NUR 205 Nursing Fundamentals Exam 6 - Galen College of Nursing
2026
1. A nurse is assessing a patient’s wound and notes a thick, yellow-greenish
drainage. How should the nurse document this finding?
A. Purulent drainage
B. Serous drainage
C. Serosanguineous drainage
D. Sanguineous drainage
Answer: A
Rationale: Purulent drainage is thick and consists of white blood cells, dead tissue, and
bacteria, often indicating infection; it can be yellow, green, or brown.
2. Which score on the Braden Scale would indicate the highest risk for
developing a pressure injury?
A. 23
B. 18
C. 9
D. 14
Answer: C
Rationale: On the Braden Scale, lower scores indicate a higher risk for pressure injuries; a
score of 9 is considered very high risk.
,3. A stage 2 pressure injury is characterized by which of the following?
A. Partial-thickness skin loss with exposed dermis
B. Non-blanchable erythema of intact skin
C. Full-thickness skin loss with visible fat
D. Full-thickness skin loss with exposed bone
Answer: A
Rationale: Stage 2 pressure injuries involve partial-thickness loss of dermis, appearing as a
shallow open ulcer or a ruptured/intact serum-filled blister.
4. When a surgical incision separates and internal organs protrude through the
opening, the condition is called:
A. Dehiscence
B. Evisceration
C. Fistula
D. Granulation
Answer: B
Rationale: Evisceration is the total separation of wound layers and protrusion of visceral
organs through the wound opening, which is a medical emergency.
5. Which type of wound healing occurs when the edges are approximated, such
as with a surgical incision closed by sutures?
A. Tertiary intention
B. Secondary intention
C. Primary intention
D. Delayed closure
Answer: C
Rationale: Primary intention healing occurs in wounds with minimal tissue loss and well-
approximated edges, leading to rapid healing and minimal scarring.
, 6. A patient with COPD is instructed to use pursed-lip breathing. What is the
primary purpose of this technique?
A. To decrease the effort of breathing
B. To increase the rate of respirations
C. To prevent airway collapse and promote CO2 excretion
D. To reduce oxygen saturation
Answer: C
Rationale: Pursed-lip breathing creates back pressure in the airways, preventing alveolar
collapse and helping the patient exhale more CO2.
7. Which of the following is considered an early sign of hypoxia?
A. Cyanosis
B. Restlessness
C. Bradycardia
D. Bradypnea
Answer: B
Rationale: Restlessness, anxiety, and tachycardia are early signs of hypoxia as the body
attempts to compensate for low oxygen levels.
8. The nurse is caring for a patient requiring 100% oxygen delivery in an
emergency. Which device is most appropriate?
A. Nasal cannula
B. Non-rebreather mask
C. Simple face mask
D. Venturi mask
Answer: B
Rationale: A non-rebreather mask can deliver 60% to 100% oxygen and is used for
patients requiring high concentrations of oxygen.
2026
1. A nurse is assessing a patient’s wound and notes a thick, yellow-greenish
drainage. How should the nurse document this finding?
A. Purulent drainage
B. Serous drainage
C. Serosanguineous drainage
D. Sanguineous drainage
Answer: A
Rationale: Purulent drainage is thick and consists of white blood cells, dead tissue, and
bacteria, often indicating infection; it can be yellow, green, or brown.
2. Which score on the Braden Scale would indicate the highest risk for
developing a pressure injury?
A. 23
B. 18
C. 9
D. 14
Answer: C
Rationale: On the Braden Scale, lower scores indicate a higher risk for pressure injuries; a
score of 9 is considered very high risk.
,3. A stage 2 pressure injury is characterized by which of the following?
A. Partial-thickness skin loss with exposed dermis
B. Non-blanchable erythema of intact skin
C. Full-thickness skin loss with visible fat
D. Full-thickness skin loss with exposed bone
Answer: A
Rationale: Stage 2 pressure injuries involve partial-thickness loss of dermis, appearing as a
shallow open ulcer or a ruptured/intact serum-filled blister.
4. When a surgical incision separates and internal organs protrude through the
opening, the condition is called:
A. Dehiscence
B. Evisceration
C. Fistula
D. Granulation
Answer: B
Rationale: Evisceration is the total separation of wound layers and protrusion of visceral
organs through the wound opening, which is a medical emergency.
5. Which type of wound healing occurs when the edges are approximated, such
as with a surgical incision closed by sutures?
A. Tertiary intention
B. Secondary intention
C. Primary intention
D. Delayed closure
Answer: C
Rationale: Primary intention healing occurs in wounds with minimal tissue loss and well-
approximated edges, leading to rapid healing and minimal scarring.
, 6. A patient with COPD is instructed to use pursed-lip breathing. What is the
primary purpose of this technique?
A. To decrease the effort of breathing
B. To increase the rate of respirations
C. To prevent airway collapse and promote CO2 excretion
D. To reduce oxygen saturation
Answer: C
Rationale: Pursed-lip breathing creates back pressure in the airways, preventing alveolar
collapse and helping the patient exhale more CO2.
7. Which of the following is considered an early sign of hypoxia?
A. Cyanosis
B. Restlessness
C. Bradycardia
D. Bradypnea
Answer: B
Rationale: Restlessness, anxiety, and tachycardia are early signs of hypoxia as the body
attempts to compensate for low oxygen levels.
8. The nurse is caring for a patient requiring 100% oxygen delivery in an
emergency. Which device is most appropriate?
A. Nasal cannula
B. Non-rebreather mask
C. Simple face mask
D. Venturi mask
Answer: B
Rationale: A non-rebreather mask can deliver 60% to 100% oxygen and is used for
patients requiring high concentrations of oxygen.
