NSG 3100 Exam 2 Wound Care for Galen
College of Nursing Complete Questions
Latest 2025-2026 with Correct Answers
Rationales GRADED A+
The ,continuous ,quality ,improvement ,team ,is ,monitoring ,the ,nursing ,care ,of
,clean-contaminated ,wounds. ,Which ,operative ,wound ,would ,be ,excluded ,from
,this ,study?
1. ,Gastric ,resection
2. ,Uncomplicated ,abdominal ,hysterectomy
3. ,Breast ,biopsy
4. ,Lung ,resection ,- ,CORRECT ,ANSWER-3. ,Breast ,biopsy
Rationale ,1: ,Clean-contaminated ,wounds ,are ,surgical ,wounds ,in ,which ,the
,respiratory, ,alimentary, ,genital, ,or ,urinary ,tract ,has ,been ,entered. ,These
,wounds ,show ,no ,evidence ,of ,infection. ,A ,gastric ,resection ,would ,be ,included
,in ,the ,study.
The ,surgical ,report ,of ,a ,newly ,transferred ,client ,indicates ,that ,there ,was ,a ,great
,deal ,of ,intestinal ,spillage ,into ,the ,abdominal ,cavity ,during ,the ,client's ,bowel
,resection. ,For ,which ,category ,of ,wound ,should ,the ,receiving ,nurse ,plan ,care
,for ,this ,client?
1. ,Clean-contaminated
2. ,Contaminated
3. ,Dirty
4. ,Infected ,- ,CORRECT ,ANSWER-2. ,Contaminated
Rationale ,1: ,Clean-contaminated ,wounds ,are ,surgical ,wounds ,in ,which ,the
,respiratory, ,alimentary, ,genital, ,or ,urinary ,tract ,has ,been ,entered, ,but ,minimal
,to ,no ,spillage ,has ,occurred.
A ,client ,has ,sustained ,multiple ,contusions ,from ,a ,motor ,vehicle ,accident. ,What
,should ,the ,nurse ,do ,to ,prepare ,for ,this ,client's ,care?
1. ,Obtain ,ice ,packs ,to ,apply ,to ,the ,wounds.
2. ,Request ,gauze ,to ,pack ,the ,wounds.
3. ,Organize ,suture ,material ,to ,close ,the ,wounds.
4. ,Notify ,the ,surgical ,staff ,that ,a ,surgical ,client ,will ,soon ,be ,arriving. ,-
,CORRECT ,ANSWER-1. ,Obtain ,ice ,packs ,to ,apply ,to ,the ,wounds.
, Rationale ,1: ,Contusions ,are ,closed ,wounds ,in ,which ,the ,skin ,is ,ecchymotic ,or
,bruised ,due ,to ,damage ,of ,blood ,vessels. ,These ,wounds ,are ,treated ,with ,ice
,pack ,application ,for ,the ,first ,24 ,hours.
After ,completing ,a ,scheduled ,every-2-hour ,turn ,by ,turning ,the ,client ,to ,the ,left
,side, ,the ,nurse ,notices ,a ,reddened ,area ,over ,the ,coccyx. ,The ,area ,blanches
,when ,the ,nurse ,compresses ,it ,with ,thumb ,pressure. ,One ,hour ,later, ,the ,nurse
,reassesses ,the ,area ,and ,finds ,the ,redness ,has ,disappeared. ,How ,should ,the
,nurse ,document ,this ,area?
1. ,Reactive ,hyperemia
2. ,Stage ,I ,pressure ,ulcer
3. ,Stage ,II ,pressure ,ulcer
4. ,Stage ,III ,pressure ,ulcer ,- ,CORRECT ,ANSWER-1. ,Reactive ,hyperemia
Rationale ,1: ,If ,the ,reddened ,area ,blanches ,with ,thumb ,pressure ,and ,disappears
,in ,one-half ,to ,three-quarters ,of ,the ,time ,pressure ,was ,on ,the ,area, ,the
,condition ,is ,reactive ,hyperemia ,and ,no ,damage ,to ,the ,skin ,and ,tissues ,has
,occurred.
The ,nurse ,assesses ,an ,open ,area ,over ,a ,client's ,greater ,trochanter ,that ,is
,approximately ,10 ,cm ,in ,diameter. ,The ,tissue ,around ,the ,area ,is ,edematous ,and
,feels ,boggy. ,The ,edges ,of ,the ,wound ,cup ,in ,toward ,the ,center. ,Which
,additional ,finding ,would ,indicate ,to ,the ,nurse ,that ,this ,is ,a ,stage ,IV ,pressure
,ulcer?
1. ,There ,is ,undermining ,of ,adjacent ,tissues.
2. ,The ,crater ,extends ,into ,the ,subcutaneous ,tissue.
3. ,The ,joint ,capsule ,of ,the ,hip ,is ,visible.
4. ,The ,ulcer ,has ,thick ,dark ,eschar ,over ,the ,top. ,- ,CORRECT ,ANSWER-3. ,The
,joint ,capsule ,of ,the ,hip ,is ,visible.
Rationale ,1: ,Undermining ,of ,adjacent ,tissues ,can ,occur ,in ,either ,a ,stage ,III ,or
,stage ,IV ,pressure ,ulcer.
The ,UAP ,reports ,a ,small ,skin ,tear ,on ,the ,clients ,forearm ,that ,occurred ,during ,a
,routine ,turn. ,After ,assessing ,the ,wound ,the ,nurse ,should ,take ,which ,action?
1. ,Obtain ,a ,transparent ,dressing ,for ,the ,UAP ,to ,place ,on ,the ,wound.
2. ,Request ,a ,consultation ,with ,the ,wound ,care ,nurse.
3. ,Cleanse ,the ,wound ,and ,apply ,a ,dressing.
4. ,Tell ,the ,UAP ,to ,reevaluate ,the ,wound ,in ,20 ,minutes. ,- ,CORRECT ,ANSWER-3.
,Cleanse ,the ,wound ,and ,apply ,a ,dressing.
Rationale ,1: ,The ,UAP ,is ,not ,educationally ,prepared ,to ,dress ,the ,wound.
The ,newly ,hired ,nurse ,learns ,that ,the ,facility ,uses ,the ,Braden ,Scale ,for
,Predicting ,Pressure ,Sore ,Risk ,to ,assess ,all ,new ,admissions. ,Before ,using ,this
,scale ,the ,nurse
1. ,should ,receive ,specific ,training.
2. ,must ,be ,certified.
3. ,is ,required ,to ,ask ,the ,clients ,permission.
College of Nursing Complete Questions
Latest 2025-2026 with Correct Answers
Rationales GRADED A+
The ,continuous ,quality ,improvement ,team ,is ,monitoring ,the ,nursing ,care ,of
,clean-contaminated ,wounds. ,Which ,operative ,wound ,would ,be ,excluded ,from
,this ,study?
1. ,Gastric ,resection
2. ,Uncomplicated ,abdominal ,hysterectomy
3. ,Breast ,biopsy
4. ,Lung ,resection ,- ,CORRECT ,ANSWER-3. ,Breast ,biopsy
Rationale ,1: ,Clean-contaminated ,wounds ,are ,surgical ,wounds ,in ,which ,the
,respiratory, ,alimentary, ,genital, ,or ,urinary ,tract ,has ,been ,entered. ,These
,wounds ,show ,no ,evidence ,of ,infection. ,A ,gastric ,resection ,would ,be ,included
,in ,the ,study.
The ,surgical ,report ,of ,a ,newly ,transferred ,client ,indicates ,that ,there ,was ,a ,great
,deal ,of ,intestinal ,spillage ,into ,the ,abdominal ,cavity ,during ,the ,client's ,bowel
,resection. ,For ,which ,category ,of ,wound ,should ,the ,receiving ,nurse ,plan ,care
,for ,this ,client?
1. ,Clean-contaminated
2. ,Contaminated
3. ,Dirty
4. ,Infected ,- ,CORRECT ,ANSWER-2. ,Contaminated
Rationale ,1: ,Clean-contaminated ,wounds ,are ,surgical ,wounds ,in ,which ,the
,respiratory, ,alimentary, ,genital, ,or ,urinary ,tract ,has ,been ,entered, ,but ,minimal
,to ,no ,spillage ,has ,occurred.
A ,client ,has ,sustained ,multiple ,contusions ,from ,a ,motor ,vehicle ,accident. ,What
,should ,the ,nurse ,do ,to ,prepare ,for ,this ,client's ,care?
1. ,Obtain ,ice ,packs ,to ,apply ,to ,the ,wounds.
2. ,Request ,gauze ,to ,pack ,the ,wounds.
3. ,Organize ,suture ,material ,to ,close ,the ,wounds.
4. ,Notify ,the ,surgical ,staff ,that ,a ,surgical ,client ,will ,soon ,be ,arriving. ,-
,CORRECT ,ANSWER-1. ,Obtain ,ice ,packs ,to ,apply ,to ,the ,wounds.
, Rationale ,1: ,Contusions ,are ,closed ,wounds ,in ,which ,the ,skin ,is ,ecchymotic ,or
,bruised ,due ,to ,damage ,of ,blood ,vessels. ,These ,wounds ,are ,treated ,with ,ice
,pack ,application ,for ,the ,first ,24 ,hours.
After ,completing ,a ,scheduled ,every-2-hour ,turn ,by ,turning ,the ,client ,to ,the ,left
,side, ,the ,nurse ,notices ,a ,reddened ,area ,over ,the ,coccyx. ,The ,area ,blanches
,when ,the ,nurse ,compresses ,it ,with ,thumb ,pressure. ,One ,hour ,later, ,the ,nurse
,reassesses ,the ,area ,and ,finds ,the ,redness ,has ,disappeared. ,How ,should ,the
,nurse ,document ,this ,area?
1. ,Reactive ,hyperemia
2. ,Stage ,I ,pressure ,ulcer
3. ,Stage ,II ,pressure ,ulcer
4. ,Stage ,III ,pressure ,ulcer ,- ,CORRECT ,ANSWER-1. ,Reactive ,hyperemia
Rationale ,1: ,If ,the ,reddened ,area ,blanches ,with ,thumb ,pressure ,and ,disappears
,in ,one-half ,to ,three-quarters ,of ,the ,time ,pressure ,was ,on ,the ,area, ,the
,condition ,is ,reactive ,hyperemia ,and ,no ,damage ,to ,the ,skin ,and ,tissues ,has
,occurred.
The ,nurse ,assesses ,an ,open ,area ,over ,a ,client's ,greater ,trochanter ,that ,is
,approximately ,10 ,cm ,in ,diameter. ,The ,tissue ,around ,the ,area ,is ,edematous ,and
,feels ,boggy. ,The ,edges ,of ,the ,wound ,cup ,in ,toward ,the ,center. ,Which
,additional ,finding ,would ,indicate ,to ,the ,nurse ,that ,this ,is ,a ,stage ,IV ,pressure
,ulcer?
1. ,There ,is ,undermining ,of ,adjacent ,tissues.
2. ,The ,crater ,extends ,into ,the ,subcutaneous ,tissue.
3. ,The ,joint ,capsule ,of ,the ,hip ,is ,visible.
4. ,The ,ulcer ,has ,thick ,dark ,eschar ,over ,the ,top. ,- ,CORRECT ,ANSWER-3. ,The
,joint ,capsule ,of ,the ,hip ,is ,visible.
Rationale ,1: ,Undermining ,of ,adjacent ,tissues ,can ,occur ,in ,either ,a ,stage ,III ,or
,stage ,IV ,pressure ,ulcer.
The ,UAP ,reports ,a ,small ,skin ,tear ,on ,the ,clients ,forearm ,that ,occurred ,during ,a
,routine ,turn. ,After ,assessing ,the ,wound ,the ,nurse ,should ,take ,which ,action?
1. ,Obtain ,a ,transparent ,dressing ,for ,the ,UAP ,to ,place ,on ,the ,wound.
2. ,Request ,a ,consultation ,with ,the ,wound ,care ,nurse.
3. ,Cleanse ,the ,wound ,and ,apply ,a ,dressing.
4. ,Tell ,the ,UAP ,to ,reevaluate ,the ,wound ,in ,20 ,minutes. ,- ,CORRECT ,ANSWER-3.
,Cleanse ,the ,wound ,and ,apply ,a ,dressing.
Rationale ,1: ,The ,UAP ,is ,not ,educationally ,prepared ,to ,dress ,the ,wound.
The ,newly ,hired ,nurse ,learns ,that ,the ,facility ,uses ,the ,Braden ,Scale ,for
,Predicting ,Pressure ,Sore ,Risk ,to ,assess ,all ,new ,admissions. ,Before ,using ,this
,scale ,the ,nurse
1. ,should ,receive ,specific ,training.
2. ,must ,be ,certified.
3. ,is ,required ,to ,ask ,the ,clients ,permission.
