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NSG 300 Exam 2 from Grand Canyon University
(GCU)|| QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+||NEWEST UPDATE!!!!
Which measurements would the nurse use to calculate the
surface area of a patient's pressure ulcer?
A) Height and weight
B) Length and width
C) Length and depth
D) Width and depth - ANSWER-C) Length and width
How would the nurse safely apply an enzyme debridement
ointment?
A) Daub ointment on dead tissue at the wound edges.
B) Put ointment on a tongue blade, and gently spread it on
the center of the wound.
C) Apply ointment to necrotic tissue in the wound while
avoiding contact with surrounding skin.
D) Apply a gauze dressing to ensure contact with the
ointment. - ANSWER-C) Apply ointment to necrotic tissue
in the wound while avoiding contact with surrounding skin.
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Which action can the nurse delegate to nursing assistive
personnel (NAP) to help prevent the development of
pressure ulcers in an older adult patient?
A) Reposition the patient at least every 2 hours.
B) Assess the patient's bony prominences every shift.
C) Educate the family about the importance of healthy
skin.
D) Assist the patient in the selection of high-protein foods.
- ANSWER-A) Reposition the patient at least every 2
hours.
A long term care facility encourages nurses to assess
patients at risk for developing pressure injuries based on
six sub scales: moisture, sensory perception, activity,
mobility, nutrition, and friction or shear force. Which tool is
the long-term care facility using for risk assessment of
pressure injury development? - ANSWER-Braden Scale
Which criteria does the Braden Scale evaluate? -
ANSWER-Risk factors that place the patient at risk of
pressure injury
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Which finding is characteristic of a stage 3 pressure
injury? Select all that apply. - ANSWER-It has full-
thickness skin loss
The subcutaneous fat may be visible
Neither the bone, tendon, nor muscle is exposed
The nurse understands that a protein deficiency can
adversely affect wound healing. Which parameter should
be measured to determine this deficiency in the patient? -
ANSWER-Serum albumin
Serum transferrin
Serum prealbumin
Which term is used to describe deteriorated skin condition
related to prolonged, unrelieved pressure on a body part?
Select all that apply. - ANSWER-Bedsore
Pressure sore
Pressure ulcer
Decubitus ulcer
Arrange the phases of wound healing in the correct order.
- ANSWER-Hemostasis
Inflammatory phase
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Proliferative phase
Remodeling
Which vitamin should be provided to a patient to promote
wound healing? Select all that apply. - ANSWER-A & C
The nurse assesses a patient's abdominal wound and
finds that the wound is in the proliferative phase of
healing. Which change in the wound might have led the
nurse to this conclusion? Select all that apply. - ANSWER-
the wound is filled with granulation tissue
the wound contracts to reduce the area that requires
healing
there is reepithelialization of the wound surface
Which blood cells are known as garbage cells? -
ANSWER-macrophages
Which stage of pressure injury is noted to have intact skin
and may include changes in skin temperature (warmth or
coolness), tissue consistency (firm or soft), and/or pain? -
ANSWER-Stage 1
NSG 300 Exam 2 from Grand Canyon University
(GCU)|| QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+||NEWEST UPDATE!!!!
Which measurements would the nurse use to calculate the
surface area of a patient's pressure ulcer?
A) Height and weight
B) Length and width
C) Length and depth
D) Width and depth - ANSWER-C) Length and width
How would the nurse safely apply an enzyme debridement
ointment?
A) Daub ointment on dead tissue at the wound edges.
B) Put ointment on a tongue blade, and gently spread it on
the center of the wound.
C) Apply ointment to necrotic tissue in the wound while
avoiding contact with surrounding skin.
D) Apply a gauze dressing to ensure contact with the
ointment. - ANSWER-C) Apply ointment to necrotic tissue
in the wound while avoiding contact with surrounding skin.
,2|Page
Which action can the nurse delegate to nursing assistive
personnel (NAP) to help prevent the development of
pressure ulcers in an older adult patient?
A) Reposition the patient at least every 2 hours.
B) Assess the patient's bony prominences every shift.
C) Educate the family about the importance of healthy
skin.
D) Assist the patient in the selection of high-protein foods.
- ANSWER-A) Reposition the patient at least every 2
hours.
A long term care facility encourages nurses to assess
patients at risk for developing pressure injuries based on
six sub scales: moisture, sensory perception, activity,
mobility, nutrition, and friction or shear force. Which tool is
the long-term care facility using for risk assessment of
pressure injury development? - ANSWER-Braden Scale
Which criteria does the Braden Scale evaluate? -
ANSWER-Risk factors that place the patient at risk of
pressure injury
,3|Page
Which finding is characteristic of a stage 3 pressure
injury? Select all that apply. - ANSWER-It has full-
thickness skin loss
The subcutaneous fat may be visible
Neither the bone, tendon, nor muscle is exposed
The nurse understands that a protein deficiency can
adversely affect wound healing. Which parameter should
be measured to determine this deficiency in the patient? -
ANSWER-Serum albumin
Serum transferrin
Serum prealbumin
Which term is used to describe deteriorated skin condition
related to prolonged, unrelieved pressure on a body part?
Select all that apply. - ANSWER-Bedsore
Pressure sore
Pressure ulcer
Decubitus ulcer
Arrange the phases of wound healing in the correct order.
- ANSWER-Hemostasis
Inflammatory phase
, 4|Page
Proliferative phase
Remodeling
Which vitamin should be provided to a patient to promote
wound healing? Select all that apply. - ANSWER-A & C
The nurse assesses a patient's abdominal wound and
finds that the wound is in the proliferative phase of
healing. Which change in the wound might have led the
nurse to this conclusion? Select all that apply. - ANSWER-
the wound is filled with granulation tissue
the wound contracts to reduce the area that requires
healing
there is reepithelialization of the wound surface
Which blood cells are known as garbage cells? -
ANSWER-macrophages
Which stage of pressure injury is noted to have intact skin
and may include changes in skin temperature (warmth or
coolness), tissue consistency (firm or soft), and/or pain? -
ANSWER-Stage 1
