, NUR 265 Final Exam – Medical-Surgical
Nursing –Actual Questions & Answers (GCN)
100% Guarantee Pass
Question 1
The four phases of wound healing in order are:
A) Inflammation, Hemostasis, Proliferation, Remodeling
B) Hemostasis, Inflammation, Proliferation, Remodeling
C) Proliferation, Hemostasis, Inflammation, Remodeling
D) Remodeling, Inflammation, Hemostasis, Proliferation
Answer: B
Rationale: The four phases of wound healing are: 1) Hemostasis (clotting and growth factors are
released), 2) Inflammation (vasodilatation, increased perfusion, chemotaxis), 3) Proliferation
(vascular tissue restored, granulation tissue fills deficit), and 4) Remodeling (collagen fibers
strengthen).
Question 2
During the inflammation phase of wound healing, what occurs?
A) Clotting and growth factors are released
B) Vasodilatation, increased perfusion, chemotaxis, and cellular activity
C) Vascular tissue is restored and granulation tissue fills the deficit
D) Collagen fibers strengthen
Answer: B
Rationale: During inflammation, vasodilatation occurs with increased perfusion and capillary
permeability (causing redness), chemotaxis and cellular activity (neutrophils attack bacteria,
platelets migrate to the wound site, macrophages eat debris).
Question 3
During the proliferation phase of wound healing, what occurs?
,A) Clotting and growth factors are released
B) Vasodilatation and increased perfusion
C) Vascular tissue restored and granulation tissue fills the deficit
D) Collagen fibers strengthen
Answer: C
Rationale: During proliferation, vascular tissue is restored and granulation tissue fills the deficit.
Fibroblasts make new collagen, and there is high oxygen demand.
Question 4
During the remodeling phase of wound healing, what occurs?
A) Clotting and growth factors are released
B) Vasodilatation and increased perfusion
C) Vascular tissue restored and granulation tissue fills the deficit
D) Collagen fibers strengthen
Answer: D
Rationale: During remodeling, collagen fibers strengthen. This phase can last up to 2 years, and
the tissue only ever reaches 80% of its original strength.
Question 5
Arterial insufficiency refers to:
A) Slow or stop of blood flow through the arteries
B) Leaky valves allowing buildup of pressure in veins
C) Swelling of an extremity due to obstructed lymph channels
D) Inflammation of the blood vessels
Answer: A
Rationale: Arterial insufficiency is the slow or complete stop of blood flow through the arteries.
This leads to poor tissue perfusion and impaired wound healing.
Question 6
Venous hypertension refers to:
, A) Slow or stop of blood flow through the arteries
B) Leaky valves allowing buildup of pressure in veins
C) Swelling of an extremity due to obstructed lymph channels
D) Inflammation of the blood vessels
Answer: B
Rationale: Venous hypertension occurs when leaky valves allow buildup of pressure in veins.
This leads to venous stasis and venous ulcers.
Question 7
Lymphedema is best described as:
A) Slow or stop of blood flow through the arteries
B) Leaky valves allowing buildup of pressure in veins
C) Swelling of an extremity due to obstructed lymph channels
D) Inflammation of the blood vessels
Answer: C
Rationale: Lymphedema is swelling of an extremity due to obstructed lymph channels. It is
characterized by nonpitting edema.
Question 8
Arterial ulcers are caused by:
A) Venous insufficiency
B) Decreased blood flow through arteries
C) Pressure on bony areas
D) Bacterial infection
Answer: B
Rationale: An arterial ulcer is a wound that won't heal due to decreased blood flow. It is
typically painful, has well-defined borders, and is located on the distal extremities.
Question 9
Pressure ulcers occur primarily on:
Nursing –Actual Questions & Answers (GCN)
100% Guarantee Pass
Question 1
The four phases of wound healing in order are:
A) Inflammation, Hemostasis, Proliferation, Remodeling
B) Hemostasis, Inflammation, Proliferation, Remodeling
C) Proliferation, Hemostasis, Inflammation, Remodeling
D) Remodeling, Inflammation, Hemostasis, Proliferation
Answer: B
Rationale: The four phases of wound healing are: 1) Hemostasis (clotting and growth factors are
released), 2) Inflammation (vasodilatation, increased perfusion, chemotaxis), 3) Proliferation
(vascular tissue restored, granulation tissue fills deficit), and 4) Remodeling (collagen fibers
strengthen).
Question 2
During the inflammation phase of wound healing, what occurs?
A) Clotting and growth factors are released
B) Vasodilatation, increased perfusion, chemotaxis, and cellular activity
C) Vascular tissue is restored and granulation tissue fills the deficit
D) Collagen fibers strengthen
Answer: B
Rationale: During inflammation, vasodilatation occurs with increased perfusion and capillary
permeability (causing redness), chemotaxis and cellular activity (neutrophils attack bacteria,
platelets migrate to the wound site, macrophages eat debris).
Question 3
During the proliferation phase of wound healing, what occurs?
,A) Clotting and growth factors are released
B) Vasodilatation and increased perfusion
C) Vascular tissue restored and granulation tissue fills the deficit
D) Collagen fibers strengthen
Answer: C
Rationale: During proliferation, vascular tissue is restored and granulation tissue fills the deficit.
Fibroblasts make new collagen, and there is high oxygen demand.
Question 4
During the remodeling phase of wound healing, what occurs?
A) Clotting and growth factors are released
B) Vasodilatation and increased perfusion
C) Vascular tissue restored and granulation tissue fills the deficit
D) Collagen fibers strengthen
Answer: D
Rationale: During remodeling, collagen fibers strengthen. This phase can last up to 2 years, and
the tissue only ever reaches 80% of its original strength.
Question 5
Arterial insufficiency refers to:
A) Slow or stop of blood flow through the arteries
B) Leaky valves allowing buildup of pressure in veins
C) Swelling of an extremity due to obstructed lymph channels
D) Inflammation of the blood vessels
Answer: A
Rationale: Arterial insufficiency is the slow or complete stop of blood flow through the arteries.
This leads to poor tissue perfusion and impaired wound healing.
Question 6
Venous hypertension refers to:
, A) Slow or stop of blood flow through the arteries
B) Leaky valves allowing buildup of pressure in veins
C) Swelling of an extremity due to obstructed lymph channels
D) Inflammation of the blood vessels
Answer: B
Rationale: Venous hypertension occurs when leaky valves allow buildup of pressure in veins.
This leads to venous stasis and venous ulcers.
Question 7
Lymphedema is best described as:
A) Slow or stop of blood flow through the arteries
B) Leaky valves allowing buildup of pressure in veins
C) Swelling of an extremity due to obstructed lymph channels
D) Inflammation of the blood vessels
Answer: C
Rationale: Lymphedema is swelling of an extremity due to obstructed lymph channels. It is
characterized by nonpitting edema.
Question 8
Arterial ulcers are caused by:
A) Venous insufficiency
B) Decreased blood flow through arteries
C) Pressure on bony areas
D) Bacterial infection
Answer: B
Rationale: An arterial ulcer is a wound that won't heal due to decreased blood flow. It is
typically painful, has well-defined borders, and is located on the distal extremities.
Question 9
Pressure ulcers occur primarily on:
