NUR 155 Exam 3 – 200 Practice Questions with Rationales

# NUR 155 Exam 3 – 200 Practice Questions with
Rationales | Galen College of Nursing | 2026/2027


**1. A nurse finds a pressure injury where the skin is intact but has non-blanchable redness. What
stage is this?**
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4
**Answer: A**
**Rationale:** Stage 1 pressure injuries involve intact skin with localized non-blanchable erythema .


**2. Which assessment tool is most commonly used to predict a patient's risk for developing pressure
injuries?**
A) Braden Scale
B) Glasgow Coma Scale
C) Morse Fall Scale
D) Apgar Score
**Answer: A**
**Rationale:** The Braden Scale is the standard tool for assessing pressure injury risk .


**3. A patient has a Stage 2 pressure injury. What is the characteristic of this stage?**
A) Non-blanchable erythema of intact skin
B) Partial-thickness skin loss with a visible wound bed
C) Full-thickness skin loss with visible adipose tissue
D) Full-thickness skin loss with exposed bone or muscle
**Answer: B**
**Rationale:** Stage 2 involves partial-thickness loss of dermis presenting as a shallow open ulcer .


**4. What is the name for full-thickness tissue loss where the wound base is covered by yellow,
stringy tissue?**
A) Eschar
B) Slough
C) Granulation tissue
D) Epithelial tissue

,**Answer: B**
**Rationale:** Slough is yellow, stringy, or mucinous tissue in the wound bed .


**5. What kind of tissue is black, leathery, dead tissue that needs to be debrided for healing to
begin?**
A) Slough
B) Eschar
C) Granulation
D) Epithelium
**Answer: B**
**Rationale:** Eschar is black, brown, or tan devitalized tissue that must be removed for healing .


**6. What phase of wound healing begins immediately and lasts 3-6 days, and involves hemostasis
and phagocytosis?**
A) Inflammatory Phase
B) Proliferative Phase
C) Maturation Phase
D) Remodeling Phase
**Answer: A**
**Rationale:** The inflammatory phase begins immediately after injury and lasts 3-6 days .


**7. What phase of wound healing begins day 3 or 4 and lasts until day 21, and involves granulation
tissue formation?**
A) Inflammatory Phase
B) Proliferative Phase
C) Maturation Phase
D) Hemostasis Phase
**Answer: B**
**Rationale:** The proliferative phase involves new blood vessel formation and granulation tissue .


**8. What phase of wound healing begins day 21 and can last 1-2 years?**
A) Inflammatory Phase
B) Proliferative Phase
C) Maturation Phase
D) Reactive Phase
**Answer: C**
**Rationale:** The maturation phase involves remodeling of collagen and scar tissue formation .

, **9. Which type of wound drainage is thin, watery, and clear?**
A) Sanguineous
B) Serosanguineous
C) Purulent
D) Serous
**Answer: D**
**Rationale:** Serous drainage is clear and watery like plasma .


**10. Which type of wound drainage is thick, yellow, green, or brown, and indicates infection?**
A) Serous
B) Serosanguineous
C) Purulent
D) Sanguineous
**Answer: C**
**Rationale:** Purulent drainage is thick and contains pus, indicating infection .


**11. A patient has a wound with drainage that is pale, pink, and watery. The nurse documents this
as:**
A) Serous
B) Sanguineous
C) Serosanguineous
D) Purulent
**Answer: C**
**Rationale:** Serosanguineous drainage is a mixture of clear and red fluid, appearing pink .


**12. A patient has a surgical wound with bright red drainage. The nurse documents this as:**
A) Serous
B) Sanguineous
C) Serosanguineous
D) Purulent
**Answer: B**
**Rationale:** Sanguineous drainage contains red blood cells and appears bright red .


**13. A nurse is caring for a patient with a wound that has purulent drainage. Which action should
the nurse take?**
A) Apply a dry sterile dressing
B) Notify the healthcare provider
C) Apply a warm compress