PN 140 Test 2 NCLEX
PN 140 TEST 2 NCLEX EXAM
QUESTIONS AND ANSWERS 2025
Which of the following devices should be used to ensure the appropriate amount of
irrigation pressure during a wound irrigation?
A. 10 mL syringe with a 19 gauge needle
B. 35 mL syringe with a 19 gauge needle
C. steady flow of fluid from a height of 12 inches above the wound
D. steady but gentle squirt of irrigant through a catheter irrigating system -Correct
Answer ✔B. 35 mL syringe with a 19 gauge needle
Which of the following are common sites for development of pressure ulcers? (select all
that apply)
A. sternum
B. heels
C. sacrum
D. ears
E. lateral malleoli
F. trochanters
G. tip of great toe -Correct Answer ✔B. heels
C. sacrum
PN 140 Test 2 NCLEX
,PN 140 Test 2 NCLEX
D. ears
E. lateral maleoli
F. trochanters
When educating a patient about wound healing the nurse should include what in the
teaching?
A. inadequate nutrition delays wound healing and increases risk of infection.
B. chronic wounds heal better in a dry, open environment so leave them open to air.
C. fat tissue heals more rapidly because there is less vascularization.
D. long term steroid use diminishes the inflammatory response and speeds up wound
healing -Correct Answer ✔A. inadequate nutrition delays wound healing and increases
risk of infection
What strategies should be included in pressure ulcer prevention (select all that apply)
A. use moisture barrier ointment with incontinence
B. reposition immobile patients every 4 hours
C. when patient in side lying position ensure HOB <30 degrees
D. place patient on pressure reducing support surface
E. maintain bed at 45 degree angle
F. massage reddened bony prominences
G. oral nutrition supplement should be used when undernourished. -Correct Answer
✔A. use moisture barrier ointment with incontinence
PN 140 Test 2 NCLEX
,PN 140 Test 2 NCLEX
C. when patient in side lying position ensure HOB <30 degrees
D. place patient on pressure reducing support surface
G. oral nutrition supplement should be used when undernourished.
Why does a wound bed need to stay moist?
A. to support healing by enabling granulation tissue to grow.
B. to prevent excessive fluid loss from the body
C. to determine if the area has reactive hyperemia
D. to decrease patient discomfort -Correct Answer ✔A. to support healing by enabling
granulation tissue to grow.
What evaluation criteria are included in the Braden Risk assessment? (select all that
apply)
A. sensory perception
B. medications
C. mobility
D. friction and shear
E. mental status
F. moisture -Correct Answer ✔A. sensory perception
C. mobility
D. friction and shear
PN 140 Test 2 NCLEX
, PN 140 Test 2 NCLEX
F. moisture
What term refers to pale, red and watery drainage from a wound?
A. serous
B. sanguineous
C. serosanguineous
D. purulent -Correct Answer ✔C. serosanguineous
serous - clear, watery, plasma
sanguineous - bright red, active bleeding
purulent - thick, yellow, green, tan or brown (pus)
An 86 year old female patient is immobile and is in the right lateral recumbent position.
As the nurse you know that which sites below are at most risk for pressure injury in this
position?
A. Sacral
B. Patella
C. Ankle
D. Ear
E. Elbow
F. Hip
PN 140 Test 2 NCLEX
PN 140 TEST 2 NCLEX EXAM
QUESTIONS AND ANSWERS 2025
Which of the following devices should be used to ensure the appropriate amount of
irrigation pressure during a wound irrigation?
A. 10 mL syringe with a 19 gauge needle
B. 35 mL syringe with a 19 gauge needle
C. steady flow of fluid from a height of 12 inches above the wound
D. steady but gentle squirt of irrigant through a catheter irrigating system -Correct
Answer ✔B. 35 mL syringe with a 19 gauge needle
Which of the following are common sites for development of pressure ulcers? (select all
that apply)
A. sternum
B. heels
C. sacrum
D. ears
E. lateral malleoli
F. trochanters
G. tip of great toe -Correct Answer ✔B. heels
C. sacrum
PN 140 Test 2 NCLEX
,PN 140 Test 2 NCLEX
D. ears
E. lateral maleoli
F. trochanters
When educating a patient about wound healing the nurse should include what in the
teaching?
A. inadequate nutrition delays wound healing and increases risk of infection.
B. chronic wounds heal better in a dry, open environment so leave them open to air.
C. fat tissue heals more rapidly because there is less vascularization.
D. long term steroid use diminishes the inflammatory response and speeds up wound
healing -Correct Answer ✔A. inadequate nutrition delays wound healing and increases
risk of infection
What strategies should be included in pressure ulcer prevention (select all that apply)
A. use moisture barrier ointment with incontinence
B. reposition immobile patients every 4 hours
C. when patient in side lying position ensure HOB <30 degrees
D. place patient on pressure reducing support surface
E. maintain bed at 45 degree angle
F. massage reddened bony prominences
G. oral nutrition supplement should be used when undernourished. -Correct Answer
✔A. use moisture barrier ointment with incontinence
PN 140 Test 2 NCLEX
,PN 140 Test 2 NCLEX
C. when patient in side lying position ensure HOB <30 degrees
D. place patient on pressure reducing support surface
G. oral nutrition supplement should be used when undernourished.
Why does a wound bed need to stay moist?
A. to support healing by enabling granulation tissue to grow.
B. to prevent excessive fluid loss from the body
C. to determine if the area has reactive hyperemia
D. to decrease patient discomfort -Correct Answer ✔A. to support healing by enabling
granulation tissue to grow.
What evaluation criteria are included in the Braden Risk assessment? (select all that
apply)
A. sensory perception
B. medications
C. mobility
D. friction and shear
E. mental status
F. moisture -Correct Answer ✔A. sensory perception
C. mobility
D. friction and shear
PN 140 Test 2 NCLEX
, PN 140 Test 2 NCLEX
F. moisture
What term refers to pale, red and watery drainage from a wound?
A. serous
B. sanguineous
C. serosanguineous
D. purulent -Correct Answer ✔C. serosanguineous
serous - clear, watery, plasma
sanguineous - bright red, active bleeding
purulent - thick, yellow, green, tan or brown (pus)
An 86 year old female patient is immobile and is in the right lateral recumbent position.
As the nurse you know that which sites below are at most risk for pressure injury in this
position?
A. Sacral
B. Patella
C. Ankle
D. Ear
E. Elbow
F. Hip
PN 140 Test 2 NCLEX
