Nursing 354 Wound Care Practice Exam
Questions And Correct Answers (Verified
Answers) Plus Rationales 2026 Q&A
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1. Which finding is most characteristic of a stage 1 pressure injury?
A. Full-thickness skin loss
B. Exposed adipose tissue
C. Nonblanchable erythema of intact skin
D. Visible muscle and bone
Answer: C. Nonblanchable erythema of intact skin
Rationale: Stage 1 pressure injury involves intact skin with localized
nonblanchable erythema.
2. Which intervention is most important for preventing pressure injuries in an
immobile patient?
A. Repositioning at regular intervals
B. Massaging reddened areas
C. Restricting fluid intake
D. Applying heat to pressure points
Answer: A. Repositioning at regular intervals
,Rationale: Regular repositioning reduces prolonged pressure and helps maintain
tissue perfusion.
3. A wound containing healthy granulation tissue typically appears:
A. Black and dry
B. Yellow and stringy
C. Pale white and leathery
D. Beefy red and moist
Answer: D. Beefy red and moist
Rationale: Healthy granulation tissue is generally moist and red or pink because
of abundant capillary growth.
4. Which wound drainage is typically thin, clear, and watery?
A. Purulent
B. Serous
C. Sanguineous
D. Serosanguineous
Answer: B. Serous
Rationale: Serous drainage is clear to pale yellow and consists primarily of
serum.
5. Which type of drainage is most suggestive of infection?
A. Serous
B. Sanguineous
C. Purulent
D. Serosanguineous
Answer: C. Purulent
,Rationale: Purulent drainage is thick and may be yellow, green, or brown and
commonly indicates infection.
6. Which nutrient is particularly important for collagen formation and wound
healing?
A. Vitamin C
B. Vitamin D
C. Vitamin K
D. Vitamin B12
Answer: A. Vitamin C
Rationale: Vitamin C supports collagen synthesis and contributes to immune
function and tissue repair.
7. Which patient has the greatest risk for impaired wound healing?
A. Patient with adequate nutrition
B. Patient with controlled blood glucose
C. Patient with adequate tissue perfusion
D. Patient with poorly controlled diabetes
Answer: D. Patient with poorly controlled diabetes
Rationale: Hyperglycemia can impair immune function, circulation, and collagen
formation, increasing the risk of delayed healing and infection.
8. Which assessment finding is most concerning for wound infection?
A. Small amount of serous drainage
B. Pink granulation tissue
C. Increasing warmth, redness, and purulent drainage
D. Mild tenderness immediately after dressing removal
, Answer: C. Increasing warmth, redness, and purulent drainage
Rationale: Increasing inflammation accompanied by purulent drainage is
concerning for wound infection.
9. What is the primary purpose of wound debridement?
A. Remove necrotic or nonviable tissue
B. Increase wound bleeding
C. Prevent all wound drainage
D. Close the wound immediately
Answer: A. Remove necrotic or nonviable tissue
Rationale: Debridement removes dead or contaminated tissue that can interfere
with healing and promote infection.
10. Which type of debridement uses the body's own enzymes to break down
necrotic tissue?
A. Mechanical
B. Autolytic
C. Surgical
D. Sharp
Answer: B. Autolytic
Rationale: Autolytic debridement uses naturally occurring enzymes and moisture
to liquefy necrotic tissue.
11. Which pressure injury stage involves partial-thickness skin loss with exposed
dermis?
A. Stage 1
B. Stage 2
Questions And Correct Answers (Verified
Answers) Plus Rationales 2026 Q&A
Instant Download Pdf
1. Which finding is most characteristic of a stage 1 pressure injury?
A. Full-thickness skin loss
B. Exposed adipose tissue
C. Nonblanchable erythema of intact skin
D. Visible muscle and bone
Answer: C. Nonblanchable erythema of intact skin
Rationale: Stage 1 pressure injury involves intact skin with localized
nonblanchable erythema.
2. Which intervention is most important for preventing pressure injuries in an
immobile patient?
A. Repositioning at regular intervals
B. Massaging reddened areas
C. Restricting fluid intake
D. Applying heat to pressure points
Answer: A. Repositioning at regular intervals
,Rationale: Regular repositioning reduces prolonged pressure and helps maintain
tissue perfusion.
3. A wound containing healthy granulation tissue typically appears:
A. Black and dry
B. Yellow and stringy
C. Pale white and leathery
D. Beefy red and moist
Answer: D. Beefy red and moist
Rationale: Healthy granulation tissue is generally moist and red or pink because
of abundant capillary growth.
4. Which wound drainage is typically thin, clear, and watery?
A. Purulent
B. Serous
C. Sanguineous
D. Serosanguineous
Answer: B. Serous
Rationale: Serous drainage is clear to pale yellow and consists primarily of
serum.
5. Which type of drainage is most suggestive of infection?
A. Serous
B. Sanguineous
C. Purulent
D. Serosanguineous
Answer: C. Purulent
,Rationale: Purulent drainage is thick and may be yellow, green, or brown and
commonly indicates infection.
6. Which nutrient is particularly important for collagen formation and wound
healing?
A. Vitamin C
B. Vitamin D
C. Vitamin K
D. Vitamin B12
Answer: A. Vitamin C
Rationale: Vitamin C supports collagen synthesis and contributes to immune
function and tissue repair.
7. Which patient has the greatest risk for impaired wound healing?
A. Patient with adequate nutrition
B. Patient with controlled blood glucose
C. Patient with adequate tissue perfusion
D. Patient with poorly controlled diabetes
Answer: D. Patient with poorly controlled diabetes
Rationale: Hyperglycemia can impair immune function, circulation, and collagen
formation, increasing the risk of delayed healing and infection.
8. Which assessment finding is most concerning for wound infection?
A. Small amount of serous drainage
B. Pink granulation tissue
C. Increasing warmth, redness, and purulent drainage
D. Mild tenderness immediately after dressing removal
, Answer: C. Increasing warmth, redness, and purulent drainage
Rationale: Increasing inflammation accompanied by purulent drainage is
concerning for wound infection.
9. What is the primary purpose of wound debridement?
A. Remove necrotic or nonviable tissue
B. Increase wound bleeding
C. Prevent all wound drainage
D. Close the wound immediately
Answer: A. Remove necrotic or nonviable tissue
Rationale: Debridement removes dead or contaminated tissue that can interfere
with healing and promote infection.
10. Which type of debridement uses the body's own enzymes to break down
necrotic tissue?
A. Mechanical
B. Autolytic
C. Surgical
D. Sharp
Answer: B. Autolytic
Rationale: Autolytic debridement uses naturally occurring enzymes and moisture
to liquefy necrotic tissue.
11. Which pressure injury stage involves partial-thickness skin loss with exposed
dermis?
A. Stage 1
B. Stage 2
