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Examen

N3280 Test 2 Exam 2025 Questions and Answers

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N3280 Test 2 Exam 2025 Questions and Answers ___ is responsible for the ability to absorb sun rays and skin pigment - ANS melanin ___ is a mineral that is found in any food that is orange and is the structure for skin cells - ANS carotene What are the 4 phases of wound healing? - ANS 1. hemostasis 2. inflammatory 3. proliferation 4. maturation During the ___ phase of wound healing, blood clotting begins, exudate is formed, and swelling and pain occur - ANS hemostasis The ___ phase of wound healing lasts 2-3 days, WBC moves to wound, and a mild fever and pain will be present - ANS inflammatory The ___ phase of wound healing lasts several weeks and new tissue is built into wound space - ANS proliferation The ___ phase of wound healing can last between 21 days and 2 years and occurs once the wound has closed - ANS Maturation Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED. ___ = removal of moisture ___ = excess moisture - ANS desiccation; maceration ___ discharge in a wound is cloudy and results from the accumulation of neutrophils - ANS purulent ___ is a wound complication where there's separation of wound margins and poking out of insides - ANS Dehiscence and evisceration What are the 4 most common places for a pressure ulcer? - ANS occipital, sacrum, coccyx, and back of heels What are the factors affecting pressure injury development? - ANS External pressure - Bony prominence Friction - Two surfaces rub together Shear - One layer of tissue slides over another The ___ is used to assess a patient's risk for a pressure injury using their sensory perception, moisture, activity, mobility, nutrition, and friction - ANS Braden skin score Less than a ___ on the Braden skin score is considered high risk - ANS 18 ___ is the degrading of tissue under the edge - ANS undermining If a patient presents with non-blanchable erythema of intact skin and skin is fully intact, what stage pressure ulcer is that? - ANS Stage 1 Pg. 3 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED. If a patient presents with a slightly broken top layer of skin and the underneath is pink, red, and moist what stage pressure injury is that? - ANS Stage 2 If a patient presents with a pressure injury that extends to subcutaneous fat layer and has slough/eschar present, what stage is that? - ANS Stage 3 If a patient presents with a pressure injury that exposes part of the muscle and has slough/eschar present, what stage is that? - ANS Stage 4 If a patient has a pressure injury where full thickness skin and tissue loss which the extent of tissue damage with ulcer cannot be confirmed due to being obscured by slough or eschar, what stage is that? - ANS Unstageable True or false: When cleaning a pressure injury you should use new gauze for each wipe and clean from top to bottom and/or from the center to outside - ANS True ___ wound drainage is clear plasma and doesn't contain blood - ANS Serous ___ wound drainage looks like pus and contains dead neutrophils due to an infection - ANS purulent ___ wound drainage may have some transparency but looks pink due to the presence of some RBCs - ANS Serosanguineous ___ wound drainage cannot be seen through and is dark red - ANS Sanguineous ___ drain is a flexible tube that lets fluid drain from a surgical site and is considered a ___ drainage system - AN

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Institución
N3280
Grado
N3280

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Subido en
22 de mayo de 2025
Número de páginas
23
Escrito en
2024/2025
Tipo
Examen
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N3280 Test 2 Exam 2025 Questions and
Answers




___ is responsible for the ability to absorb sun rays and skin pigment - ANS melanin


___ is a mineral that is found in any food that is orange and is the structure for skin cells -
ANS carotene



What are the 4 phases of wound healing? - ANS 1. hemostasis
2. inflammatory
3. proliferation
4. maturation


During the ___ phase of wound healing, blood clotting begins, exudate is formed, and swelling
and pain occur - ANS hemostasis


The ___ phase of wound healing lasts 2-3 days, WBC moves to wound, and a mild fever and
pain will be present - ANS inflammatory


The ___ phase of wound healing lasts several weeks and new tissue is built into wound space -
ANS proliferation


The ___ phase of wound healing can last between 21 days and 2 years and occurs once the
wound has closed - ANS Maturation


Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.

,___ = removal of moisture

___ = excess moisture - ANS desiccation; maceration


___ discharge in a wound is cloudy and results from the accumulation of neutrophils -
ANS purulent


___ is a wound complication where there's separation of wound margins and poking out of
insides - ANS Dehiscence and evisceration



What are the 4 most common places for a pressure ulcer? - ANS occipital, sacrum, coccyx,
and back of heels



What are the factors affecting pressure injury development? - ANS External pressure - Bony
prominence
Friction - Two surfaces rub together
Shear - One layer of tissue slides over another


The ___ is used to assess a patient's risk for a pressure injury using their sensory perception,
moisture, activity, mobility, nutrition, and friction - ANS Braden skin score



Less than a ___ on the Braden skin score is considered high risk - ANS 18



___ is the degrading of tissue under the edge - ANS undermining


If a patient presents with non-blanchable erythema of intact skin and skin is fully intact, what
stage pressure ulcer is that? - ANS Stage 1




Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.

, If a patient presents with a slightly broken top layer of skin and the underneath is pink, red, and
moist what stage pressure injury is that? - ANS Stage 2


If a patient presents with a pressure injury that extends to subcutaneous fat layer and has
slough/eschar present, what stage is that? - ANS Stage 3


If a patient presents with a pressure injury that exposes part of the muscle and has
slough/eschar present, what stage is that? - ANS Stage 4


If a patient has a pressure injury where full thickness skin and tissue loss which the extent of
tissue damage with ulcer cannot be confirmed due to being obscured by slough or eschar, what
stage is that? - ANS Unstageable


True or false: When cleaning a pressure injury you should use new gauze for each wipe and
clean from top to bottom and/or from the center to outside - ANS True



___ wound drainage is clear plasma and doesn't contain blood - ANS Serous


___ wound drainage looks like pus and contains dead neutrophils due to an infection -
ANS purulent


___ wound drainage may have some transparency but looks pink due to the presence of some
RBCs - ANS Serosanguineous



___ wound drainage cannot be seen through and is dark red - ANS Sanguineous


___ drain is a flexible tube that lets fluid drain from a surgical site and is considered a ___
drainage system - ANS Penrose; open




Pg. 3 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
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