Tissue Integrity NSG 100 Exam 3 Practice

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• Which infection control measure reduces wound infection risk in healthcare settings?
• Which pain management strategy is appropriate during dressing changes?
• Which practice is essential during wound irrigation and cleansing?
• Which stage is associated with exposure of bone, tendon, or muscle?
• Which nutritional factor supports wound healing?
• What is the difference between dehiscence and evisceration?
• Which statement correctly distinguishes wound dehiscence from evisceration and describes initial nursing management?
• When should cultures be considered to guide antibiotic therapy?
• Which of the following are key prevention strategies to reduce the risk of pressure injuries in at-risk patients?
• Using Parkland formula, a 70 kg patient with 30% TBSA burns should receive how many milliliters in the first 8 hours?
• When should wound cultures be obtained during infection assessment?
• What are the steps for cleansing a wound prior to dressing application and why is gentle cleansing important?
• Which interventions can promote healing in a non-granulating wound?
• Which factor is a risk factor for skin cancer development?
• Which type of ulcer is typically associated with poor venous return and edema?
• Which statement is NOT a primary function of the skin?
• Which sign indicates wound infection to monitor at home?
• In the Rule of Nines used to estimate total body surface area burned in adults, which percentage represents the anterior trunk?
• What is a potential drawback of silver-containing dressings?
• Which practice helps prevent cross-contamination during wound care?
• Which sequence lists the four phases of wound healing in order?
• How do skin changes in older adults affect injury risk?
• Alginate dressings are derived from what source, and when should they be avoided?
• What is the difference between a macule and a papule?
• Distinguish necrotic tissue, slough, and granulation tissue and explain how each affects wound healing management.
• Which sign indicates an overly wet wound with peri-wound maceration?
• Which healing outcome corresponds to healing by granulation tissue with tissue loss left open?
• What is a key effect of systemic corticosteroids on skin and wound healing?
• Which term describes the partial or total separation of wound edges?
• A wound described as having no granulation tissue is best described as which?
• When is the risk of hemorrhage highest after surgery?
• What is the clinical significance of granulation tissue?
• What is a typical management sequence for a venous leg ulcer, including compression therapy?
• Which combination represents common signs of a wound infection?
• Dressing changes should be timed based on which factors?
• Which dressing may provide antimicrobial effect but requires caution with sensitivities in infected wounds?
• During wound evaluation, which descriptor of the surrounding skin is most commonly considered?
• Which feature is typical of arterial insufficiency ulcers?
• What is the primary purpose of negative pressure wound therapy?
• Which closure method is commonly used for rapid closure or larger wounds and typically removed around 7–14 days?
• What is the primary clinical consideration when choosing secondary over primary healing?
• What are the two main skin cancers besides melanoma?
• What is the Braden Scale and what is it used for in tissue integrity?
• Partial-thickness wounds heal primarily by which process?
• Which elements are typically assessed during a wound evaluation?
• Which of the following is a key risk factor for diabetic foot ulcers?
• Which professionals might be included in an interprofessional wound care team?
• Which term describes a raised skin lesion?
• What defines an unstageable pressure injury?
• Donor site care in skin grafting includes which intervention?
• Which skin condition is characterized by thick, itchy, scaly patches?
• Name the Parkland formula and when it is used?
• Which sign most strongly indicates systemic infection in a wound?
• What defines an unstageable pressure injury?
• Which item is NOT typically documented in a standard wound assessment?
• Which dressing is most appropriate for a highly exudative wound?
• What actions should be taken if dehiscence or evisceration occurs after surgery?
• Which debridement method relies on the body's own enzymes and moisture to liquefy dead tissue?
• What is essential in care for diabetic foot ulcers?
• Delayed primary closure refers to which healing type?
• List key signs of wound infection, including localized and systemic indicators.
• Which statement about smoking and wound healing is true?
• What is the primary nursing intervention to prevent pressure injuries in immobile patients?
• What hormonal skin changes are common during pregnancy?
• Which statement best describes epithelialization in wound healing?
• Describe the key characteristics of Stage I–IV pressure injuries, including unstageable and suspected deep tissue injury.
• Breathable film dressings are typically chosen for which scenario?
• Which combination of conditions increases risk of skin breakdown?
• Which dressing characteristic minimizes pain during removal?
• What describes a Deep Tissue Injury (DTI)?
• Which of the following are common clinical signs of a wound infection?
• Which of the following is NOT a risk factor for skin cancer?
• Which nutrients are most critical for wound healing and why?
• Which dressing type is typically used for highly exudating wounds?
• When selecting dressings, which statement is true regarding hydrocolloid and hydrofiber dressings?
• Which statement about the subcutaneous layer is true?
• Which sign indicates peripheral vascular disease that may delay wound healing?
• How does protein-energy malnutrition affect wound healing?
• Which option is NOT a main category of infectious skin disorders?
• Which form of skin cancer is considered the most serious?
• What are essential components of burn wound management to prevent infection and promote healing?
• Which statement best describes arterial ulcers in contrast to venous ulcers in terms of location and appearance?
• Which of the following is NOT a common factor delaying wound healing?
• What is the primary function of melanin in the epidermis?
• What are the non-pharmacologic treatments for skin disorders?
• Which of the following describes venous ulcers?
• Which statement accurately reflects nutrition essential for wound healing and protein intake?
• What term describes healing where wound edges are approximated after a short delay?
• Which sign is a red flag indicating a wound is not healing and requires medical evaluation?
• Which strategy reduces pain during dressing changes?
• What are the primary functions of the subcutaneous layer?
• Which nurse action supports prevention and early detection of skin cancer?
• What does a lower Braden Scale score indicate?
• Which type of wound healing occurs when a wound is left open and heals from the inside out?
• Which nutrient is most closely linked to collagen synthesis and wound healing?
• Which healing type is also referred to as delayed primary closure?
• Which feature may be present in deeper pressure injuries such as stage 3 or 4?
• Sterile technique is indicated for which dressing change?
• What is the Braden Scale, what score indicates high risk, and what factors are assessed?
• Which phase of wound healing is characterized by clot formation to stop bleeding?
• What best describes negative pressure wound therapy (NPWT) and common contraindications?
• During wound assessment, how should undermining be documented?
• Why is maintaining a moist wound environment after cleansing beneficial?
• Which statement characterizes primary intention wound healing?
• What is the role of the interprofessional team in wound care?
• Which term describes a flat skin lesion?
• Partial-thickness wounds differ from full-thickness wounds in tissue involvement and typical healing by primary or secondary intention. Which option accurately describes these differences?
• Name the four main wound debridement methods and a typical indication for each.
• Which laboratory value is commonly used as a nutritional indicator for wound healing potential?
• The Braden Scale assesses risk for pressure injuries and includes which factor?
• Which skin changes are commonly observed during pregnancy?
• Which of the following statements correctly matches common wound dressings to their primary indication?
• Cellulitis is best described as which of the following?
• Which management priorities are most important when caring for a diabetic foot ulcer to promote healing and prevent amputation?
• Which sign indicates poor tissue perfusion around a wound?
• Explain how moisture balance affects wound healing and name signs of an overly dry vs overly wet wound.
• What is tertiary intention (delayed primary) healing?
• Define undermining and tunneling in wound assessment and describe how to document using the clock method.
• Which dressing is best for moderate to heavy exudate?
• In wounds healing by secondary intention, healing occurs from which source?
• What are typical signs of infection in chronic versus acute wounds?
• Which element is NOT typically included in a comprehensive wound assessment documentation?
• Which statement best describes how malnutrition affects wound healing in older adults?
• Which sign most strongly indicates a wound infection?
• Which topical wound therapy may pose thyroid concerns?
• Which statement describes signs that most strongly suggest infection in a wound?
• Which type of wound carries a higher risk of infection?
• Which intervention helps reduce edema to support wound healing?
• What is the purpose of measuring depth with a sterile probe?
• Negative Pressure Wound Therapy (NPWT) indication includes complex wounds with high exudate, necrotic tissue, or swelling. Which scenario would be an indication?
• Which dressing type is most appropriate for moist healing of non-infected wounds?
• Which nursing consideration is essential during wound dressing changes to prevent infection and tissue damage?
• Differentiate arterial and venous ulcers regarding etiology, location, appearance, and typical symptoms.
• Staples are commonly removed within how many days?
• Identify three major risk factors for pressure injuries in hospitalized patients.
• Sutures are typically removed within which timeframe?
• Which six factors are assessed by the Braden Scale to determine pressure injury risk?
• Which statement about the dermis is true?
• When documenting a wound, what information should be included?
• Which statement best describes primary versus secondary intention healing?
• Which debridement method uses topical enzymes to selectively digest nonviable tissue?
• Which of the following is NOT typically part of a thorough wound assessment?
• Which element is essential when documenting a wound assessment?
• Which type is used for a clean wound closed with sutures?
• Which tests are commonly used to assess arterial insufficiency in a limb with a wound?
• Primary skin lesions are original skin changes; secondary lesions develop from changes to primary lesions. Which option best captures this distinction?
• List key strategies for turning and repositioning to prevent pressure ulcers.
• Which dressing provides a minimal exudate environment while allowing visualization of the wound bed?
• What is the primary purpose of wound dressings?
• What topics are essential for patient education when wound care is performed at home after discharge?
• Colonization vs infection difference and antibiotic therapy.
• Which of the following is a red flag indicating a wound not healing requires medical evaluation?
• In wound assessment, which statement about tunneling and undermining is correct, and how is their depth documented?
• Aging skin is at higher risk for which complication in wound care?
• Which dressing is most appropriate for high-exudate wounds?
• In wound healing, which type is most likely to require a longer hospital stay due to slower closure?
• Which of the following strategies helps prevent skin breakdown in patients with incontinence or heavy drainage?
• What is necrotic tissue, and which dressings or methods facilitate its removal?
• Which topics are appropriate for home care education to minimize wound complications?
• Which statement about primary skin lesions is true?
• Which option is NOT a factor included in the Braden Scale assessment?
• Which factor is commonly associated with delayed wound healing?
• A wound that extends to muscle or bone is classified as which type?
• What distinguishes intentional wounds from unintentional wounds?
• The skin's exposure to sunlight stimulates the production of which nutrient?
• Newborns are at higher risk for heat loss because?
• Which sign indicates dehydration that could impair wound healing?
• Which scenarios require sterile technique versus clean technique and when should sterile fields be used?
• Which healing type is typically associated with the fastest healing and least scar when a clean wound is closed with sutures immediately?
• Which phase of wound healing occurs immediately after injury?
• What is the purpose of wound cultures?
• What are the three main categories of infectious skin disorders?
• What occurs during the hemostasis phase of wound healing?
• Which statement correctly differentiates Stage 3 from Stage 4 pressure injuries?
• Which practice supports skin integrity in older adults to prevent tissue injury?
• Which statement correctly identifies the three primary phases of wound healing and a key process in each phase?
• Which healing type is commonly chosen when infection risk is high and the wound is left open to be closed later?
• Which sign in wound drainage most suggests infection?
• Which topical wound care agent is cytotoxic to healthy tissue and should be used sparingly?
• How does the skin regulate body temperature?
• When measuring a wound using the clock-method, which statements are correct about length, width, and depth documentation?
• Partial-thickness wounds are defined as involving which structures?
• What is the function of vernix caseosa in newborns?
• Which healing type occurs when tissue loss and the wound heals by filling with granulation tissue and scar?
• Which of the following is NOT a factor assessed by the Braden Scale?
• Which of the following statements about zinc and vitamin C in wound healing is accurate?
• List four debridement methods and provide a primary indication for each.
• Which term describes a wound bed that shows new granulation tissue and absence of necrosis?
• When documenting wound dimensions, which option correctly describes depth recording and additional data?
• What are the approximate RDAs for zinc and vitamin C as referenced for wound healing?
• What is non-blanchable erythema?
• Define autolytic debridement and list the ideal wound conditions for its use.
• Which is essential to include in post-discharge wound care education?
• State the Parkland formula for estimating fluid resuscitation in burn patients and the administration timing.
• Which of the following is not a Braden Scale category?
• Which condition describes the partial or complete separation of wound layers?
• Which healing type often results in the most scar formation and longest healing time?
• Which item is NOT typically included in comprehensive wound assessment documentation?
• Using the clock method, which positions correspond to the wound length?
• Which statement correctly differentiates serous, serosanguineous, sanguineous, and purulent drainage?
• Negative Pressure Wound Therapy (NPWT) is best described as a vacuum-assisted closure that applies negative pressure to a wound to remove exudate and promote granulation. It is indicated for complex wounds with high exudate, necrotic tissue, or swelling.
• What is the purpose of the PUSH scale?
• Which statement best describes secondary intention healing?
• How do slough and eschar differ?
• Eschar is typically which color?
• Which is an example of a chronic wound?
• The Braden Scale categories and scoring: which option correctly lists the six domains used to assess risk?
• Which mechanism best explains how smoking delays wound healing?
• How do you differentiate granulation tissue from necrotic tissue by appearance and consistency during wound assessment?
• Which pathogens commonly cause cellulitis?
• In wound care management, which professionals are commonly involved?
• What is the immediate nursing action for an evisceration?
• How does wound colonization differ from infection, and what are the implications for care?
• Why is early recognition of melanoma important?
• In patients with darker skin tones, which areas are typically examined to assess jaundice or poor oxygenation?
• Which of the following is a prevention strategy for moisture-associated skin damage?
• Which structure is NOT located in the dermis?
• What are skin tears in older adults?
• In wound management, which condition would contraindicate applying compression therapy for a venous ulcer?
• What is the difference between shearing and friction?
• Which type of skin cancer is most common and typically slower-growing in fair-skinned individuals?
• During which phase does granulation tissue form, angiogenesis, and epithelialization occur?
• Where are sweat glands located?
• Which age-related skin changes increase injury risk and how should care be adjusted?
• In pediatric burn assessment, which statement is true?
• Which description matches Stage 3 pressure injury?
• Which statement correctly differentiates granulation tissue from epithelialization in wound healing?
• One of the main roles of wound dressings is to maintain moisture and act as a barrier against bacteria.
• Which healing type involves healing from the inside of the wound outward, with granulation tissue forming a bed before epithelialization occurs?
• Partial-thickness wounds involve which skin layers?
• Which statement describes a Stage 1 pressure injury?
• How is Stage 1 pressure injury described, particularly in dark-skinned patients?
• Which description best matches serous drainage from a wound?
• What are the four phases of wound healing?
• During the initial management of suspected wound evisceration, what is the recommended patient position and intervention?
• Slough tissue is typically which color?
• Which clock positions define the wound width in the clock method?
• A small surgical incision is cleanly closed with sutures shortly after injury.
• Which description defines a suspected deep tissue injury (DTI) and its initial management?
• In melanoma detection using the ABCDE rule, what does the 'D' stand for?
• Describe stage 2, stage 3, and stage 4 pressure injuries in terms of tissue involvement and depth.
• Which statement correctly defines a clean wound?
• Which is a systemic sign of wound infection?
• Which healing type typically involves extensive wound care, including regular dressing changes and monitoring for infection?
• Name three early indicators of wound infection that nursing staff should monitor.
• Under what circumstances is duplex ultrasound used in arterial assessment?
• What is the recommended frequency for repositioning patients to prevent pressure injuries?
• Which drainage color is typically pink and indicates mixed serous and blood content?
• Which healing type is characterized by edges that are left unsutured and the wound gradually fills with granulation tissue?
• Which tissues are typically involved in full-thickness wounds?
• What is the primary goal of the proliferation phase?
• Which serum marker and value indicates potential malnutrition related to wound healing?
• In tertiary (delayed primary) intention healing, how long is the wound typically left open before closure?