1
NSE
NSE211 MIDTERM EXAM QUESTIONS WITH CORRECT
VERIFIED ANSWERS LATEST UPDATE (2024/2025)
GUARANTEED PASS
Define contracture - ANS ✓a fixed tightening of muscle, tendons, ligaments, or
skin
Define evisceration - ANS ✓Protrusion of abdominal contents ex.intestine
through a dehiscence.
what predisposes patients to pressure injury? (Braden Scale) - ANS ✓1. level
of consciousness (LOC)
2. Moisture
3. Mobility
4. Activity
5. nutrition
6. Friction and shear
Characteristics of slough - ANS ✓-Soft, yellow-white tissue
-stringy substance attached to wound bed
characteristics of eschar - ANS ✓Black, brown necrotic tissue
Characteristics of granulation tissue - ANS ✓red, moist tissue composed of
new blood vessels
Characteristics of a suspected deep tissue injury - ANS ✓-intact or non-intact
skin
NSE 211
, 2
NSE
-localized area of persistent non-blanch-able deep red, maroon-purple
discolouration
-or epidermal separation revealing dark wound bed or blood blister
Characteristics of Stage 1 pressure injury - ANS ✓-intact skin
-non-blanch-able erythema
-colour changes do not include purple maroon discolouration may indicate deep
tissue injury.
Characteristics of Stage 2
Pressure injury - ANS ✓-partial thickness loss with exposed dermis
-wound bed viable, pink or red
-moist may also present serum-filled blister
-NO fat, deep tissue, granulation, slough, eschar present
-this stage should not be used to describe moisture associated skin damage
Characteristics of Stage 3
Pressure injury - ANS ✓-full-thickness tissue loss
-adipose (fat) visible in ulcer or granulation tissue and epibole (rolled wound
edges)
-Slough
-Eschar
-under mining
-Tunnelling
-fascia, tendon, ligament, cartilage, bone may be exposed
Characteristics of Unstageable
Pressure injury - ANS ✓-Loss of full thickness of tissue.
-base of the injury is covered by eschar (tan, brown, or black)
NSE 211
NSE
NSE211 MIDTERM EXAM QUESTIONS WITH CORRECT
VERIFIED ANSWERS LATEST UPDATE (2024/2025)
GUARANTEED PASS
Define contracture - ANS ✓a fixed tightening of muscle, tendons, ligaments, or
skin
Define evisceration - ANS ✓Protrusion of abdominal contents ex.intestine
through a dehiscence.
what predisposes patients to pressure injury? (Braden Scale) - ANS ✓1. level
of consciousness (LOC)
2. Moisture
3. Mobility
4. Activity
5. nutrition
6. Friction and shear
Characteristics of slough - ANS ✓-Soft, yellow-white tissue
-stringy substance attached to wound bed
characteristics of eschar - ANS ✓Black, brown necrotic tissue
Characteristics of granulation tissue - ANS ✓red, moist tissue composed of
new blood vessels
Characteristics of a suspected deep tissue injury - ANS ✓-intact or non-intact
skin
NSE 211
, 2
NSE
-localized area of persistent non-blanch-able deep red, maroon-purple
discolouration
-or epidermal separation revealing dark wound bed or blood blister
Characteristics of Stage 1 pressure injury - ANS ✓-intact skin
-non-blanch-able erythema
-colour changes do not include purple maroon discolouration may indicate deep
tissue injury.
Characteristics of Stage 2
Pressure injury - ANS ✓-partial thickness loss with exposed dermis
-wound bed viable, pink or red
-moist may also present serum-filled blister
-NO fat, deep tissue, granulation, slough, eschar present
-this stage should not be used to describe moisture associated skin damage
Characteristics of Stage 3
Pressure injury - ANS ✓-full-thickness tissue loss
-adipose (fat) visible in ulcer or granulation tissue and epibole (rolled wound
edges)
-Slough
-Eschar
-under mining
-Tunnelling
-fascia, tendon, ligament, cartilage, bone may be exposed
Characteristics of Unstageable
Pressure injury - ANS ✓-Loss of full thickness of tissue.
-base of the injury is covered by eschar (tan, brown, or black)
NSE 211
