NUR 205 Nursing Fundamentals Final Exam Target
Questions with Detailed Explanations / Med-Surg & Wound Care
Master Quiz
Batch 1: Healthcare Systems, Delivery & Wound Care
Q1. Topic: Healthcare Systems & Delivery
Which Institute of Medicine (IOM) aim focuses on providing care that does not vary in
quality because of personal characteristics such as gender, ethnicity, geographic location,
or socioeconomic status?
A) Patient-centered
B) Efficient
C) Safe
D) Equitable
Explanation: Equitable care ensures that personal characteristics do not compromise the
quality of health services received. It guarantees fairness and equal opportunity in
healthcare delivery for all demographic groups.
Q2. Topic: Healthcare Systems & Delivery
According to the IOM report "To Err is Human," which is the most effective approach to
reducing medical errors?
A) Punishing individual nurses and doctors who make errors to deter future
mistakes.
, B) Designing a safety culture that focuses on system improvements rather
than individual blame.
C) Increasing regulatory oversight by federal agencies on daily hospital operations.
D) Relying solely on advanced technology without evaluating current clinical
workflows.
Explanation: The IOM emphasizes that most errors are caused by flawed systems, not bad
individuals. Redesigning risky environments and workflows is far more effective than
punitive measures.
Q3. Topic: Healthcare Systems & Delivery
A nurse is calling the provider using the SBAR format. Which of the following statements
represents the 'Assessment' portion of this communication?
A) "Mr. Smith is a 65-year-old male who was admitted yesterday for pneumonia."
B) "The patient's current blood pressure is 90/60 and heart rate is 110."
C) "I believe the patient is experiencing signs of early sepsis."
D) "Please come and assess the patient immediately and consider ordering IV
fluids."
Explanation: The Assessment portion of SBAR is the nurse's clinical interpretation,
judgment, or conclusion about the patient's current situation based on the gathered data.
Q4. Topic: Healthcare Delivery & Delegation
,The registered nurse (RN) is working with an Unlicensed Assistive Personnel (UAP). Which
of the following tasks can the RN appropriately delegate to the UAP?
A) Assessing the client's surgical wound.
B) Educating the client on their new medications.
C) Assisting a stable patient with routine morning hygiene and toileting.
D) Evaluating the effectiveness of a pain medication.
Explanation: Assisting with routine hygiene and toileting for a stable, predictable patient is
within the scope of practice for a UAP. Assessment, teaching, and evaluation require
nursing judgment and cannot be delegated.
Q5. Topic: Wound Care & Healing Types
A nurse is caring for a patient who has a clean, surgical incision that is closed with staples.
The nurse documents that this wound is healing by which type of intention?
A) Primary intention
B) Secondary intention
C) Tertiary intention
D) Partial-thickness intention
Explanation: Primary intention healing occurs when tissue surfaces are approximated
(closed) with minimal tissue loss, such as a clean, sutured, or stapled surgical incision.
Q6. Topic: Wound Care & Healing Types
, A patient has a large pressure injury on the sacrum that is left open to fill with granulation
tissue. This wound is healing via:
A) Primary intention
B) Secondary intention
C) Tertiary intention
D) Delayed primary closure
Explanation: Secondary intention involves wounds with edges that are not approximated.
These wounds are left open and close gradually as granulation tissue fills the open gap.
Q7. Topic: Wound Care & Healing Types
A surgical wound becomes severely infected and is intentionally left open for several days
to allow the infection to clear before being surgically closed. This represents:
A) Primary intention
B) Secondary intention
C) Tertiary intention
D) First intention
Explanation: Tertiary intention (or delayed primary closure) occurs when a wound is
intentionally left open for a period of time to allow edema or infection to resolve, and is then
closed surgically.
Q8. Topic: Wound Care Assessment
Questions with Detailed Explanations / Med-Surg & Wound Care
Master Quiz
Batch 1: Healthcare Systems, Delivery & Wound Care
Q1. Topic: Healthcare Systems & Delivery
Which Institute of Medicine (IOM) aim focuses on providing care that does not vary in
quality because of personal characteristics such as gender, ethnicity, geographic location,
or socioeconomic status?
A) Patient-centered
B) Efficient
C) Safe
D) Equitable
Explanation: Equitable care ensures that personal characteristics do not compromise the
quality of health services received. It guarantees fairness and equal opportunity in
healthcare delivery for all demographic groups.
Q2. Topic: Healthcare Systems & Delivery
According to the IOM report "To Err is Human," which is the most effective approach to
reducing medical errors?
A) Punishing individual nurses and doctors who make errors to deter future
mistakes.
, B) Designing a safety culture that focuses on system improvements rather
than individual blame.
C) Increasing regulatory oversight by federal agencies on daily hospital operations.
D) Relying solely on advanced technology without evaluating current clinical
workflows.
Explanation: The IOM emphasizes that most errors are caused by flawed systems, not bad
individuals. Redesigning risky environments and workflows is far more effective than
punitive measures.
Q3. Topic: Healthcare Systems & Delivery
A nurse is calling the provider using the SBAR format. Which of the following statements
represents the 'Assessment' portion of this communication?
A) "Mr. Smith is a 65-year-old male who was admitted yesterday for pneumonia."
B) "The patient's current blood pressure is 90/60 and heart rate is 110."
C) "I believe the patient is experiencing signs of early sepsis."
D) "Please come and assess the patient immediately and consider ordering IV
fluids."
Explanation: The Assessment portion of SBAR is the nurse's clinical interpretation,
judgment, or conclusion about the patient's current situation based on the gathered data.
Q4. Topic: Healthcare Delivery & Delegation
,The registered nurse (RN) is working with an Unlicensed Assistive Personnel (UAP). Which
of the following tasks can the RN appropriately delegate to the UAP?
A) Assessing the client's surgical wound.
B) Educating the client on their new medications.
C) Assisting a stable patient with routine morning hygiene and toileting.
D) Evaluating the effectiveness of a pain medication.
Explanation: Assisting with routine hygiene and toileting for a stable, predictable patient is
within the scope of practice for a UAP. Assessment, teaching, and evaluation require
nursing judgment and cannot be delegated.
Q5. Topic: Wound Care & Healing Types
A nurse is caring for a patient who has a clean, surgical incision that is closed with staples.
The nurse documents that this wound is healing by which type of intention?
A) Primary intention
B) Secondary intention
C) Tertiary intention
D) Partial-thickness intention
Explanation: Primary intention healing occurs when tissue surfaces are approximated
(closed) with minimal tissue loss, such as a clean, sutured, or stapled surgical incision.
Q6. Topic: Wound Care & Healing Types
, A patient has a large pressure injury on the sacrum that is left open to fill with granulation
tissue. This wound is healing via:
A) Primary intention
B) Secondary intention
C) Tertiary intention
D) Delayed primary closure
Explanation: Secondary intention involves wounds with edges that are not approximated.
These wounds are left open and close gradually as granulation tissue fills the open gap.
Q7. Topic: Wound Care & Healing Types
A surgical wound becomes severely infected and is intentionally left open for several days
to allow the infection to clear before being surgically closed. This represents:
A) Primary intention
B) Secondary intention
C) Tertiary intention
D) First intention
Explanation: Tertiary intention (or delayed primary closure) occurs when a wound is
intentionally left open for a period of time to allow edema or infection to resolve, and is then
closed surgically.
Q8. Topic: Wound Care Assessment
