NSG 3100 Post Assessment Actual final Exam Questions with all Questions Accurately Answered 2024/2025
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Course
NSG 3100
Institution
NSG 3100
NSG 3100 Post Assessment Actual final Exam Questions with all Questions Accurately Answered 2024/2025
A client’s laceration has been closed with tissue adhesive. What instruction should the nurse provide the client about wound healing?
1. Primary intention
2. Open approximation
3. Secondary...
NSG 3100 Post Assessment Actual
final Exam Questions with all
Questions Accurately Answered
2024/2025
A client’s laceration has been closed with tissue adhesive. What
instruction should the nurse provide the client about wound
healing?
1. Primary intention
2. Open approximation
3. Secondary healing
4. Delayed closure - correct answer 1. Primary intention
Rationale 1: The nurse should instruct the client regarding
primary intention wound healing. The edges of these wounds are
approximated and held together with sutures, bandages, or
tissue adhesive. Scarring is minimal with these wounds.
A client is prescribed steroid medication. When preparing
discharge instructions, the nurse should include information
about infection control because steroids cause
1. decreased oxygen supply to tissues.
2. suppression of the inflammatory process necessary for
healing.
3. a decrease in the amount of nutrients such as glucose in the
blood.
4. blood vessel constriction, which impairs waste product
removal. - correct answer 2. suppression of the inflammatory
process necessary for healing.
Rationale 1: Steroids do not decrease oxygen supply to the
tissues.
,On the fourth postoperative day, the client has a sudden
coughing episode and tells the nurse that something popped in
the abdominal incision. Upon inspection, the nurse finds that
evisceration has occurred. What nursing action should be taken
first?
1. Notify the clients surgeon.
2. Cover the area with a large saline-soaked dressing.
3. Position the client in bed with knees bent.
4. Pack the wound with nonadherent gauze. - correct answer 2.
Cover the area with a large saline-soaked dressing.
Rationale 1: Although notifying the surgeon is important, it is not
the nurses first action.
A client is prescribed antiembolic stockings. How should the
nurse assess the skin on the clients legs?
1. Defer the assessment because the stockings are in place.
2. Remove the stockings for this assessment.
3. Review the morning assessment, but dont repeat it unless a
problem occurs.
4. Assess the skin when the client removes the stockings at
bedtime. - correct answer 2. Remove the stockings for this
assessment.
Rationale 1: The stockings are worn day and night, so the client
will not remove them for sleep.
Multiple severely injured clients have arrived in the emergency
department. On rapid assessment, the nurse notes that a leg
wound dressing has a 4-cm by 6-cm blood spot that has soaked
through the bandage. The client is otherwise stable. What action
should the nurse take?
, 1. Place a tourniquet above the wound.
2. Remove the dressing and place direct pressure on the wound.
3. Add an additional dressing to the wound without removing the
original.
4. Remove the dressing and replace it with a new sterile
dressing. - correct answer 3. Add an additional dressing to the
wound without removing the original.
Rationale 1: A tourniquet should not be applied because of the
risk of interrupting arterial flow to the tissues.
The nurse is collecting a specimen from an infected wound. From
which portion of the wound should the specimen be collected?
1. Clean areas of granulation tissue
2. Exudate in the bottom of the wound
3. A pus-coated area on the side of the wound
4. Intact skin at the edge of the wound - correct answer 1.
Clean areas of granulation tissue
Rationale 1: Microorganisms that are most likely to be
responsible for wound infections live in viable tissue such as
granulation tissue.
The client has a documented stage III pressure ulcer on the right
hip. What NANDA nursing diagnosis problem statement is most
appropriate for use with this client?
1. Altered Tissue Perfusion
2. Impaired Skin Integrity
3. Impaired Tissue Integrity
4. Risk for Injury - correct answer 3. Impaired Tissue Integrity
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