The nurse is caring for a patient with a pressure ulcer on the left hip. The ulcer is black. Which next step will the nurse anticipate?

Debride the wound.

Manage drainage from the wound.

Document the wound.

Monitor the wound.

Answer and Explanation

The Correct Answer is A

A: Debriding the wound is the next step for a black (necrotic) pressure ulcer. Removing the dead tissue is essential to promote healing and prevent infection.

B: Managing drainage is important for wound care but is not the immediate next step for a necrotic ulcer.

C: Documenting the wound is necessary but does not address the need for debridement.

D: Monitoring the wound is important, but active intervention (debridement) is required for a necrotic ulcer to promote healing.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A: Cleaning hearing aids with alcohol wipes is not recommended as it can damage the devices. The client should use a soft, dry cloth or a cleaning tool designed for hearing aids.

B: Expecting the hearing aids to whistle when cupping a hand over them is normal. This feedback occurs due to the sound being reflected back into the microphone.

C: Not using hairspray while wearing hearing aids is correct. Hairspray can clog the microphone and other components of the hearing aids.

D: Changing the batteries once a week is a reasonable practice, depending on the usage and type of hearing aids. This statement does not indicate a need for further instruction.

A. “I will wear earphones during this test.” B. “A small probe is placed inside my ear.” C. “Small electrodes are placed on my scalp.” D. “A tuning fork is placed on my head.”

Correct Answer is D

Explanation

A: Wearing earphones is not part of the Rinne test. Earphones are used in other types of hearing tests, such as audiometry.

B: A small probe is not used in the Rinne test. Probes are used in other diagnostic procedures, such as tympanometry.

C: Small electrodes are not used in the Rinne test. Electrodes are used in tests like electroencephalography (EEG).

D: A tuning fork is placed on the mastoid bone behind the ear and then near the ear canal during the Rinne test. This test compares air conduction to bone conduction of sound.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for a patient with a pressure ulcer on the left hip. The ulcer is black. Which next step will the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about how to use her new hearing aids. Which of the following statements should the nurse identify as an indication that the client needs further instruction?

Correct Answer is A

Explanation

A nurse is teaching a client about the Rinne test. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is teaching a client who has a history of falls about home safety. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

A nurse teaches the patient about the prescribed sublingual medication. Which statement by the patient indicates teaching by the nurse is successful?

A nurse is teaching a client about nutritional requirements necessary to promote wound healing. Which of the following nutrients should the nurse include in the teaching?

A nurse is in a client’s room when the client begins having a tonic-clonic seizure. Which of the following actions should the nurse take first?

A charge nurse is observing a newly licensed nurse administer medications to a client. Which action by the newly licensed nurse should prompt the charge nurse to intervene?

A nurse is preparing to administer amoxicillin 320 mg PO every 12 hours to an infant. The amount available is amoxicillin suspension 400 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

The patient has just been started on an enteral feeding and has developed diarrhea after being on the feeding for 2 hours. What does the nurse suspect is the most likely cause of the diarrhea?