BSN Fundamentals of Nursing 3

Question 1

A nurse is caring for a patient with a stage II pressure injury. Which characteristic best describes this wound?

Accepted Answer

Partial-thickness loss with a shallow open ulcer or intact blister

Answer

A stage II pressure injury involves partial-thickness skin loss presenting as a shallow open ulcer or an intact or ruptured serum-filled blister.

Question 2

When administering an intradermal injection for tuberculin skin testing, the nurse should insert the needle at which angle?

Accepted Answer

5–15 degrees

Answer

Intradermal injections are given at a 5–15-degree angle, nearly parallel to the skin, to deposit medication within the dermis.

Question 3

A patient is ordered 0.9% sodium chloride IV at 125 mL/hour. The IV tubing has a drop factor of 15 gtt/mL. What is the correct drip rate in gtt/min?

Accepted Answer

31 gtt/min

Answer

Drip rate = (125 mL/hr × 15 gtt/mL) ÷ 60 min = 1875 ÷ 60 ≈ 31 gtt/min.

Question 4

A nurse is performing ROM exercises on a patient. Moving the patient's ankle so the toes point upward toward the shin is called:

Accepted Answer

Dorsiflexion

Answer

Dorsiflexion decreases the angle between the dorsum of the foot and the leg, pointing the toes upward.

Question 5

Which of the following best describes the purpose of the nursing process?

Accepted Answer

To provide a systematic, individualized framework for delivering patient care

Answer

The nursing process (ADPIE) is a systematic, problem-solving framework that guides individualized, evidence-based patient care.

BSN - Degree Bachelor of Science in Nursing Practice Test