NUR 155 FOUNDATIONS OF NURSING EXAM 3 REAL EXAM QUESTIONS AND
CORRECT ANSWERS PROVIDED | 2026/2027
1. Which phase of wound healing is characterized by fibroblast activity
and collagen synthesis?
A. Inflammatory phase
B. Hemostasis phase
C. Proliferative phase
D. Maturation phase
ANSWER : C. The proliferative phase involves fibroblast activity, collagen
deposition, and granulation tissue formation.
2. Which phase of wound healing occurs first, immediately after injury?
A. Maturation (remodeling)
B. Proliferative
C. Inflammatory
D. Hemostasis
ANSWER : D. Hemostasis occurs first as vasoconstriction and clot
formation stop bleeding at the injury site.
3. The maturation (remodeling) phase of wound healing can last for
how long after injury?
A. 1 week
B. 3-5 days
C. 24-48 hours
D. Up to 1-2 years
ANSWER : D. The maturation phase involves collagen remodeling and can
continue for up to one to two years.
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,4. A surgical incision that heals with minimal tissue loss and well-
approximated edges heals by:
A. Primary intention
B. Delayed primary intention
C. Tertiary intention
D. Secondary intention
ANSWER : A. Primary intention involves clean, approximated wound edges
(such as a surgical incision) healing with minimal scarring.
5. A pressure injury left open to heal by granulation, contraction, and
epithelialization is healing by:
A. Primary intention
B. Tertiary intention
C. First intention
D. Secondary intention
ANSWER : D. Secondary intention occurs when wound edges are not
approximated, requiring healing from the base upward.
6. A wound that is intentionally left open initially, then closed after a
period of observation, heals by:
A. Tertiary intention (delayed primary closure)
B. Secondary intention
C. Primary intention
D. Spontaneous intention
ANSWER : A. Tertiary intention, or delayed primary closure, is used for
contaminated wounds observed before surgical closure.
7. Serosanguineous wound drainage is best described as:
A. Thick and dark red/maroon
B. Thick, yellow, and purulent
C. Clear and watery only
D. Thin, watery, and pale red/pink
ANSWER : D. Serosanguineous drainage is a mix of serous fluid and small
amounts of blood, giving it a pale pink, watery appearance.
8. Purulent wound drainage suggests:
A. Infection
B. Effective granulation
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, C. Adequate hemostasis
D. Normal early healing
ANSWER : A. Purulent drainage—thick and often yellow, green, or foul-
smelling—is a hallmark sign of wound infection.
9. Which wound dressing type is most appropriate for a wound with
heavy exudate?
A. Dry gauze only
B. Alginate dressing
C. Hydrocolloid dressing on a dry wound
D. Transparent film
ANSWER : B. Alginate dressings are highly absorbent and ideal for wounds
with significant drainage.
10. A transparent film dressing is most appropriate for which type of
wound?
A. A wound with copious purulent drainage
B. A superficial wound with minimal to no drainage
C. An infected wound with necrotic tissue
D. A deep tunneling wound
ANSWER : B. Transparent films allow visualization and are best for
superficial, minimally draining wounds; they are not for heavily draining
wounds.
11. Wound dehiscence is best defined as:
A. Excessive granulation tissue formation
B. Protrusion of internal organs through a wound
C. Partial or complete separation of wound edges
D. Localized wound infection
ANSWER : C. Dehiscence is the separation of the layers of a surgical
wound, often along the suture line.
12. Evisceration is a surgical emergency in which:
A. The dressing becomes saturated with serous drainage
B. Internal organs protrude through the open wound
C. A hematoma forms beneath the incision
D. The wound edges become mildly separated
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CORRECT ANSWERS PROVIDED | 2026/2027
1. Which phase of wound healing is characterized by fibroblast activity
and collagen synthesis?
A. Inflammatory phase
B. Hemostasis phase
C. Proliferative phase
D. Maturation phase
ANSWER : C. The proliferative phase involves fibroblast activity, collagen
deposition, and granulation tissue formation.
2. Which phase of wound healing occurs first, immediately after injury?
A. Maturation (remodeling)
B. Proliferative
C. Inflammatory
D. Hemostasis
ANSWER : D. Hemostasis occurs first as vasoconstriction and clot
formation stop bleeding at the injury site.
3. The maturation (remodeling) phase of wound healing can last for
how long after injury?
A. 1 week
B. 3-5 days
C. 24-48 hours
D. Up to 1-2 years
ANSWER : D. The maturation phase involves collagen remodeling and can
continue for up to one to two years.
Page 1 of 24
,4. A surgical incision that heals with minimal tissue loss and well-
approximated edges heals by:
A. Primary intention
B. Delayed primary intention
C. Tertiary intention
D. Secondary intention
ANSWER : A. Primary intention involves clean, approximated wound edges
(such as a surgical incision) healing with minimal scarring.
5. A pressure injury left open to heal by granulation, contraction, and
epithelialization is healing by:
A. Primary intention
B. Tertiary intention
C. First intention
D. Secondary intention
ANSWER : D. Secondary intention occurs when wound edges are not
approximated, requiring healing from the base upward.
6. A wound that is intentionally left open initially, then closed after a
period of observation, heals by:
A. Tertiary intention (delayed primary closure)
B. Secondary intention
C. Primary intention
D. Spontaneous intention
ANSWER : A. Tertiary intention, or delayed primary closure, is used for
contaminated wounds observed before surgical closure.
7. Serosanguineous wound drainage is best described as:
A. Thick and dark red/maroon
B. Thick, yellow, and purulent
C. Clear and watery only
D. Thin, watery, and pale red/pink
ANSWER : D. Serosanguineous drainage is a mix of serous fluid and small
amounts of blood, giving it a pale pink, watery appearance.
8. Purulent wound drainage suggests:
A. Infection
B. Effective granulation
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, C. Adequate hemostasis
D. Normal early healing
ANSWER : A. Purulent drainage—thick and often yellow, green, or foul-
smelling—is a hallmark sign of wound infection.
9. Which wound dressing type is most appropriate for a wound with
heavy exudate?
A. Dry gauze only
B. Alginate dressing
C. Hydrocolloid dressing on a dry wound
D. Transparent film
ANSWER : B. Alginate dressings are highly absorbent and ideal for wounds
with significant drainage.
10. A transparent film dressing is most appropriate for which type of
wound?
A. A wound with copious purulent drainage
B. A superficial wound with minimal to no drainage
C. An infected wound with necrotic tissue
D. A deep tunneling wound
ANSWER : B. Transparent films allow visualization and are best for
superficial, minimally draining wounds; they are not for heavily draining
wounds.
11. Wound dehiscence is best defined as:
A. Excessive granulation tissue formation
B. Protrusion of internal organs through a wound
C. Partial or complete separation of wound edges
D. Localized wound infection
ANSWER : C. Dehiscence is the separation of the layers of a surgical
wound, often along the suture line.
12. Evisceration is a surgical emergency in which:
A. The dressing becomes saturated with serous drainage
B. Internal organs protrude through the open wound
C. A hematoma forms beneath the incision
D. The wound edges become mildly separated
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