2026 EXAM 2 COMPLETE QUESTIONS
AND ACCURATE ANSWERS
◉ Wound stage 2. Answer: blister or open wound, partial thickness loss
◉ Wound stage 3. Answer: in both dermis and epidermis, tunneling,
unmining, slough,
◉ Wound stage 4. Answer: to the bone, slough, tunneling and unmining
◉ What puts a patient at risk for pressure sores? (7). Answer:
immobility, chronic illness, poor nutrition, poor circulation, continence,
same position
◉ What do you document with wound care?. Answer: color, odor,
consistency, amount (drainage), dressing we remove/put on, pain
tolerance, dressing change completely, location, length, width, depth,
teaching signs and symptoms, date and time
◉ Perulant. Answer: yellow, green, brown (infection)
◉ serous. Answer: clear
, ◉ sanguinous. Answer: bloody
◉ Serosanguineous. Answer: pink
◉ Braden Scale. Answer: A tool for predicting pressure ulcer risk
◉ signs and symptoms of infection in the wound. Answer: odor,
redness, purlent, fever, WBC goes up, warmth, swelling -edema
◉ Nursing interventions to heal. Answer: turn and reposition every 2
hours, use protective cream (at stage 1), good nutrients, float heels,
water, pillows on bony prominences, keep skin dry and clean
◉ When to assess skin?. Answer: in shower, beginning of shift, among
admission
◉ Anaerobic specimen collection. Answer: without oxygen, syringe
◉ Aerobic Specimen Collection. Answer: with oxygen, swab (take
drainage from inside wound)
◉ What kind of lab test is done when you inspect infection?. Answer:
Culture and sensitivity