NURSING MAIN EXAM GUIDE 2025
LATEST UPDATE QUESTIONS WITH
CORRECT ANSWERS
A nurse is caring for a patient who has developed a stage 1 pressure ulcer in the area of the
right ischial tuberosity. Which of the following should the nurse plan to apply to the ulcer?
Zinc Oxide
- Barrier creams and ointments are used for patients prone to skin breakdown from
pressure, shear or incontinence. They are intended for prevention and for resolving new
onset problems, such as a stage 1 pressure ulcer.
A nurse is caring for a patient who is admitted with multiple wounds sustained in a moto
vehicle crash. Understand the patient’s specific needs during the initial stage of wound healing,
the nurse should incorporate which of the following into the patient's plan of care to prevent a
prolongation of this phase?
Apply oxygen at 2 L/min via nasal cannula.
- Following an acute injury, the body responds by increasing perfusion to the location of
the injury during the inflammatory phase of wound healing. The purpose of this
increased blood supply to the wounds is to transport the oxygen and nutrients essential
for healing. It is common to see a delay in the resolution of the inflammatory phase of
chronic wounds in patients who have a lack of oxygen or poor perfusion.
A nurse assessing a pressure ulcer over a patient's right heel area observes a deep crater with
no eschar or slough and no exposed muscle or bone. The nurse should document that this
patient has a pressure ulcer that is
Stage III
- A stage III pressure ulcer has full-thickness tissue loss appearing as a deep crater,
without exposed muscle or bone. There may or may not be slough. This patient's wound
fits this descripatiention.
A nurse is documenting data about a healing wound on a patient's lower leg. The predominant
exudate in the wound is watery in consistency and light red in color. The nurse should
document this exudate as
Serosanguineous
- This exudate is serosanguineous, which is thin and watery in consistency and pink to
light red in color.
LATEST UPDATE QUESTIONS WITH
CORRECT ANSWERS
A nurse is caring for a patient who has developed a stage 1 pressure ulcer in the area of the
right ischial tuberosity. Which of the following should the nurse plan to apply to the ulcer?
Zinc Oxide
- Barrier creams and ointments are used for patients prone to skin breakdown from
pressure, shear or incontinence. They are intended for prevention and for resolving new
onset problems, such as a stage 1 pressure ulcer.
A nurse is caring for a patient who is admitted with multiple wounds sustained in a moto
vehicle crash. Understand the patient’s specific needs during the initial stage of wound healing,
the nurse should incorporate which of the following into the patient's plan of care to prevent a
prolongation of this phase?
Apply oxygen at 2 L/min via nasal cannula.
- Following an acute injury, the body responds by increasing perfusion to the location of
the injury during the inflammatory phase of wound healing. The purpose of this
increased blood supply to the wounds is to transport the oxygen and nutrients essential
for healing. It is common to see a delay in the resolution of the inflammatory phase of
chronic wounds in patients who have a lack of oxygen or poor perfusion.
A nurse assessing a pressure ulcer over a patient's right heel area observes a deep crater with
no eschar or slough and no exposed muscle or bone. The nurse should document that this
patient has a pressure ulcer that is
Stage III
- A stage III pressure ulcer has full-thickness tissue loss appearing as a deep crater,
without exposed muscle or bone. There may or may not be slough. This patient's wound
fits this descripatiention.
A nurse is documenting data about a healing wound on a patient's lower leg. The predominant
exudate in the wound is watery in consistency and light red in color. The nurse should
document this exudate as
Serosanguineous
- This exudate is serosanguineous, which is thin and watery in consistency and pink to
light red in color.
