is provided to Phoenix regarding medication adherence
At all times when education is provided to help Phoenix improve his health outcomes
During education provided to Phoenix regarding diabetes self-management
Before education is provided to Phoenix regarding smoking cessation
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