NSG 300 TOPIC 4 2026/2027 | COMPREHENSIVE NURSING QUESTIONS & ANSWERS | UP…
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NSG 300 Topic 4 2026/2027 |
Comprehensive Nursing
Questions & Answers |
Updated Course
Assessment (Rationales)
Verified Answers Exam Ready With Rationales 97 QUESTIONS
DOCUMENT OVERVIEW
This document contains 97 comprehensive nursing questions, each with its provided
correct answer and detailed rationale, covering essential wound care principles. It is a
valuable resource for students to study and review complex topics in nursing. This
assessment guide is perfectly suited for exam preparation and certification review.
TOPICS
Pressure Ulcer Fundamentals Q1–Q18
Pressure Ulcer Staging & Types Q19–Q32
Wound Healing Processes Q33–Q51
Wound Complications & Assessment Q52–Q63
Factors Influencing Healing Q64–Q69
Wound Care Interventions Q70–Q97
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 97
pressure ulcers
RESPONSE
a localized injury to the skin and underlying tissue, usually over a bony prominence. It results
from pressure in combination with shear and/or friction.
RATIONALE
Pressure ulcers are defined by localized tissue damage, typically occurring over bony prominences
due to sustained pressure. This pressure, often exacerbated by shear forces (sliding layers of tissue)
or friction (rubbing), compromises blood flow and leads to tissue ischemia and subsequent
breakdown.
Q2 QUESTION 2 OF 97
what are some other names for a pressure ulcer?
RESPONSE
Pressure sore, decubitus ulcer, or bed sore
RATIONALE
Pressure ulcers are localized injuries to the skin and underlying tissue, resulting from pressure, or
pressure in combination with shear. Alternative terminology reflects the cause (pressure) and
common location (bed), or historical classification. These terms are used interchangeably in clinical
practice to describe the same condition.
Q3 QUESTION 3 OF 97
what are the three major elements that cause a pressure ulcer?
Page 2
, RESPONSE
pressure intensity (tissue ischemia & blanching)
pressure duration
tissue tolerance
RATIONALE
Pressure ulcers develop due to a combination of factors that compromise tissue integrity.
Excessive pressure intensity leads to tissue ischemia, observable as blanching, while prolonged
pressure duration limits the tissue's ability to recover. Individual tissue tolerance, influenced by
factors like nutrition and mobility, also plays a critical role in susceptibility.
Q4 QUESTION 4 OF 97
tissue ischemia
RESPONSE
If pressure applied over a capillary exceeds normal capillary pressure and the vessel is occluded
for a prolonged time
RATIONALE
Sustained external pressure exceeding physiological levels can occlude capillaries. This prolonged
occlusion impedes blood flow, preventing oxygen and nutrient delivery to tissues. cellular function
is compromised, leading to tissue ischemia.
Q5 QUESTION 5 OF 97
blanching
RESPONSE
Blanching occurs when the normal red tones of skin are absent.
RATIONALE
Blanching is a clinical sign indicating impaired circulation or pressure. It occurs when superficial
blood vessels are compressed, temporarily removing oxygenated hemoglobin from the dermis,
resulting in a pale or white appearance of the skin. This phenomenon is often assessed when
evaluating for pressure injuries or peripheral perfusion.
Page 3
, Q6 QUESTION 6 OF 97
pressure duration
RESPONSE
Pressure duration assesses low and extended pressures. Low pressures over a prolonged time
can cause tissue damage. Extended pressure occludes blood flow and nutrients and
contributes to cell death.
RATIONALE
Prolonged pressure, even at low intensity, compromises capillary perfusion, leading to ischemia.
This lack of oxygen and nutrients deprives tissues of essential metabolic support and waste
removal. cellular dysfunction and eventual necrosis occur due to sustained pressure duration.
Q7 QUESTION 7 OF 97
tissue tolerance
RESPONSE
The ability of tissue to endure pressure depends on the integrity of the tissue and supporting
structures.
RATIONALE
Tissue tolerance refers to the capacity of skin and underlying structures to withstand mechanical
stress, particularly pressure. This tolerance is directly influenced by the health and integrity of the
tissue itself, as well as the strength of the supporting vascular and connective tissues.
Compromised integrity reduces this capacity.
Q8 QUESTION 8 OF 97
what assessment is included for a pressure ulcer?
RESPONSE
-wound location
-depth of tissue involvement (staging)
-type and approximate percentage of tissue in wound bed
-wound dimensions (if present include sinus tracts and tunneling)
-exudate description (if present odor)
-condition of surrounding skin.
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NSG 300 Topic 4 2026/2027 |
Comprehensive Nursing
Questions & Answers |
Updated Course
Assessment (Rationales)
Verified Answers Exam Ready With Rationales 97 QUESTIONS
DOCUMENT OVERVIEW
This document contains 97 comprehensive nursing questions, each with its provided
correct answer and detailed rationale, covering essential wound care principles. It is a
valuable resource for students to study and review complex topics in nursing. This
assessment guide is perfectly suited for exam preparation and certification review.
TOPICS
Pressure Ulcer Fundamentals Q1–Q18
Pressure Ulcer Staging & Types Q19–Q32
Wound Healing Processes Q33–Q51
Wound Complications & Assessment Q52–Q63
Factors Influencing Healing Q64–Q69
Wound Care Interventions Q70–Q97
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 97
pressure ulcers
RESPONSE
a localized injury to the skin and underlying tissue, usually over a bony prominence. It results
from pressure in combination with shear and/or friction.
RATIONALE
Pressure ulcers are defined by localized tissue damage, typically occurring over bony prominences
due to sustained pressure. This pressure, often exacerbated by shear forces (sliding layers of tissue)
or friction (rubbing), compromises blood flow and leads to tissue ischemia and subsequent
breakdown.
Q2 QUESTION 2 OF 97
what are some other names for a pressure ulcer?
RESPONSE
Pressure sore, decubitus ulcer, or bed sore
RATIONALE
Pressure ulcers are localized injuries to the skin and underlying tissue, resulting from pressure, or
pressure in combination with shear. Alternative terminology reflects the cause (pressure) and
common location (bed), or historical classification. These terms are used interchangeably in clinical
practice to describe the same condition.
Q3 QUESTION 3 OF 97
what are the three major elements that cause a pressure ulcer?
Page 2
, RESPONSE
pressure intensity (tissue ischemia & blanching)
pressure duration
tissue tolerance
RATIONALE
Pressure ulcers develop due to a combination of factors that compromise tissue integrity.
Excessive pressure intensity leads to tissue ischemia, observable as blanching, while prolonged
pressure duration limits the tissue's ability to recover. Individual tissue tolerance, influenced by
factors like nutrition and mobility, also plays a critical role in susceptibility.
Q4 QUESTION 4 OF 97
tissue ischemia
RESPONSE
If pressure applied over a capillary exceeds normal capillary pressure and the vessel is occluded
for a prolonged time
RATIONALE
Sustained external pressure exceeding physiological levels can occlude capillaries. This prolonged
occlusion impedes blood flow, preventing oxygen and nutrient delivery to tissues. cellular function
is compromised, leading to tissue ischemia.
Q5 QUESTION 5 OF 97
blanching
RESPONSE
Blanching occurs when the normal red tones of skin are absent.
RATIONALE
Blanching is a clinical sign indicating impaired circulation or pressure. It occurs when superficial
blood vessels are compressed, temporarily removing oxygenated hemoglobin from the dermis,
resulting in a pale or white appearance of the skin. This phenomenon is often assessed when
evaluating for pressure injuries or peripheral perfusion.
Page 3
, Q6 QUESTION 6 OF 97
pressure duration
RESPONSE
Pressure duration assesses low and extended pressures. Low pressures over a prolonged time
can cause tissue damage. Extended pressure occludes blood flow and nutrients and
contributes to cell death.
RATIONALE
Prolonged pressure, even at low intensity, compromises capillary perfusion, leading to ischemia.
This lack of oxygen and nutrients deprives tissues of essential metabolic support and waste
removal. cellular dysfunction and eventual necrosis occur due to sustained pressure duration.
Q7 QUESTION 7 OF 97
tissue tolerance
RESPONSE
The ability of tissue to endure pressure depends on the integrity of the tissue and supporting
structures.
RATIONALE
Tissue tolerance refers to the capacity of skin and underlying structures to withstand mechanical
stress, particularly pressure. This tolerance is directly influenced by the health and integrity of the
tissue itself, as well as the strength of the supporting vascular and connective tissues.
Compromised integrity reduces this capacity.
Q8 QUESTION 8 OF 97
what assessment is included for a pressure ulcer?
RESPONSE
-wound location
-depth of tissue involvement (staging)
-type and approximate percentage of tissue in wound bed
-wound dimensions (if present include sinus tracts and tunneling)
-exudate description (if present odor)
-condition of surrounding skin.
Page 4
