NURS 6011 STUDY GUIDE FOR EXAM 3
QUESTIONS WITH 100% CORRECT
ANSWERS LATEST VERSION 2025/2026.
Normal BP - ANS 120/80
normal respiratory rate - ANS 12-20
normal pulse rate - ANS 60-100
Normal temperature - ANS 97.8-99.1
debridement - ANS cleaning away devitalized tissue and foreign matter from a wound
dehiscence - ANS separation of layers of a surgical wound; may be partial, superficial or a
complete disruption of the surgical wound
desiccation - ANS dehydration
the process of being rendered free from moisture
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,epithelialization - ANS stage of wound healing in which epithelial cells form across the
surface of a wound; tissue color ranges from the color of ground glass to pink
eschar - ANS thick, leathery, scar or dry crust that is necrotic and must be removed for
adequate healing to occur
evisceration - ANS protrusion of viscera through an incision
purulent drainage - ANS compromised of WBCs, liquefied dead tissue debris, and both dead
and live bacteria
an intentional wound is the result of? - ANS planned invasive therapy or treatment
examples are wound resulting from surgery, IV therapy, and lumbar puncture
in older adults what are age related changes that occur that could affect wound healing -
ANS skin loses turgor and is more fragile
decreased secretion of enzymes and absorption of nutrients and minerals may increase risk for
delayed wound healing
risk of infection increases because:
-slower inflammatory response
-reduced antibody production and endocrine system function
-increased incidence of chronic illnesses, such as diabetes and CV disease, that compromise
circulation and tissue oxygenation
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, You have a 6th grader who has been getting bad grades lately, rubs their eyes frequently, visual
acuity is poor what is the nursing diagnosis? - ANS ineffective role performance related to
visual impairment
in an older adult the skin loses turgor and is more fragile what are some nursing interventions
to help with that? - ANS maintain hydration and IV fluids as prescribed
maintain record of intake and output
use caution when removing tape
in older adults they experience decreased secretion of enzymes and absorption of nutrients
that increase their risk for delayed wound healing what are some nursing interventions to
combat this? - ANS maintain intake of adequate calories
ensure that the diet is high in protein, vitamin A, vitamin C and trace elements
monitor lab results such as serum albumin, total protein
in older adults if they have a wound the risk for infections increases what are some nursing
interventions to combat this? - ANS -hand hygiene
-take and record vital signs noting and reporting increased temp
-monitor wound for signs of infection
-administer meds as prescribed
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
QUESTIONS WITH 100% CORRECT
ANSWERS LATEST VERSION 2025/2026.
Normal BP - ANS 120/80
normal respiratory rate - ANS 12-20
normal pulse rate - ANS 60-100
Normal temperature - ANS 97.8-99.1
debridement - ANS cleaning away devitalized tissue and foreign matter from a wound
dehiscence - ANS separation of layers of a surgical wound; may be partial, superficial or a
complete disruption of the surgical wound
desiccation - ANS dehydration
the process of being rendered free from moisture
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,epithelialization - ANS stage of wound healing in which epithelial cells form across the
surface of a wound; tissue color ranges from the color of ground glass to pink
eschar - ANS thick, leathery, scar or dry crust that is necrotic and must be removed for
adequate healing to occur
evisceration - ANS protrusion of viscera through an incision
purulent drainage - ANS compromised of WBCs, liquefied dead tissue debris, and both dead
and live bacteria
an intentional wound is the result of? - ANS planned invasive therapy or treatment
examples are wound resulting from surgery, IV therapy, and lumbar puncture
in older adults what are age related changes that occur that could affect wound healing -
ANS skin loses turgor and is more fragile
decreased secretion of enzymes and absorption of nutrients and minerals may increase risk for
delayed wound healing
risk of infection increases because:
-slower inflammatory response
-reduced antibody production and endocrine system function
-increased incidence of chronic illnesses, such as diabetes and CV disease, that compromise
circulation and tissue oxygenation
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, You have a 6th grader who has been getting bad grades lately, rubs their eyes frequently, visual
acuity is poor what is the nursing diagnosis? - ANS ineffective role performance related to
visual impairment
in an older adult the skin loses turgor and is more fragile what are some nursing interventions
to help with that? - ANS maintain hydration and IV fluids as prescribed
maintain record of intake and output
use caution when removing tape
in older adults they experience decreased secretion of enzymes and absorption of nutrients
that increase their risk for delayed wound healing what are some nursing interventions to
combat this? - ANS maintain intake of adequate calories
ensure that the diet is high in protein, vitamin A, vitamin C and trace elements
monitor lab results such as serum albumin, total protein
in older adults if they have a wound the risk for infections increases what are some nursing
interventions to combat this? - ANS -hand hygiene
-take and record vital signs noting and reporting increased temp
-monitor wound for signs of infection
-administer meds as prescribed
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.