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NSG 300 EXAM 2 FROM GRAND CANYON
UNIVERSITY (GCU)
INCLUDES ACCURATE AND VERIFIED
QUESTIONS COVERING
FOUNDATIONAL NURSING CONCEPTS
SUCH AS THE NURSING PROCESS,
CRITICAL THINKING, PATIENT SAFETY,
COMMUNICATION, EVIDE NCEBASED
PRACTICE, AND BASIC CLINICAL SKILLS.
THIS EXAM IS
DESIGNED TO ASSESS CORE KNOWLEDGE
AT THE BEGINNING OF THE
NURSING PROGRAM.
Question :A postoperative patient arrives at an ambulatory care
center and states, "I am not feeling good." Upon assessment, you note an elevated temperature. An indication that the wound is
infected would be:
Correct answer:it shows purulent drainage coming from the
incision site.
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Question :A travel nurse has taken an assignment at a health
care facility where nurses assume responsibility for a caseload of patients over a period of time. This type of nursing
exemplifies:
Correct answer:primary nursing
Question :A patient who received penicillin developed a rash on
the right hand. The pt. asks the nurse why this happened. how would the nurse explain
Correct answer:by using previous knowledge
Question :A patient is admitted to the hospital with shortness of
breath. As the nurse assesses this patient, the nurse is using the
process of:
Correct answer:data collection
Question :A 22-year-old new mother is breastfeeding. You ask
her if she is taking the correct quantities of nutrients. what reflects that she understands the dietary guidelines?
Correct answer:I am making eating choices according to the
recommended dietary allowances."
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Question :a health care provider may suspect that a patient is
experiencing urinary retention when the patient has
Correct answer:small amounts of urine voided two to three times
per hour
Question :what places patients at risk for pressure
ulcers/impaired skin integrity
Correct answer:pressure intensity, pressure duration, tissue
tolerance, impaired sensory perception, impaired mobility, alteration in LOC, shear, friction, moisture
Question :layers of the skin
Correct answer:epidermis, dermis (collagen)
Question :body's defenses against infection
Correct answer:normal flora, inflammatory response, immune
response
Question :comprehensive wound assessment
Correct answer:-ongoing assessment from time of injury, wound
care, any condition changes, and on scheduled basis
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-Important to include cause of injury, history of wound, treatment, description, response to therapy
-Braden scale: assesses risk for pressure/skin injury every shift
Question :Braden Scale
Correct answer:assesses risk for developing pressure ulcers;
includes patient's sensory perception, moisture, activity, mobility, nutrition, friction and shear; the lower the number the higher the risk
9= very high risk 10-12= high risk 13-14= moderate risk 15-18= mild risk 19-23= generally not at risk
Question :type 1 ulcers
Correct answer:skin is intact but may be red or pink and warm
to the touch; no blanching -for POC, there may be no noticeable blanching but skin color may vary