NSG 121 HEALTH ASSESSMENT EXAM NEWEST
2024-2025 ACTUAL EXAM COMPLETE 180
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
A client with a wound infection has been receiving cephalexin
500 mg orally, 4 times a day. The lab report shows sensitivity to
clindamycin. What action would the nurse expect from the
health care provider?
A. The provider will increase the dose of cephalexin.
B. The provider will add clindamycin to the client's profile.
C. The provider will not make any changes to the client's
therapy.
D. The provider will change the antibiotic to clindamycin. -
CORRECT ANSWER-D
A client is being assessed by the health care provider for
potential therapies for his sternal wound, which include
hyperbaric oxygen therapy, skin grafting, and biosurgery. What
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would the nurse expect to observe when visualizing the client's
wound?
(Select all that apply.)
A. Wound Is extremely large
B. Wound is in the maturation phase
C. Wound has necrotic tissue or slough
D. Wound has impaired healing
E. Wound has eviscerated - CORRECT ANSWER-C, and D
A client is seen in the clinic after being discharged from the
hospital for treatment of a pressure ulcer. Which client outcomes
demonstrate to the nurse that the treatment goals are being met?
(Select all that apply.)
A. The client has enrolled in a smoking cessation program.
B. There is greenish exudate on the dressing.
C. The client and family demonstrate an understanding of
preventive care measures.
D. The wound has decreased in size.
E. The client's BMI is 16, and weight is down by 4 pounds. -
CORRECT ANSWER-A, C, and D
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The nurse is assessing a client with a large abdominal surgical
wound. Which assessment would concern the nurse that puts the
client at risk of the complication of dehiscence?
(Select all that apply.)
A. The client smokes a half pack of cigarettes per day.
B. The client shows signs of dehydration.
C. The client is 12 hours postop.
D. The client has vomited 6 times in the last 4 hours.
E. The client is obese, with a BMI of 38. - CORRECT
ANSWER-B, D, and E
The nurse is caring for a client with a surgical wound. Which are
the most appropriate goals for the client?
(Select all that apply.)
A. The client will remain free of wound infection.
B. The client will be comfortable, with pain at an acceptable
level.
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C. The client will discontinue medications that may interfere
with healing.
D. The client will maintain adequate hydration.
E. The client will engage in activities that promote wound
healing. - CORRECT ANSWER-A, B, D and E
Thin watery exudate that is wither clear or straw-colored -
CORRECT ANSWER-Serous
Thicker exudate and contains many cells and necrotic debris, is
milky and opaque. - CORRECT ANSWER-Purulent
Exudate that contains large amounts of red blood cells; blood-
tinged - CORRECT ANSWER-Sanguineous
In which wound healing phase does hemostasis occur?
A. Inflammatory phase
B. Approximation phase
C. Granulation phase
D. Maturation phase
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