NSG 300 EXAM 2 (2025/2026) LATEST
QUESTIONS AND VERIFIED CORRECT
ANSWERS | A+ GRADE VERIFIED
ANSWERS
The home care nurse observes that a healing ulcer is red,
with obvious granulation tissue filling in the ulcer crater.
What should the nurse provide?
A. Antibiotic therapy
B. Hydrocolloid dressings
C. Debridement of the ulcer
D. Keep the ulcer open to the air Correct Answer B.
Rationale:
The healing ulcer continues to need the protection
and moist environment provided by a hydrocolloid
dressing
A sacral wound has remained red for 2 hours and does
not blanch when tested. Which is the best description for
the nurse to document?
A. Excessive pallor
B. Unusual skin mottling
C. Dependent sacral rubor
D. Reactive hyperemia Correct Answer D.
Rationale:
Reactive hyperemia occurs when tissue is relieved of
pressure. It is considered abnormal when the redness
lasts longer than 1 hour and the surrounding tissue
does not blanch
,Which area is MOST important for the nurse to observe for
sacral ulcers?
A. Distal tips of the toes
B. Lower abdominal folds
C. Heels and ankles
D. Thighs and calves Correct Answer C.
Rationale:
Pressure ulcers typically occur over bony
prominences such as the heels, ankles, back of head,
and sacral area
Which criteria does the Braden scale evaluate?
A. Skin integrity at bony prominences, including any
wounds
B. Risk factors that place the patient at risk of pressure
injury
C. Amount of repositioning that the patient can tolerate
D. The factors that place patient at risk for poor wound
healing Correct Answer B.
Rationale:
The Braden scale is a widely used tool for risk
assessment of pressure injury development and is
composed of six subscales
What are the six subscales that are used in the Braden
scale? Correct Answer Moisture
Sensory perception
Activity
Mobility
Nutrition
,Friction/shear
Which terms are used to describe deteriorated skin related
to prolonged, unrelieved pressure on a body part?
(SELECT ALL THAT APPLY)
A. Skin tag
B. Bedsore
C. Skin wound
D. Pressure sore
E. Pressure ulcer
F. Decubitus ulcer Correct Answer B, D, E, F
Which role does vitamin A play in wound healing?
A. Quickens fibroplasia
B. Acts as an antioxidant
C. Promotes wound closure
D. Acts as immune function Correct Answer C.
Rationale:
-A. D. Protein quickens fibroplasia and helps with
immune function
-B. Vitamin C acts as an antioxidant
The nurse finds that a wound is in the proliferative phase
of healing. Which changes led them to this conclusion?
(SELECT ALL THAT APPLY)
A. The wound is filled with granulation tissue
B. There is localized redness, edema, warmth, and
throbbing
C. The wound contracts to reduce the area that requires
healing
, D. There is vasodilation of surrounding capillaries and
exudation of serum
E. There is re-epithelialization of the wound surface
Correct Answer A, C, E
Rationale:
Granulation is an indication of new cell growth. The
wound contracts to reduce the area that requires
healing. Epithelial cells resurface wounds
Which findings are characteristic of a stage 3 pressure
injury? (SELECT ALL THAT APPLY)
A. Full-thickness skin loss
B. Subcutaneous fat may be visible
C. The wound presents as an open, serum-filled blister
D. There may be a reddish-pink wound bed without slough
E. The bone, tendon, and muscle are not exposed Correct
Answer A, B, E
When assessing a pressure injury, you note that the tissue
over the wound is dark, hard, and adherent to the wound
edge. Which stage would be applied to this pressure
injury?
A. Stage 3
B. Stage 4
C. Unstageable
D. Deep tissue injury Correct Answer C.
Rationale:
A depth cannot be determined when the injury is
covered in necrotic tissue
QUESTIONS AND VERIFIED CORRECT
ANSWERS | A+ GRADE VERIFIED
ANSWERS
The home care nurse observes that a healing ulcer is red,
with obvious granulation tissue filling in the ulcer crater.
What should the nurse provide?
A. Antibiotic therapy
B. Hydrocolloid dressings
C. Debridement of the ulcer
D. Keep the ulcer open to the air Correct Answer B.
Rationale:
The healing ulcer continues to need the protection
and moist environment provided by a hydrocolloid
dressing
A sacral wound has remained red for 2 hours and does
not blanch when tested. Which is the best description for
the nurse to document?
A. Excessive pallor
B. Unusual skin mottling
C. Dependent sacral rubor
D. Reactive hyperemia Correct Answer D.
Rationale:
Reactive hyperemia occurs when tissue is relieved of
pressure. It is considered abnormal when the redness
lasts longer than 1 hour and the surrounding tissue
does not blanch
,Which area is MOST important for the nurse to observe for
sacral ulcers?
A. Distal tips of the toes
B. Lower abdominal folds
C. Heels and ankles
D. Thighs and calves Correct Answer C.
Rationale:
Pressure ulcers typically occur over bony
prominences such as the heels, ankles, back of head,
and sacral area
Which criteria does the Braden scale evaluate?
A. Skin integrity at bony prominences, including any
wounds
B. Risk factors that place the patient at risk of pressure
injury
C. Amount of repositioning that the patient can tolerate
D. The factors that place patient at risk for poor wound
healing Correct Answer B.
Rationale:
The Braden scale is a widely used tool for risk
assessment of pressure injury development and is
composed of six subscales
What are the six subscales that are used in the Braden
scale? Correct Answer Moisture
Sensory perception
Activity
Mobility
Nutrition
,Friction/shear
Which terms are used to describe deteriorated skin related
to prolonged, unrelieved pressure on a body part?
(SELECT ALL THAT APPLY)
A. Skin tag
B. Bedsore
C. Skin wound
D. Pressure sore
E. Pressure ulcer
F. Decubitus ulcer Correct Answer B, D, E, F
Which role does vitamin A play in wound healing?
A. Quickens fibroplasia
B. Acts as an antioxidant
C. Promotes wound closure
D. Acts as immune function Correct Answer C.
Rationale:
-A. D. Protein quickens fibroplasia and helps with
immune function
-B. Vitamin C acts as an antioxidant
The nurse finds that a wound is in the proliferative phase
of healing. Which changes led them to this conclusion?
(SELECT ALL THAT APPLY)
A. The wound is filled with granulation tissue
B. There is localized redness, edema, warmth, and
throbbing
C. The wound contracts to reduce the area that requires
healing
, D. There is vasodilation of surrounding capillaries and
exudation of serum
E. There is re-epithelialization of the wound surface
Correct Answer A, C, E
Rationale:
Granulation is an indication of new cell growth. The
wound contracts to reduce the area that requires
healing. Epithelial cells resurface wounds
Which findings are characteristic of a stage 3 pressure
injury? (SELECT ALL THAT APPLY)
A. Full-thickness skin loss
B. Subcutaneous fat may be visible
C. The wound presents as an open, serum-filled blister
D. There may be a reddish-pink wound bed without slough
E. The bone, tendon, and muscle are not exposed Correct
Answer A, B, E
When assessing a pressure injury, you note that the tissue
over the wound is dark, hard, and adherent to the wound
edge. Which stage would be applied to this pressure
injury?
A. Stage 3
B. Stage 4
C. Unstageable
D. Deep tissue injury Correct Answer C.
Rationale:
A depth cannot be determined when the injury is
covered in necrotic tissue
