NURSING, EXAM 2, UNITS 4-6,
CHAPTERS 22, 28, 39, 29, 30, 38
EXAM WITH CORRECT ANSWERS
2025
what are the locations for arterial ulcers correct answers >> -
between toes
-tips of toes
-over phalangeal heads
-around lateral malleolus
what are the characteristics of arterial ulcers correct answers
>> -severe pain
-minimal drainage
-decreased temperature
-absent or diminished pulses
-cyanosis
-thickened toenails
-gangrene
what are the locations for venous ulcers correct answers >> -
medial lower leg
-ankle
,-superior to medial melleolus
-seldom, if ever noted on the foot or above the knee
what are the characteristics of venous ulcers correct answers
>> -moderate to large amount of drainage
-pain levels vary
-ankle flare
-lipodermatosclerosis (hard fibrous of surrounding tissue)
-dialated superficial veins
what are the location for neuropathic (Diabetic) ulcers correct
answers >> -plantar aspect of foot
-over metatarsal heads
-under heel
what are the characteristics for neuropathic ulcers correct
answers >> -low to moderate drainage
-foot deformities
-deminished or absent sensation in foot
-palpable pulses
-osteomyelitis
-usually painless
what are the phases of wound healing correct answers >>
hemostatis
inflammation
,proliferation
maturation
what phase is the hemostasis correct answers >> phase 1 -
the immediate response the body initiates to heal (blood clotting)
what phase is the inflammation correct answers >> phase 2 -
begins immediately and last 4-5 days, it is the protective
response (heat, pain, edema) wbc & macrophages migrate to the
wound & begin the repair
what phase is the proliferation correct answers >> phase 3 -
reconstructive phase - begins on 3rd or 4th day and lasts 2-3
weeks
what phase is the maturation phase correct answers >>
phase 4 - final phase/remodeling phase - scar maturation, scar
slowly thins and becomes paler - begins about 3 weeks after
injury and can last up to 2 years
what factors affect wound healing correct answers >> -age
-nutrition (protein/fluid needed for healing)
-medications (heparin, steroids, antineoplastics interfere
w/healing
-Infection (slows healing) chronic illness (COPD, DM, CV)
slows wound healing due to lack of oxygen & nutrients at
the cellular level
-lifestyle (regular exercise)
, -decreased immune system
-decreased liver function
what is first intention (Primary) correct answers >> little
tissue loss - edges of wound approximate and only a slight chance
of infection
what is second intention correct answers >> a wound with
tissue loss - edges of wound do not approximate;wound left open
& fills with scar tissue
what is third intention (Tertiary) correct answers >> occurs
when there is delayed suturing of a wound/wound sutured after
granulation tissue begins to form. (Healing.)
what are the closed wounds and characteristics correct
answers >> -contusion (bruise w/out breaking skin)
-hematoma (pooling of blood under unbroken skin)
-sprain (twisting of a joint)
what are the open wounds and characteristics correct answers
>> -incision (surgically made separation of tissues w/clean
even edges)
-laceration (traumatic separation of tissue)
-abrasion (traumatic scraping)
-penetrating (bullet/metal)
-avulsion (tearing away)
-ulceration (excavation of skin