Nursing Fundamentals
LANIF • 3 MAXE
NF College of Nursing & Health Sciences
B U I L D I N G T H E F O U N D AT I O N F O R N U R S I N G E X C E L L E N C E
FUNDAMENTALS
Nursing Fundamentals — Exam 3 (FINAL VERSION)
CO M P L E T E CO M P R E H E N S I V E R E V I E W — S K I N I N T E G R I TY, W O U N D C A R E & P R E SS U R E I N J U R I E S
INSTITUTION Nursing Fundamentals Program EXAM TYPE Nursing Fundamentals Exam 3 — Final
PROGRAM RN Nursing Program ACADEMIC YEAR
EXAM TITLE Exam 3 Final — Skin Integrity & Wound TOTAL QUESTIONS Complete Study Guide — All Topics
Care
COURSE TITLE Nursing Fundamentals FORMAT Multiple Choice — Select the Single Best
Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise specified.
▸ This comprehensive final Exam 3 covers skin anatomy, wound classification, wound healing phases (inflammatory, proliferative,
maturation), wound drainage types, wound closure methods, dressings, pressure injury staging (1-4, unstageable, SDTI), Braden
Scale scoring, and complications (dehiscence, evisceration, fistula).
▸ Correct answers and detailed rationales appear below each question.
▸ All content is derived from Nursing Fundamentals Exam 3 core concepts.
SECTION I — SKIN ANATOMY, WOUND CLASSIFICATION & HEALING Part A
1. The three layers of the skin from superficial to deep are:
A. Dermis, epidermis, subcutaneous.
B. Epidermis, dermis, subcutaneous.
C. Subcutaneous, dermis, epidermis.
D. Dermis, subcutaneous, epidermis.
CORRECT ANSWER B — Epidermis, dermis, subcutaneous.
RATIONALE The epidermis is the superficial protective layer. The dermis contains blood vessels, nerves, and collagen. The
subcutaneous layer (hypodermis) provides insulation and cushioning. Functions of skin include protection,
temperature regulation, vitamin D production, sensation, absorption, elimination, and psychosocial aspects.
, 2. An abscess is defined as:
A. Separation of surgical wound layers.
B. A collection of infected fluid that hasn't drained.
C. A thick grouping of microorganisms.
D. Cleaning away devitalized tissue from a wound.
CORRECT ANSWER B — A collection of infected fluid that hasn't drained.
RATIONALE An abscess is a localized pocket of purulent exudate (pus) that has not drained. A biofilm (C) is a thick
grouping of microorganisms. Debridement (D) is cleaning away devitalized tissue. Dehiscence (A) is
separation of wound layers.
3. Dehiscence is best defined as:
A. Cleaning away devitalized tissue.
B. Dehydration of wound tissue.
C. Separation of the layers of a surgical wound; may be partial, superficial, or complete disruption.
D. Formation of epithelial cells across a wound surface.
CORRECT ANSWER C — Separation of surgical wound layers; may be partial, superficial, or complete.
RATIONALE Dehiscence is wound edge separation due to failed healing. Evisceration is the more severe complication
where abdominal contents protrude through the dehisced wound. Desiccation (B) is dehydration.
Epithelialization (D) is the healing process where epithelial cells migrate across the wound.
4. The three phases of wound healing in correct order are:
A. Maturation, Proliferative, Inflammatory.
B. Inflammatory, Proliferative (Regenerative), Maturation/Remodeling.
C. Proliferative, Inflammatory, Maturation.
D. Regenerative, Maturation, Inflammatory.
CORRECT ANSWER B — Inflammatory, Proliferative (Regenerative), Maturation/Remodeling.
RATIONALE Phase 1: Inflammatory (1-5 days)—hemostasis and inflammation. Phase 2: Proliferative/Regenerative (5-21
days)—granulation (new collagen/capillaries), contraction (wound pulls together), epithelialization. Phase 3:
Maturation/Remodeling (3 weeks to 2 years)—scabs fall off, collagen scar strengthens.
5. Primary intention wound healing is characterized by:
A. Tissue loss, edges not approximated, longer healing time, higher infection risk.
B. Little to no tissue loss, wound closed, low infection risk, quick healing, edges approximated.
C. Deep wound, spontaneously opened, closed when free of infection.
D. Intentionally left open to heal from the bottom up.
CORRECT ANSWER B — Little tissue loss, closed wound, low infection risk, quick healing, approximated edges.
RATIONALE Primary intention: clean surgical incisions with edges brought together. Secondary intention (A): tissue loss,
edges not approximated, heals from bottom up, longer healing, more scarring. Tertiary intention (C): deep
wound, delayed closure, closed when infection-free.
LANIF • 3 MAXE
NF College of Nursing & Health Sciences
B U I L D I N G T H E F O U N D AT I O N F O R N U R S I N G E X C E L L E N C E
FUNDAMENTALS
Nursing Fundamentals — Exam 3 (FINAL VERSION)
CO M P L E T E CO M P R E H E N S I V E R E V I E W — S K I N I N T E G R I TY, W O U N D C A R E & P R E SS U R E I N J U R I E S
INSTITUTION Nursing Fundamentals Program EXAM TYPE Nursing Fundamentals Exam 3 — Final
PROGRAM RN Nursing Program ACADEMIC YEAR
EXAM TITLE Exam 3 Final — Skin Integrity & Wound TOTAL QUESTIONS Complete Study Guide — All Topics
Care
COURSE TITLE Nursing Fundamentals FORMAT Multiple Choice — Select the Single Best
Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise specified.
▸ This comprehensive final Exam 3 covers skin anatomy, wound classification, wound healing phases (inflammatory, proliferative,
maturation), wound drainage types, wound closure methods, dressings, pressure injury staging (1-4, unstageable, SDTI), Braden
Scale scoring, and complications (dehiscence, evisceration, fistula).
▸ Correct answers and detailed rationales appear below each question.
▸ All content is derived from Nursing Fundamentals Exam 3 core concepts.
SECTION I — SKIN ANATOMY, WOUND CLASSIFICATION & HEALING Part A
1. The three layers of the skin from superficial to deep are:
A. Dermis, epidermis, subcutaneous.
B. Epidermis, dermis, subcutaneous.
C. Subcutaneous, dermis, epidermis.
D. Dermis, subcutaneous, epidermis.
CORRECT ANSWER B — Epidermis, dermis, subcutaneous.
RATIONALE The epidermis is the superficial protective layer. The dermis contains blood vessels, nerves, and collagen. The
subcutaneous layer (hypodermis) provides insulation and cushioning. Functions of skin include protection,
temperature regulation, vitamin D production, sensation, absorption, elimination, and psychosocial aspects.
, 2. An abscess is defined as:
A. Separation of surgical wound layers.
B. A collection of infected fluid that hasn't drained.
C. A thick grouping of microorganisms.
D. Cleaning away devitalized tissue from a wound.
CORRECT ANSWER B — A collection of infected fluid that hasn't drained.
RATIONALE An abscess is a localized pocket of purulent exudate (pus) that has not drained. A biofilm (C) is a thick
grouping of microorganisms. Debridement (D) is cleaning away devitalized tissue. Dehiscence (A) is
separation of wound layers.
3. Dehiscence is best defined as:
A. Cleaning away devitalized tissue.
B. Dehydration of wound tissue.
C. Separation of the layers of a surgical wound; may be partial, superficial, or complete disruption.
D. Formation of epithelial cells across a wound surface.
CORRECT ANSWER C — Separation of surgical wound layers; may be partial, superficial, or complete.
RATIONALE Dehiscence is wound edge separation due to failed healing. Evisceration is the more severe complication
where abdominal contents protrude through the dehisced wound. Desiccation (B) is dehydration.
Epithelialization (D) is the healing process where epithelial cells migrate across the wound.
4. The three phases of wound healing in correct order are:
A. Maturation, Proliferative, Inflammatory.
B. Inflammatory, Proliferative (Regenerative), Maturation/Remodeling.
C. Proliferative, Inflammatory, Maturation.
D. Regenerative, Maturation, Inflammatory.
CORRECT ANSWER B — Inflammatory, Proliferative (Regenerative), Maturation/Remodeling.
RATIONALE Phase 1: Inflammatory (1-5 days)—hemostasis and inflammation. Phase 2: Proliferative/Regenerative (5-21
days)—granulation (new collagen/capillaries), contraction (wound pulls together), epithelialization. Phase 3:
Maturation/Remodeling (3 weeks to 2 years)—scabs fall off, collagen scar strengthens.
5. Primary intention wound healing is characterized by:
A. Tissue loss, edges not approximated, longer healing time, higher infection risk.
B. Little to no tissue loss, wound closed, low infection risk, quick healing, edges approximated.
C. Deep wound, spontaneously opened, closed when free of infection.
D. Intentionally left open to heal from the bottom up.
CORRECT ANSWER B — Little tissue loss, closed wound, low infection risk, quick healing, approximated edges.
RATIONALE Primary intention: clean surgical incisions with edges brought together. Secondary intention (A): tissue loss,
edges not approximated, heals from bottom up, longer healing, more scarring. Tertiary intention (C): deep
wound, delayed closure, closed when infection-free.
