NSG300
NSG300 Exam 2 Practice Questions with
Verified Solutions 2025
Which irrigation technique with normal saline is best for a wound?
A. Pour saline directly onto wound from the bottle
B. Moisten a sterile gauze pad and pat over the wound
C. Irrigate as gently as possible using a 60mL bulb syringe
D. Apply steady pressure using a 35mL syringe and 19 gauge needle -Correct Answer ✔D.
Rationale:
Using a 35mL syringe and 19 gauge needle provides adequate pressure to ensure
effective irrigation
What is the purpose of a wet-to-dry wound dressing?
A. To mechanically debride the tissue
B. Facilitate tissue healing
C. Decrease risk of infection
D. Preserve granulation tissue -Correct Answer ✔A.
Rationale:
-B is incorrect because this dressing impedes healing due to tissue cooling
-C is incorrect because this dressing increases the risk of infection due to frequency of
dressing change
-D is incorrect because this dressing may destroy granulation tissue
A wound is infected with MRSA. Which type of precautions should the nurse and staff
use when caring for this client?
A. Standard
NSG300
,NSG300
B. Droplet
C. Airborne
D. Contact -Correct Answer ✔D.
Rationale:
Contact precautions are needed because MRSA's mode of transmission includes direct
contact and contact with infected surfaces
What type of equipment is used to assess the length of the tract in wound tunneling?
A. Sterile gloves and lubricant
B. Sterile tape measure
C. Sterile cotton-tipped applicator
D. Sterile irrigation tray with syringe -Correct Answer ✔C.
Rationale:
Tunneling is best assessed by gentle insertion of a sterile cotton-tipped applicator to
determine the location and length of the tunneling
A nurse observes a reddish area that is round and directly over the client's sacrum. The
skin is intact. What assessment measures should the nurse perform? (SELECT ALL THAT
APPLY)
A. Apply light pressure to the area with the fingertips
B. Measure the diameter of the redness
C. Obtain a wound culture
D. Gently lift a fold of skin
E. Observe for wound approximation -Correct Answer ✔A. B.
Rationale:
-A. The nurse should apply light pressure to assess for blanching
-B. The area of redness should be measured to evaluate progression or healing
NSG300
,NSG300
-C. The nurse does not need to obtain a wound culture if the skin is intact with no
drainage
-D. This would be to assess turgor for hydration status, not for assessing wounds
-E. Since the skin is intact, there are no wound edges to be approximated
To provide pressure relief at night, the nurse should teach a wound care patient to sleep
in which position?
A. Supine with the head of the bed elevated
B. Supine with a foam wedge between the knees
C. Thirty-degree lateral inclined position
D. Full side-lying position supported with pillows -Correct Answer ✔C.
Rationale:
This position (AKA semi Fowlers) best reduces pressure on bony prominences where
pressure ulcers frequently develop. Pillows and foam wedges may be used for support
and protection in this position
A patient arrives to the ED with a sacral ulcer that is crater-like in appearance, and is
draining a thick yellow-tan fluid with an unpleasant odor. Which best describes the
drainage of the wound?
A. Infectious
B. Purulent
C. Serous
D. Sanguineous -Correct Answer ✔B.
Rationale:
Purulent refers to something that contains or produces pus. Pus is an indication that
infection is likely
NSG300
, NSG300
-A. Infectious is not the best terminology to describe the appearance of the drainage
-C. Serous describes a thin, watery substance
-D. Sanguineous describes a bright red substance
Which intervention is important to reduce the effect of diarrhea on the skin when a
sacral ulcer is present?
A. Apply a moisture-repellent ointment to intact skin areas
B. Rinse ulcerated areas with an alcohol-based irrigating solution
C. Position a plastic-lined pad under the buttocks
D. Apply a moist heat to the area following exposure to feces -Correct Answer ✔A.
Rationale:
After the skin is cleaned and dried, this ointment should be applied to protect and
moisturize the skin
-B. Alcohol is drying and damaging to the tissue
-C. Plastic underpads protect linens, and are not designed to wick moisture away from
skin
-D. Heat and excessive moisture are damaging to the skin
The nurse notices that the client name listed on a medication bottle is incorrect. Who is
the best member of the interdisciplinary team to collaborate with?
A. Healthcare provider
B. Pharmacist
C. Client
D. Charge nurse -Correct Answer ✔B.
Rationale:
Incorrectly labeled medications are the responsibility of the pharmacist
NSG300
NSG300 Exam 2 Practice Questions with
Verified Solutions 2025
Which irrigation technique with normal saline is best for a wound?
A. Pour saline directly onto wound from the bottle
B. Moisten a sterile gauze pad and pat over the wound
C. Irrigate as gently as possible using a 60mL bulb syringe
D. Apply steady pressure using a 35mL syringe and 19 gauge needle -Correct Answer ✔D.
Rationale:
Using a 35mL syringe and 19 gauge needle provides adequate pressure to ensure
effective irrigation
What is the purpose of a wet-to-dry wound dressing?
A. To mechanically debride the tissue
B. Facilitate tissue healing
C. Decrease risk of infection
D. Preserve granulation tissue -Correct Answer ✔A.
Rationale:
-B is incorrect because this dressing impedes healing due to tissue cooling
-C is incorrect because this dressing increases the risk of infection due to frequency of
dressing change
-D is incorrect because this dressing may destroy granulation tissue
A wound is infected with MRSA. Which type of precautions should the nurse and staff
use when caring for this client?
A. Standard
NSG300
,NSG300
B. Droplet
C. Airborne
D. Contact -Correct Answer ✔D.
Rationale:
Contact precautions are needed because MRSA's mode of transmission includes direct
contact and contact with infected surfaces
What type of equipment is used to assess the length of the tract in wound tunneling?
A. Sterile gloves and lubricant
B. Sterile tape measure
C. Sterile cotton-tipped applicator
D. Sterile irrigation tray with syringe -Correct Answer ✔C.
Rationale:
Tunneling is best assessed by gentle insertion of a sterile cotton-tipped applicator to
determine the location and length of the tunneling
A nurse observes a reddish area that is round and directly over the client's sacrum. The
skin is intact. What assessment measures should the nurse perform? (SELECT ALL THAT
APPLY)
A. Apply light pressure to the area with the fingertips
B. Measure the diameter of the redness
C. Obtain a wound culture
D. Gently lift a fold of skin
E. Observe for wound approximation -Correct Answer ✔A. B.
Rationale:
-A. The nurse should apply light pressure to assess for blanching
-B. The area of redness should be measured to evaluate progression or healing
NSG300
,NSG300
-C. The nurse does not need to obtain a wound culture if the skin is intact with no
drainage
-D. This would be to assess turgor for hydration status, not for assessing wounds
-E. Since the skin is intact, there are no wound edges to be approximated
To provide pressure relief at night, the nurse should teach a wound care patient to sleep
in which position?
A. Supine with the head of the bed elevated
B. Supine with a foam wedge between the knees
C. Thirty-degree lateral inclined position
D. Full side-lying position supported with pillows -Correct Answer ✔C.
Rationale:
This position (AKA semi Fowlers) best reduces pressure on bony prominences where
pressure ulcers frequently develop. Pillows and foam wedges may be used for support
and protection in this position
A patient arrives to the ED with a sacral ulcer that is crater-like in appearance, and is
draining a thick yellow-tan fluid with an unpleasant odor. Which best describes the
drainage of the wound?
A. Infectious
B. Purulent
C. Serous
D. Sanguineous -Correct Answer ✔B.
Rationale:
Purulent refers to something that contains or produces pus. Pus is an indication that
infection is likely
NSG300
, NSG300
-A. Infectious is not the best terminology to describe the appearance of the drainage
-C. Serous describes a thin, watery substance
-D. Sanguineous describes a bright red substance
Which intervention is important to reduce the effect of diarrhea on the skin when a
sacral ulcer is present?
A. Apply a moisture-repellent ointment to intact skin areas
B. Rinse ulcerated areas with an alcohol-based irrigating solution
C. Position a plastic-lined pad under the buttocks
D. Apply a moist heat to the area following exposure to feces -Correct Answer ✔A.
Rationale:
After the skin is cleaned and dried, this ointment should be applied to protect and
moisturize the skin
-B. Alcohol is drying and damaging to the tissue
-C. Plastic underpads protect linens, and are not designed to wick moisture away from
skin
-D. Heat and excessive moisture are damaging to the skin
The nurse notices that the client name listed on a medication bottle is incorrect. Who is
the best member of the interdisciplinary team to collaborate with?
A. Healthcare provider
B. Pharmacist
C. Client
D. Charge nurse -Correct Answer ✔B.
Rationale:
Incorrectly labeled medications are the responsibility of the pharmacist
NSG300
