NUR 2513 RASMUSSEN UNIVERSITY - EXAM 2 LATEST
2026/2027 | CLINICAL APPLICATIONS | 40 VERIFIED Q&A |
DETAILED RATIONALES | PASS GUARANTEED – A+ GRADED
SECTION 1: WOUND CARE & SKIN INTEGRITY - Questions 1-10
Q1: Wound Assessment - Signs of Infection
The nurse is assessing a surgical wound. Which of the following findings indicates wound infection?
A. Serous drainage
B. Pink granulation tissue
C. Purulent drainage with foul odor
D. Edges that are well-approximated
Correct Answer: C
Rationale: Purulent drainage with foul odor indicates wound infection. Serous drainage is normal.
Pink granulation tissue indicates healing. Well-approximated edges indicate healing. [100%
CORRECT]
Q2: Pressure Ulcer Staging - Stage 1
The nurse is assessing a pressure ulcer with intact skin and non-blanchable redness over a bony
prominence. Which stage is this?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Correct Answer: A
Rationale: Stage 1 pressure ulcer is intact skin with non-blanchable redness over a bony
prominence. [100% CORRECT]
Q3: Pressure Ulcer Staging - Stage 2
The nurse is assessing a pressure ulcer with partial-thickness skin loss and a shallow open ulcer with
a red-pink wound bed. Which stage is this?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Correct Answer: B
Rationale: Stage 2 pressure ulcer has partial-thickness skin loss, shallow open ulcer, and red-pink
wound bed. [100% CORRECT]
, 2
Q4: Pressure Ulcer Staging - Stage 3
The nurse is assessing a pressure ulcer with full-thickness skin loss without visible bone. Which stage
is this?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Correct Answer: C
Rationale: Stage 3 pressure ulcer has full-thickness skin loss without exposed bone. [100% CORRECT]
Q5: Pressure Ulcer Staging - Stage 4
The nurse is assessing a pressure ulcer with full-thickness skin loss and visible bone. Which stage is
this?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Correct Answer: D
Rationale: Stage 4 pressure ulcer has full-thickness skin loss with exposed bone, tendon, or muscle.
[100% CORRECT]
Q6: Pressure Ulcer Prevention
The nurse is implementing interventions to prevent pressure ulcers. Which of the following is the
most effective intervention?
A. Repositioning every 2 hours
B. Applying moisturizer
C. Using pressure-reducing surfaces
D. All of the above
Correct Answer: D
Rationale: Pressure ulcer prevention includes repositioning, skin care, and pressure-reducing
surfaces. All options are correct. [100% CORRECT]
Q7: Wound Drainage - Serous
The nurse is assessing wound drainage. Which of the following describes serous drainage?
A. Clear, watery fluid
B. Thick, yellow, or green drainage
C. Bloody drainage
D. Pink, watery drainage
Correct Answer: A
Rationale: Serous drainage is clear, watery fluid. Purulent drainage is thick, yellow/green.
Sanguineous drainage is bloody. Serosanguineous is pink/watery. [100% CORRECT]