NURSING 155 PRACTICE COMPLEX NEXT-GEN
NCLEX QUESTIONS
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. - Answers :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. - Answers :Answer: b) Sloughing and eschar formation.
Explanation: Deep tissue injuries typically manifest as localized areas of discolored skin,
often with sloughing (dead tissue) and eschar (dry, blackened tissue) formation due to
damage to underlying tissue layers.
A client with a traumatic open wound is brought to the emergency department. The
nurse notes that the wound has irregular, jagged edges with tissue loss. This wound is
best described as:
a) A laceration.
b) An abrasion.
c) An incision.
d) An avulsion. - Answers :Answer: a) A laceration.
Explanation: A laceration is a wound caused by a tearing of the skin and underlying
tissues, often resulting in irregular, jagged wound edges.
A client with a pressure ulcer is being treated with a collagenase enzyme ointment.
What is the primary purpose of using this ointment in wound care?
NCLEX QUESTIONS
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. - Answers :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. - Answers :Answer: b) Sloughing and eschar formation.
Explanation: Deep tissue injuries typically manifest as localized areas of discolored skin,
often with sloughing (dead tissue) and eschar (dry, blackened tissue) formation due to
damage to underlying tissue layers.
A client with a traumatic open wound is brought to the emergency department. The
nurse notes that the wound has irregular, jagged edges with tissue loss. This wound is
best described as:
a) A laceration.
b) An abrasion.
c) An incision.
d) An avulsion. - Answers :Answer: a) A laceration.
Explanation: A laceration is a wound caused by a tearing of the skin and underlying
tissues, often resulting in irregular, jagged wound edges.
A client with a pressure ulcer is being treated with a collagenase enzyme ointment.
What is the primary purpose of using this ointment in wound care?
