INTRODUCTION TO NURSING (SHERPATH) WEEK 7 & 8
COMPLETE QUESTION EXAM BANK: WOUND HEALING,
PRESSURE INJURIES, BURNS & NUTRITION
1. A patient with full-thickness burns requires increased dietary intake of
which nutrients? (Select all that apply.)
A. Zinc and Copper
B. Protein and Vitamin C
C. Vitamin A
D. All of the above
Correct Answer: D – All of the above are needed: Zinc and Copper for skin
healing, Protein for collagen production, and Vitamins A and C for healing
and collagen formation.
2. A pressure injury that is full-thickness, extends into subcutaneous tissue
but not into fascia, muscle, or bone, is classified as which stage?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Correct Answer: C – Stage 3 pressure injuries are full-thickness wounds
extending into subcutaneous tissue but not deeper.
3. A patient reports that their injured site is bumpy, granular, and "bleeds
easily." Which phase of wound healing is this?
A. Inflammatory
B. Proliferative
C. Maturation
, D. Hemostasis
Correct Answer: B – The proliferative phase features granulation tissue that
is bumpy, red, and bleeds easily.
4. An enterocutaneous fistula is an abnormal opening between which
structures?
A. Skin and bladder
B. Skin and intestine
C. Intestine and stomach
D. Skin and muscle
Correct Answer: B – "Entero" refers to intestine, and "cutaneous" refers to
skin.
5. A patient's surgical incision "popped" open with increased drainage. This
complication is known as:
A. Evisceration
B. Infection
C. Dehiscence
D. Hematoma
Correct Answer: C – Dehiscence is partial or complete separation of wound
layers with a popping sound and increased drainage.
6. Which processes occur during the proliferative phase of wound healing?
(Select all that apply.)
A. Angiogenesis stimulation
B. Granulation tissue creation
C. Scar contraction
D. Both A and B
Correct Answer: D – Angiogenesis and granulation tissue formation are key
processes in the proliferative phase.
7. Which patient situation is considered a medical emergency?
A. Fever
B. Dehydration
C. Shock
, D. Pain
Correct Answer: C – Shock indicates internal or external hemorrhage and is
a medical emergency.
8. Match the wound color to its type: Purple or maroon indicates:
A. Infected wound
B. Full-thickness burn
C. Suspected deep-tissue injury
D. Proliferative phase wound
Correct Answer: C – Purple or maroon discoloration suggests suspected
deep-tissue injury.
9. White, brown, or black wound color is characteristic of:
A. Stage 2 pressure injury
B. Full-thickness burn
C. Colonized wound
D. Inflammatory phase
Correct Answer: B – These colors indicate a full-thickness burn (eschar).
10.Beefy red and bumpy tissue is typical of:
A. Infected wound
B. Wound in proliferative phase
C. Stage 1 pressure injury
D. Maturation phase
Correct Answer: B – Granulation tissue in the proliferative phase appears
beefy red and bumpy.
11.Red and purulent wound tissue suggests:
A. Healthy healing
B. Colonization
C. Infection
D. Ischemia
Correct Answer: C – Redness with purulent drainage indicates infection.
, 12.A colonized wound is best described as:
A. Containing microorganisms with signs of infection
B. Containing microorganisms on the surface only, without infection signs
C. A wound that is sterile
D. A wound with deep tissue necrosis
Correct Answer: B – Colonization means microorganisms are present on the
surface without clinical infection.
13.Prolonged pressure affects skin integrity by damaging:
A. Blood vessels only
B. Bony prominences and pressure areas
C. Subcutaneous fat only
D. Nerve endings
Correct Answer: B – Prolonged pressure damages bony prominences and
pressure areas.
14.Classic signs of the inflammatory phase of wound healing include:
A. Swelling and erythema
B. Scar formation
C. Granulation tissue
D. Angiogenesis
Correct Answer: A – Swelling (edema) and erythema (redness) are classic
inflammatory signs.
15.A stage 2 pressure injury involves:
A. Full-thickness skin loss
B. Partial-thickness loss of epidermis and dermis
C. Damage to subcutaneous tissue
D. Bone exposure
Correct Answer: B – Stage 2 is a partial-thickness wound involving
epidermis and dermis.
16.Which factor directly reduces fibroblast activity and collagen formation?
A. High protein intake
B. Prolonged decrease in oxygen perfusion
COMPLETE QUESTION EXAM BANK: WOUND HEALING,
PRESSURE INJURIES, BURNS & NUTRITION
1. A patient with full-thickness burns requires increased dietary intake of
which nutrients? (Select all that apply.)
A. Zinc and Copper
B. Protein and Vitamin C
C. Vitamin A
D. All of the above
Correct Answer: D – All of the above are needed: Zinc and Copper for skin
healing, Protein for collagen production, and Vitamins A and C for healing
and collagen formation.
2. A pressure injury that is full-thickness, extends into subcutaneous tissue
but not into fascia, muscle, or bone, is classified as which stage?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Correct Answer: C – Stage 3 pressure injuries are full-thickness wounds
extending into subcutaneous tissue but not deeper.
3. A patient reports that their injured site is bumpy, granular, and "bleeds
easily." Which phase of wound healing is this?
A. Inflammatory
B. Proliferative
C. Maturation
, D. Hemostasis
Correct Answer: B – The proliferative phase features granulation tissue that
is bumpy, red, and bleeds easily.
4. An enterocutaneous fistula is an abnormal opening between which
structures?
A. Skin and bladder
B. Skin and intestine
C. Intestine and stomach
D. Skin and muscle
Correct Answer: B – "Entero" refers to intestine, and "cutaneous" refers to
skin.
5. A patient's surgical incision "popped" open with increased drainage. This
complication is known as:
A. Evisceration
B. Infection
C. Dehiscence
D. Hematoma
Correct Answer: C – Dehiscence is partial or complete separation of wound
layers with a popping sound and increased drainage.
6. Which processes occur during the proliferative phase of wound healing?
(Select all that apply.)
A. Angiogenesis stimulation
B. Granulation tissue creation
C. Scar contraction
D. Both A and B
Correct Answer: D – Angiogenesis and granulation tissue formation are key
processes in the proliferative phase.
7. Which patient situation is considered a medical emergency?
A. Fever
B. Dehydration
C. Shock
, D. Pain
Correct Answer: C – Shock indicates internal or external hemorrhage and is
a medical emergency.
8. Match the wound color to its type: Purple or maroon indicates:
A. Infected wound
B. Full-thickness burn
C. Suspected deep-tissue injury
D. Proliferative phase wound
Correct Answer: C – Purple or maroon discoloration suggests suspected
deep-tissue injury.
9. White, brown, or black wound color is characteristic of:
A. Stage 2 pressure injury
B. Full-thickness burn
C. Colonized wound
D. Inflammatory phase
Correct Answer: B – These colors indicate a full-thickness burn (eschar).
10.Beefy red and bumpy tissue is typical of:
A. Infected wound
B. Wound in proliferative phase
C. Stage 1 pressure injury
D. Maturation phase
Correct Answer: B – Granulation tissue in the proliferative phase appears
beefy red and bumpy.
11.Red and purulent wound tissue suggests:
A. Healthy healing
B. Colonization
C. Infection
D. Ischemia
Correct Answer: C – Redness with purulent drainage indicates infection.
, 12.A colonized wound is best described as:
A. Containing microorganisms with signs of infection
B. Containing microorganisms on the surface only, without infection signs
C. A wound that is sterile
D. A wound with deep tissue necrosis
Correct Answer: B – Colonization means microorganisms are present on the
surface without clinical infection.
13.Prolonged pressure affects skin integrity by damaging:
A. Blood vessels only
B. Bony prominences and pressure areas
C. Subcutaneous fat only
D. Nerve endings
Correct Answer: B – Prolonged pressure damages bony prominences and
pressure areas.
14.Classic signs of the inflammatory phase of wound healing include:
A. Swelling and erythema
B. Scar formation
C. Granulation tissue
D. Angiogenesis
Correct Answer: A – Swelling (edema) and erythema (redness) are classic
inflammatory signs.
15.A stage 2 pressure injury involves:
A. Full-thickness skin loss
B. Partial-thickness loss of epidermis and dermis
C. Damage to subcutaneous tissue
D. Bone exposure
Correct Answer: B – Stage 2 is a partial-thickness wound involving
epidermis and dermis.
16.Which factor directly reduces fibroblast activity and collagen formation?
A. High protein intake
B. Prolonged decrease in oxygen perfusion
