Question 1

Ensuring adequate circulation to tissues is a major factor in preventing skin breakdown. This can be accomplished by doing all of the following EXCEPT

Accepted Answer

positioning the patient every four hours.

Question 2

Which of the following is a priority when a patient's blood pressure is 86/50 mmHg?

Accepted Answer

Report to the nurse immediately

Question 3

Which of the following best helps reduce pressure on the bony prominences?

Accepted Answer

Repositioning every shift

Question 4

A bedsore or decubitus ulcer is caused by

Accepted Answer

inadequate turning.

Question 5

When measuring blood pressure, the first sound heard when deflating the cuff is the:

Accepted Answer

Systolic pressure

Question 6

A pressure ulcer or decubitis ulcer is caused by:

Accepted Answer

inadequate turning

Question 7

To help ensure adequate circulation to prevent patient skin breakdown, you should

Accepted Answer

do all of the above

Question 8

Which action would help prevent skin breakdown around a stoma if the resident has a colostomy?

Accepted Answer

clean the stoma with water and mild soap

Question 9

A pressure ulcer (decubitus ulcer) is caused by

Accepted Answer

Inadequate turning

Question 10

Which will NOT prevent pressure sores:

Accepted Answer

scrubbing and rubbing the skin vigorously

Question 11

The thinning of the fatty layer under the skin could cause a resident to

Accepted Answer

develop pressure sores.

Question 12

Which will not prevent pressure sores?

Accepted Answer

Scrubbing and rubbing the skin vigorously

Question 13

The thinning of the fatty layer under the skin could cause the resident to:

Accepted Answer

develop pressure sores

Question 14

Which action would help prevent skin breakdown around a stoma if the resident had a colostomy?

Accepted Answer

Clean the stoma with water and mild soap

Question 15

The thinning of the fatty layer under the skin could cause the resident to

Accepted Answer

Develop pressure sores

Question 16

A pressure sore that involves intact skin with no blanchable redness is classified as A. Stage 1 B. Stage 2 C. Stage 3 D. Stage 4

Accepted Answer

Stage 1