NUR 1025 FUNDAMENTALS OF NURSING
EXAM 2 LATEST UPDATE 2026 MIAMI
DADE COLLEGE REAL ACTUAL EXAM
CORRECT ANSWERS WITH DETAILED
RATIONALES GRADED A+ GUARANTEED
PASS ACE
When teaching a patient about wound healing, the nurse should tell the patient which of the following?
a. Inadequate nutrition delays wound healing and increases the risk of infection
b. Chronic wounds heal more effectively in a dry, open environment, so leave them open to air whenever
possible
c. Long-term steroid therapy diminishes the inflammatory response and speeds wound healing
d. Fat tissue heals more readily because there is less vascularization
A+ TEST BANK 1
, NUR 1025 EXAM
a
Rationale: Inadequate nutrition—including proteins, carbohydrates,
lipids, vitamins, and minerals—delays tissue repair and increases risk
for infection. Both full-thickness wounds and partial-thickness wounds
heal more efficiently in a moist, protected environment. Long-term
steroid therapy may diminish the inflammatory response and reduce
the healing potential. Steroids slow collagen synthesis. Fat tissue has
less blood supply, which decreases transport of nutrients and cellular
elements required for healing.
The nurse is caring for a patient who had knee replacement surgery 5 days ago. The patient's knee
appears red and is very warm to the touch.
The patient requests pain medication. Which of the following would be a correct explanation of what
the nurse is noticing?
a. These are expected findings for this postoperative time period
b. The patient may become dependent upon pain medication
c. The nurse should observe the patient more closely for wound dehiscence
d. The patient is demonstrating signs of postoperative wound infection
d
Rationale: The risk for infection is greatest 4 to 5 days postoperative.
Symptoms of wound infection include fever, tenderness and pain at
the wound site, an elevated white blood cell count, and may appear
inflamed at the edges of the wound. If drainage is present, it is
odorous and purulent, which causes a yellow, green, or brown color,
depending upon the causative organism.
Healing by primary intention is expected when the edges of a clean surgical incision are sutured or
stapled together, tissue loss is minimal or absent, and the wound is uncontaminated by microorganisms.
True
False
True
Rationale: This is the correct definition of healing by primary intention
A+ TEST BANK 2
, NUR 1025 EXAM
When should wound drainage be cultured?
a. When there is a change in color, amount, or odor of drainage
b. If the patient complains of pain
c. When the drain is removed
d. If the nurse empties the drainage evacuator without applying sterile gloves
a
Rationale: Wound drainage should be cultured when infection is
suspected, as indicated by the drainage appearing to be purulent, a
change in the amount or color of the wound drainage, or when a foul
odor of the drainage is noted. It is appropriate for the nurse to wear
clean gloves to empty the drainage evacuator.
Which of the following are functions of dressings? )Select all that apply)
a. To promote hemostasis
b. To keep the wound bed dry
c. Wound debridement
d. To prevent contamination
e. To increase circulation
a, c, d
Rationale: Dressings provide several functions, which include
debridement, maintaining a moist wound environment, protecting from
outside contamination and further injury, preventing the spread of
microorganisms, increasing patient comfort, and promoting hemostasis.
Which if the following patients would be expected to benefit from a moist-to-dry dressing? (Select all
that apply)
a. A 24 year-old patient with an open, infected wound from a spider bite
b. A 7 year-old with abrasions on the knees
c. A 50 year-old with a postoperative knee-replacement incision
d. A 30 year-old who had a large cyst removed and now has some necrotic tissue present in the crater-
type wound
A+ TEST BANK 3
, NUR 1025 EXAM
a, d
Rationale: Moist-to-dry dressings are best used with necrotic, infected
wounds requiring debridement. Moist dressings are often used for
helping to heal full-thickness wounds that look like craters. Dry, woven-
gauze dressings are most often used for abrasions and postoperative
incisions when minimal drainage is anticipated.
A patient states that she is unable to get her transparent dressing to stay in place. What instruction
should the nurse provide the patient?
a. "If you are having difficulty with your dressing changes, we can see if the doctor will give you a
referral to a home care agency."
b. "Make sure that you have a margin of 1 to 1.5 inches around the wound, and that the skin is
thoroughly dry before applying the dressing."
c. "This type of dressing requires frequent changing because they do not stay in place."
d. "You probably are applying it incorrectly , or perhaps you are just too anxious about having to
perform the dressing change."
e. "There are many options on the market. Why don't you use a nonadhesive-backed transparent
dressing instead?"
b
Rationale: If the transparent dressing does not stay in place, the size
of the dressing should be evaluated for adequate (1 to 1.5 inches)
margin, and the skin should be dried thoroughly before reapplication.
The patient requires further instruction, not necessarily a referral,
regarding interventions to aid in dressing adherence. The dressing
coming off is an unexpected outcome. Blaming the patient is non-
therapeutic.
Which of the following may indicate an increased risk for wound dehiscence?
a. It is within the first 24 to 48 hours after surgery
b. The patient holds a pillow over the abdomen whenever coughing
c. There is a small amount serous drainage noted o the dressing
d. There is an increase in serosanguineous drainage from the wound
d
Rationale: When there is an increase in serosanguineous drainage
A+ TEST BANK 4