HONDROS NUR 155 EXAM 2 LATEST UPDATED REAL
FINAL PRACTICE EXAM PREP WITH ALL POSSIBLE
COMPLETE DETAILED 100 PRACTICE QUESTIONS
AND 100% CORRECT VERIFIED ANSWERS FULLY
SOLVED WITH CERTIFIED RATIONALES PLUS
ANSWER KEY 2026-2027 UPDATED VERSION BEST
RATED A+ GUARANTEED SUCCESS
1. A patient asks the nurse, "What is the main
purpose of the inflammatory response?" The nurse's
best response is:
a) To produce antibodies against specific pathogens
b) To localize and eliminate injurious agents and
remove damaged tissue
,c) To create memory cells for long-term immunity
d) To decrease blood flow to the injured area to
prevent swelling
Rationale: The inflammatory response is the
body's nonspecific, immediate reaction to tissue
injury. Its main purposes are to neutralize and
destroy harmful agents, limit their spread to
surrounding tissues, and prepare the damaged
tissue for repair. It increases blood flow, not
decreases it.
2. The nurse is caring for a patient with a wound
healing by secondary intention. Which assessment
finding is expected?
a) Clean surgical incision with well-approximated
edges
b) A large, open wound with visible granulation
tissue
c) A wound with minimal tissue loss and a small scar
d) A wound closed with sutures showing slight
redness at edges
Rationale: Secondary intention healing occurs
when wounds have extensive tissue loss or jagged
,edges that cannot be approximated, such as
pressure injuries or severe lacerations. These
wounds heal by filling with granulation tissue,
contracting, and eventually epithelializing, leaving
a larger scar.
3. A patient develops a fever of 101.5°F 24 hours
after abdominal surgery. The nurse understands
that which physiological process is most likely
causing the temperature elevation?
a) Malignant hyperthermia reaction
b) Release of endogenous pyrogens from white
blood cells
c) Infection at the surgical site requiring immediate
antibiotics
d) Dehydration from preoperative fasting
Rationale: Fever within the first 24-48 hours
postoperatively is often due to the inflammatory
response itself. Tissue injury causes white blood
cells to release endogenous pyrogens (such as
interleukin-1), which act on the hypothalamus to
raise the body's temperature set point. Infection
usually takes longer to manifest.
, 4. A patient has a red, warm, edematous wound
with thick, yellow drainage. The nurse identifies this
type of exudate as:
a) Serous
b) Sanguineous
c) Purulent
d) Serosanguineous
Rationale: Purulent drainage is thick and can vary
in color from yellow, tan, green, or brown. It
consists of leukocytes, liquefied dead tissue debris,
and dead and living bacteria, indicating an
infection. Serous is clear, sanguineous is bloody,
and serosanguineous is clear with blood tinge.
5. The nurse is teaching a patient about modifiable
risk factors for developing a pressure injury. Which
factor stated by the patient indicates a need for
further teaching?
a) "I will make sure I drink enough water every day."
b) "I need to change my position in bed every two
hours."
c) "My age is the biggest reason I am at risk for a
pressure injury."
FINAL PRACTICE EXAM PREP WITH ALL POSSIBLE
COMPLETE DETAILED 100 PRACTICE QUESTIONS
AND 100% CORRECT VERIFIED ANSWERS FULLY
SOLVED WITH CERTIFIED RATIONALES PLUS
ANSWER KEY 2026-2027 UPDATED VERSION BEST
RATED A+ GUARANTEED SUCCESS
1. A patient asks the nurse, "What is the main
purpose of the inflammatory response?" The nurse's
best response is:
a) To produce antibodies against specific pathogens
b) To localize and eliminate injurious agents and
remove damaged tissue
,c) To create memory cells for long-term immunity
d) To decrease blood flow to the injured area to
prevent swelling
Rationale: The inflammatory response is the
body's nonspecific, immediate reaction to tissue
injury. Its main purposes are to neutralize and
destroy harmful agents, limit their spread to
surrounding tissues, and prepare the damaged
tissue for repair. It increases blood flow, not
decreases it.
2. The nurse is caring for a patient with a wound
healing by secondary intention. Which assessment
finding is expected?
a) Clean surgical incision with well-approximated
edges
b) A large, open wound with visible granulation
tissue
c) A wound with minimal tissue loss and a small scar
d) A wound closed with sutures showing slight
redness at edges
Rationale: Secondary intention healing occurs
when wounds have extensive tissue loss or jagged
,edges that cannot be approximated, such as
pressure injuries or severe lacerations. These
wounds heal by filling with granulation tissue,
contracting, and eventually epithelializing, leaving
a larger scar.
3. A patient develops a fever of 101.5°F 24 hours
after abdominal surgery. The nurse understands
that which physiological process is most likely
causing the temperature elevation?
a) Malignant hyperthermia reaction
b) Release of endogenous pyrogens from white
blood cells
c) Infection at the surgical site requiring immediate
antibiotics
d) Dehydration from preoperative fasting
Rationale: Fever within the first 24-48 hours
postoperatively is often due to the inflammatory
response itself. Tissue injury causes white blood
cells to release endogenous pyrogens (such as
interleukin-1), which act on the hypothalamus to
raise the body's temperature set point. Infection
usually takes longer to manifest.
, 4. A patient has a red, warm, edematous wound
with thick, yellow drainage. The nurse identifies this
type of exudate as:
a) Serous
b) Sanguineous
c) Purulent
d) Serosanguineous
Rationale: Purulent drainage is thick and can vary
in color from yellow, tan, green, or brown. It
consists of leukocytes, liquefied dead tissue debris,
and dead and living bacteria, indicating an
infection. Serous is clear, sanguineous is bloody,
and serosanguineous is clear with blood tinge.
5. The nurse is teaching a patient about modifiable
risk factors for developing a pressure injury. Which
factor stated by the patient indicates a need for
further teaching?
a) "I will make sure I drink enough water every day."
b) "I need to change my position in bed every two
hours."
c) "My age is the biggest reason I am at risk for a
pressure injury."
