2) Questions and All Correct Answers
2025-2026 Updated.
Which physiologic effect of aging is associated with slowed wound healing among the older
adult population? - Answer reduced collagen synthesis
The nurse is caring for a client who has developed facial swelling related to a hypersensitivity
reaction to a medication. Which of these substances does the nurse recognize is implicated in
causing this type of reaction? - Answer Histamine
The rehabilitation nurse is caring for a client who is recovering from a cerebrovascular accident
(CVA) with hemiplegia. The family asks the nurse if the paralysis will be permanent. Upon which
of these physiologic rationales should the nurse base the response? - Answer It is likely that
paralysis is permanent, as nerve cells do not normally regenerate.
The nurse is assessing a client with an injury. The nurse recognizes that in the vascular phase of
acute inflammation, vasodilation contributes to which assessment finding? - Answer heat
and redness
The nurse is assessing a client with diabetes and notes an area on the client's right foot as
inflamed, necrotic, and eroded. The client states he accidentally slammed his foot in a door 2
weeks ago. The nurse would document this finding as a(n): - Answer Ulceration
When assessing a client's incision, the nurse notes that the edges of the once approximated
incision has begun to pull apart. The nurse documents that the client's incision has: - Answer
Dehisced
During the acute inflammatory response, there is a period called the transient phase where
there is increased vascular permeability. What is considered the principal mediator of the
immediate transient phase? - Answer Histamine
Which body response to an acute inflammation will the nurse assess if the client is experiencing
a systemic response? - Answer Fever and tachycardia
The nurse would identify the presence of granulation tissue at a wound site by which
, any redness or drainage. The nurse would document the healing process as: - Answer
Primary intention
When caring for a postoperative client, in order to promote wound healing, which of these
nutrients does the nurse encourage the client to consume? - Answer Vitamin C
The cardinal signs of inflammation include swelling, pain, redness, and heat. What is the fifth
cardinal sign of inflammation? - Answer Loss of function
Which child has the highest risk of experiencing a wound complication? - Answer Child
recently been diagnosed with type 2 diabetes
During a lecture on inflammation, the physiology instructor discusses the major cellular
components involved in the inflammation response. The instructor asks, "Which cells arrive
early in great numbers?" Which student response is correct? - Answer Neutrophils
If a client has a bacterial infection in the blood, the nurse will note which laboratory value that
correlates with this? - Answer Increased neutrophils
While the nurse is performing a skin assessment on a dark-skinned client, the nurse notes that
the client has a healed wound on the leg but that the wound has an excess of scar tissue. The
nurse documents this as: - Answer keloid
The nurse is assessing a client with an injury. The nurse recognizes that in the vascular phase of
acute inflammation, vasodilation contributes to which assessment finding? - Answer heat
and redness
The nurse is selecting a dressing for a vascular wound that has a dry wound surface. The most
appropriate dressing for this wound is one that: - Answer adds moisture to wound bed.
Following surgery for appendicitis, a teenaged client notes four small "stab" wounds on the
abdomen. The client is obviously worried about body appearance. The nurse explains, "Your
body will heal quickly and tissue repair will allow for regeneration of any cells needed." The
client asks, "What does regeneration mean?" The nurse responds that tissue repair by
regeneration means: - Answer "Any injured cells are replaced with cells of the same type.
Therefore, after healing, the wound will look like your surrounding skin."