NUR 210 ACTUAL FINAL EXAM |60 COMPLETE QUESTIONS AND ANSWERS | 2026
LATEST UPDATED| 100% RATED CORRECT | GET A+!!
1. tissue integrity: state of structurally intact and physiologically
functioning epithelial tissues (includes skin, subq, and mucosal
membranes)
2. 6 categories of impaired tissue integrity: 1. trauma/injury 2. loss of
perusion 3. immunological reaction 4. infections/infestations 5.
thermal/radiation 6. lesions
3. trauma/injury: ranges from superficial abrasion to deep full thickness
wound with extension into muscle, internal organs, and bone
4. loss of perfusion: chronic poor perfusion = tissue necrosis, ulcers, loss of
digits, short-term disruption of perfusion = pressure injuries, pressure
ulcers
5. immunological reaction: redness, rash, hives
6. infections/infestations: result of bacteria, fungi, or viruses, infestations
damage tissue + resulting scratching increases risk of secondary infection
,7. thermal radiation: ranges from common sunburn to extensive scald
burns and radiation
8. lesions: includes benign skin growths and vascular lesions to invasive
malignant tumors or skin cancer
9. first intention wound healing: well approximated, minimal tissue loss,
heals rapidly, post-op sterile dressing covering
10. second intention wound healing: not well approximated, loss of tissue,
open wound requiring more tissue replacement, longer healing, more
scarring, increased infection risk
11. third intention healing: wound left open several days to resolve edema,
infection, or allow fluid to drain, poor circulation in wound area, packed
dressing, deep and wide scar
12. pressure injury: localized injury to skin over a bony prominence or
related to a medical or other device 13. main risk factors for development
of pressure injuries: 1. immobility 2. nutrition and hydration (malnutrition)
3. skin moisture 4. mental status 5. friction/shearing 6. age
, 14. mechanisms that contribute to pressure injury development: external
pressure
compresses blood vessels, friction and shearing forces tear and injure blood
vessels and abrade the top layer of skin 15. moments when friction occurs in
patient care: wrinkled sheets, elbows and heels when
patients help move themselves up in bed, on the back when patients are
moved up in bed or transferred from a stretcher
16. moments when shearing occurs in patient care: patients who are pulled
(instead of lifted) up in bed or from bed to chair/stretcher, patient partially
sitting up in bed
17. factors affecting skin integrity: 1. aging skin structure 2. health status 3.
lifestyle variables 4. changes in health state 5. illness 6. GI prep procedures 7.
therapeutic measures
18 factors affecting skin integrity: health status: very thin/obese, fluid loss,
excessive moisture, jaundice, diseases of the skin
LATEST UPDATED| 100% RATED CORRECT | GET A+!!
1. tissue integrity: state of structurally intact and physiologically
functioning epithelial tissues (includes skin, subq, and mucosal
membranes)
2. 6 categories of impaired tissue integrity: 1. trauma/injury 2. loss of
perusion 3. immunological reaction 4. infections/infestations 5.
thermal/radiation 6. lesions
3. trauma/injury: ranges from superficial abrasion to deep full thickness
wound with extension into muscle, internal organs, and bone
4. loss of perfusion: chronic poor perfusion = tissue necrosis, ulcers, loss of
digits, short-term disruption of perfusion = pressure injuries, pressure
ulcers
5. immunological reaction: redness, rash, hives
6. infections/infestations: result of bacteria, fungi, or viruses, infestations
damage tissue + resulting scratching increases risk of secondary infection
,7. thermal radiation: ranges from common sunburn to extensive scald
burns and radiation
8. lesions: includes benign skin growths and vascular lesions to invasive
malignant tumors or skin cancer
9. first intention wound healing: well approximated, minimal tissue loss,
heals rapidly, post-op sterile dressing covering
10. second intention wound healing: not well approximated, loss of tissue,
open wound requiring more tissue replacement, longer healing, more
scarring, increased infection risk
11. third intention healing: wound left open several days to resolve edema,
infection, or allow fluid to drain, poor circulation in wound area, packed
dressing, deep and wide scar
12. pressure injury: localized injury to skin over a bony prominence or
related to a medical or other device 13. main risk factors for development
of pressure injuries: 1. immobility 2. nutrition and hydration (malnutrition)
3. skin moisture 4. mental status 5. friction/shearing 6. age
, 14. mechanisms that contribute to pressure injury development: external
pressure
compresses blood vessels, friction and shearing forces tear and injure blood
vessels and abrade the top layer of skin 15. moments when friction occurs in
patient care: wrinkled sheets, elbows and heels when
patients help move themselves up in bed, on the back when patients are
moved up in bed or transferred from a stretcher
16. moments when shearing occurs in patient care: patients who are pulled
(instead of lifted) up in bed or from bed to chair/stretcher, patient partially
sitting up in bed
17. factors affecting skin integrity: 1. aging skin structure 2. health status 3.
lifestyle variables 4. changes in health state 5. illness 6. GI prep procedures 7.
therapeutic measures
18 factors affecting skin integrity: health status: very thin/obese, fluid loss,
excessive moisture, jaundice, diseases of the skin
