NU 136 Galen College of Nursing
Exam 2025 With 100% Correct
Answers
what are the locations for arterial ulcers - CORRECT ANSWER✔✔-between toes
-tips of toes
-over phalangeal heads
-around lateral malleolus
what are the characteristics of arterial ulcers - CORRECT ANSWER✔✔-severe pain
-minimal drainage
-decreased temperature
-absent or diminished pulses
-cyanosis
-thickened toenails
-gangrene
what are the locations for venous ulcers - CORRECT ANSWER✔✔-medial lower leg
-ankle
-superior to medial melleolus
-seldom, if ever noted on the foot or above the knee
what are the characteristics of venous ulcers - CORRECT ANSWER✔✔-moderate to large
amount of drainage
-pain levels vary
,-ankle flare
-lipodermatosclerosis (hard fibrous of surrounding tissue)
-dialated superficial veins
what are the location for neuropathic (Diabetic) ulcers - CORRECT ANSWER✔✔-plantar aspect
of foot
-over metatarsal heads
-under heel
what are the characteristics for neuropathic ulcers - CORRECT ANSWER✔✔-low to moderate
drainage
-foot deformities
-deminished or absent sensation in foot
-palpable pulses
-osteomyelitis
-usually painless
what are the phases of wound healing - CORRECT ANSWER✔✔hemostatis
inflammation
proliferation
maturation
what phase is the hemostasis - CORRECT ANSWER✔✔phase 1 -the immediate response the
body initiates to heal (blood clotting)
what phase is the inflammation - CORRECT ANSWER✔✔phase 2 - begins immediately and last
4-5 days, it is the protective response (heat, pain, edema) wbc & macrophages migrate to the
wound & begin the repair
,what phase is the proliferation - CORRECT ANSWER✔✔phase 3 - reconstructive phase - begins
on 3rd or 4th day and lasts 2-3 weeks
what phase is the maturation phase - CORRECT ANSWER✔✔phase 4 - final phase/remodeling
phase - scar maturation, scar slowly thins and becomes paler - begins about 3 weeks after injury
and can last up to 2 years
what factors affect wound healing - CORRECT ANSWER✔✔-age
-nutrition (protein/fluid needed for healing)
-medications (heparin, steroids, antineoplastics interfere
w/healing
-Infection (slows healing) chronic illness (COPD, DM, CV)
slows wound healing due to lack of oxygen & nutrients at
the cellular level
-lifestyle (regular exercise)
-decreased immune system
-decreased liver function
what is first intention (Primary) - CORRECT ANSWER✔✔little tissue loss - edges of wound
approximate and only a slight chance of infection
what is second intention - CORRECT ANSWER✔✔a wound with tissue loss - edges of wound do
not approximate;wound left open & fills with scar tissue
what is third intention (Tertiary) - CORRECT ANSWER✔✔occurs when there is delayed suturing
of a wound/wound sutured after granulation tissue begins to form. (Healing.)
, what are the closed wounds and characteristics - CORRECT ANSWER✔✔-contusion (bruise
w/out breaking skin)
-hematoma (pooling of blood under unbroken skin)
-sprain (twisting of a joint)
what are the open wounds and characteristics - CORRECT ANSWER✔✔-incision (surgically made
separation of tissues w/clean
even edges)
-laceration (traumatic separation of tissue)
-abrasion (traumatic scraping)
-penetrating (bullet/metal)
-avulsion (tearing away)
-ulceration (excavation of skin
-perforation (internal organ/cavity)
-crush (tissue disrupted or compressed
list complications of wound healing - CORRECT ANSWER✔✔-hemorrhage (uncontrolled
bleeding)
-dehiscence (spontaneous opening of an incision)
-evisceration (protrusion of an internal organ through an
incision)
-infection (redness, edema, pain, purulent drainage)
what is the purpose of wound drains - CORRECT ANSWER✔✔to provide an exit for blood & pus
that accumulate during the inflammation process
how does an active drain work - CORRECT ANSWER✔✔it is attached to a wound suction device
to remove any accumulated exudate or other material
Exam 2025 With 100% Correct
Answers
what are the locations for arterial ulcers - CORRECT ANSWER✔✔-between toes
-tips of toes
-over phalangeal heads
-around lateral malleolus
what are the characteristics of arterial ulcers - CORRECT ANSWER✔✔-severe pain
-minimal drainage
-decreased temperature
-absent or diminished pulses
-cyanosis
-thickened toenails
-gangrene
what are the locations for venous ulcers - CORRECT ANSWER✔✔-medial lower leg
-ankle
-superior to medial melleolus
-seldom, if ever noted on the foot or above the knee
what are the characteristics of venous ulcers - CORRECT ANSWER✔✔-moderate to large
amount of drainage
-pain levels vary
,-ankle flare
-lipodermatosclerosis (hard fibrous of surrounding tissue)
-dialated superficial veins
what are the location for neuropathic (Diabetic) ulcers - CORRECT ANSWER✔✔-plantar aspect
of foot
-over metatarsal heads
-under heel
what are the characteristics for neuropathic ulcers - CORRECT ANSWER✔✔-low to moderate
drainage
-foot deformities
-deminished or absent sensation in foot
-palpable pulses
-osteomyelitis
-usually painless
what are the phases of wound healing - CORRECT ANSWER✔✔hemostatis
inflammation
proliferation
maturation
what phase is the hemostasis - CORRECT ANSWER✔✔phase 1 -the immediate response the
body initiates to heal (blood clotting)
what phase is the inflammation - CORRECT ANSWER✔✔phase 2 - begins immediately and last
4-5 days, it is the protective response (heat, pain, edema) wbc & macrophages migrate to the
wound & begin the repair
,what phase is the proliferation - CORRECT ANSWER✔✔phase 3 - reconstructive phase - begins
on 3rd or 4th day and lasts 2-3 weeks
what phase is the maturation phase - CORRECT ANSWER✔✔phase 4 - final phase/remodeling
phase - scar maturation, scar slowly thins and becomes paler - begins about 3 weeks after injury
and can last up to 2 years
what factors affect wound healing - CORRECT ANSWER✔✔-age
-nutrition (protein/fluid needed for healing)
-medications (heparin, steroids, antineoplastics interfere
w/healing
-Infection (slows healing) chronic illness (COPD, DM, CV)
slows wound healing due to lack of oxygen & nutrients at
the cellular level
-lifestyle (regular exercise)
-decreased immune system
-decreased liver function
what is first intention (Primary) - CORRECT ANSWER✔✔little tissue loss - edges of wound
approximate and only a slight chance of infection
what is second intention - CORRECT ANSWER✔✔a wound with tissue loss - edges of wound do
not approximate;wound left open & fills with scar tissue
what is third intention (Tertiary) - CORRECT ANSWER✔✔occurs when there is delayed suturing
of a wound/wound sutured after granulation tissue begins to form. (Healing.)
, what are the closed wounds and characteristics - CORRECT ANSWER✔✔-contusion (bruise
w/out breaking skin)
-hematoma (pooling of blood under unbroken skin)
-sprain (twisting of a joint)
what are the open wounds and characteristics - CORRECT ANSWER✔✔-incision (surgically made
separation of tissues w/clean
even edges)
-laceration (traumatic separation of tissue)
-abrasion (traumatic scraping)
-penetrating (bullet/metal)
-avulsion (tearing away)
-ulceration (excavation of skin
-perforation (internal organ/cavity)
-crush (tissue disrupted or compressed
list complications of wound healing - CORRECT ANSWER✔✔-hemorrhage (uncontrolled
bleeding)
-dehiscence (spontaneous opening of an incision)
-evisceration (protrusion of an internal organ through an
incision)
-infection (redness, edema, pain, purulent drainage)
what is the purpose of wound drains - CORRECT ANSWER✔✔to provide an exit for blood & pus
that accumulate during the inflammation process
how does an active drain work - CORRECT ANSWER✔✔it is attached to a wound suction device
to remove any accumulated exudate or other material
