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Exam (elaborations)

PN 140 Test 2 NCLEX Questions and Answers 2024/2025

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Which of the following devices should be used to ensure the appropriate amount of irrigation pressure during a wound irrigation? A. 10 mL syringe with a 19 gauge needle B. 35 mL syringe with a 19 gauge needle C. steady flow of fluid from a height of 12 inches above the wound D. steady but gen...

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  • October 11, 2024
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PN 140 Test 2 NCLEX Questions and
Answers 2024/2025
Which of the following devices should be used to ensure the appropriate amount of irrigation

pressure during a wound irrigation?




A. 10 mL syringe with a 19 gauge needle




B. 35 mL syringe with a 19 gauge needle




C. steady flow of fluid from a height of 12 inches above the wound




D. steady but gentle squirt of irrigant through a catheter irrigating system

 B. 35 mL syringe with a 19 gauge needle


Which of the following are common sites for development of pressure ulcers? (select all that

apply)




A. sternum

B. heels

C. sacrum

D. ears

E. lateral malleoli

1|Page| GradeA+ | 2 0 0 2 5

,2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!

F. trochanters

G. tip of great toe


 B. heels
C. sacrum

D. ears

E. lateral maleoli

F. trochanters




When educating a patient about wound healing the nurse should include what in the teaching?




A. inadequate nutrition delays wound healing and increases risk of infection.




B. chronic wounds heal better in a dry, open environment so leave them open to air.




C. fat tissue heals more rapidly because there is less vascularization.




D. long term steroid use diminishes the inflammatory response and speeds up wound healing


 A. inadequate nutrition delays wound healing and increases risk of infection


What strategies should be included in pressure ulcer prevention (select all that apply)




A. use moisture barrier ointment with incontinence

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,2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!

B. reposition immobile patients every 4 hours

C. when patient in side lying position ensure HOB <30 degrees

D. place patient on pressure reducing support surface

E. maintain bed at 45 degree angle

F. massage reddened bony prominences

G. oral nutrition supplement should be used when undernourished.

 A. use moisture barrier ointment with incontinence
C. when patient in side lying position ensure HOB <30 degrees

D. place patient on pressure reducing support surface

G. oral nutrition supplement should be used when undernourished.




Why does a wound bed need to stay moist?




A. to support healing by enabling granulation tissue to grow.




B. to prevent excessive fluid loss from the body




C. to determine if the area has reactive hyperemia




D. to decrease patient discomfort

 A. to support healing by enabling granulation tissue to grow.


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, 2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!

What evaluation criteria are included in the Braden Risk assessment? (select all that apply)




A. sensory perception

B. medications

C. mobility

D. friction and shear

E. mental status

F. moisture

 A. sensory perception
C. mobility

D. friction and shear

F. moisture




What term refers to pale, red and watery drainage from a wound?




A. serous




B. sanguineous




C. serosanguineous




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