104 ADVANCED NURSING 2 EXAM QUESTIONS AND ANSWERS #4
Sra Robb has a deep cut to her thigh that is taking some time to heal. The doctor
examine the wound and stated the wound fails to proceed through an orderly and timely
process to produce anatomical and functional integrity. This type of wound is classified
as ________.
A) Tertiary Intention
B) Acute
C) Secondary Intention
D) Chronic - correct answerd) Chronic
Pg. 174
The physician initiated a Primary Intention to promote healing on A1C Johnson's arm.
This type of wound management is best for wound edges that are __________.
A) Severely lacerated
B) Approximated
C) Not Approximated
D) Contaminated - correct answerb) Approximated
Pg. 175
AMN Todd has a pressure ulcer on his right leg. After examining the wound, the
physician stated the wound edges are not closed and should be left open until it
becomes filled by scar tissue. This is an example of a __________.
A) STAT order
B) Primary Intention
C) Secondary Intention
D) Medical Suggestion - correct answerc) Secondary Intention
Pg. 175
A ________ is a disruption of the integrity and function of tissues in the body. - correct
answerwound or injury
Pg. 174
__________ are the only distinctive cell types in the dermis and are responsible for
collagen formation. - correct answerfibroblasts
Pg. 177
,There are many ways to classify wounds. A(n) _______ wound is a wound that
proceeds through an orderly and timely reparative process and results in sustained
restoration of anatomical and functional integrity.
A) Primary Intention
B) Secondary Intention
C) Acute
D) Chronic - correct answerc) Acute
Pg. 174
There are ___ phases involved in the healing process of full-thickness wounds. - correct
answer4
During this healing process phase, mast cells secrete histamine, initiating vasodilation
of surrounding capillaries and movement of serum and white blood cells to the damaged
tissues.
A) Inflammatory Phase
B) Maturation
C) Hemostasis
D) Proliferative Phase - correct answera) Inflammatory Phase
Pg. 178
AB Jackson has a surgical incision to her abdomen. The wound edges are clean and
intact. This type of wound is classified as _________.
A) Primary Intention
B) Secondary Intention
C) Acute
D) Chronic - correct answerc) Acute
Pg. 174
Medical Technician Chavez was assisting a nurse with administering an IV catheter
when it suddenly became dislodged, which resulted in IV fluid inadvertently entering the
subcutaneous tissue around the site. What type of complication is this?
A) Phlebitis
B) Infection
C) Extravasation
D) Infiltration - correct answerd) Infiltration
Pg. 234
, Scar tissue usually contains fewer _______ which leads to a lighter color than normal
skin.
A) Fibroblast
B) Macrophage
C) Melanocytes
D) Blood vessel - correct answerc) Melanocytes
Pg. 179
Smsgt Moss had a surgical procedure for a ruptured appendix. The Doctor had left the
wound open for several days. This is ________
A) typical for clean surgical incisions with little tissue loss
B) intentionally left open for drainage
C) left open until it becomes filled by scar tissue
D) a medical malpractice - correct answerb) intentionally left open for drainage
Pg. 175
Sgt Kilmer has a puncture wound that is starting to heal and reconstruct itself. New
blood vessels is starting to appear through angiogenesis. This is known as the _____
healing process.
A) Inflammatory Phase
B) Maturation
C) Hemostasis
D) Proliferative Phase - correct answerd) Proliferative Phase
Pg. 179
_______ wounds are caused by vascular compromise or chronic inflammation.
Continued exposure to the vascular compromise or chronic inflammation will impede
healing of the wound.
A) Tertiary Intention
B) Acute
C) Secondary Intention
D) Chronic - correct answerd) Chronic
Pg. 174
The main activities during the Proliferative Phase are the filling of the wound with
granulation tissue, contraction of the wound, and the resurfacing of the wound. How
long will this phase last? - correct answer3 to 24 days
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