NEWEST EXAM QUESTIONS AND
DETAILED CORRECT ANSWERS | A+
GRADE VERIFIED ANSWERS
Which is a characteristic of abnormal healing of a primary
wound?
a. Slough tissue in the wound base
b. A fruity, earthy, or putrid odor
c. A dry or moist granulation tissue bed
d. Drainage for more than 3 days after closure Correct
Answer Answer: d
* Slough tissue in the wound base, a fruity, earthy, or
putrid odor, and a dry or moist granulation tissue bed
are signs of abnormal healing of a secondary-
intention wound
Which nutrient supports healing by promoting wound
closure?1
a. Protein
b. Vitamin A
c. Vitamin C
d. Zinc Correct Answer Answer: b
* One role of vitamin A in healing is to promote wound
closure
,* Protein helps promote collagen formation which
helps with wound healing not closure specifically
A patient who has an acute wound due to trauma is
admitted to the emergency unit. Which nursing action for
wound care is the priority in this situation?
a. Educating the patient about wound care
b. Positioning the patient in different angles
c. Encouraging the patient to drink 6 to 8 L of water
d. Applying a sterile dressing as per the health care
provider's order Correct Answer Answer: d
When cleaning a wound, which action is incorrect?
a. Using two separate swabs to clean the affected site
b. Irrigating from the least to most contaminated area
c. Applying noncytotoxic solutions using gentle friction
d. Cleaning from the surrounding skin to the site of incision
Correct Answer Answer: d
* The nurse should clean away from the wound to prevent
contamination
Which type of ulcer can be dressed with a transparent or
hydrocolloid dressing?
a. Stage I
b. Stage II
c. Stage III
d. Stage IV Correct Answer Answer: a
, * A stage I pressure ulcer is an intact ulcer that can be
dressed with a transparent or hydrocolloid dressing
A patient who has a stage III pressure ulcer develops a
body temperature of 103° F. While changing the wound
dressing, the nurse finds purulent discharge with an odor
coming from the wound. What will the nurse suspect is
occurring in the patient?
a. Bruising
b. Infection
c. Internal bleeding
d. Blanchable erythema Correct Answer Answer: b
A female patient is diagnosed with deep-vein thrombosis.
Which nursing diagnosis should receive the highest
priority at this time?
a. Impaired gas exchange related to increased blood flow
b. Fluid volume excess related to peripheral vascular
disease
c. Risk for injury related to edema
d. Altered peripheral tissue perfusion related to venous
congestion Correct Answer Answer: d
* This answer takes highest priority because venous
inflammation and clot formation impede blood flow in
a patient with deep-vein thrombosis
A nurse is revising a client's care plan. During which step
of the nursing process does such a revision take place?