NURS 5354 Final Exam – Complete Questions & Answers
(2026/2027)
INTRODUCTION
NURS 5354 is an advanced practice nursing course covering
wound closure, pre-operative assessment, palliative care, and
pharmacology. This guide contains 150+ exam-style
questions with verified answers and detailed rationales,
updated for the 2026/2027 academic year.
SECTION 1: WOUND CLOSURE & SUTURE TECHNIQUES
1. What are other methods of wound repair/closure?
A) Sutures only
B) Tape, adhesives, or staples
C) Surgical glue only
D) Steri-strips only
Correct Answer: B
Rationale: Wounds can be closed using tape, adhesives, or
staples as alternatives to sutures. The choice depends on
wound location, tension, and cosmetic considerations .
2. What needs to be documented/coded when suturing?
,A) Only the number of sutures used
B) Lesion location, lesion size, benign/malignant (discuss path
report), and closure
C) Only the type of suture material
D) Only the patient's age
Correct Answer: B
Rationale: Documentation must include lesion location, lesion
size, whether it is benign or malignant (path report discussion),
and the closure method used .
3. What needs to be documented for wound repair?
A) Only the length of the laceration
B) Laceration length and location, neurovascular damage distal
to the injury, laceration cleanliness, anesthetic medication,
cleansing method, suture size, number and layer sutured, and
discussion of potential for infection or impaired function
C) Only the type of anesthesia used
D) Only the number of sutures used
Correct Answer: B
Rationale: Comprehensive wound repair documentation must
include: laceration length and location, neurovascular damage
distal to injury, cleanliness of laceration, anesthetic medication,
cleansing method, suture size, number and layer sutured, and
discussion of potential for infection or impaired function .
,4. What should be considered for post-procedural care after
wound closure?
A) Only removal of sutures
B) Cleansing, antibiotics (if needed), use of steri-strips after
suture removal, and applying sunscreen for at least 6 months
C) Only applying antibiotic ointment
D) Only keeping the wound covered
Correct Answer: B
Rationale: Post-procedural care includes cleansing, antibiotics if
indicated, use of steri-strips after suture removal to decrease
wound tension, and applying sunscreen to the area for at least
6 months to reduce scarring .
5. What history should be obtained with laceration injuries?
A) Only the time of injury
B) When it occurred, where it occurred, presence of foreign
body, mechanism of injury, symptoms and care prior to arrival,
and history of impaired healing
C) Only the mechanism of injury
D) Only the patient's tetanus status
Correct Answer: B
Rationale: A thorough history for laceration injuries includes:
when it occurred (>12-24 hours), where it occurred (dirty vs.
, clean), presence of foreign body, mechanism of injury,
symptoms and care prior to arrival, and history of impaired
healing (HIV, DM, PVD, allergies, tetanus exposure,
malnutrition, chemo, alcoholism, chronic steroid use, obesity) .
6. What should ALWAYS be checked distal to the injury?
A) Only the pulse
B) Movement, circulation, and sensation
C) Only the capillary refill
D) Only the color of the skin
Correct Answer: B
Rationale: Movement, circulation, and sensation should
ALWAYS be checked distal to the injury to assess for
neurovascular compromise .
7. With hand injuries, what should always be documented?
A) Only the size of the laceration
B) Hand dominance and occupation
C) Only the number of sutures
D) Only the type of anesthetic used
Correct Answer: B
Rationale: Hand dominance and occupation should be
documented for hand injuries to assess functional impact and
guide treatment decisions .
(2026/2027)
INTRODUCTION
NURS 5354 is an advanced practice nursing course covering
wound closure, pre-operative assessment, palliative care, and
pharmacology. This guide contains 150+ exam-style
questions with verified answers and detailed rationales,
updated for the 2026/2027 academic year.
SECTION 1: WOUND CLOSURE & SUTURE TECHNIQUES
1. What are other methods of wound repair/closure?
A) Sutures only
B) Tape, adhesives, or staples
C) Surgical glue only
D) Steri-strips only
Correct Answer: B
Rationale: Wounds can be closed using tape, adhesives, or
staples as alternatives to sutures. The choice depends on
wound location, tension, and cosmetic considerations .
2. What needs to be documented/coded when suturing?
,A) Only the number of sutures used
B) Lesion location, lesion size, benign/malignant (discuss path
report), and closure
C) Only the type of suture material
D) Only the patient's age
Correct Answer: B
Rationale: Documentation must include lesion location, lesion
size, whether it is benign or malignant (path report discussion),
and the closure method used .
3. What needs to be documented for wound repair?
A) Only the length of the laceration
B) Laceration length and location, neurovascular damage distal
to the injury, laceration cleanliness, anesthetic medication,
cleansing method, suture size, number and layer sutured, and
discussion of potential for infection or impaired function
C) Only the type of anesthesia used
D) Only the number of sutures used
Correct Answer: B
Rationale: Comprehensive wound repair documentation must
include: laceration length and location, neurovascular damage
distal to injury, cleanliness of laceration, anesthetic medication,
cleansing method, suture size, number and layer sutured, and
discussion of potential for infection or impaired function .
,4. What should be considered for post-procedural care after
wound closure?
A) Only removal of sutures
B) Cleansing, antibiotics (if needed), use of steri-strips after
suture removal, and applying sunscreen for at least 6 months
C) Only applying antibiotic ointment
D) Only keeping the wound covered
Correct Answer: B
Rationale: Post-procedural care includes cleansing, antibiotics if
indicated, use of steri-strips after suture removal to decrease
wound tension, and applying sunscreen to the area for at least
6 months to reduce scarring .
5. What history should be obtained with laceration injuries?
A) Only the time of injury
B) When it occurred, where it occurred, presence of foreign
body, mechanism of injury, symptoms and care prior to arrival,
and history of impaired healing
C) Only the mechanism of injury
D) Only the patient's tetanus status
Correct Answer: B
Rationale: A thorough history for laceration injuries includes:
when it occurred (>12-24 hours), where it occurred (dirty vs.
, clean), presence of foreign body, mechanism of injury,
symptoms and care prior to arrival, and history of impaired
healing (HIV, DM, PVD, allergies, tetanus exposure,
malnutrition, chemo, alcoholism, chronic steroid use, obesity) .
6. What should ALWAYS be checked distal to the injury?
A) Only the pulse
B) Movement, circulation, and sensation
C) Only the capillary refill
D) Only the color of the skin
Correct Answer: B
Rationale: Movement, circulation, and sensation should
ALWAYS be checked distal to the injury to assess for
neurovascular compromise .
7. With hand injuries, what should always be documented?
A) Only the size of the laceration
B) Hand dominance and occupation
C) Only the number of sutures
D) Only the type of anesthetic used
Correct Answer: B
Rationale: Hand dominance and occupation should be
documented for hand injuries to assess functional impact and
guide treatment decisions .
