NUR 205 Final Exam Prep Bundle (NEWESTQ&As) – Fundamentals & Med-Surg Complete Study Guide (Verified Answers & Rationales) INSTANT PDF DOWNLOAD

NUR 205 Final Exam Prep Bundle (NEWESTQ&As) –
Fundamentals & Med-Surg Complete Study Guide (Verified
Answers & Rationales) INSTANT PDF DOWNLOAD



Batch 1: Healthcare Systems, Delivery, and Wound Care (Q1–Q50)

1. Which Institute of Medicine (IOM) quality dimension ensures that care does
not vary based on personal characteristics like ethnicity or gender?

 A) Efficient

 B) Equitable

 C) Timely

 D) Patient-centered

 Explanation: Equitable care mandates providing consistent quality to all
individuals regardless of demographics, socioeconomic status, or
geographic location.

2. A nurse notes a patient's surgical incision is clean, straight, and closed with
staples. This heals by which intention?

 A) Primary intention

 B) Secondary intention

 C) Tertiary intention

 D) Delayed intention

,  Explanation: Primary intention occurs when wound edges are cleanly
approximated (such as surgical incisions), resulting in minimal tissue loss
and rapid healing.

3. According to the IOM report To Err is Human, what is the primary focus for
reducing medical errors?

 A) Disciplining staff members who make mistakes

 B) Designing safer clinical systems and workflows

 C) Increasing the frequency of manual double-checks

 D) Restricting patient autonomy during procedures

 Explanation: Systemic design improvements—rather than individual
punishment—address the root causes of medical errors and foster an open
culture of safety.

4. A nurse uses the Braden Scale to assess a patient. Which total score
represents the highest risk for developing a pressure injury?

 A) 23

 B) 18

 C) 14

 D) 9

 Explanation: The Braden Scale ranges from 6 to 23; lower numerical scores
indicate a higher risk of developing a pressure injury.

,5. A pressure injury presents as intact skin with localized, non-blanchable
redness over the sacrum. How is this staged?

 A) Stage 1

 B) Stage 2

 C) Stage 3

 D) Stage 4

 Explanation: Stage 1 pressure injuries feature intact skin with persistent,
non-blanchable erythema, usually over a bony prominence.

6. A wound bed exhibits thick, black, leathery tissue that completely obscures
the underlying structures. This wound is classified as:

 A) Stage 3

 B) Stage 4

 C) Deep tissue injury

 D) Unstageable

 Explanation: A wound is unstageable when necrotic tissue (eschar or
slough) covers the wound bed, preventing visual assessment of its true
depth.

7. Which healing phase is characterized by the accumulation of collagen and the
formation of fragile, bright red granulation tissue?

 A) Hemostasis

 B) Inflammatory

,  C) Proliferative

 D) Maturation

 Explanation: The proliferative (granulation) phase involves fibroblasts
synthesizing collagen to build new tissue frameworks across the wound bed.

8. A patient's abdominal wound opens completely, exposing the underlying
bowel. What is the immediate nursing priority?

 A) Cover the exposed tissue with sterile, saline-moistened dressings

 B) Attempt to gently push the organs back into place

 C) Place the patient in a high-Fowler's position

 D) Apply a dry, tight abdominal binder

 Explanation: Evisceration is a medical emergency; covering organs with
sterile, saline-soaked gauze protects tissue viability and prevents
desiccation.

9. Which model of care utilizes a gatekeeper (Primary Care Provider) to
coordinate services and minimize redundant healthcare expenditures?

 A) Fee-for-service

 B) Managed care

 C) Preferred provider organization

 D) Point of service

 Explanation: Managed care models use primary care gatekeepers to control
healthcare utilization, optimize costs, and streamline specialty referrals.