ESTUDYR
NUR 150 FINAL UPDATED EXAM WITH MOST TESTED
QUESTIONS AND ANSWERS | GRADED A+ | ASSURED
SUCCESS WITH DETAILED RATIONALES
1. When should the nurse perform a skin assessment?
A. Only when the patient complains
B. Once per week
C. On admission and every shift, assessing all skin
D. Only if the patient is immobile
Correct Answer: C
Rationale: Skin integrity can change rapidly. Best practice requires a complete skin assessment
on admission and every shift to detect early breakdown.
2. Which finding defines a Stage 1 pressure injury?
A. Partial-thickness skin loss with blister
B. Intact skin with nonblanchable redness
C. Exposed muscle and bone
D. Slough covering the wound bed
Correct Answer: B
Rationale: Stage 1 pressure injuries have intact skin with persistent redness that does not
blanch when pressed.
3. A Stage 2 pressure injury is best described as:
A. Full-thickness tissue loss
B. Partial-thickness skin loss with serous drainage
C. Eschar covering wound
D. Bone exposure
Correct Answer: B
Rationale: Stage 2 involves partial-thickness loss and may appear as a blister or shallow open
ulcer.
,ESTUDYR
4. Which feature indicates a Stage 3 pressure injury?
A. Intact reddened skin
B. Partial-thickness skin loss
C. Open lesion with subcutaneous tissue exposed
D. Exposed bone
Correct Answer: C
Rationale: Stage 3 injuries extend into subcutaneous tissue, but not muscle or bone.
5. Which finding confirms a Stage 4 pressure injury?
A. Serous drainage
B. Yellow slough only
C. Exposed muscle or bone
D. Nonblanchable erythema
Correct Answer: C
Rationale: Stage 4 pressure injuries are full-thickness wounds with visible muscle, tendon, or
bone.
6. Necrotic tissue is best defined as:
A. New epithelial tissue
B. Infected granulation tissue
C. Dead tissue
D. Healthy tissue with redness
Correct Answer: C
Rationale: Necrosis refers to nonviable, dead tissue that delays healing and increases infection
risk.
7. What is the purpose of the Braden Scale?
A. Diagnose pressure ulcers
B. Measure wound depth
, ESTUDYR
C. Predict pressure injury risk
D. Stage pressure injuries
Correct Answer: C
Rationale: The Braden Scale assesses risk, not presence, of pressure injuries.
8. A Braden score of 8 indicates which risk level?
A. Mild risk
B. Moderate risk
C. High risk
D. Severe risk
Correct Answer: D
Rationale: A score below 9 reflects severe risk for pressure injury development.
9. Which Braden score indicates HIGH risk?
A. 15–18
B. 13–14
C. 10–12
D. Less than 9
Correct Answer: C
Rationale: Scores 10–12 correspond to high risk.
10. Moderate risk on the Braden Scale is defined as:
A. 10–12
B. 13–14
C. 15–18
D. Less than 9
Correct Answer: B
NUR 150 FINAL UPDATED EXAM WITH MOST TESTED
QUESTIONS AND ANSWERS | GRADED A+ | ASSURED
SUCCESS WITH DETAILED RATIONALES
1. When should the nurse perform a skin assessment?
A. Only when the patient complains
B. Once per week
C. On admission and every shift, assessing all skin
D. Only if the patient is immobile
Correct Answer: C
Rationale: Skin integrity can change rapidly. Best practice requires a complete skin assessment
on admission and every shift to detect early breakdown.
2. Which finding defines a Stage 1 pressure injury?
A. Partial-thickness skin loss with blister
B. Intact skin with nonblanchable redness
C. Exposed muscle and bone
D. Slough covering the wound bed
Correct Answer: B
Rationale: Stage 1 pressure injuries have intact skin with persistent redness that does not
blanch when pressed.
3. A Stage 2 pressure injury is best described as:
A. Full-thickness tissue loss
B. Partial-thickness skin loss with serous drainage
C. Eschar covering wound
D. Bone exposure
Correct Answer: B
Rationale: Stage 2 involves partial-thickness loss and may appear as a blister or shallow open
ulcer.
,ESTUDYR
4. Which feature indicates a Stage 3 pressure injury?
A. Intact reddened skin
B. Partial-thickness skin loss
C. Open lesion with subcutaneous tissue exposed
D. Exposed bone
Correct Answer: C
Rationale: Stage 3 injuries extend into subcutaneous tissue, but not muscle or bone.
5. Which finding confirms a Stage 4 pressure injury?
A. Serous drainage
B. Yellow slough only
C. Exposed muscle or bone
D. Nonblanchable erythema
Correct Answer: C
Rationale: Stage 4 pressure injuries are full-thickness wounds with visible muscle, tendon, or
bone.
6. Necrotic tissue is best defined as:
A. New epithelial tissue
B. Infected granulation tissue
C. Dead tissue
D. Healthy tissue with redness
Correct Answer: C
Rationale: Necrosis refers to nonviable, dead tissue that delays healing and increases infection
risk.
7. What is the purpose of the Braden Scale?
A. Diagnose pressure ulcers
B. Measure wound depth
, ESTUDYR
C. Predict pressure injury risk
D. Stage pressure injuries
Correct Answer: C
Rationale: The Braden Scale assesses risk, not presence, of pressure injuries.
8. A Braden score of 8 indicates which risk level?
A. Mild risk
B. Moderate risk
C. High risk
D. Severe risk
Correct Answer: D
Rationale: A score below 9 reflects severe risk for pressure injury development.
9. Which Braden score indicates HIGH risk?
A. 15–18
B. 13–14
C. 10–12
D. Less than 9
Correct Answer: C
Rationale: Scores 10–12 correspond to high risk.
10. Moderate risk on the Braden Scale is defined as:
A. 10–12
B. 13–14
C. 15–18
D. Less than 9
Correct Answer: B
