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 Exam 2 2026/2027 |
Comprehensive Nursing
Questions & Answers |
Exam-Focused Review
(Rationales)
Verified Answers Exam Ready With Rationales 100 QUESTIONS
DOCUMENT OVERVIEW
This document provides 100 comprehensive nursing questions, each with its correct
answer and detailed rationales, covering essential patient care principles. It is a focused
review for nursing exams, directly aligning with core curriculum and offering detailed
explanations that are suitable for in-depth study, exam preparation, and certification
review.
TOPICS
Skin Integrity & Pressure Ulcers Q1–Q19
Wound Assessment & Management Q20–Q56
Thermoregulation & Applications Q57–Q66
Nursing Process & Critical Thinking Q67–Q100
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 100
what places patients at risk for pressure ulcers/impaired skin integrity
RESPONSE
pressure intensity, pressure duration, tissue tolerance, impaired sensory perception, impaired
mobility, alteration in LOC, shear, friction, moisture
RATIONALE
Factors contributing to pressure ulcer development include excessive pressure intensity and
duration, reduced tissue tolerance, and impaired defense mechanisms like poor sensory
perception, mobility, or altered level of consciousness. Additionally, extrinsic factors such as shear,
friction, and excessive moisture compromise skin integrity and increase risk.
Q2 QUESTION 2 OF 100
layers of the skin
RESPONSE
epidermis, dermis (collagen)
RATIONALE
The skin is composed of two primary layers. The outermost layer is the epidermis, responsible for
protection and regeneration. Beneath it lies the dermis, a thicker layer rich in collagen, providing
structural support and elasticity.
Q3 QUESTION 3 OF 100
Braden Scale
Page 2
, RESPONSE
assesses risk for developing pressure ulcers; includes patient's sensory perception, moisture,
activity, mobility, nutrition, friction and shear; the lower the number the higher the risk
>9= very high risk
10-12= high risk
13-14= moderate risk
15-18= mild risk
19-23= generally not at risk
RATIONALE
This scale quantifies a patient's susceptibility to pressure ulcers by evaluating six subscales:
sensory perception, moisture, activity, mobility, nutrition, and friction/shear. A lower total score
indicates a greater risk, with specific thresholds defining very high, high, moderate, mild, and
generally not at risk categories.
Q4 QUESTION 4 OF 100
type 1 ulcers
RESPONSE
skin is intact but may be red or pink and warm to the touch; no blanching
-for POC, there may be no noticeable blanching but skin color may vary
RATIONALE
Non-blanchable erythema in intact skin signifies a superficial pressure injury (Stage 1). The
compromised capillary blood flow due to sustained pressure causes persistent redness, indicating
tissue damage without epidermal breakdown. This lack of blanching is a key diagnostic indicator of
early-stage injury.
Q5 QUESTION 5 OF 100
type 2 ulcers
RESPONSE
partial-thickness loss of dermis; shallow broken skin; red-pink wound bed
Page 3
, RATIONALE
Type 2 ulcers are characterized by partial-thickness skin loss, affecting the dermis. These wounds
present as shallow, open areas with a distinct red-pink wound bed, indicating granulation tissue
formation. The absence of full-thickness tissue destruction is a key diagnostic feature.
Q6 QUESTION 6 OF 100
type 3 ulcers
RESPONSE
full-thickness tissue loss with visible fat (subcutaneous layer); pale-yellow color; may include
slough but does not obstruct view of depth of injury
RATIONALE
A full-thickness tissue loss characterizes this type of ulcer, extending through the subcutaneous fat
layer. Key visual indicators include a pale-yellow hue and the potential presence of slough, which
does not obscure the wound's true depth. This presentation aligns with the diagnostic criteria for
this specific injury classification.
Q7 QUESTION 7 OF 100
type 4 ulcers
RESPONSE
full-thickness tissue loss with exposed bone, muscle, or tendon. possible tunneling and
undermining
RATIONALE
This classification denotes deep tissue damage, extending through the subcutaneous layer to
expose underlying structures like bone, muscle, or tendon. Such injuries may also exhibit complex
undermining or tunneling, indicating the extent of tissue destruction beyond the visible wound
bed.
Q8 QUESTION 8 OF 100
unstageable pressure ulcer
Page 4