U N I V E R S I T Y O F A L A B A M A AT B I R M I N G H A M · S C H O O L O F N U R S I N G
NUR 612 Exam 5
Practice Question Bank
NCLEX-Style Practice Questions with Rationales
Topic Focus: Wound Care, Burns, Infections, MSK, Dermatology
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales 2
NUR 612 · UAB Page 1
,NUR 612 PRACTICE GUIDE INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is.
Category: Wound Care, Burns, Infections, MSK, Dermatology
1 Mrs. Williams is 76 years old and comes in to have a wound checked on her right leg.
She fell a month ago and the wound has not healed. She is concerned that
something is wrong. The nurse practitioner examines the wound and sees that it has
been cleaned properly and has no signs of infection. The edges are approximated,
but the skin around the wound is red and tender to touch. The best response
regarding Mrs. Williams' concern is:
A Wound healing for older people may take up to four times longer than it does for
younger people
B Let us talk about what you are eating
C Had you come in earlier, I would have ordered medicine that would have healed
that right up
D I will order an antibiotic to prevent infection
Correct Answer: A — Wound healing in older adults may take up to four times longer due
to age-related changes in skin and healing processes.
B — Nutrition is important but not the best response.
C — This response is not therapeutic.
D — There is no sign of infection.
, 2 The nurse practitioner is conducting patient rounds in a long-term care facility. As
she talks with Mrs. Jones, she notices that her arms and elbows are excoriated and
the skin is shearing. The nurse practitioner explains to the staff that Mrs. Jones needs
frequent assessment of her skin and protection provided to prevent skin breakdown
because:
A Her lack of activity causes the skin to tear
B Fat has redistributed to the abdomen and thighs, leaving bony surfaces in areas
such as the face, hands, and sacrum. This can result in injury
C She has lost weight and is in jeopardy of falling
D She picks at herself and causes skin breakdown
Correct Answer: B — Age-related fat redistribution leaves bony prominences vulnerable to
skin breakdown and injury.
A — Lack of activity is not the primary reason.
C — Weight loss is not the primary reason.
D — Self-injury is not the primary reason.
NUR 612 Exam 5
Practice Question Bank
NCLEX-Style Practice Questions with Rationales
Topic Focus: Wound Care, Burns, Infections, MSK, Dermatology
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales 2
NUR 612 · UAB Page 1
,NUR 612 PRACTICE GUIDE INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is.
Category: Wound Care, Burns, Infections, MSK, Dermatology
1 Mrs. Williams is 76 years old and comes in to have a wound checked on her right leg.
She fell a month ago and the wound has not healed. She is concerned that
something is wrong. The nurse practitioner examines the wound and sees that it has
been cleaned properly and has no signs of infection. The edges are approximated,
but the skin around the wound is red and tender to touch. The best response
regarding Mrs. Williams' concern is:
A Wound healing for older people may take up to four times longer than it does for
younger people
B Let us talk about what you are eating
C Had you come in earlier, I would have ordered medicine that would have healed
that right up
D I will order an antibiotic to prevent infection
Correct Answer: A — Wound healing in older adults may take up to four times longer due
to age-related changes in skin and healing processes.
B — Nutrition is important but not the best response.
C — This response is not therapeutic.
D — There is no sign of infection.
, 2 The nurse practitioner is conducting patient rounds in a long-term care facility. As
she talks with Mrs. Jones, she notices that her arms and elbows are excoriated and
the skin is shearing. The nurse practitioner explains to the staff that Mrs. Jones needs
frequent assessment of her skin and protection provided to prevent skin breakdown
because:
A Her lack of activity causes the skin to tear
B Fat has redistributed to the abdomen and thighs, leaving bony surfaces in areas
such as the face, hands, and sacrum. This can result in injury
C She has lost weight and is in jeopardy of falling
D She picks at herself and causes skin breakdown
Correct Answer: B — Age-related fat redistribution leaves bony prominences vulnerable to
skin breakdown and injury.
A — Lack of activity is not the primary reason.
C — Weight loss is not the primary reason.
D — Self-injury is not the primary reason.
