NSG 300 Exam 2 Practice Exam: Questions & Answers: Updated Solution Guide

Which terms are used to describe deteriorated skin related to prolonged, unrelieved pressure on a body part? (SELECT ALL THAT APPLY) A. Skin tag B. Bedsore C. Skin wound D. Pressure sore E. Pressure ulcer F. Decubitus ulcer (Ans- B, D, E, F Which role does vitamin A play in wound healing? A. Quickens fibroplasia B. Acts as an antioxidant C. Promotes wound closure D. Acts as immune function (Ans- C. Rationale: -A. D. Protein quickens fibroplasia and helps with immune function -B. Vitamin C acts as an antioxidantThe nurse finds that a wound is in the proliferative phase of healing. Which changes led them to this conclusion? (SELECT ALL THAT APPLY) A. The wound is filled with granulation tissue B. There is localized redness, edema, warmth, and throbbing C. The wound contracts to reduce the area that requires healing D. There is vasodilation of surrounding capillaries and exudation of serum E. There is re-epithelialization of the wound surface (AnsA, C, E Rationale: Granulation is an indication of new cell growth. The wound contracts to reduce the area that requires healing. Epithelial cells resurface wounds Which findings are characteristic of a stage 3 pressure injury? (SELECT ALL THAT APPLY) A. Full-thickness skin loss B. Subcutaneous fat may be visible C. The wound presents as an open, serum-filled blister D. There may be a reddish-pink wound bed without slough E. The bone, tendon, and muscle are not exposed (Ans- A, B, EWhen assessing a pressure injury, you note that the tissue over the wound is dark, hard, and adherent to the wound edge. Which stage would be applied to this pressure injury? A. Stage 3 B. Stage 4 C. Unstageable D. Deep tissue injury (Ans- C. Rationale: A depth cannot be determined when the injury is covered in necrotic tissue Which characteristic is indicative of abnormal healing of a primary wound?