A nurse is having trouble with doing care plans. Her team members are already noticing this problem and are worried of the consequences this may bring to the quality of nursing care delivered. The problem is already brought to the attention of the nurse. The nurse should:

You notice an area of redness on the buttock of an elderly patient and suspect they may be at risk of developing a pressure ulcer. Which of the following would be the most appropriate to apply?

When doing your shift assessment, one of your patient has a waterflow score of 20. Which of the following mattress is appropriate for this scoreA patient has been confined in bed for months now and has developed pressure ulcers in the buttocks area. When you checked the waterlow it is at level 20. Which type of bed is best suited for this patient?

What are the characteristics of effective collaboration?

What is Disclosure according to NHS?

Which solution use minimum tissue damage while providing wound care?

Who will you inform first if there is a shortage in supplies in your shift?

Appropriate wound dressing criteria includes all but one:

After finding the patient, which statement would be most appropriate for the nurse to document on a datix/incident form?

How long does proliferative phase of wound healing occur?

A patient in your care knocks their head on the bedside locker when reaching down to pick up something they have dropped. What do you do?

You have just finished dressing a leg ulcer. You observe patient is depressed and withdrawn. You ask the patient whether everything is okay. She says yes. What is your next action?

clinical practice is based on evidence based practice. Which of the following statements is true about this

A clients wound is draining thick yellow material. The nurse correctly describes the drainage as:

A young woman has suffered fractured pelvis in an accident , she has been hospitalized for 3 days , when she tells her primary nurse that she has something to tell her but she does not want the nurse to tell anyone. she says that she had tried to donate blood & tested positive for HIV. what is best action of the nurse to take?

The rehabilitation nurse wishes to make the following entry into a client’s plan of care: “Client will re-establish a pattern of daily bowel movements without straining within two months.” The nurse would write this statement under which section of the plan of care? 28

When trying to make a responsible ethical decision, what should the nurse understand as the basis for ethical reasoning?

When should a penile sheath be considered as a means of managing incontinence?

A patient with learning disability is accompanied by a voluntary independent mental capacity advocate. What is his role?

Proper Dressing for wound care should be?

How much urine should someone void an hour?

A 23-year-old-woman comes to the emergency room stating that she had been raped. Which of the following statements BEST describes the nurse’s responsibility concerning written consent?

As an RN in charge you are worried about a nurse’s act of being very active on social media site, that it affect the professionalism. Which one of these is the worst advice you can give her?

A patient has been confined in bed for months now and has developed pressure ulcers in the buttocks area. When you checked the waterlow it is at level 20. Which type of bed is best suited for this patient?

Wendy, 18 years old, was admitted on Medical Ward because of recurrent urinary tract infection (UTI). She disclosed to you that she had unprotected sex with her boyfriend on some occasions. You are worried this may be a possible cause of the infection. How will best handle the situation?

A nurse documents vital signs without actually performing the task. Which action should the charge nurse take after discussing the situation with the nurse?

When doing your shift assessment, one of your patient has a waterflow score of 20. Which of the following mattress is appropriate for this score?

For a client with Water Score >20 which mattress is the most suitable

Mr Connor’s neck wound needed some cleaning to prevent complications. Which of the following concept will you apply when doing a surgical wound cleaning?

Joshua, son of Breid went to the station to see the nurse as she was complaining of severe pain on her pressure ulcer. What will be your initial action?

How do you remove a negative pressure dressing?

The client fell and was injured. What kind of liability does the nurse have?

What are the steps for the proper urine collection?

Compassion in Practice – the culture of compassionate care encompasses:

Which one of the following types of wound is NOT suitable for negative pressure wound therapy?

A client has a diabetic stasis ulcer on the lower leg. The nurse uses a hydrocolloid dressing to cover it. The procedure for application includes:

Essence of Care benchmarking is a process of ——-?

Clinical bench-marking is:

All individuals providing nursing care must be competent at which of the following procedures?

The nurse is in the hospitals public cafeteria & hears two nursing assistants talking about the patient in 406. they are using her name & discussing intimate details about her illness which of the following actions are best for the nurse to take?

The supervisor reprimands the charge nurse because the nurse has not adhered to the budget. Later the charge nurse accuses the nursing staff of wasting supplies. This is an example of

A mentally competent client with end stage liver disease continues to consume alcohol after being informed of the consequences of this action. What action best illustrates the nurse’s role as a client advocate?

What stage of pressure ulcer includes tissue involvement and crater formation?

How long does the ‘inflammatory phase’ of wound healing typically last?

Role conflict can occur in any situation in which individuals work together. The predominant reasons that role conflict will emerge in collaboration is that people have different:

A patient with complex, multiple diseases is discharged to a tertiary level care unit what to do?

What functions should a dressing fulfil for effective wound healing?

The client at greatest risk for postoperative wound infection is:

When would it be beneficial to use a wound care plan?

The nurse works on a medical/surgical unit that has a shift with an unusually high number of admissions, discharges, and call bells ringing. A nurse’s aide, who looks increasingly flustered and overwhelmed with the workload, finally announces “This is impossible! I quit!” and stomps toward the break room. Which of the following statements, if made by the nurse to the nurse’s aide, is BEST?

A patient developed pressure ulcer. The wound is round, extends to the dermis, is shallow, there is visible reddish to pinkish tissue. What stage is the pressure ulcer?

Mrs Smith developed an MRSA bacteremia from her abdominal wound and her son is blaming the staff. It has been highlighted during your ward clinical governance meeting because it has been reported as a serious incident (SI). SI is best described as:

The nurse cares for a client diagnosed with conversion reaction. The nurse identifies the client is utilizing which of the following defence mechanisms?

Which are not the benefits of using negative pressure wound therapy?

A client requests you that he wants to go home against medical advice, what should you do?

Which of the following methods of wound closure is most suitable for a good cosmetic result following surgery?

Patient usually urinates at night Nurse identifies this as:

When would it be beneficial to use a wound care plan?

How would you care for a patient with a necrotic wound?

Clinical audit is best described as:

You are to take charge of the next shift of nurses. Few minutes before your shift, the in charge of the current shift informed you that two of your nurses will be absent. Since there is a shortage of staff in your shift, what will you do?

Black wounds are treated with debridement. Which type of debridement is most selective and least damaging?

Wendy, 18 years old, was admitted on Medical Ward because of recurrent urinary tract infection (UTI). She disclosed to you that she had unprotected sex with her boyfriend on some occasions. You are worried this may be a possible cause of the infection. How will best handle the situation?

dressing: Which of the following conditions can be observed in a proper wound

Wound proliferation starts after?

If you were explaining anxiety to a patient, what would be the main points to include?

A registered nurse identifies a care assistant not washing hands hand before caring an immunocompromised client. Your response?

Proper Dressing for wound care should be?

On removing your patient’s catheter, what should you encourage your patient to do ?

A nurse notices a bedsore. It’s a shallow wound, red coloured with no pus. Dermis is lost. At what stage this bedsore is?

Breid, 76 years old, developed a pressure ulcer whilst under your care. On assessment, you saw some loss of dermis, with visible redness, but not sloughing off. Her pressure ulcer can be categorised as:

When you find out that 2 staffs are on leave for next duty shift and its of staff shortage what to do with the situation?

The nurse restraints a client in a locked room for 3 hours until the client acknowledges who started a fight in the group room last evening. The nurse’s behaviour constitutes:

One of your patient was pleased with the standard of care you have provided him. As a gesture, he is giving you a £50 voucher to spend. What is your most appropriate action on this situation?

You walk onto one of the bay on your ward and noticed a colleague wrongly using a hoist in transferring their patient. As a nurse you will:

If an elderly immobile patient had a “grade 3 pressure sore”, what would be your management?

The nurse is leading an in service about management issues. The nurse would intervene if another nurse made which of the following statements?

The bystander of a muslim lady wishes that a lady doctor only should check the patient. Best response

What are the four stages of wound healing in the order they take place?

A client on your medical surgical unit has a cousin who is physician & wants to see the chart. Which of the following is the best response for the nurse to take

The nurse is functioning as a patient advocate. Which of the following would be the first step the nurse should take when functioning in this role?

What do you expect to assess in a grade 3 pressure ulcer?

The nurse cares for a patient with a wound in the late regeneration phase of tissue repair. The wound may be protected by applying a:

While at outside setup what care will you give as a Nurse if you are exposed to a situation?

A new, postsurgical wound is assessed by the nurse and is found to be hot, tender and swollen. How could this wound be best described?

when breaking bad news over phone which of the following statement is appropriate

Waterlow score of 20 indicates what type of mattress to use?

What do you mean by benchmarking tool ?

A new RN have problems with making assumptions. Which part of the code she should focus to deliver fundamentals of care effectively

a client is admitted to the Emergency Department after a motorcycle accident that resulted in the client’s skidding across a cement parking lot. Since the client was wearing shorts, there are large areas on the legs where the skin is ripped off. The wound is best described as:

A young woman has suffered fractured pelvis in an accident, she has been hospitalized for 3 days , when she tells her primary nurse that she has something to tell her but she does not want the nurse to tell anyone. she says that she had tried to donate blood & tested positive for HIV. what is best action of the nurse to take?

The nurse manager of 20 bed coronary care is not on duty when a staff nurse makes serious medication error. The client who received an over dose of the medication nearly dies. Which statement of the nurse manager reflects accountability?

Wound care management plan should be done with what type of wound?

You are the nurse on Ward C with 14 patients. Your fellow incoming nurses called in sick and cannot come to work on your shift. What will be your best action on this situation?

Bystander informs you that the patient is in severe pain. Ur response

Breid, 76 years old, developed a pressure ulcer whilst under your care. On assessment, you saw some loss of dermis, with visible redness, but not sloughing off. Her pressure ulcer can be categorised as:

A young woman who has tested positive for HIV tells her nurse that she has had many sexual partners. She has been on an oral contraceptive & frequently had not requested that her partners use condoms. She denies IV drug use she tells her nurse that she believes that she will die soon. What would be the best response for the nurse to make.

A client has been voluntarily admitted to the hospital. The nurse knows that which of the following statements is inconsistent with this type of hospitalization?

A 52-year-old man is admitted to a hospital after sustaining a severe head injury in an automobile accident. When the patient dies, the nurse observes the patient’s wife comforting other family members. Which of the following interpretations of this behaviour is MOST justifiable?

What stage of pressure ulcer includes tissue involvement and crater formation?