NSG 300 Exam 2 STUDY GUIDE 2026 COMPLETE
QUESTIONS WITH CORRECT DETAILED
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Terms in this set (258)
what places patients at risk for pressure intensity, pressure duration, tissue
pressure ulcers/impaired skin tolerance, impaired sensory perception, impaired
integrity mobility, alteration in LOC, shear, friction, moisture
layers of the skin epidermis, dermis (collagen)
body's defenses against infection normal flora, inflammatory response, immune
response
comprehensive wound assessment -ongoing assessment from time of injury, wound
care, any condition changes, and on scheduled
basis
-Important to include cause of injury, history of
wound, treatment, description, response to therapy
-Braden scale: assesses risk for pressure/skin injury
every shift
, Braden Scale assesses risk for developing pressure ulcers;
includes patient's sensory perception, moisture,
activity, mobility, nutrition, friction and shear; the
lower the number the higher the risk
>9= very high risk
10-12= high risk
13-14= moderate risk
15-18= mild risk
19-23= generally not at risk
type 1 ulcers skin is intact but may be red or pink and warm to
the touch; no blanching
-for POC, there may be no noticeable blanching
but skin color may vary
type 2 ulcers partial-thickness loss of dermis; shallow broken
skin; red-pink wound bed
type 3 ulcers full-thickness tissue loss with visible fat
(subcutaneous layer); pale-yellow color; may
include slough but does not obstruct view of depth
of injury
type 4 ulcers full-thickness tissue loss with exposed bone,
muscle, or tendon. possible tunneling and
undermining
unstageable pressure ulcer base of ulcer covered by slough and/or eschar in
the wound bed so the depth is unknown; exudate;
deep tissue injury Purple or maroon localized area of discolored
intact skin or blood-filled blister due to damage of
underlying soft tissue from pressure and/or shear.
QUESTIONS WITH CORRECT DETAILED
ANSWERS || 100% GUARANTEED PASS LATEST
VERSION
Save
Terms in this set (258)
what places patients at risk for pressure intensity, pressure duration, tissue
pressure ulcers/impaired skin tolerance, impaired sensory perception, impaired
integrity mobility, alteration in LOC, shear, friction, moisture
layers of the skin epidermis, dermis (collagen)
body's defenses against infection normal flora, inflammatory response, immune
response
comprehensive wound assessment -ongoing assessment from time of injury, wound
care, any condition changes, and on scheduled
basis
-Important to include cause of injury, history of
wound, treatment, description, response to therapy
-Braden scale: assesses risk for pressure/skin injury
every shift
, Braden Scale assesses risk for developing pressure ulcers;
includes patient's sensory perception, moisture,
activity, mobility, nutrition, friction and shear; the
lower the number the higher the risk
>9= very high risk
10-12= high risk
13-14= moderate risk
15-18= mild risk
19-23= generally not at risk
type 1 ulcers skin is intact but may be red or pink and warm to
the touch; no blanching
-for POC, there may be no noticeable blanching
but skin color may vary
type 2 ulcers partial-thickness loss of dermis; shallow broken
skin; red-pink wound bed
type 3 ulcers full-thickness tissue loss with visible fat
(subcutaneous layer); pale-yellow color; may
include slough but does not obstruct view of depth
of injury
type 4 ulcers full-thickness tissue loss with exposed bone,
muscle, or tendon. possible tunneling and
undermining
unstageable pressure ulcer base of ulcer covered by slough and/or eschar in
the wound bed so the depth is unknown; exudate;
deep tissue injury Purple or maroon localized area of discolored
intact skin or blood-filled blister due to damage of
underlying soft tissue from pressure and/or shear.
