NSG-300 Exam 2 study guide
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+ 100%
GUARANTEED PASS [LATEST
2026-2027]
The student nurse sees an excess amount of exudate in the wound bed. What does this
indicate? - CORRECT ANSWER-The presence of infection
What should the nurse look for when assessing the periwound area? Why is it important? -
CORRECT ANSWER-Redness, warmth, signs of maceration and pain
- presence of any of these factors indicates wound deterioration
Why is wound classification important? - CORRECT ANSWER-Allows a nurse to understand the
risks associated with a wound and implications for healing
How does a partial thickness wound heal? - CORRECT ANSWER-Heals by regeneration
How does a full thickness would heal? - CORRECT ANSWER-Heals by forming new tissue which
takes longer
,What are the three components involved in the healing process of a partial thickness wound? -
CORRECT ANSWER-Inflammatory response, epithelial proliferation and migration, and
reestablishment of epidermal layers
A patient states keeping his wound exposed to air while allow his wound to heal quickly. What
education should the nurse provide to the patient? - CORRECT ANSWER-Wounds heal faster in
moist environments because epidermal cells only migrate across moist surfaces.
Reestablishment of the epidermal layers - CORRECT ANSWER-New epithelium is only a few cells
thick. Cells slowly reestablish normal thickness and appear as dry, pink tissue
What are the four stages involved in the healing process of a full thickness wound? - CORRECT
ANSWER-Hemostasis, inflammation, proliferation and maturation
Primary intention healing - CORRECT ANSWER-The skin edges are approximated, or closed, and
the risk of infection is low. Healing occurs quickly, with minimal scar formation, as long as
infection and secondary breakdown are prevented
Secondary infection healing - CORRECT ANSWER-Wound is left open until it becomes filed by
scar tissue. It takes longer for a wound to heal by secondary intention increasing the chance of
infection
hemorrhage - CORRECT ANSWER-bleeding from a wound site is normal during and immediately
after initial trauma
A nurse suspects internal bleeding. How would the nurses assess the patient to confirm her
findings? - CORRECT ANSWER-By assessing for distention or swelling of the affected body part,
change in type and amount of drainage from a surgical drain r signs of hypovolemic shock
,Hematoma - CORRECT ANSWER-localized collection of blood underneath the tissue
dihiscence - CORRECT ANSWER-partial or total separation of wound layers
Evisceration - CORRECT ANSWER-protrusion of visceral organs through a wound opening
What is the second most common health care associated infection? - CORRECT ANSWER-wound
infection
What are the signs and symptoms of wound infection? - CORRECT ANSWER-Fever, tenderness
and pain at wound site
Elevated WBC count
Wound edges appear inflamed
Drainage may be present: odorous and purulent (yellow, green, or brown)
A student nurse is asked to perform a risk assessment of pressure ulcers on patient. How should
the nurse determine the patient's risk? - CORRECT ANSWER-Using the Braden scale. Lower
numbers indicates the patient is at a high risk for skin breakdown.
What are the 6 components of the Braden Scale? - CORRECT ANSWER-sensory perception,
moisture, activity, mobility, nutrition, friction/shear
what did the Centers of Medicare and Medicaid Services (CMS) implement to help improve
quality of care in regards to pressure ulcers? - CORRECT ANSWER-Hospitals no longer receive
additional reimbursement for care related to stage 3 and 4 pressure ulcers that occur during
hospitalizations
, Why is important for the admitting nurse to observe ALL areas of skin? - CORRECT ANSWER-Due
to the CMS implements. So if the nurse misses an ulcer, the hospital will not be paid for the cost
to care for it.
What factors influence pressure ulcer formation and wound healing? - CORRECT ANSWER-
◦Nutrition
◦Tissue perfusion
◦Infection
◦Age
◦Psychosocial impact of wounds
How many calories does a patient need to consume a day to maintain skin and wound healing? -
CORRECT ANSWER-Patients need 1500 kcal/day
How does tissue perfusion affect healing? - CORRECT ANSWER-Tissue perfusion occurs when
tissue oxygenation fuels cellular function.
Which patients are at risk for poor tissue perfusion? - CORRECT ANSWER-Patients who are in
shock and who have diabetes mellitus
What should be included in the assessment of pressure ulcer risk? - CORRECT ANSWER-
◦Predictive measures
◦Mobility
◦Nutritional status
◦Body fluids
◦Pain
serous drainage - CORRECT ANSWER-clear, watery plasma
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+ 100%
GUARANTEED PASS [LATEST
2026-2027]
The student nurse sees an excess amount of exudate in the wound bed. What does this
indicate? - CORRECT ANSWER-The presence of infection
What should the nurse look for when assessing the periwound area? Why is it important? -
CORRECT ANSWER-Redness, warmth, signs of maceration and pain
- presence of any of these factors indicates wound deterioration
Why is wound classification important? - CORRECT ANSWER-Allows a nurse to understand the
risks associated with a wound and implications for healing
How does a partial thickness wound heal? - CORRECT ANSWER-Heals by regeneration
How does a full thickness would heal? - CORRECT ANSWER-Heals by forming new tissue which
takes longer
,What are the three components involved in the healing process of a partial thickness wound? -
CORRECT ANSWER-Inflammatory response, epithelial proliferation and migration, and
reestablishment of epidermal layers
A patient states keeping his wound exposed to air while allow his wound to heal quickly. What
education should the nurse provide to the patient? - CORRECT ANSWER-Wounds heal faster in
moist environments because epidermal cells only migrate across moist surfaces.
Reestablishment of the epidermal layers - CORRECT ANSWER-New epithelium is only a few cells
thick. Cells slowly reestablish normal thickness and appear as dry, pink tissue
What are the four stages involved in the healing process of a full thickness wound? - CORRECT
ANSWER-Hemostasis, inflammation, proliferation and maturation
Primary intention healing - CORRECT ANSWER-The skin edges are approximated, or closed, and
the risk of infection is low. Healing occurs quickly, with minimal scar formation, as long as
infection and secondary breakdown are prevented
Secondary infection healing - CORRECT ANSWER-Wound is left open until it becomes filed by
scar tissue. It takes longer for a wound to heal by secondary intention increasing the chance of
infection
hemorrhage - CORRECT ANSWER-bleeding from a wound site is normal during and immediately
after initial trauma
A nurse suspects internal bleeding. How would the nurses assess the patient to confirm her
findings? - CORRECT ANSWER-By assessing for distention or swelling of the affected body part,
change in type and amount of drainage from a surgical drain r signs of hypovolemic shock
,Hematoma - CORRECT ANSWER-localized collection of blood underneath the tissue
dihiscence - CORRECT ANSWER-partial or total separation of wound layers
Evisceration - CORRECT ANSWER-protrusion of visceral organs through a wound opening
What is the second most common health care associated infection? - CORRECT ANSWER-wound
infection
What are the signs and symptoms of wound infection? - CORRECT ANSWER-Fever, tenderness
and pain at wound site
Elevated WBC count
Wound edges appear inflamed
Drainage may be present: odorous and purulent (yellow, green, or brown)
A student nurse is asked to perform a risk assessment of pressure ulcers on patient. How should
the nurse determine the patient's risk? - CORRECT ANSWER-Using the Braden scale. Lower
numbers indicates the patient is at a high risk for skin breakdown.
What are the 6 components of the Braden Scale? - CORRECT ANSWER-sensory perception,
moisture, activity, mobility, nutrition, friction/shear
what did the Centers of Medicare and Medicaid Services (CMS) implement to help improve
quality of care in regards to pressure ulcers? - CORRECT ANSWER-Hospitals no longer receive
additional reimbursement for care related to stage 3 and 4 pressure ulcers that occur during
hospitalizations
, Why is important for the admitting nurse to observe ALL areas of skin? - CORRECT ANSWER-Due
to the CMS implements. So if the nurse misses an ulcer, the hospital will not be paid for the cost
to care for it.
What factors influence pressure ulcer formation and wound healing? - CORRECT ANSWER-
◦Nutrition
◦Tissue perfusion
◦Infection
◦Age
◦Psychosocial impact of wounds
How many calories does a patient need to consume a day to maintain skin and wound healing? -
CORRECT ANSWER-Patients need 1500 kcal/day
How does tissue perfusion affect healing? - CORRECT ANSWER-Tissue perfusion occurs when
tissue oxygenation fuels cellular function.
Which patients are at risk for poor tissue perfusion? - CORRECT ANSWER-Patients who are in
shock and who have diabetes mellitus
What should be included in the assessment of pressure ulcer risk? - CORRECT ANSWER-
◦Predictive measures
◦Mobility
◦Nutritional status
◦Body fluids
◦Pain
serous drainage - CORRECT ANSWER-clear, watery plasma
