Examl 2:l NUR150/l NURl 150l (NEWl 2025/l
2026l Update)l Fundamentall Conceptsl ofl
Practicall Nursingl Il Reviewl |l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Hondros
QUESTION
Listl thel stagesl ofl wounds:
Answer:
Stagel 1l -l nonl blanchablel erythemal (stagel 1l pressurel ulcer)
Stagel 2l -l partiall thicknessl skinl lossl (stagel 2vpressurel ulcer)
Stagel 3l -l Fulll thicknessl skinl lossl (stagel 3l pressurel ulcer)
stagel 4:l Fulll thicknessl skinl lossl withl extensivel destruction,l tissuel necrosis,l orl damagel
tol muscle,l bone,l orl supportingl structuresl (stagel 4l pressurel ulcer)
Deepl tissuel injury
Unstageable
QUESTION
Stagel 1l pressurel ulcer
Answer:
Pressl downl onl skinl ifl itl turnsl whitel =l "blanchable"l notl pressurel ulcer
Ifl skinl doesl notl turnl whitel orl "blanch"l =l Stagel 1l pressurel ulcer
QUESTION
Stagel 2l pressurel ulcer
Answer:
Partiall thicknessl skinl loss
woundl mayl involvel al blisterl orl shallowl ulcer.l Anl ulcerl mayl appearl tol bel reddish-pink
Al blisterl mayl bel intactl orl openl exposingl thel top/'l bottoml ofl thel skinl (epidermis/l
dermis)
,QUESTION
Stagel 3l pressurel ulcer
"
Answer:
Fulll thicknessl skinl lossl ofl epidermisl andl dermis
Subcutaneousl tissuel mayl bel exposed
Mayl seel yellow,l gray,l tan,l orl greenl "slimy"l tissuel inl woundl calledl "slough
QUESTION
stagel 4l pressurel ulcer
Answer:
Full-thicknessl tissuel lossl withl exposedl bonel slough,l muscle,l tendon,l orl escharl mayl bel
present
Oftenl includesl underminingl orl tunneling
QUESTION
Deepl Tissuel Injuryl (DTI)
Answer:
Causedl byl underlyingl softl tissuel damagel froml pressure/l shear
areal mayl bel painful,l firm,l mushy,l boggy,l warml orl cooll comparedl tol surroundingl tissue
Woundl isl coveredl withl eschar
QUESTION
unstageablel pressurel ulcer
Answer:
Fulll thicknessl tissuel lossl inl whichl thel basel ofl thel ulcerl isl coveredl byl sloughl (yellow,l
tan,l gray,l greenl orl brown)l and/orl escharl (tan,l brownl orl black)l inl thel woundl bed.
, QUESTION
Whatl arel thel nursingl Interventionsl whenl dealingl withl pressurel ulcers?
Answer:
Assessl sizel andl depthl ofl thel ulcer
Thel amountl andl colorl ofl anyl exudate
Thel presencel ofl painl orl odor
Thel colorl ofl thel exposedl tissue
Assessl improvement
Specificl interventionsl determinedl byl thel stagel ofl thel ulcer
QUESTION
traumaticl woundsl inl whichl thel epidermisl separatesl froml thel dermis
Answer:
Skinl tears
QUESTION
Whatl arel somel Skinl tearl prevention?
Answer:
Properl positioningl (turning/l lifting/l transferring)l tol preventl friction/l shearing
Handlel elderlyl carefullyl (fragilel skin)l
Usel paperl tapel orl nonadherentl dressingsl
l Longl sleevesl andl pantsl onl vulnerablel clientsl pronel tol skinl tears
QUESTION
Skinl tearl treatments
Answer:
Cleansel withoutl nontoxicl woundl cleanser,l patl dryl withl dryl gauze,l approximatel edgesl ofl
skinl tear,l addl ointmentsl asl prescribedl andl coverl withl nonadherentl dressing
QUESTION
2026l Update)l Fundamentall Conceptsl ofl
Practicall Nursingl Il Reviewl |l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Hondros
QUESTION
Listl thel stagesl ofl wounds:
Answer:
Stagel 1l -l nonl blanchablel erythemal (stagel 1l pressurel ulcer)
Stagel 2l -l partiall thicknessl skinl lossl (stagel 2vpressurel ulcer)
Stagel 3l -l Fulll thicknessl skinl lossl (stagel 3l pressurel ulcer)
stagel 4:l Fulll thicknessl skinl lossl withl extensivel destruction,l tissuel necrosis,l orl damagel
tol muscle,l bone,l orl supportingl structuresl (stagel 4l pressurel ulcer)
Deepl tissuel injury
Unstageable
QUESTION
Stagel 1l pressurel ulcer
Answer:
Pressl downl onl skinl ifl itl turnsl whitel =l "blanchable"l notl pressurel ulcer
Ifl skinl doesl notl turnl whitel orl "blanch"l =l Stagel 1l pressurel ulcer
QUESTION
Stagel 2l pressurel ulcer
Answer:
Partiall thicknessl skinl loss
woundl mayl involvel al blisterl orl shallowl ulcer.l Anl ulcerl mayl appearl tol bel reddish-pink
Al blisterl mayl bel intactl orl openl exposingl thel top/'l bottoml ofl thel skinl (epidermis/l
dermis)
,QUESTION
Stagel 3l pressurel ulcer
"
Answer:
Fulll thicknessl skinl lossl ofl epidermisl andl dermis
Subcutaneousl tissuel mayl bel exposed
Mayl seel yellow,l gray,l tan,l orl greenl "slimy"l tissuel inl woundl calledl "slough
QUESTION
stagel 4l pressurel ulcer
Answer:
Full-thicknessl tissuel lossl withl exposedl bonel slough,l muscle,l tendon,l orl escharl mayl bel
present
Oftenl includesl underminingl orl tunneling
QUESTION
Deepl Tissuel Injuryl (DTI)
Answer:
Causedl byl underlyingl softl tissuel damagel froml pressure/l shear
areal mayl bel painful,l firm,l mushy,l boggy,l warml orl cooll comparedl tol surroundingl tissue
Woundl isl coveredl withl eschar
QUESTION
unstageablel pressurel ulcer
Answer:
Fulll thicknessl tissuel lossl inl whichl thel basel ofl thel ulcerl isl coveredl byl sloughl (yellow,l
tan,l gray,l greenl orl brown)l and/orl escharl (tan,l brownl orl black)l inl thel woundl bed.
, QUESTION
Whatl arel thel nursingl Interventionsl whenl dealingl withl pressurel ulcers?
Answer:
Assessl sizel andl depthl ofl thel ulcer
Thel amountl andl colorl ofl anyl exudate
Thel presencel ofl painl orl odor
Thel colorl ofl thel exposedl tissue
Assessl improvement
Specificl interventionsl determinedl byl thel stagel ofl thel ulcer
QUESTION
traumaticl woundsl inl whichl thel epidermisl separatesl froml thel dermis
Answer:
Skinl tears
QUESTION
Whatl arel somel Skinl tearl prevention?
Answer:
Properl positioningl (turning/l lifting/l transferring)l tol preventl friction/l shearing
Handlel elderlyl carefullyl (fragilel skin)l
Usel paperl tapel orl nonadherentl dressingsl
l Longl sleevesl andl pantsl onl vulnerablel clientsl pronel tol skinl tears
QUESTION
Skinl tearl treatments
Answer:
Cleansel withoutl nontoxicl woundl cleanser,l patl dryl withl dryl gauze,l approximatel edgesl ofl
skinl tear,l addl ointmentsl asl prescribedl andl coverl withl nonadherentl dressing
QUESTION
