NSG 302 2025/2026 Exam Questions and
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A client has a wound that is approximately 10 cm in diameter, surrounded by
edematous and boggy tissue, with the edges curling towards the center. Which
additional finding would indicate to the nurse that this is a stage 4 pressure injury?
- 🧠 ANSWER ✔✔The joint capsule of the hip is visible.
On the fourth postoperative day, a client has a sudden coughing episode and
reports that "something popped" in the abdominal incision. Upon inspection, the
nurse finds that evisceration has occurred. What nursing action should be taken
first? - 🧠 ANSWER ✔✔Cover the area with a large saline soaked dressing
A client is prescribed antiembolic stockings. How should the nurse assess the skin
on the client's legs? - 🧠 ANSWER ✔✔Remove the stockings for the assessment
Assistive personnel (AP) reports a small skin tear on the client's forearm that
occurred during a routine turn. After assessing the wound the nurse should take
which action? - 🧠 ANSWER ✔✔Cleanse the wound and apply a dressing.
,The nurse identifies an older client as being at risk for impaired skin integrity.
What did the nurse assess in this client?
(SELECT ALL THAT APPLY) - 🧠 ANSWER ✔✔Dry skin
Poor skin turgor
Diminished pain sensation
Thin epidermis
Upon assessing a pressure injury, the nurse notes the presence of red, yellow, and
black tissue. Using the RB color code, which wound care should the nurse plan? -
🧠 ANSWER ✔✔Black
A trauma victim's leg wound dressing has a 4-cm by 6-cm blood spot that has
soaked through the bandage. The client is otherwise stable. What action should the
nurse - 🧠 ANSWER ✔✔Add an additional dressing to the wound without
removing the original.
A client has a wound that is going to heal through secondary intention. When
instructing the client about this wound, the nurse would include which statements?
(SELECT ALL THAT APPLY) - 🧠 ANSWER ✔✔Potential for scarring is greater
Closure of the wound will occur in 5 days
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,Susceptibility to infection is greater
Healing time will be longer
A client's leg wounds appear red and edematous a day after a traumatic injury.
Which stage of healing should the nurse identify for this client? - 🧠 ANSWER
✔✔Inflammatory
The nurse changes the dressing around a client's drain. Which information can be
omitted from the documentation of this care? - 🧠 ANSWER ✔✔Name of the
surgeon who inserted the drain.
During morning care, assistive personnel (AP) note that a client's wound is seeping
a large amount of drainage. Which should the AP do? - 🧠 ANSWER ✔✔Notify the
nurse
When discussing the healing process in wounds, closure of the wound is classified
as primary, secondary, or tertiary intention. A wound that is not approximated and
heals by granulation tissue formation, wound contraction, and epithelialization
would be healed by_______intention - 🧠 ANSWER ✔✔Secondary
The nurse is writing the plan of care for a client who is confined to bed. Which
intervention should be included to help reduce the effects of shearing forces on the
COPYRIGHT©BLAIRALISTERNEWTON 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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, client's skin? - 🧠 ANSWER ✔✔Use a turn sheet lifted by two staff members to
move the client in bed.
nurse documents that a client's postoperative wound is purosanguinous. What did
the nurse assess in this client's wound? - 🧠 ANSWER ✔✔Pus and red blood cells
client has episodes of bowel and bladder incontinence. When planning care for this
client, the nurse would identify which nursing diagnosis as being appropriate? - 🧠
ANSWER ✔✔Risk for impaired skin integrity
An older client who is incontinent and wears incontinence briefs develops an
irritated rash in the perianal area. What care should the nurse provide? - 🧠
ANSWER ✔✔Wipe the skin with an alcohol-free barrier film agent after cleaning.
Match the following terms with the correct definition. - 🧠 ANSWER
✔✔Hematoma
Localized collection of blood underneath the skin; usually reddish blue in color
Purulent exudate
Thick, consisting of leukocytes, liquefied dead tissue debris, and dead/living
bacteria
Serous exudate
COPYRIGHT©BLAIRALISTERNEWTON 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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PRIVACY STATEMENT. ALL RIGHTS RESERVED
Answers 100% Guaranteed Success |
Already Rated A+
A client has a wound that is approximately 10 cm in diameter, surrounded by
edematous and boggy tissue, with the edges curling towards the center. Which
additional finding would indicate to the nurse that this is a stage 4 pressure injury?
- 🧠 ANSWER ✔✔The joint capsule of the hip is visible.
On the fourth postoperative day, a client has a sudden coughing episode and
reports that "something popped" in the abdominal incision. Upon inspection, the
nurse finds that evisceration has occurred. What nursing action should be taken
first? - 🧠 ANSWER ✔✔Cover the area with a large saline soaked dressing
A client is prescribed antiembolic stockings. How should the nurse assess the skin
on the client's legs? - 🧠 ANSWER ✔✔Remove the stockings for the assessment
Assistive personnel (AP) reports a small skin tear on the client's forearm that
occurred during a routine turn. After assessing the wound the nurse should take
which action? - 🧠 ANSWER ✔✔Cleanse the wound and apply a dressing.
,The nurse identifies an older client as being at risk for impaired skin integrity.
What did the nurse assess in this client?
(SELECT ALL THAT APPLY) - 🧠 ANSWER ✔✔Dry skin
Poor skin turgor
Diminished pain sensation
Thin epidermis
Upon assessing a pressure injury, the nurse notes the presence of red, yellow, and
black tissue. Using the RB color code, which wound care should the nurse plan? -
🧠 ANSWER ✔✔Black
A trauma victim's leg wound dressing has a 4-cm by 6-cm blood spot that has
soaked through the bandage. The client is otherwise stable. What action should the
nurse - 🧠 ANSWER ✔✔Add an additional dressing to the wound without
removing the original.
A client has a wound that is going to heal through secondary intention. When
instructing the client about this wound, the nurse would include which statements?
(SELECT ALL THAT APPLY) - 🧠 ANSWER ✔✔Potential for scarring is greater
Closure of the wound will occur in 5 days
COPYRIGHT©BLAIRALISTERNEWTON 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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PRIVACY STATEMENT. ALL RIGHTS RESERVED
,Susceptibility to infection is greater
Healing time will be longer
A client's leg wounds appear red and edematous a day after a traumatic injury.
Which stage of healing should the nurse identify for this client? - 🧠 ANSWER
✔✔Inflammatory
The nurse changes the dressing around a client's drain. Which information can be
omitted from the documentation of this care? - 🧠 ANSWER ✔✔Name of the
surgeon who inserted the drain.
During morning care, assistive personnel (AP) note that a client's wound is seeping
a large amount of drainage. Which should the AP do? - 🧠 ANSWER ✔✔Notify the
nurse
When discussing the healing process in wounds, closure of the wound is classified
as primary, secondary, or tertiary intention. A wound that is not approximated and
heals by granulation tissue formation, wound contraction, and epithelialization
would be healed by_______intention - 🧠 ANSWER ✔✔Secondary
The nurse is writing the plan of care for a client who is confined to bed. Which
intervention should be included to help reduce the effects of shearing forces on the
COPYRIGHT©BLAIRALISTERNEWTON 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
3
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, client's skin? - 🧠 ANSWER ✔✔Use a turn sheet lifted by two staff members to
move the client in bed.
nurse documents that a client's postoperative wound is purosanguinous. What did
the nurse assess in this client's wound? - 🧠 ANSWER ✔✔Pus and red blood cells
client has episodes of bowel and bladder incontinence. When planning care for this
client, the nurse would identify which nursing diagnosis as being appropriate? - 🧠
ANSWER ✔✔Risk for impaired skin integrity
An older client who is incontinent and wears incontinence briefs develops an
irritated rash in the perianal area. What care should the nurse provide? - 🧠
ANSWER ✔✔Wipe the skin with an alcohol-free barrier film agent after cleaning.
Match the following terms with the correct definition. - 🧠 ANSWER
✔✔Hematoma
Localized collection of blood underneath the skin; usually reddish blue in color
Purulent exudate
Thick, consisting of leukocytes, liquefied dead tissue debris, and dead/living
bacteria
Serous exudate
COPYRIGHT©BLAIRALISTERNEWTON 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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PRIVACY STATEMENT. ALL RIGHTS RESERVED
