NURS 3632 CORE EXAM TEST SET QUESTIONS AND
SOLUTIONS GRADED A+
✔✔eschar - ✔✔dead BLACK tissue that is sloughed off from the surface of the skin,
especially after a burn (BURNT POTATOE)
✔✔What things affect wound healing? - ✔✔Meds
Immunosuppression
Age/Nutritional status
lack of education to care for wound by RN
✔✔Arterial Ulcers caused by - ✔✔Poor arterial perfusion
s&s= pale, cool, pain from ischemia, SHINY DEEP WOUND thats hairless
✔✔Venous Ulcer cause and info - ✔✔MOST COMMON
caused by poor venous return, blood POOLS in area (common with people who stand
all day.. like RN's)
S&S= warm brown skin, redness, swelling inflammation
✔✔Diabetic Ulcers caused by? - ✔✔PAD and neuropathy, they are located at pressure
bony points like balls of feet, between toes. Painless because of the neuropathy
s&s= similar to Arterial Ulcers
✔✔What stage has intact skin, non-blanching erythema meaning looks red. Just a skin
tone change - ✔✔Stage 1
✔✔What stage is PARTIAL THICKNESS loss of dermis/epidermis. There is serum filled
blisters? - ✔✔Stage 2
✔✔What stage is FULL thickness tissue loss with SQ tissue seen. Epibole and
undermining can be seen - ✔✔Stage 3
✔✔What stage is FULL thickness tissue loss. Can see SQ tissue, palpable bone,
cartilage, ligament, tendon, bone etc? - ✔✔Stage 4
✔✔Whats a DEEP tissue pressure injury? - ✔✔Looks liek a big Black eye, BRUISING.
persistent, non blanchable purple, can be intact/non-intact
The wound bed is darker, filled w/ blood in the middle
✔✔How to Heal Stage 1 - ✔✔Transparent film
, Foam dressing (Mepilex)
Hydrocolloid 'Diaper' cream
✔✔How to Heal Stage 2 - ✔✔Hydrocolloid dressing (Duoderm)
Hydrogels
Foams (keep wound moist and absorbent)
✔✔How to heal Stage 3/4 - ✔✔Alignates (AQUACEL) =absorbs exudate
WoundVac
Wet to Dry dressings
✔✔Hot Therapy - ✔✔dilates peripheral blood vessels to bring blood to area
Useful in PAD
it relieves pain and reduces blood viscosity
✔✔Cold Therapy - ✔✔Constricts peripheral blood vessels
comfort and reduces blood flow
Good for DVT, or stop bleeding
✔✔What helps with pressure ulcers and why is it not good? - ✔✔Not good because it
comprimises circulation, you want to reposition patient every 2 hours
✔✔Interventions for ineffective tissue perfusion due to ALTERED MOBILITY - ✔✔Anti-
embolism stockings and compression device
ROM exercises 3x a day
Hydration
Administering anticoag meds
✔✔Levadopa can cause urine to be a _______ color? - ✔✔brown/black
✔✔Anticoagulants can cause urine to be a ______ color? - ✔✔red/pink
✔✔Antidepressants/Vit B Complex can cause urine to be a ____ color? -
✔✔greenish/blue
✔✔hypospadias - ✔✔opening of urethra on undersurface
SOLUTIONS GRADED A+
✔✔eschar - ✔✔dead BLACK tissue that is sloughed off from the surface of the skin,
especially after a burn (BURNT POTATOE)
✔✔What things affect wound healing? - ✔✔Meds
Immunosuppression
Age/Nutritional status
lack of education to care for wound by RN
✔✔Arterial Ulcers caused by - ✔✔Poor arterial perfusion
s&s= pale, cool, pain from ischemia, SHINY DEEP WOUND thats hairless
✔✔Venous Ulcer cause and info - ✔✔MOST COMMON
caused by poor venous return, blood POOLS in area (common with people who stand
all day.. like RN's)
S&S= warm brown skin, redness, swelling inflammation
✔✔Diabetic Ulcers caused by? - ✔✔PAD and neuropathy, they are located at pressure
bony points like balls of feet, between toes. Painless because of the neuropathy
s&s= similar to Arterial Ulcers
✔✔What stage has intact skin, non-blanching erythema meaning looks red. Just a skin
tone change - ✔✔Stage 1
✔✔What stage is PARTIAL THICKNESS loss of dermis/epidermis. There is serum filled
blisters? - ✔✔Stage 2
✔✔What stage is FULL thickness tissue loss with SQ tissue seen. Epibole and
undermining can be seen - ✔✔Stage 3
✔✔What stage is FULL thickness tissue loss. Can see SQ tissue, palpable bone,
cartilage, ligament, tendon, bone etc? - ✔✔Stage 4
✔✔Whats a DEEP tissue pressure injury? - ✔✔Looks liek a big Black eye, BRUISING.
persistent, non blanchable purple, can be intact/non-intact
The wound bed is darker, filled w/ blood in the middle
✔✔How to Heal Stage 1 - ✔✔Transparent film
, Foam dressing (Mepilex)
Hydrocolloid 'Diaper' cream
✔✔How to Heal Stage 2 - ✔✔Hydrocolloid dressing (Duoderm)
Hydrogels
Foams (keep wound moist and absorbent)
✔✔How to heal Stage 3/4 - ✔✔Alignates (AQUACEL) =absorbs exudate
WoundVac
Wet to Dry dressings
✔✔Hot Therapy - ✔✔dilates peripheral blood vessels to bring blood to area
Useful in PAD
it relieves pain and reduces blood viscosity
✔✔Cold Therapy - ✔✔Constricts peripheral blood vessels
comfort and reduces blood flow
Good for DVT, or stop bleeding
✔✔What helps with pressure ulcers and why is it not good? - ✔✔Not good because it
comprimises circulation, you want to reposition patient every 2 hours
✔✔Interventions for ineffective tissue perfusion due to ALTERED MOBILITY - ✔✔Anti-
embolism stockings and compression device
ROM exercises 3x a day
Hydration
Administering anticoag meds
✔✔Levadopa can cause urine to be a _______ color? - ✔✔brown/black
✔✔Anticoagulants can cause urine to be a ______ color? - ✔✔red/pink
✔✔Antidepressants/Vit B Complex can cause urine to be a ____ color? -
✔✔greenish/blue
✔✔hypospadias - ✔✔opening of urethra on undersurface
