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NSG-300 Exam 2 Questions with 100% Verified
Answers UPDATED 2026!!!
What are 3 pressure related factors that contribute to pressure
ulcer development? - ANSWER 1. Pressure Intensity
2. Pressure Duration
3. Tissue Tolerance
How does pressure lead to tissue ischemia? - ANSWER If
pressure applied over a capillary exceeds normal capillary
pressure and the vessel is occluded for a prolonged time
What occurs is tissue ischemia is left untreated? - ANSWER
tissue death
Does blanching occur in dark skinned patients? - ANSWER No,
blanching does not occur but color, texture and temp may differ
from surrounding area
What does pressure duration assess? - ANSWER Low and
extended pressures
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- Low pressure over a prolonged time causes tissue damage
- Extended pressure occludes blood flow and nutrients causing
tissue death
What is tissue tolerance? - ANSWER the ability of tissue to
endure pressure which is dependent on the integrity of the
tissue and supporting structures
What are risk factors of pressure injuries? - ANSWER ◦Impaired
sensory perception
◦Impaired mobility
◦Alteration in LOC
◦Shear
◦Friction
◦Moisture
What should the nurse look for when assessing a pressure
injury? - ANSWER Wound location, staging, type and
approximate percentage of tissue in wound bed, wound
dimensions (sinus tracts and tunneling), exudate description
and condition of surrounding skin
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stage 1 pressure injury - ANSWER Intact skin with
nonblanchable redness
stage 2 pressure injury - ANSWER partial thickness skin loss
involving epidermis, dermis or both and, shallow abrasion or
open blister looking
stage 3 pressure injury - ANSWER full thickness skin loss
extending to SQ, crater looking
stage 4 pressure injury - ANSWER full thickness with exposed
bone, muscle or tendon and may have eschar
What characteristics does stage 3 and 4 pressure injuries share?
- ANSWER They may have slough, undermining and tunneling
present
A nurse states slough is present in a stage 3 pressure injury.
What should the student nurse expect to see? - ANSWER A
yellow or white, stringy substance attached to wound bed
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A nurse states eschar is present in a stage 4 pressure injury.
What should the student nurse expect to see? - ANSWER brown
or black necrotic tissue
Unstageable/Unclassified Pressure Ulcer - ANSWER Tissue loss
but depth unknown because wound bed is obscured by slough
and/or eschar
A patient has an unstageable pressure ulcer but refuses
treatment and states "it will heal on its own". What education
should the nurse provide? - ANSWER Slough and eschar must
be removed by a clinician to determine the stage and in order
for healing to occur
suspected deep tissue injury - ANSWER Purple or maroon
localized area of discolored intact skin or blood-filled blister due
to damage of underlying soft tissue from pressure and/or shear.
Depth unknown
A nurse is assessing a wound and notes the presence of
granulation tissue. What should the student nurse expect to
NSG-300 Exam 2 Questions with 100% Verified
Answers UPDATED 2026!!!
What are 3 pressure related factors that contribute to pressure
ulcer development? - ANSWER 1. Pressure Intensity
2. Pressure Duration
3. Tissue Tolerance
How does pressure lead to tissue ischemia? - ANSWER If
pressure applied over a capillary exceeds normal capillary
pressure and the vessel is occluded for a prolonged time
What occurs is tissue ischemia is left untreated? - ANSWER
tissue death
Does blanching occur in dark skinned patients? - ANSWER No,
blanching does not occur but color, texture and temp may differ
from surrounding area
What does pressure duration assess? - ANSWER Low and
extended pressures
,2|Page
- Low pressure over a prolonged time causes tissue damage
- Extended pressure occludes blood flow and nutrients causing
tissue death
What is tissue tolerance? - ANSWER the ability of tissue to
endure pressure which is dependent on the integrity of the
tissue and supporting structures
What are risk factors of pressure injuries? - ANSWER ◦Impaired
sensory perception
◦Impaired mobility
◦Alteration in LOC
◦Shear
◦Friction
◦Moisture
What should the nurse look for when assessing a pressure
injury? - ANSWER Wound location, staging, type and
approximate percentage of tissue in wound bed, wound
dimensions (sinus tracts and tunneling), exudate description
and condition of surrounding skin
,3|Page
stage 1 pressure injury - ANSWER Intact skin with
nonblanchable redness
stage 2 pressure injury - ANSWER partial thickness skin loss
involving epidermis, dermis or both and, shallow abrasion or
open blister looking
stage 3 pressure injury - ANSWER full thickness skin loss
extending to SQ, crater looking
stage 4 pressure injury - ANSWER full thickness with exposed
bone, muscle or tendon and may have eschar
What characteristics does stage 3 and 4 pressure injuries share?
- ANSWER They may have slough, undermining and tunneling
present
A nurse states slough is present in a stage 3 pressure injury.
What should the student nurse expect to see? - ANSWER A
yellow or white, stringy substance attached to wound bed
, 4|Page
A nurse states eschar is present in a stage 4 pressure injury.
What should the student nurse expect to see? - ANSWER brown
or black necrotic tissue
Unstageable/Unclassified Pressure Ulcer - ANSWER Tissue loss
but depth unknown because wound bed is obscured by slough
and/or eschar
A patient has an unstageable pressure ulcer but refuses
treatment and states "it will heal on its own". What education
should the nurse provide? - ANSWER Slough and eschar must
be removed by a clinician to determine the stage and in order
for healing to occur
suspected deep tissue injury - ANSWER Purple or maroon
localized area of discolored intact skin or blood-filled blister due
to damage of underlying soft tissue from pressure and/or shear.
Depth unknown
A nurse is assessing a wound and notes the presence of
granulation tissue. What should the student nurse expect to
