VSIM 3 Practice Questions: Josephine Morrow –
Venous Stasis Ulcer EXAM PRACTICE QUESTIONS
PLUS RATIONALES 2026 |INSTANT DOWNOAD PDF
1. What is the primary cause of a venous stasis ulcer?
A. Arterial occlusion
B. Prolonged venous hypertension
C. Acute infection
D. Trauma
Correct Answer: B. Prolonged venous hypertension — Venous
stasis ulcers result from chronic venous insufficiency, leading to
increased venous pressure and impaired circulation.
2. Which assessment finding is most consistent with a venous
stasis ulcer?
A. Punched-out wound edges
B. Pale, cool extremity
C. Shallow ulcer with irregular borders
D. Black eschar
Correct Answer: C. Shallow ulcer with irregular borders —
Venous ulcers are typically shallow, moist, and irregular in
shape.
,3. Where are venous stasis ulcers most commonly located?
A. Tips of toes
B. Lateral ankle
C. Medial lower leg
D. Heel
Correct Answer: C. Medial lower leg — Venous ulcers
commonly appear around the medial malleolus.
4. Which risk factor contributes most to venous stasis ulcers?
A. Smoking
B. Diabetes mellitus
C. Prolonged standing
D. Peripheral neuropathy
Correct Answer: C. Prolonged standing — Standing increases
venous pressure and worsens venous insufficiency.
5. What skin change often precedes venous ulcer formation?
A. Cyanosis
B. Shiny, hairless skin
C. Brown discoloration
D. Ulcer tunneling
Correct Answer: C. Brown discoloration — Hemosiderin
deposition causes brown pigmentation in chronic venous
disease.
,6. Which intervention promotes healing of venous stasis
ulcers?
A. Elevating the leg
B. Applying heat
C. Limiting ambulation
D. Keeping the leg dependent
Correct Answer: A. Elevating the leg — Elevation decreases
venous pressure and improves blood return.
7. What type of drainage is common with venous stasis
ulcers?
A. Purulent
B. Serous
C. Bloody
D. Minimal
Correct Answer: B. Serous — Venous ulcers often produce
moderate to heavy serous drainage.
8. Which dressing is most appropriate for a heavily draining
venous ulcer?
A. Dry gauze
B. Hydrocolloid
, C. Alginate
D. Transparent film
Correct Answer: C. Alginate — Alginates absorb large amounts
of exudate.
9. Compression therapy helps venous ulcers by:
A. Increasing arterial flow
B. Preventing infection
C. Reducing venous hypertension
D. Drying the wound
Correct Answer: C. Reducing venous hypertension —
Compression improves venous return and decreases edema.
10. Before applying compression bandages, the nurse should
assess:
A. Capillary refill
B. Ankle-brachial index (ABI)
C. Temperature
D. Pain level
Correct Answer: B. Ankle-brachial index (ABI) — Compression is
contraindicated if significant arterial disease is present.
11. Which ABI value indicates compression therapy is safe?
Venous Stasis Ulcer EXAM PRACTICE QUESTIONS
PLUS RATIONALES 2026 |INSTANT DOWNOAD PDF
1. What is the primary cause of a venous stasis ulcer?
A. Arterial occlusion
B. Prolonged venous hypertension
C. Acute infection
D. Trauma
Correct Answer: B. Prolonged venous hypertension — Venous
stasis ulcers result from chronic venous insufficiency, leading to
increased venous pressure and impaired circulation.
2. Which assessment finding is most consistent with a venous
stasis ulcer?
A. Punched-out wound edges
B. Pale, cool extremity
C. Shallow ulcer with irregular borders
D. Black eschar
Correct Answer: C. Shallow ulcer with irregular borders —
Venous ulcers are typically shallow, moist, and irregular in
shape.
,3. Where are venous stasis ulcers most commonly located?
A. Tips of toes
B. Lateral ankle
C. Medial lower leg
D. Heel
Correct Answer: C. Medial lower leg — Venous ulcers
commonly appear around the medial malleolus.
4. Which risk factor contributes most to venous stasis ulcers?
A. Smoking
B. Diabetes mellitus
C. Prolonged standing
D. Peripheral neuropathy
Correct Answer: C. Prolonged standing — Standing increases
venous pressure and worsens venous insufficiency.
5. What skin change often precedes venous ulcer formation?
A. Cyanosis
B. Shiny, hairless skin
C. Brown discoloration
D. Ulcer tunneling
Correct Answer: C. Brown discoloration — Hemosiderin
deposition causes brown pigmentation in chronic venous
disease.
,6. Which intervention promotes healing of venous stasis
ulcers?
A. Elevating the leg
B. Applying heat
C. Limiting ambulation
D. Keeping the leg dependent
Correct Answer: A. Elevating the leg — Elevation decreases
venous pressure and improves blood return.
7. What type of drainage is common with venous stasis
ulcers?
A. Purulent
B. Serous
C. Bloody
D. Minimal
Correct Answer: B. Serous — Venous ulcers often produce
moderate to heavy serous drainage.
8. Which dressing is most appropriate for a heavily draining
venous ulcer?
A. Dry gauze
B. Hydrocolloid
, C. Alginate
D. Transparent film
Correct Answer: C. Alginate — Alginates absorb large amounts
of exudate.
9. Compression therapy helps venous ulcers by:
A. Increasing arterial flow
B. Preventing infection
C. Reducing venous hypertension
D. Drying the wound
Correct Answer: C. Reducing venous hypertension —
Compression improves venous return and decreases edema.
10. Before applying compression bandages, the nurse should
assess:
A. Capillary refill
B. Ankle-brachial index (ABI)
C. Temperature
D. Pain level
Correct Answer: B. Ankle-brachial index (ABI) — Compression is
contraindicated if significant arterial disease is present.
11. Which ABI value indicates compression therapy is safe?
