MULTIDIMENSIONAL CARE 1 LATEST UPDATED 2025/2026 FINAL EXAM COMPLETE EXAM WITH KEY QUESTIONS AND SURE VERIFIED SOLUTIONS 100% (MOST FREQUENTLY TESTED) GRADED AT A+ SCORE !!

MULTIDIMENSIONAL CARE 1 LATEST UPDATED 2025/2026 FINAL EXAM COMPLETE EXAM WITH KEY QUESTIONS AND SURE VERIFIED SOLUTIONS 100% (MOST FREQUENTLY TESTED) GRADED AT A+ SCORE !! 1. What is primary intention wound healing? - ANSWER Wound edges are well-approximated. 2. Place in order the wound healing process. - ANSWER Hemostasis - Inflammation - Proliferate - Maturation 3. T/F: Evisceration is the total separation of the wound related to increased abdominal pressure (IAP)? - ANSWER True. 4. T/F: Sanguineous drainage is clear and not infected? - ANSWER False. 5. What test is used to measure IOP (intra-ocular pressure)? - ANSWER Tonometry 6. T/F: Vasoconstriction can cause increased perfusion. - ANSWER False. 7. T/F: A patient who is 25-years-old needs an MRI. The nurse know it's important to ask about any tattoos. - ANSWER False. 8. T/F: Serous-sanguinous drainage is blood mixed with pus. - ANSWER False. 9. What is sometimes common to see in evisceration? - ANSWER Fistulas, total separation of the wound, caused by IAP (increased abdominal pressure) 10. What is a partial-thickness wound with loss of epidermis and some dermis? - ANSWER Stage 2 11. What is a full-thickness wound with loss of skin and visible subcutaneous tissue? - ANSWER Stage 3 12. What is a full-thickness wound with loss of the skin and visible bone and undermining? - ANSWER Stage 4 13. What is a wound that has more than 75% of the wound bed covered? - ANSWER Unstageable 14. The Braden Scale includes sensory, moisture, activity, and _________________? - ANSWER Mobility, nutrition, and friction/shear 15. What are some interventions to reduce the risk for skin injury? - ANSWER Elevate the bed no greater than 30-degrees; offload and reposition; control and inspect skin daily; encourage intake of protein, calories, minerals, and fluids. 16. T/F: The wound assessment should include location, size, color, wound base, drainage, edges, and peri-wound skin. - ANSWER True. 17. What is an ABI (ankle-brachial index) test? - ANSWER Determines the atrial flow, determines inadequate blood flow, determines delayed healing. 18. T/F: Hand washing is the best way to prevent infection. - ANSWER True. 19. How much PSI is needed for proper wound irrigation? - ANSWER 35-70 PSI 20. What is an example of a laceration? - ANSWER Skin tear 21. What is an example of a portal of entry? - ANSWER Blood 22. T/F: Virulence is the power of the pathogen to cause disease. - ANSWER True. 23. T/F: Standard precaution should be used for all the patients. - ANSWER True. 24. Who is at greater risk of become infected? - ANSWER Elderly, those taking steroids, HIV patients 25. The five cardinal signs of inflammation: - ANSWER Warmth, erythema (redness), pain, decreased function, edema 26. T/F: Cytokines activate the inflammatory process? - ANSWER True. 27. What happens to lymphocyte cells for someone with HIV? - ANSWER CD8+T-cells are normal and CD4+T-cells are low 28. What are things a patient who is immuno-compromised should avoid? - ANSWER Fresh flowers or plants; raw meat, fruits, and vegetables; avoid crowds 29. T/F: Patients that are immuno-compromised should restrict from drinking and smoking. - ANSWER True. 30. HIV patients are a susceptible host for which opportunist conditions? - ANSWER Kaposi sarcoma 31. T/F: A patient with kyphosis doesn't have any high-risk. - ANSWER False. 32. What should the nurse do when assisting with movement or mobility? - ANSWER Face the movement. 33. What causes shearing and friction injuries? - ANSWER Opposite pulling of the skin. 34. T/F: Traction should include skin and hygiene assessment. - ANSWER True.