,NUR 2356 Final Exam | Multidimensional Care I
(2026) Actual Q&A PDF | Rasmussen
1. A surgical wound has been closed with sutures and the edges are well
approximated. The nurse identifies this healing as:
A) Secondary intention
B) Tertiary intention
C) Primary intention
D) Delayed primary closure
Correct Answer: C) Primary intention
Rationale: Primary intention occurs when wound edges are brought together
(e.g., sutures, staples), leading to faster healing with minimal scarring.
Secondary intention heals from the base up; tertiary is delayed closure.
2. The nurse notes thick, yellow drainage from a wound. This should be
documented as:
A) Serous
B) Sanguineous
C) Serosanguinous
D) Purulent
Correct Answer: D) Purulent
,Rationale: Purulent drainage contains pus, indicating infection. Serous is clear,
sanguineous is bloody, and serosanguinous is pink-tinged. Accurate
documentation guides treatment.
3. A patient with HIV is admitted with a respiratory infection. The nurse
recognizes this as an opportunistic infection because the patient's immune
system is compromised. An example of such an infection is:
A) Cellulitis
B) Pneumocystis pneumonia
C) Urinary tract infection
D) Streptococcal pharyngitis
Correct Answer: B) Pneumocystis pneumonia
Rationale: Pneumocystis jirovecii pneumonia (PJP) is a common opportunistic
infection in HIV/AIDS when CD4 counts fall below 200 cells/mm³. The other
infections can occur in immunocompetent individuals.
4. The nurse is caring for a patient with cellulitis of the lower leg. Which
intervention is appropriate?
A) Apply a cold, dry towel to the area
B) Apply a tight bandage to reduce swelling
C) Apply a warm, moist towel to the area
D) Elevate the leg and apply an ice pack
Correct Answer: C) Apply a warm, moist towel to the area
, Rationale: Warm, moist heat promotes vasodilation and improves blood flow,
aiding healing. Cold and tight bandages can impair circulation. Elevation is
helpful but moist heat is specific therapy.
5. A patient reports pain during a dressing change. What is the nurse's best
initial action?
A) Complete the dressing change as quickly as possible
B) Administer prescribed pain medication prior to the procedure
C) Distract the patient with conversation during the change
D) Skip the dressing change until pain subsides
Correct Answer: B) Administer prescribed pain medication prior to the
procedure
Rationale: Premedicating before painful procedures ensures patient comfort
and cooperation. Non-pharmacological methods are adjuncts, not substitutes.
Completing quickly may cause more pain.
6. The nurse is assessing an older adult's skin. Which finding is a normal age-
related change?
A) Increased collagen production
B) Increased sebaceous gland activity
C) Loss of elasticity and thinning
D) Vernix caseosa
(2026) Actual Q&A PDF | Rasmussen
1. A surgical wound has been closed with sutures and the edges are well
approximated. The nurse identifies this healing as:
A) Secondary intention
B) Tertiary intention
C) Primary intention
D) Delayed primary closure
Correct Answer: C) Primary intention
Rationale: Primary intention occurs when wound edges are brought together
(e.g., sutures, staples), leading to faster healing with minimal scarring.
Secondary intention heals from the base up; tertiary is delayed closure.
2. The nurse notes thick, yellow drainage from a wound. This should be
documented as:
A) Serous
B) Sanguineous
C) Serosanguinous
D) Purulent
Correct Answer: D) Purulent
,Rationale: Purulent drainage contains pus, indicating infection. Serous is clear,
sanguineous is bloody, and serosanguinous is pink-tinged. Accurate
documentation guides treatment.
3. A patient with HIV is admitted with a respiratory infection. The nurse
recognizes this as an opportunistic infection because the patient's immune
system is compromised. An example of such an infection is:
A) Cellulitis
B) Pneumocystis pneumonia
C) Urinary tract infection
D) Streptococcal pharyngitis
Correct Answer: B) Pneumocystis pneumonia
Rationale: Pneumocystis jirovecii pneumonia (PJP) is a common opportunistic
infection in HIV/AIDS when CD4 counts fall below 200 cells/mm³. The other
infections can occur in immunocompetent individuals.
4. The nurse is caring for a patient with cellulitis of the lower leg. Which
intervention is appropriate?
A) Apply a cold, dry towel to the area
B) Apply a tight bandage to reduce swelling
C) Apply a warm, moist towel to the area
D) Elevate the leg and apply an ice pack
Correct Answer: C) Apply a warm, moist towel to the area
, Rationale: Warm, moist heat promotes vasodilation and improves blood flow,
aiding healing. Cold and tight bandages can impair circulation. Elevation is
helpful but moist heat is specific therapy.
5. A patient reports pain during a dressing change. What is the nurse's best
initial action?
A) Complete the dressing change as quickly as possible
B) Administer prescribed pain medication prior to the procedure
C) Distract the patient with conversation during the change
D) Skip the dressing change until pain subsides
Correct Answer: B) Administer prescribed pain medication prior to the
procedure
Rationale: Premedicating before painful procedures ensures patient comfort
and cooperation. Non-pharmacological methods are adjuncts, not substitutes.
Completing quickly may cause more pain.
6. The nurse is assessing an older adult's skin. Which finding is a normal age-
related change?
A) Increased collagen production
B) Increased sebaceous gland activity
C) Loss of elasticity and thinning
D) Vernix caseosa
