NSG 316 exam 1 Solved Correctly Latest Update 2027, Graded A+
Question 1.
Abductive reasoning
Correct Answer: is thinking to determine the best explanation with the
information at hand
Question 2.
Inductive reasoning
Correct Answer: you will use signs and symptoms as a guide. Using logical
reasoning, you will be able to gather the information necessary and use your
previous knowledge to effectively care for patients.
Question 3.
ankle brachial index (ABI)
Correct Answer: screening measure for peripheral artery disease.
Question 4.
4 types of pt data: Complete (Total Health) Database aka comprehensive assessment
Correct Answer: complete health history + full physical (head to toe
assessment) Used for new admissions, baseline assessments, PRIMARY CARE
Question 5.
4 types of data: Focused or Problem-Centered
Correct Answer: limited or short-term problem. Targeted to specific complaint or
system
Question 6.
4 TYPES OF DATA: emergency database
Correct Answer: rapid collection of crucial info and often is compiled with
lifesaving measures Urgent care/ ER
Question 7.
4 types of data: follow-up database
Correct Answer: Reassessing identified problems. What change has occurred? Is
the problem getting better or worse? Which coping strategies are used? Usually
at next Dr. visit
,Question 8.
primary lesions
Correct Answer: immediate result of a specific causative factor; develop on
previously unaltered skin Freckles,moles, patches, mosquito bite, chickenpox
Question 9.
secondary lesions
Correct Answer: When primary lesion changes overtime because of scratching or
infection Scars, ulcers, bullae, pustule
Question 10.
Pressure injuries stage 1
Correct Answer: •Non-blanchable erythema Skin is intact but reddened and does
not blanch (turn light with fingertip pressure)
•Light skin appears pink or reddened
•Dark skin appears darker and also does not blanch
Question 11.
Pressure injury stage 2
Correct Answer: skin loss (partial-thickness); may see a blister or shallow
reddish-pink ulcer; the blister may be intact or open
Question 12.
Pressure injury stage 3
Correct Answer: skin loss (full-thickness); skin gone; may see subcutaneous fat;
slough (dead soft tissue, often moist and varies in color - white, yellow, green,
or tan) may be present; could be attached or stringy loose
Question 13.
Pressure injury stage 4
Correct Answer: full-thickness skin and tissue loss with muscle, tendon, and
bone exposure; slough and eschar (thick, leathery dead tissue that may be loose
or attached to skin); often black or brown
, Question 14.
On assessing your patient's sacral pressure injury you note that the tissue over the sacrum
is dark hard and adherent to the wound edge which stage would be applied to this
patient's pressure in- jury?
A. Stage 2 B. Stage 4 C. Unstageable D. Suspected deep tissue damage
Correct Answer: C. Unstageable- the assessed pressure injury was covered with
necrotic tissue. The depth could not be determined.
Question 15.
Which characteristic would be indicative of abnormal heal- ing of a primary wound?
A. Slough tissue in the wound base.
B. A fruity earthy or a putrid odor
C. A dry or moist granulation tissue bed.
D. Drainage for more than 3 days after closure.
Correct Answer: D. If a primary intention, wound has drained for more than
three days after closure. Everything else are signs of abnormal healing of a
secondary intention wound .
Question 16.
Edema +1
Correct Answer: mild pitting, slight indentation, no perceptible swelling of the
leg
Question 17.
Edema +2
Correct Answer: moderate pitting, indentation subsides rapidly
Question 18.
Edema +3
Correct Answer: deep pitting, indentation remains for a short time, leg looks
swollen
Question 1.
Abductive reasoning
Correct Answer: is thinking to determine the best explanation with the
information at hand
Question 2.
Inductive reasoning
Correct Answer: you will use signs and symptoms as a guide. Using logical
reasoning, you will be able to gather the information necessary and use your
previous knowledge to effectively care for patients.
Question 3.
ankle brachial index (ABI)
Correct Answer: screening measure for peripheral artery disease.
Question 4.
4 types of pt data: Complete (Total Health) Database aka comprehensive assessment
Correct Answer: complete health history + full physical (head to toe
assessment) Used for new admissions, baseline assessments, PRIMARY CARE
Question 5.
4 types of data: Focused or Problem-Centered
Correct Answer: limited or short-term problem. Targeted to specific complaint or
system
Question 6.
4 TYPES OF DATA: emergency database
Correct Answer: rapid collection of crucial info and often is compiled with
lifesaving measures Urgent care/ ER
Question 7.
4 types of data: follow-up database
Correct Answer: Reassessing identified problems. What change has occurred? Is
the problem getting better or worse? Which coping strategies are used? Usually
at next Dr. visit
,Question 8.
primary lesions
Correct Answer: immediate result of a specific causative factor; develop on
previously unaltered skin Freckles,moles, patches, mosquito bite, chickenpox
Question 9.
secondary lesions
Correct Answer: When primary lesion changes overtime because of scratching or
infection Scars, ulcers, bullae, pustule
Question 10.
Pressure injuries stage 1
Correct Answer: •Non-blanchable erythema Skin is intact but reddened and does
not blanch (turn light with fingertip pressure)
•Light skin appears pink or reddened
•Dark skin appears darker and also does not blanch
Question 11.
Pressure injury stage 2
Correct Answer: skin loss (partial-thickness); may see a blister or shallow
reddish-pink ulcer; the blister may be intact or open
Question 12.
Pressure injury stage 3
Correct Answer: skin loss (full-thickness); skin gone; may see subcutaneous fat;
slough (dead soft tissue, often moist and varies in color - white, yellow, green,
or tan) may be present; could be attached or stringy loose
Question 13.
Pressure injury stage 4
Correct Answer: full-thickness skin and tissue loss with muscle, tendon, and
bone exposure; slough and eschar (thick, leathery dead tissue that may be loose
or attached to skin); often black or brown
, Question 14.
On assessing your patient's sacral pressure injury you note that the tissue over the sacrum
is dark hard and adherent to the wound edge which stage would be applied to this
patient's pressure in- jury?
A. Stage 2 B. Stage 4 C. Unstageable D. Suspected deep tissue damage
Correct Answer: C. Unstageable- the assessed pressure injury was covered with
necrotic tissue. The depth could not be determined.
Question 15.
Which characteristic would be indicative of abnormal heal- ing of a primary wound?
A. Slough tissue in the wound base.
B. A fruity earthy or a putrid odor
C. A dry or moist granulation tissue bed.
D. Drainage for more than 3 days after closure.
Correct Answer: D. If a primary intention, wound has drained for more than
three days after closure. Everything else are signs of abnormal healing of a
secondary intention wound .
Question 16.
Edema +1
Correct Answer: mild pitting, slight indentation, no perceptible swelling of the
leg
Question 17.
Edema +2
Correct Answer: moderate pitting, indentation subsides rapidly
Question 18.
Edema +3
Correct Answer: deep pitting, indentation remains for a short time, leg looks
swollen
