NSG 300 Exam 2 2026 Exam
Questions with 100% Correct
Answers | Latest Update
What are 3 pressure related factors that contribute to pressure ulcer
development? - ANSWER ✔✔1. Pressure Intensity
2. Pressure Duration
3. Tissue Tolerance
How does pressure lead to tissue ischemia? - ANSWER ✔✔If
pressure applied over a capillary exceeds normal capillary pressure and
the vessel is occluded for a prolonged time
,What occurs is tissue ischemia is left untreated? - ANSWER
✔✔tissue death
Does blanching occur in dark skinned patients? - ANSWER ✔✔No,
blanching does not occur but color, texture and temp may differ from
surrounding area
What does pressure duration assess? - ANSWER ✔✔Low and
extended pressures
- Low pressure over a prolonged time causes tissue damage
- Extended pressure occludes blood flow and nutrients causing tissue
death
What is tissue tolerance? - ANSWER ✔✔the ability of tissue to
endure pressure which is dependent on the integrity of the tissue and
supporting structures
What are risk factors of pressure injuries? - ANSWER ✔✔◦Impaired
sensory perception
◦Impaired mobility
◦Alteration in LOC
◦Shear
,◦Friction
◦Moisture
What should the nurse look for when assessing a pressure injury? -
ANSWER ✔✔Wound location, staging, type and approximate
percentage of tissue in wound bed, wound dimensions (sinus tracts and
tunneling), exudate description and condition of surrounding skin
stage 1 pressure injury - ANSWER ✔✔Intact skin with nonblanchable
redness
stage 2 pressure injury - ANSWER ✔✔partial thickness skin loss
involving epidermis, dermis or both and, shallow abrasion or open blister
looking
stage 3 pressure injury - ANSWER ✔✔full thickness skin loss
extending to SQ, crater looking
stage 4 pressure injury - ANSWER ✔✔full thickness with exposed
bone, muscle or tendon and may have eschar
What characteristics does stage 3 and 4 pressure injuries share? -
ANSWER ✔✔They may have slough, undermining and tunneling
present
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STATEMENT. ALL RIGHTS RESERVED
3
, A nurse states slough is present in a stage 3 pressure injury. What
should the student nurse expect to see? - ANSWER ✔✔A yellow or
white, stringy substance attached to wound bed
A nurse states eschar is present in a stage 4 pressure injury. What
should the student nurse expect to see? - ANSWER ✔✔brown or
black necrotic tissue
Unstageable/Unclassified Pressure Ulcer - ANSWER ✔✔Tissue loss
but depth unknown because wound bed is obscured by slough and/or
eschar
A patient has an unstageable pressure ulcer but refuses treatment and
states "it will heal on its own". What education should the nurse provide?
- ANSWER ✔✔Slough and eschar must be removed by a clinician to
determine the stage and in order for healing to occur
suspected deep tissue injury - ANSWER ✔✔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. Depth
unknown
Questions with 100% Correct
Answers | Latest Update
What are 3 pressure related factors that contribute to pressure ulcer
development? - ANSWER ✔✔1. Pressure Intensity
2. Pressure Duration
3. Tissue Tolerance
How does pressure lead to tissue ischemia? - ANSWER ✔✔If
pressure applied over a capillary exceeds normal capillary pressure and
the vessel is occluded for a prolonged time
,What occurs is tissue ischemia is left untreated? - ANSWER
✔✔tissue death
Does blanching occur in dark skinned patients? - ANSWER ✔✔No,
blanching does not occur but color, texture and temp may differ from
surrounding area
What does pressure duration assess? - ANSWER ✔✔Low and
extended pressures
- Low pressure over a prolonged time causes tissue damage
- Extended pressure occludes blood flow and nutrients causing tissue
death
What is tissue tolerance? - ANSWER ✔✔the ability of tissue to
endure pressure which is dependent on the integrity of the tissue and
supporting structures
What are risk factors of pressure injuries? - ANSWER ✔✔◦Impaired
sensory perception
◦Impaired mobility
◦Alteration in LOC
◦Shear
,◦Friction
◦Moisture
What should the nurse look for when assessing a pressure injury? -
ANSWER ✔✔Wound location, staging, type and approximate
percentage of tissue in wound bed, wound dimensions (sinus tracts and
tunneling), exudate description and condition of surrounding skin
stage 1 pressure injury - ANSWER ✔✔Intact skin with nonblanchable
redness
stage 2 pressure injury - ANSWER ✔✔partial thickness skin loss
involving epidermis, dermis or both and, shallow abrasion or open blister
looking
stage 3 pressure injury - ANSWER ✔✔full thickness skin loss
extending to SQ, crater looking
stage 4 pressure injury - ANSWER ✔✔full thickness with exposed
bone, muscle or tendon and may have eschar
What characteristics does stage 3 and 4 pressure injuries share? -
ANSWER ✔✔They may have slough, undermining and tunneling
present
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, A nurse states slough is present in a stage 3 pressure injury. What
should the student nurse expect to see? - ANSWER ✔✔A yellow or
white, stringy substance attached to wound bed
A nurse states eschar is present in a stage 4 pressure injury. What
should the student nurse expect to see? - ANSWER ✔✔brown or
black necrotic tissue
Unstageable/Unclassified Pressure Ulcer - ANSWER ✔✔Tissue loss
but depth unknown because wound bed is obscured by slough and/or
eschar
A patient has an unstageable pressure ulcer but refuses treatment and
states "it will heal on its own". What education should the nurse provide?
- ANSWER ✔✔Slough and eschar must be removed by a clinician to
determine the stage and in order for healing to occur
suspected deep tissue injury - ANSWER ✔✔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. Depth
unknown
