NUR 265 Exam 2 Med-Surg 2026/2027 GCN: Complete Test Bank with
200+ Actual Questions, Verified Answers & Detailed Rationales –
Covers Cardio, Respiratory, Endocrine, GI , Renal, Heme– Plus
Prioritization, Delegation, Pharmacology, Fluid/Electrolytes, Acid-Base,
Perioperative Care, Shock States, and Infectious Diseases – Every
Answer Explained with NCLEX-Style Clinical Reasoning | A+
Guaranteed Pass
Question 1
The four phases of wound healing in order are:
A) Inflammation, Hemostasis, Proliferation, Remodeling
B) Hemostasis, Inflammation, Proliferation, Remodeling
C) Proliferation, Hemostasis, Inflammation, Remodeling
D) Remodeling, Inflammation, Hemostasis, Proliferation
Answer: B
Rationale: The four phases of wound healing are: 1) Hemostasis (clotting and growth factors are
released), 2) Inflammation (vasodilatation, increased perfusion, chemotaxis), 3) Proliferation
(vascular tissue restored, granulation tissue fills deficit), and 4) Remodeling (collagen fibers
strengthen).
Question 2
During the inflammation phase of wound healing, what occurs?
A) Clotting and growth factors are released
B) Vasodilatation, increased perfusion, chemotaxis, and cellular activity
C) Vascular tissue is restored and granulation tissue fills the deficit
D) Collagen fibers strengthen
Answer: B
Rationale: During inflammation, vasodilatation occurs with increased perfusion and capillary
permeability (causing redness), chemotaxis and cellular activity (neutrophils attack bacteria,
platelets migrate to the wound site, macrophages eat debris).
,Question 3
During the proliferation phase of wound healing, what occurs?
A) Clotting and growth factors are released
B) Vasodilatation and increased perfusion
C) Vascular tissue restored and granulation tissue fills the deficit
D) Collagen fibers strengthen
Answer: C
Rationale: During proliferation, vascular tissue is restored and granulation tissue fills the deficit.
Fibroblasts make new collagen, and there is high oxygen demand.
Question 4
During the remodeling phase of wound healing, what occurs?
A) Clotting and growth factors are released
B) Vasodilatation and increased perfusion
C) Vascular tissue restored and granulation tissue fills the deficit
D) Collagen fibers strengthen
Answer: D
Rationale: During remodeling, collagen fibers strengthen. This phase can last up to 2 years, and
the tissue only ever reaches 80% of its original strength.
Question 5
Wound healing is regulated by which of the following?
A) Chemokines, cytokines, growth factors, and proteases
B) Only growth factors
C) Only cytokines
D) Only chemokines
Answer: A
Rationale: Wound healing is regulated by chemokines, cytokines, growth factors, and proteases.
These chemical messengers coordinate the complex healing process.
,Question 6
Arterial insufficiency refers to:
A) Slow or stop of blood flow through the arteries
B) Leaky valves allowing buildup of pressure in veins
C) Swelling of an extremity due to obstructed lymph channels
D) Inflammation of the blood vessels
Answer: A
Rationale: Arterial insufficiency is the slow or complete stop of blood flow through the arteries.
This leads to poor tissue perfusion and impaired wound healing.
Question 7
Venous hypertension refers to:
A) Slow or stop of blood flow through the arteries
B) Leaky valves allowing buildup of pressure in veins
C) Swelling of an extremity due to obstructed lymph channels
D) Inflammation of the blood vessels
Answer: B
Rationale: Venous hypertension occurs when leaky valves allow buildup of pressure in veins.
This leads to venous stasis and venous ulcers.
Question 8
Lymphedema is best described as:
A) Slow or stop of blood flow through the arteries
B) Leaky valves allowing buildup of pressure in veins
C) Swelling of an extremity due to obstructed lymph channels
D) Inflammation of the blood vessels
Answer: C
Rationale: Lymphedema is swelling of an extremity due to obstructed lymph channels. It is
characterized by nonpitting edema.
, Question 9
Arterial ulcers are caused by:
A) Venous insufficiency
B) Decreased blood flow through arteries
C) Pressure on bony areas
D) Bacterial infection
Answer: B
Rationale: An arterial ulcer is a wound that won't heal due to decreased blood flow. It is
typically painful, has well-defined borders, and is located on the distal extremities.
Question 10
Pressure ulcers occur primarily on:
A) Muscular areas
B) Bony areas due to pressure, friction, or shear
C) Areas with good circulation
D) Areas protected by adipose tissue
Answer: B
Rationale: Pressure ulcers occur on bony areas due to pressure, friction, or shear. These areas
are most susceptible to tissue ischemia and breakdown.
Question 11
Claudication is best described as:
A) A wound that won't heal due to decreased blood flow
B) Limping due to muscle pain from inadequate blood supply
C) Tissue necrosis associated with infection
D) Inflammation of the blood vessels
Answer: B
Rationale: Claudication is limping caused by muscle pain from inadequate blood supply. It is a
classic symptom of peripheral arterial disease.
200+ Actual Questions, Verified Answers & Detailed Rationales –
Covers Cardio, Respiratory, Endocrine, GI , Renal, Heme– Plus
Prioritization, Delegation, Pharmacology, Fluid/Electrolytes, Acid-Base,
Perioperative Care, Shock States, and Infectious Diseases – Every
Answer Explained with NCLEX-Style Clinical Reasoning | A+
Guaranteed Pass
Question 1
The four phases of wound healing in order are:
A) Inflammation, Hemostasis, Proliferation, Remodeling
B) Hemostasis, Inflammation, Proliferation, Remodeling
C) Proliferation, Hemostasis, Inflammation, Remodeling
D) Remodeling, Inflammation, Hemostasis, Proliferation
Answer: B
Rationale: The four phases of wound healing are: 1) Hemostasis (clotting and growth factors are
released), 2) Inflammation (vasodilatation, increased perfusion, chemotaxis), 3) Proliferation
(vascular tissue restored, granulation tissue fills deficit), and 4) Remodeling (collagen fibers
strengthen).
Question 2
During the inflammation phase of wound healing, what occurs?
A) Clotting and growth factors are released
B) Vasodilatation, increased perfusion, chemotaxis, and cellular activity
C) Vascular tissue is restored and granulation tissue fills the deficit
D) Collagen fibers strengthen
Answer: B
Rationale: During inflammation, vasodilatation occurs with increased perfusion and capillary
permeability (causing redness), chemotaxis and cellular activity (neutrophils attack bacteria,
platelets migrate to the wound site, macrophages eat debris).
,Question 3
During the proliferation phase of wound healing, what occurs?
A) Clotting and growth factors are released
B) Vasodilatation and increased perfusion
C) Vascular tissue restored and granulation tissue fills the deficit
D) Collagen fibers strengthen
Answer: C
Rationale: During proliferation, vascular tissue is restored and granulation tissue fills the deficit.
Fibroblasts make new collagen, and there is high oxygen demand.
Question 4
During the remodeling phase of wound healing, what occurs?
A) Clotting and growth factors are released
B) Vasodilatation and increased perfusion
C) Vascular tissue restored and granulation tissue fills the deficit
D) Collagen fibers strengthen
Answer: D
Rationale: During remodeling, collagen fibers strengthen. This phase can last up to 2 years, and
the tissue only ever reaches 80% of its original strength.
Question 5
Wound healing is regulated by which of the following?
A) Chemokines, cytokines, growth factors, and proteases
B) Only growth factors
C) Only cytokines
D) Only chemokines
Answer: A
Rationale: Wound healing is regulated by chemokines, cytokines, growth factors, and proteases.
These chemical messengers coordinate the complex healing process.
,Question 6
Arterial insufficiency refers to:
A) Slow or stop of blood flow through the arteries
B) Leaky valves allowing buildup of pressure in veins
C) Swelling of an extremity due to obstructed lymph channels
D) Inflammation of the blood vessels
Answer: A
Rationale: Arterial insufficiency is the slow or complete stop of blood flow through the arteries.
This leads to poor tissue perfusion and impaired wound healing.
Question 7
Venous hypertension refers to:
A) Slow or stop of blood flow through the arteries
B) Leaky valves allowing buildup of pressure in veins
C) Swelling of an extremity due to obstructed lymph channels
D) Inflammation of the blood vessels
Answer: B
Rationale: Venous hypertension occurs when leaky valves allow buildup of pressure in veins.
This leads to venous stasis and venous ulcers.
Question 8
Lymphedema is best described as:
A) Slow or stop of blood flow through the arteries
B) Leaky valves allowing buildup of pressure in veins
C) Swelling of an extremity due to obstructed lymph channels
D) Inflammation of the blood vessels
Answer: C
Rationale: Lymphedema is swelling of an extremity due to obstructed lymph channels. It is
characterized by nonpitting edema.
, Question 9
Arterial ulcers are caused by:
A) Venous insufficiency
B) Decreased blood flow through arteries
C) Pressure on bony areas
D) Bacterial infection
Answer: B
Rationale: An arterial ulcer is a wound that won't heal due to decreased blood flow. It is
typically painful, has well-defined borders, and is located on the distal extremities.
Question 10
Pressure ulcers occur primarily on:
A) Muscular areas
B) Bony areas due to pressure, friction, or shear
C) Areas with good circulation
D) Areas protected by adipose tissue
Answer: B
Rationale: Pressure ulcers occur on bony areas due to pressure, friction, or shear. These areas
are most susceptible to tissue ischemia and breakdown.
Question 11
Claudication is best described as:
A) A wound that won't heal due to decreased blood flow
B) Limping due to muscle pain from inadequate blood supply
C) Tissue necrosis associated with infection
D) Inflammation of the blood vessels
Answer: B
Rationale: Claudication is limping caused by muscle pain from inadequate blood supply. It is a
classic symptom of peripheral arterial disease.
