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PRACTICING FOR NCLEX

MULTIPLE CHOICE QUESTIONS

Circle the letter that corresponds to the best

answer for each question.

1.A patient who is being treated for self-

inflicted wounds admits to the nurse that she

is anorexic. Which of the following criteria

would alert the healthcare worker to her

nutritional risk?

a.Albumin level of 3.5 mg/dL

b.Total lymphocyte count of 1,500/mm^3

c.Body weight decrease of 5%

d.Arm muscle circumference 90% of standard

2.A patient with a pressure ulcer on his back

should be treated by which of the following

methods?

a.A foam wedge should be used to keep body

weight off his back.

b.A ring cushion should be used to protect

reddened areas from additional pressure.

c.The amount of time the head of the bed is

elevated should be increased.

d.Positioning devices and techniques should

be used to maintain posture and distribute

weight evenly for the patient in a chair.

3.When cleaning a wound, the nurse should

adhere to which of the following protocols?

a.The wound should be cleaned with each

dressing change.

b.Friction should be used with cleaning

materials to loosen dead cells.

c.Povidone–iodine or hydrogen peroxide

should be used to fight infection in the

wound.

d.Irrigating devices should not be used on

wounds because they damage the cells

needed for healing.

4.Which of the following recommendations for

wound dressing is accurate?

a.Use wet-to-dry dressings continuously.

b.Keep the intact, healthy skin surrounding

the ulcer moist because it is susceptible to

breakdown.

c.Select a dressing that absorbs exudate, if

it is present, but still maintains a moist

environment.

d.Pack wound cavities tightly with dressing

material.

5.You are giving a back rub to an older patient

at home and notice a stage II pressure ulcer.

Which of the following treatments would

you suggest for this patient?

a.Treat the ulcer using pressure-relieving

devices.

b.Use a wet-to-dry dressing on the wound.

c.Cover the wound with a nonadherent

dressing and change every 8 to 12 hours.

d.Maintain a moist healing environment

with a saline or occlusive dressing to

promote natural healing.

Skin Integrity and Wound Care

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