NUR 2392 Multidimensional Care 1 Final Exam
QUESTIONS AND CORRECT ANSWERS |
NEWEST 2025
What is primary intention wound healing? - ANSWER Wound edges are well-
approximated.
Place in order the wound healing process. - ANSWER Hemostasis ->
Inflammation -> Proliferate -> Maturation
T/F: Serous-sanguinous drainage is blood mixed with pus. - ANSWER False.
What is sometimes common to see in evisceration? - ANSWER Fistulas, total
separation of the wound, caused by IAP (increased abdominal pressure)
What is a partial-thickness wound with loss of epidermis and some dermis? -
ANSWER Stage 2
What is a full-thickness wound with loss of skin and visible subcutaneous tissue? -
ANSWER Stage 3
What is a full-thickness wound with loss of the skin and visible bone and
undermining? - ANSWER Stage 4
What is a wound that has more than 75% of the wound bed covered? -
ANSWER Unstageable
, The Braden Scale includes sensory, moisture, activity, and _________________? -
ANSWER Mobility, nutrition, and friction/shear
What are some interventions to reduce the risk for skin injury? - ANSWER
Elevate the bed no greater than 30-degrees; offload and reposition; control and
inspect skin daily; encourage intake of protein, calories, minerals, and fluids.
T/F: The wound assessment should include location, size, color, wound base,
drainage, edges, and peri-wound skin. - ANSWER True.
What is an ABI (ankle-brachial index) test? - ANSWER Determines the atrial
flow, determines inadequate blood flow, determines delayed healing.
T/F: Hand washing is the best way to prevent infection. - ANSWER True.
How much PSI is needed for proper wound irrigation? - ANSWER 35-70 PSI
What is an example of a laceration? - ANSWER Skin tear
What is an example of a portal of entry? - ANSWER Blood
T/F: Virulence is the power of the pathogen to cause disease. - ANSWER True.
T/F: Standard precaution should be used for all the patients. - ANSWER True.
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