10/11/25, 8:32
AM
WOUNDS, FUNDAMENTALS OF NURSING,
EXAM ACTUAL QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED
GRADED A+
No Tissue loss, surgical wound
Primary Intention
Secondary intention Tissue loss, surgical incision with loss of
tissue, pressure ulcers ; heals by
granulization followed by
epithelialization
Examples of Burns, ulcers, severe lacerations
secondary intention
wounds
shallow and involve loss of the
Partial-thickness epidermis and partial loss of the
wounds dermis. These wounds heal by
regeneration of the epidermis. An
example is a clean surgical wound or an
abrasion.
extend into the dermis
and heal by scar
formation. An example
1/
19
,10/11/25, 8:32
AM
Full-thickness wounds is a pressure ulcer.
How do both full- in a moist, protected environment because
thickness and partial- epidermal cells only migrate across moist
thickness wounds heal surfaces.
more efficiently?
Fever
Tenderness and
pain at the wound
Signs of infection site An elevated
white blood cell
count
The edges of the wound may appear inflamed
If drainage is present, it is odorous and
purulent, which causes a yellow, green, or
brown color, depending on the
causative organism.
Purulent odorous, yellow/green or brownish color
depending on the organism
Dehiscence partial or total separation of wound layers.
2/
19
, 10/11/25, 8:32
AM
Poor
nutritional
Who is most at risk for status
dehiscence? infection,
obesity (constant strain on their wounds
and fat does not heal well...low blood
circulation)
How do you splint an Place a pillow over it when coughing
incision?
Evisceration Total separation of wound and protrusion
of visceral organs through wound
opening. The condition is an
emergency that requires surgical
repair.
What should a nurse the nurse places sterile towels soaked in
do if a wound sterile saline over the extruding tissues.
eviscerates? The patient should be allowed nothing
by mouth (NPO), observed for signs
and
symptoms of shock, and prepared for
emergency surgery.
Fistula Abnormal passage between two organs or
between an organ and the outside of the
body.
Most fistulas form as a result of poor
3/
19
AM
WOUNDS, FUNDAMENTALS OF NURSING,
EXAM ACTUAL QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED
GRADED A+
No Tissue loss, surgical wound
Primary Intention
Secondary intention Tissue loss, surgical incision with loss of
tissue, pressure ulcers ; heals by
granulization followed by
epithelialization
Examples of Burns, ulcers, severe lacerations
secondary intention
wounds
shallow and involve loss of the
Partial-thickness epidermis and partial loss of the
wounds dermis. These wounds heal by
regeneration of the epidermis. An
example is a clean surgical wound or an
abrasion.
extend into the dermis
and heal by scar
formation. An example
1/
19
,10/11/25, 8:32
AM
Full-thickness wounds is a pressure ulcer.
How do both full- in a moist, protected environment because
thickness and partial- epidermal cells only migrate across moist
thickness wounds heal surfaces.
more efficiently?
Fever
Tenderness and
pain at the wound
Signs of infection site An elevated
white blood cell
count
The edges of the wound may appear inflamed
If drainage is present, it is odorous and
purulent, which causes a yellow, green, or
brown color, depending on the
causative organism.
Purulent odorous, yellow/green or brownish color
depending on the organism
Dehiscence partial or total separation of wound layers.
2/
19
, 10/11/25, 8:32
AM
Poor
nutritional
Who is most at risk for status
dehiscence? infection,
obesity (constant strain on their wounds
and fat does not heal well...low blood
circulation)
How do you splint an Place a pillow over it when coughing
incision?
Evisceration Total separation of wound and protrusion
of visceral organs through wound
opening. The condition is an
emergency that requires surgical
repair.
What should a nurse the nurse places sterile towels soaked in
do if a wound sterile saline over the extruding tissues.
eviscerates? The patient should be allowed nothing
by mouth (NPO), observed for signs
and
symptoms of shock, and prepared for
emergency surgery.
Fistula Abnormal passage between two organs or
between an organ and the outside of the
body.
Most fistulas form as a result of poor
3/
19
