, NSG 300 Exam 2 – Foundations of
Nursing Actual Questions & Answers
(GCU) 100% Guarantee Pass
Table of Contents:
• NSG 300 EXAM 2
• NSG 300 EXAM 2 STUDY GUIDE
NSG 300 EXAM 2
Q1. A nurse is assessing an older adult patient for risk factors for impaired skin
integrity. Which finding would the nurse identify as increasing the patient's risk?
A. A history of well-controlled hypertension
B. Reduced skin elasticity and decreased collagen
C. A diet high in protein
D. Regular ambulation with a walker
Answer: B. Reduced skin elasticity and decreased collagen
Rationale: Older adults have reduced skin elasticity, decreased collagen, and thinning of
underlying muscle and tissues, making them more susceptible to mechanical trauma,
shearing forces, and skin tears. These age-related changes significantly increase the risk
of pressure injury development.
Q2. A patient is at risk for skin breakdown from shear force. Which situation best
describes shear?
A. The skin is scraped against a rough surface
B. The patient's skin is exposed to prolonged moisture
,C. The patient's skeleton slides while the skin remains fixed to the bed
D. The patient is turned every 2 hours
Answer: C. The patient's skeleton slides while the skin remains fixed to the bed
Rationale: Shear force occurs when the skeleton slides in the direction of movement
while the skin remains fixed because of friction with the bed surface. This commonly
happens when the head of the bed is elevated and the patient begins to slide down.
Q3. The nurse is assessing a patient's risk for pressure injury development using
the Braden Scale. Which factors are included in this assessment?
A. Sensory perception, moisture, activity, mobility, nutrition, and friction/shear
B. Age, gender, ethnicity, and socioeconomic status
C. Blood pressure, heart rate, respiratory rate, and temperature
D. Pain level, anxiety, depression, and coping mechanisms
Answer: A. Sensory perception, moisture, activity, mobility, nutrition, and
friction/shear
Rationale: The Braden Scale assesses six risk factors: sensory perception, moisture,
activity, mobility, nutrition, and friction/shear. Lower scores indicate higher risk—for
example, scores >9 = very high risk; 10-12 = high risk; 13-14 = moderate risk; 15-18 =
mild risk; 19-23 = generally not at risk.
Q4. Which patient would the nurse identify as being at highest risk for pressure
injury development?
A. A 70-year-old with arthritis who ambulates with a cane
B. A 45-year-old with diabetes and hypertension
C. A 60-year-old with a spinal cord injury and impaired mobility
D. A 35-year-old postoperative patient with adequate nutrition
Answer: C. A 60-year-old with a spinal cord injury and impaired mobility
Rationale: Patients with spinal cord injuries (SCI) have impaired sensory perception for
pain and pressure, as well as impaired mobility, placing them at very high risk for
, pressure injuries. Other risk factors include patients in long-term care, critically ill
patients, and individuals with diabetes.
Q5. Which of the following are considered extrinsic factors that contribute to
impaired skin integrity? (Select all that apply)
A. Shear
B. Friction
C. Moisture
D. Poor nutrition
E. Aging
Answer: A, B, C
Rationale: Extrinsic factors include shear, friction, and moisture. Systemic factors such as
poor nutrition, aging, hydration status, and low blood pressure are considered intrinsic
factors.
Q6. A patient is receiving steroid therapy for a chronic condition. How does this
medication affect wound healing?
A. It enhances wound healing by reducing inflammation
B. It has no effect on wound healing
C. It may impair wound healing by suppressing the inflammatory response
D. It promotes tissue regeneration
Answer: C. It may impair wound healing by suppressing the inflammatory
response
Rationale: Patients on steroids may have impaired wound healing because
corticosteroids suppress the inflammatory response, which is essential for wound
healing. This suppression can delay the normal healing process.
Wound Assessment
Nursing Actual Questions & Answers
(GCU) 100% Guarantee Pass
Table of Contents:
• NSG 300 EXAM 2
• NSG 300 EXAM 2 STUDY GUIDE
NSG 300 EXAM 2
Q1. A nurse is assessing an older adult patient for risk factors for impaired skin
integrity. Which finding would the nurse identify as increasing the patient's risk?
A. A history of well-controlled hypertension
B. Reduced skin elasticity and decreased collagen
C. A diet high in protein
D. Regular ambulation with a walker
Answer: B. Reduced skin elasticity and decreased collagen
Rationale: Older adults have reduced skin elasticity, decreased collagen, and thinning of
underlying muscle and tissues, making them more susceptible to mechanical trauma,
shearing forces, and skin tears. These age-related changes significantly increase the risk
of pressure injury development.
Q2. A patient is at risk for skin breakdown from shear force. Which situation best
describes shear?
A. The skin is scraped against a rough surface
B. The patient's skin is exposed to prolonged moisture
,C. The patient's skeleton slides while the skin remains fixed to the bed
D. The patient is turned every 2 hours
Answer: C. The patient's skeleton slides while the skin remains fixed to the bed
Rationale: Shear force occurs when the skeleton slides in the direction of movement
while the skin remains fixed because of friction with the bed surface. This commonly
happens when the head of the bed is elevated and the patient begins to slide down.
Q3. The nurse is assessing a patient's risk for pressure injury development using
the Braden Scale. Which factors are included in this assessment?
A. Sensory perception, moisture, activity, mobility, nutrition, and friction/shear
B. Age, gender, ethnicity, and socioeconomic status
C. Blood pressure, heart rate, respiratory rate, and temperature
D. Pain level, anxiety, depression, and coping mechanisms
Answer: A. Sensory perception, moisture, activity, mobility, nutrition, and
friction/shear
Rationale: The Braden Scale assesses six risk factors: sensory perception, moisture,
activity, mobility, nutrition, and friction/shear. Lower scores indicate higher risk—for
example, scores >9 = very high risk; 10-12 = high risk; 13-14 = moderate risk; 15-18 =
mild risk; 19-23 = generally not at risk.
Q4. Which patient would the nurse identify as being at highest risk for pressure
injury development?
A. A 70-year-old with arthritis who ambulates with a cane
B. A 45-year-old with diabetes and hypertension
C. A 60-year-old with a spinal cord injury and impaired mobility
D. A 35-year-old postoperative patient with adequate nutrition
Answer: C. A 60-year-old with a spinal cord injury and impaired mobility
Rationale: Patients with spinal cord injuries (SCI) have impaired sensory perception for
pain and pressure, as well as impaired mobility, placing them at very high risk for
, pressure injuries. Other risk factors include patients in long-term care, critically ill
patients, and individuals with diabetes.
Q5. Which of the following are considered extrinsic factors that contribute to
impaired skin integrity? (Select all that apply)
A. Shear
B. Friction
C. Moisture
D. Poor nutrition
E. Aging
Answer: A, B, C
Rationale: Extrinsic factors include shear, friction, and moisture. Systemic factors such as
poor nutrition, aging, hydration status, and low blood pressure are considered intrinsic
factors.
Q6. A patient is receiving steroid therapy for a chronic condition. How does this
medication affect wound healing?
A. It enhances wound healing by reducing inflammation
B. It has no effect on wound healing
C. It may impair wound healing by suppressing the inflammatory response
D. It promotes tissue regeneration
Answer: C. It may impair wound healing by suppressing the inflammatory
response
Rationale: Patients on steroids may have impaired wound healing because
corticosteroids suppress the inflammatory response, which is essential for wound
healing. This suppression can delay the normal healing process.
Wound Assessment
