Questions & 100% Correct Answers | Latest Update 2026
| Nursing Certification Prep
1. An obese client on the unit has demonstrated difficulty healing a large
pressure injury. The nurse correctly recognizes that this is most likely because
of which factor?
Adipose tissue is poorly vascularized
A greater than usual amount of tissue is needed to heal the wound.
The client's size limits their activity level
Obesity is linked to impaired white blood cell function
2. Describe the relationship between elevated BMI and the wound healing
process.
A lower BMI is more detrimental to wound healing than a higher BMI.
BMI does not influence wound healing in any significant way.
A higher BMI enhances wound healing by providing more nutrients.
An elevated BMI can impair wound healing due to factors like
reduced blood flow and increased inflammation.
3. What is the first step in the healing process by secondary intention?
Inflammation
Maturation
Epithelialization
Granulation
4. Which of the following is true?
, Hospitalized patients need adequate protein intake for healing from
injury and recovery from illness.
Only animal proteins are complete proteins.
Carbohydrate intake is more important than protein intake in terms of
wound healing.
The recommended protein intake by weight is 0.9 g/kg/day.
5. Describe the process that leads to the formation of keloid scars.
Keloid scars form due to a lack of collagen, leading to a flat scar.
Keloid scars are caused by the body's inability to produce any
collagen.
Keloid scars are formed from an infection that prevents proper
healing.
Keloid scars form when the body produces too much collagen
during the healing process, resulting in a raised and thickened area
of skin.
6. A patient has a large wound that is healing by secondary intention. What
nutritional intervention would best support the healing process?
Reduced carbohydrate intake
Increased fat intake
Increased protein intake
Decreased hydration
7. A hydrocolloid dressing is an option for a:
partial thickness wound
a secondary dressing with an alginate
, full thickness wound
skin tear
8. Describe how the Braden Scale is utilized in clinical settings.
The Braden Scale is used to evaluate a patient's risk of developing
pressure ulcers based on sensory perception, moisture, activity,
mobility, nutrition, and friction/shear.
The Braden Scale classifies wounds based on their healing phases.
The Braden Scale measures the depth of wounds to determine
treatment.
The Braden Scale assesses the nutritional needs of patients with
wounds.
9. In a clinical scenario, a patient presents with a chronic wound that has
significant necrotic tissue. What would be the most appropriate intervention?
Use of a negative pressure wound therapy device.
Administration of systemic antibiotics.
Application of a hydrocolloid dressing.
Surgical sharp debridement.
10. What are common indicators that a wound may be infected?
Bleeding and scabbing
Redness, swelling, warmth, and discharge
Dryness and peeling
Increased pain and numbness