Nursing 155 Practice Complex Next-Gen
NCLEX questions
A nurse is assessing a client's pressure ulcer that shows signs of infection, including
erythema, warmth, and purulent drainage. Which intervention is the nurse's priority in
managing this wound?
a) Continuation of the current wound dressing.
b) Application of a hydrocolloid dressing.
c) Initiation of broad-spectrum antibiotics.
d) Frequent wound cleaning with hydrogen peroxide. - Answer: c) Initiation of broad-
spectrum antibiotics.
Explanation: Signs of infection in a wound, such as erythema, warmth, and purulent
drainage, indicate the presence of microorganisms that may require systemic treatment
with antibiotics to prevent systemic spread.
A client with a diabetic foot ulcer is prescribed a moist wound healing technique. Which
explanation best describes the rationale behind this approach?
a) It prevents bacteria from entering the wound.
b) It promotes the formation of a scab over the wound.
c) It facilitates faster wound closure through epithelialization.
d) It reduces inflammation and pain in the wound. - Answer: c) It facilitates faster wound
closure through epithelialization.
Explanation: Moist wound healing creates an optimal environment for cell migration,
proliferation, and angiogenesis, which promote faster wound closure through the
process of epithelialization. It also reduces the risk of scab formation and promotes
better wound healing outcomes.
A nurse is caring for a client with a suspected deep tissue injury on the sacral area.
What assessment finding is characteristic of this type of wound?
a) Blistering and serous drainage.
b) Sloughing and eschar formation.
c) Red, beefy granulation tissue.
d) Erythema and edema. - Answer: b) Sloughing and eschar formation.
NCLEX questions
A nurse is assessing a client's pressure ulcer that shows signs of infection, including
erythema, warmth, and purulent drainage. Which intervention is the nurse's priority in
managing this wound?
a) Continuation of the current wound dressing.
b) Application of a hydrocolloid dressing.
c) Initiation of broad-spectrum antibiotics.
d) Frequent wound cleaning with hydrogen peroxide. - Answer: c) Initiation of broad-
spectrum antibiotics.
Explanation: Signs of infection in a wound, such as erythema, warmth, and purulent
drainage, indicate the presence of microorganisms that may require systemic treatment
with antibiotics to prevent systemic spread.
A client with a diabetic foot ulcer is prescribed a moist wound healing technique. Which
explanation best describes the rationale behind this approach?
a) It prevents bacteria from entering the wound.
b) It promotes the formation of a scab over the wound.
c) It facilitates faster wound closure through epithelialization.
d) It reduces inflammation and pain in the wound. - Answer: c) It facilitates faster wound
closure through epithelialization.
Explanation: Moist wound healing creates an optimal environment for cell migration,
proliferation, and angiogenesis, which promote faster wound closure through the
process of epithelialization. It also reduces the risk of scab formation and promotes
better wound healing outcomes.
A nurse is caring for a client with a suspected deep tissue injury on the sacral area.
What assessment finding is characteristic of this type of wound?
a) Blistering and serous drainage.
b) Sloughing and eschar formation.
c) Red, beefy granulation tissue.
d) Erythema and edema. - Answer: b) Sloughing and eschar formation.
