WGU D439 NURSING FUNDAMENTALS
AND CORE PRINCIPLES ADVANCED
OBJECTIVE ASSESSMENT SCRIPT 2026
EXTENSIVE SET OF ONE HUNDRED NINE
QUESTIONS ALONG WITH VERIFIED
SOLUTIONS CLINICAL APPLICATIONS AND
EVIDENCE BASED EXPLANATIONS
GRADED A+
⩥ wound. Answer: a break or disruption in the normal integrity of the
skin and tissues
⩥ intentional wound. Answer: the result of planned invasive therapy or
treatment ex. surgery, intravenous procedure
⩥ unintentional wound. Answer: are accidental; occur from unexpected
trauma
⩥ open wound. Answer: occurs from intentional and unintentional
trauma; skin surface is broken, providing a portal of entry for
microorganisms
,⩥ closed wound. Answer: results from a blow, force, or strain caused by
trauma such as a fall, an assault, or motor vehicle crash
⩥ acute wound. Answer: usually heal within days to weeks
⩥ chronic wound. Answer: do not progress through stages of healing;
healing impeded
⩥ albumin normal lab values. Answer: 3.5-5
⩥ vitamin c and zinc. Answer: important in wound healing
⩥ phases of wound healing. Answer: -hemostasis-vessels constrict and
clotting begins
-inflammatory-white blood cells move to wound
-proliferation-granulation tissue is formed
-maturation-collagen is remodeled, forms scar
⩥ hemostasis. Answer: occurs immediately after intial injury, blood
vessels constrict and clotting begins, exudate(drainage) forms and causes
swelling and pain, increased perfusion results in heat and redness,
platelets stimulate other cells to migrate to injury to participate in phases
of healing
, ⩥ inflammatory phase. Answer: follows hemostasis and lasts 4-6 days,
white blood cells move to wound, macrophages enter wound and remain
extended time, they ingest debris and release growth factors, pt has
generalized body repsonse
⩥ proliferation phase. Answer: begins 2-3 days of injury and may last up
to 2-3 weeks, new tissue is built to fill wound space through action of
fibroblasts, capillaries grow across wound, thin layer of epithelial cells
form across wound, granulation tissue forms a foundation for scar tissue
to develop
⩥ maturation phase. Answer: final stage of healing, begins 3 weeks to 6
months after injury, collagen remodeled, new collagen tissue is
deposited, scar becomes thin white line
⩥ desiccation. Answer: dehydration
⩥ maceration. Answer: overhydration
⩥ trauma. Answer: physical injury
⩥ edema. Answer: swelling caused by excess fluid trapped in your
body's tissues
⩥ necrosis. Answer: death of tissue
AND CORE PRINCIPLES ADVANCED
OBJECTIVE ASSESSMENT SCRIPT 2026
EXTENSIVE SET OF ONE HUNDRED NINE
QUESTIONS ALONG WITH VERIFIED
SOLUTIONS CLINICAL APPLICATIONS AND
EVIDENCE BASED EXPLANATIONS
GRADED A+
⩥ wound. Answer: a break or disruption in the normal integrity of the
skin and tissues
⩥ intentional wound. Answer: the result of planned invasive therapy or
treatment ex. surgery, intravenous procedure
⩥ unintentional wound. Answer: are accidental; occur from unexpected
trauma
⩥ open wound. Answer: occurs from intentional and unintentional
trauma; skin surface is broken, providing a portal of entry for
microorganisms
,⩥ closed wound. Answer: results from a blow, force, or strain caused by
trauma such as a fall, an assault, or motor vehicle crash
⩥ acute wound. Answer: usually heal within days to weeks
⩥ chronic wound. Answer: do not progress through stages of healing;
healing impeded
⩥ albumin normal lab values. Answer: 3.5-5
⩥ vitamin c and zinc. Answer: important in wound healing
⩥ phases of wound healing. Answer: -hemostasis-vessels constrict and
clotting begins
-inflammatory-white blood cells move to wound
-proliferation-granulation tissue is formed
-maturation-collagen is remodeled, forms scar
⩥ hemostasis. Answer: occurs immediately after intial injury, blood
vessels constrict and clotting begins, exudate(drainage) forms and causes
swelling and pain, increased perfusion results in heat and redness,
platelets stimulate other cells to migrate to injury to participate in phases
of healing
, ⩥ inflammatory phase. Answer: follows hemostasis and lasts 4-6 days,
white blood cells move to wound, macrophages enter wound and remain
extended time, they ingest debris and release growth factors, pt has
generalized body repsonse
⩥ proliferation phase. Answer: begins 2-3 days of injury and may last up
to 2-3 weeks, new tissue is built to fill wound space through action of
fibroblasts, capillaries grow across wound, thin layer of epithelial cells
form across wound, granulation tissue forms a foundation for scar tissue
to develop
⩥ maturation phase. Answer: final stage of healing, begins 3 weeks to 6
months after injury, collagen remodeled, new collagen tissue is
deposited, scar becomes thin white line
⩥ desiccation. Answer: dehydration
⩥ maceration. Answer: overhydration
⩥ trauma. Answer: physical injury
⩥ edema. Answer: swelling caused by excess fluid trapped in your
body's tissues
⩥ necrosis. Answer: death of tissue
