NRSG 3323 Final Exam Questions with
Guaranteed Pass Solutions 2025-2026
Updated.
Wound Types - Primary Intention - Answer This occurs where the tissue surfaces have been
approximated (closed).
This can be with stitches, or staples, or skin glue (like Derma bond), or even with tapes (like
steri-strips).
This kind of closure is used when there has been very little tissue loss. Rapid healing
An example of wound healing by primary intention is a surgical incision, paper cut..
Fastest type of closure
Wound Types - Secondary Intention - Answer A wound that is extensive and involves
considerable tissue loss, and in which the edges cannot be brought together. Larger wounds
with tissue loss, edges not approximated, heals from the inside out, granulation tissue fills in the
wound, longer healing time, larger scars
The chances of infection are far greater.
Wound cannot be approximate
Requires granulation tissue
Creates more scar tissue
Wound types - Tertiary Intention - Answer This type of wound healing is also known as
"delayed" or "secondary closure" and is indicated where there is a reason to delay suturing or
closing a wound some other way, for example when there is poor circulation to the injured area.
These wounds are closed later.
Wounds that heal by tertiary intention require more connective tissue (scar tissue) than wounds
that heal by secondary intention. An example of a wound healing by tertiary intention is an
abdominal wound that is initially left open to allow for drainage but is later closed.
Serous drainage - Answer Clear, watery drainage, fluid in a blister
Sanguineous drainage - Answer Bloody (bright red is fresh blood, dark red is older blood);
the amount and color is important
Thin watery drainage tinged with blood
Purulent drainage - Answer Think pus like drainage that is green,yellow, or brown
, Occlusive Dressing - Answer Used for Vacuum-assisted closure which prevents air from going
in and a partial vacuum to facility removal of fluid
Used if chest tube becomes dislodged from the patient
Used in Autolytic Debridement to keep wound fluids in constant contact with wound
• Penrose drain care - Answer • Passive drainage - need gauze pads to collect fluid to stop
damage to the skin.
• Surgically placed in OR sterilely and safety pin placed at that time
• Safety pin stops drain from slipping back into the wound
• Safety pin not attached to anything
• Tubes usually latex and come in different sizes and lengths
• Promotes drainage of blood, lymph or other fluids to reduce risk of infection or absess in
wound itself.
• Usually placed thru stab wound when excess wound drainage is expected
• Not sutured in place
• Pulled out a little as drainage lessens (use forceps and turn slightly)
• Clean in a circular motion
JP vs Hemovac Drain - Answer JP creates gentle negative pressure (bulb must be squeezed to
have the negative suction work)
Hemovac has a negative pressure greater than JP
JP holds 50-100 ml
Hemovac holds 400-800ml
External Ear Exam - Answer Note level of the ear in relation to outer canthus of the eye
Should be at or above it
Inspect and palpate the auricles and move them around gently to assess tenderness
Palpate the mastoid process for tenderness or deformity and the tragus.
If pain at the tragus - diagnostic for otitis externa (inflammation of ear canal)
Inspect the auditory canal (cerumen, discharge, redness, tenderness) with naked eye
Skin changes around helix - common site for skin cancers
• Basal, squamous, melanoma
Guaranteed Pass Solutions 2025-2026
Updated.
Wound Types - Primary Intention - Answer This occurs where the tissue surfaces have been
approximated (closed).
This can be with stitches, or staples, or skin glue (like Derma bond), or even with tapes (like
steri-strips).
This kind of closure is used when there has been very little tissue loss. Rapid healing
An example of wound healing by primary intention is a surgical incision, paper cut..
Fastest type of closure
Wound Types - Secondary Intention - Answer A wound that is extensive and involves
considerable tissue loss, and in which the edges cannot be brought together. Larger wounds
with tissue loss, edges not approximated, heals from the inside out, granulation tissue fills in the
wound, longer healing time, larger scars
The chances of infection are far greater.
Wound cannot be approximate
Requires granulation tissue
Creates more scar tissue
Wound types - Tertiary Intention - Answer This type of wound healing is also known as
"delayed" or "secondary closure" and is indicated where there is a reason to delay suturing or
closing a wound some other way, for example when there is poor circulation to the injured area.
These wounds are closed later.
Wounds that heal by tertiary intention require more connective tissue (scar tissue) than wounds
that heal by secondary intention. An example of a wound healing by tertiary intention is an
abdominal wound that is initially left open to allow for drainage but is later closed.
Serous drainage - Answer Clear, watery drainage, fluid in a blister
Sanguineous drainage - Answer Bloody (bright red is fresh blood, dark red is older blood);
the amount and color is important
Thin watery drainage tinged with blood
Purulent drainage - Answer Think pus like drainage that is green,yellow, or brown
, Occlusive Dressing - Answer Used for Vacuum-assisted closure which prevents air from going
in and a partial vacuum to facility removal of fluid
Used if chest tube becomes dislodged from the patient
Used in Autolytic Debridement to keep wound fluids in constant contact with wound
• Penrose drain care - Answer • Passive drainage - need gauze pads to collect fluid to stop
damage to the skin.
• Surgically placed in OR sterilely and safety pin placed at that time
• Safety pin stops drain from slipping back into the wound
• Safety pin not attached to anything
• Tubes usually latex and come in different sizes and lengths
• Promotes drainage of blood, lymph or other fluids to reduce risk of infection or absess in
wound itself.
• Usually placed thru stab wound when excess wound drainage is expected
• Not sutured in place
• Pulled out a little as drainage lessens (use forceps and turn slightly)
• Clean in a circular motion
JP vs Hemovac Drain - Answer JP creates gentle negative pressure (bulb must be squeezed to
have the negative suction work)
Hemovac has a negative pressure greater than JP
JP holds 50-100 ml
Hemovac holds 400-800ml
External Ear Exam - Answer Note level of the ear in relation to outer canthus of the eye
Should be at or above it
Inspect and palpate the auricles and move them around gently to assess tenderness
Palpate the mastoid process for tenderness or deformity and the tragus.
If pain at the tragus - diagnostic for otitis externa (inflammation of ear canal)
Inspect the auditory canal (cerumen, discharge, redness, tenderness) with naked eye
Skin changes around helix - common site for skin cancers
• Basal, squamous, melanoma
