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NSG300 Exam 2 Questions and 100% Correct Answers | Clinical Nursing
Exam | Intermediate Nursing Concepts | Test Prep With Verified Solutions |
New Update 2026/2027 | Graded A+.
Which area is MOST important for the nurse to observe for sacral ulcers?
A. Distal tips of the toes
B. Lower abdominal folds
C. Heels and ankles
D. Thighs and calves - ANSWER-C.
Rationale:
Pressure ulcers typically occur over bony prominences such as the heels, ankles,
back of head, and sacral area
Which criteria does the Braden scale evaluate?
A. Skin integrity at bony prominences, including any wounds
B. Risk factors that place the patient at risk of pressure injury
C. Amount of repositioning that the patient can tolerate
D. The factors that place patient at risk for poor wound healing -
ANSWER-B.
Rationale:
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The Braden scale is a widely used tool for risk assessment of pressure injury
development and is composed of six subscales
Which terms are used to describe deteriorated skin related to prolonged, unrelieved
pressure on a body part? (SELECT ALL THAT APPLY)
A. Skin tag
B. Bedsore
C. Skin wound
D. Pressure sore
E. Pressure ulcer
F. Decubitus ulcer - ANSWER-B, D, E, F
The nurse finds that a wound is in the proliferative phase of healing. Which
changes led them to this conclusion? (SELECT ALL THAT APPLY)
A. The wound is filled with granulation tissue
B. There is localized redness, edema, warmth, and throbbing
C. The wound contracts to reduce the area that requires healing
D. There is vasodilation of surrounding capillaries and exudation of serum
E. There is re-epithelialization of the wound surface -
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ANSWER-A, C, E
Rationale:
Granulation is an indication of new cell growth. The wound contracts to reduce the
area that requires healing. Epithelial cells resurface wounds
What are the six subscales that are used in the Braden scale? - ANSWER-
Moisture
Sensory perception
Activity
Mobility
Nutrition
Friction/shear
Which findings are characteristic of a stage 3 pressure injury?
(SELECT ALL THAT APPLY)
A. Full-thickness skin loss
B. Subcutaneous fat may be visible
C. The wound presents as an open, serum-filled blister
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D. There may be a reddish-pink wound bed without slough
E. The bone, tendon, and muscle are not exposed - ANSWER-A, B, E
When assessing a pressure injury, you note that the tissue over the wound is dark,
hard, and adherent to the wound edge. Which stage would be applied to this
pressure injury?
A. Stage 3
B. Stage 4
C. Unstageable
D. Deep tissue injury - ANSWER-C.
Rationale:
A depth cannot be determined when the injury is covered in necrotic tissue
-A.
Which statement is true about the urinary bladder?
A. The fixed base of the bladder is the detrusor
B. The urinary bladder lies behind the pelvic floor muscles
C. The urinary bladder rests against the rectum in both men and women
D. The low pressure in the bladder during filling prevents back flow of urine into
the ureters - ANSWER-D.
NSG300 Exam 2 Questions and 100% Correct Answers | Clinical Nursing
Exam | Intermediate Nursing Concepts | Test Prep With Verified Solutions |
New Update 2026/2027 | Graded A+.
Which area is MOST important for the nurse to observe for sacral ulcers?
A. Distal tips of the toes
B. Lower abdominal folds
C. Heels and ankles
D. Thighs and calves - ANSWER-C.
Rationale:
Pressure ulcers typically occur over bony prominences such as the heels, ankles,
back of head, and sacral area
Which criteria does the Braden scale evaluate?
A. Skin integrity at bony prominences, including any wounds
B. Risk factors that place the patient at risk of pressure injury
C. Amount of repositioning that the patient can tolerate
D. The factors that place patient at risk for poor wound healing -
ANSWER-B.
Rationale:
,2 | Page
The Braden scale is a widely used tool for risk assessment of pressure injury
development and is composed of six subscales
Which terms are used to describe deteriorated skin related to prolonged, unrelieved
pressure on a body part? (SELECT ALL THAT APPLY)
A. Skin tag
B. Bedsore
C. Skin wound
D. Pressure sore
E. Pressure ulcer
F. Decubitus ulcer - ANSWER-B, D, E, F
The nurse finds that a wound is in the proliferative phase of healing. Which
changes led them to this conclusion? (SELECT ALL THAT APPLY)
A. The wound is filled with granulation tissue
B. There is localized redness, edema, warmth, and throbbing
C. The wound contracts to reduce the area that requires healing
D. There is vasodilation of surrounding capillaries and exudation of serum
E. There is re-epithelialization of the wound surface -
,3 | Page
ANSWER-A, C, E
Rationale:
Granulation is an indication of new cell growth. The wound contracts to reduce the
area that requires healing. Epithelial cells resurface wounds
What are the six subscales that are used in the Braden scale? - ANSWER-
Moisture
Sensory perception
Activity
Mobility
Nutrition
Friction/shear
Which findings are characteristic of a stage 3 pressure injury?
(SELECT ALL THAT APPLY)
A. Full-thickness skin loss
B. Subcutaneous fat may be visible
C. The wound presents as an open, serum-filled blister
, 4 | Page
D. There may be a reddish-pink wound bed without slough
E. The bone, tendon, and muscle are not exposed - ANSWER-A, B, E
When assessing a pressure injury, you note that the tissue over the wound is dark,
hard, and adherent to the wound edge. Which stage would be applied to this
pressure injury?
A. Stage 3
B. Stage 4
C. Unstageable
D. Deep tissue injury - ANSWER-C.
Rationale:
A depth cannot be determined when the injury is covered in necrotic tissue
-A.
Which statement is true about the urinary bladder?
A. The fixed base of the bladder is the detrusor
B. The urinary bladder lies behind the pelvic floor muscles
C. The urinary bladder rests against the rectum in both men and women
D. The low pressure in the bladder during filling prevents back flow of urine into
the ureters - ANSWER-D.
