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HALLMARK FINAL EXAM BSN -205 NEWEST 2024
ACTUAL EXAM 2 LATEST VERSIONS (VERSION A
AND B) COMPLETE 350 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
HALLMARK FINAL EXAM BSN 205 VERSION A
Why does a wound bed need to stay moist?
To prevent excessive fluid loss from the body.To support healing by enabling granulation tissue to grow.To determine if the area has reactive hyperemia.To decrease patient discomfort. - ANSWER- To support healing by enabling granulation tissue to grow.
A nurse is applying negative-pressure wound therapy (e.g., wound vacuum-assisted closure [V.A.C.]) independently for the first time.Assuming all other steps are performed correctly, which action, if made by the nurse, indicates that further instruction is needed in performing this procedure?
With dressing tube unclamped, the nurse instills 10 to 30 mL of normal saline into the tubing to soak the foam underneath.
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With the V.A.C. unit off, the nurse applies clean gloves and disconnects the tubes to drain fluids into the canister.
The nurse cuts the foam approximately one-half inch smaller than the size of the wound and gently places the foam in the wound, avoiding any tunneled and undermined areas.
The nurse applies the tubing to the foam in the wound, applies a skin protectant to skin around the wound, and applies the transparent dressing, covering 3 to 5 cm (1.2 to 2 inches) of surrounding healthy tissue. - ANSWER- The nurse cuts the foam approximately one-half inch smaller than the size of the wound and gently places the foam in the wound, avoiding any tunneled and undermined areas.
The nurse may use clean gloves for changing the dressing on which of the following?
1.Chronic pressure injury.
2.Sterile gloves should always be used for dressing changes performed in the hospital setting.
- Sterile gloves should always be used for dressing changes performed
- Surgical wound. - ANSWER- Chronic Pressure Injury
by nurses.
The nurse is reading electronic documentation from the emergency room on a patient who is to be admitted to the unit. The documentation states 2 / 4
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that the patient has a hematoma on the right knee. What does the nurse expect to see?
An area of skin that has been scraped away.
A deep wound extending into the dermis.
A shallow wound with loss of the epidermis and partial loss of the dermis.
A localized collection of blood underneath the tissues that often takes on a bluish discoloration. - ANSWER- A localized collection of blood underneath the tissues that often takes on a bluish discoloration.
When is a surgical wound at greatest risk for hemorrhage?
Five to seven days after surgery.
Four to five days after surgery.
During the first 24 to 48 hours after surgery.
Two to three days after surgery.
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The greatest risk of hemorrhage is during the first 24 to 48 hours after surgery or injury, indicating inadequate hemostasis. The nurse should monitor for decreased blood pressure and increased pulse rate and observe dressing and underneath the patient for any bloody drainage. - ANSWER- During the first 24 to 48 hours after surgery.
The nurse inspects all wounds for signs of infection. When might a contaminated or traumatic wound show signs of infection?
Five to seven days after injury.
Two to three days after injury.
During the first 24 to 48 hours after injury.
Up to 5 days after injury. - ANSWER- Two to three days after injury.
A patient with lung cancer received radiation therapy to reduce the size of the tumor before a lobectomy (surgical removal of part of the lung).The patient is now being seen on home health services for packing of an abnormal passage between the patient's chest cavity and an opening on
the patient's back. The nurse is aware the patient is at increased risk for:
Edema.
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