CORRECT ANSWERS 2026 UPDATE
1.How would you stage this wound?
A.Stage 4
B.Unstageable
C.Stage 3
D. Stage 2 - CORRECT ANSWER-B. Unstageable
2. Arterial ulcers tend to be symmetrical and form a ___ whereas venous
ulcers tend to be asymmetrical and form a ___ - CORRECT ANSWER-
deep crater shallow wound
3.The nurse is caring for a client who is admitted to the medical unit for the
treatment of a venous ulcer in the area of her lateral malleolus that has been
unresponsive to treatment. What is the nurse most likely to find during an
assessment of this client's wound?
A.hemorrhage
B.deep wound bed
C.pale colored wound bed
D. heavy exudate - CORRECT ANSWER-D. heavy exudate
4.The nurse is providing care for a client who has just been diagnosed with
peripheral arterial occlusive disease (PAD). What assessment finding is most
consistent with this diagnosis?
A.unequal peripheral pulses between extremities
B.Reddened extremities with muscle atrophy
C.Visible clubbing of the fingers and toes - CORRECT ANSWER-A. unequal
peripheral pulses between extremities
ADULT HEALTH
,5.You have been asked to change your client's pressure wound and use a
wet-to-dry dressing. What is the purpose of this type of dressing?
A.The packed gauze is a temporary fix before surgery
B.The packed gauze works to remove (debride) the dead or injured tissue
C.The packed gauze is works in wounds that have eschar.
D. The packed gauze liquefies the slough so it can be cleansed from the
wound - CORRECT
ANSWER-B. The packed gauze works to remove (debride) the dead or injured
tissue
A nurse is assessing her client's wound. What is the width of the wound in
this picture?
A.4cm
B.5cm
C.7cm
D. 6cm - CORRECT ANSWER-B. 5cm
A superficial burn injury that is at the epidermal level is considered what
degree of burn?
A.first degree
B.third degree
C.second degree
D. full thickness - CORRECT ANSWER-A. first degree
A deep partial and full thickness burn is usually very painful.
True
False - CORRECT ANSWER-False
ADULT HEALTH
,Regarding burn injuries, what is the number one intervention the nurse does
after assuring the scene is safe and the client is no longer on fire?
A.cover the wound with a dry dressing
B.chest compressions
C.Airway management
D. call 911 - CORRECT ANSWER-C. Airway management
A nurse is caring for a client in the emergent/resuscitative phase of burn
injury. During this phase, the nurse should monitor for evidence of what
alteration in laboratory values?
A.hypokalemia
B.hypocalcemia
C.hyperkalemia
D. hypercalcemia - CORRECT ANSWER-B. hyperkalemia
The nurse is caring for a client who sustained third degree burns to the front
side of the left arm and hand, and the front side of the chest and abdomen.
Using the rule of nines, what percentage of the body surface area is burned?
A.27%
B.22.5%
C.36%
D. 18% - CORRECT ANSWER-B. 22.5%
The nurse is caring for a client who sustained 2nd degree burns to the front
and back of the head. What percentage of body surface area is burned?
A.18%
B.9%
ADULT HEALTH
, C.10%
D. we don't use percentage of BSA when it comes to the head - CORRECT
ANSWER-B. 9%
A client is brought to the emergency department with a burn injury. The
nurse knows that the first systemic event after a major burn injury is what?
A.respiratory arrest
B.hemodynamic instability
C.GI hypermotility
D. hypokalemia - CORRECT ANSWER-B. hemodynamic instability
The nurse is providing home care instruction to the client with cellulitis.
Which statement, if made by the client, should concern the nurse?
A."I will be sure to get enough rest and stay off my affected leg."
B."I will keep all follow-up appointments with my healthcare provider."
C."I will take my antibiotics until the affected area looks less red."'
D. "I will keep my affected leg elevated to keep swelling down." -
CORRECT ANSWER-C. "I will take my antibiotics until the affected area
looks less red."'
The nurse is performing a health history for a new client. Which should the
nurse identify as a risk factor for cellulitis in an adult?
A.Impetigo
B.GERD
C.Peripheral vascular disease
D. hypotension - CORRECT ANSWER-C. Peripheral vascular disease
ADULT HEALTH