Exam 2: NR 224 / NR224 (Latest
Update 2025 / 2026) Fundamentals:
Skills | Questions with Answers | 100% Correct | Grade A – Chamberlain
Question:
What are the three types of drainage in wound assessment?
Answer:
Purulent, serosanguineous, and sanguineous.
Question:
What does purulent drainage indicate?
Answer:
Possible infection.
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Question:
What are the functions of the skin?
Answer:
Protection, sensory perception, vitamin D synthesis, and barrier integrity.
Question:
What components are included in initial and shift-based assessments?
Answer:
Sensory check, mobility assessment, nutrition evaluation, and continence inquiry.
Question:
What should be ensured during the inspection of a patient?
Answer:
A warm, well-lit room with privacy for client comfort and modesty.
Question:
What are the key aspects to assess during palpation of a wound?
Answer:
Temperature, swelling, turgor, and surface characteristics. 2 / 4
Question:
What are the components of a wound-specific assessment?
Answer:
Visual inspection of location, size, depth, healing stage, discharge, and devices in use; interview about cause, changes, treatment, symptoms, and caregiver involvement.
Question:
What are the risk factors for pressure injuries?
Answer:
Impaired mobility, impaired sensory perception, incontinence, poor nutrition, altered consciousness, shear, friction, and moisture.
Question:
Why is early identification of pressure injuries important?
Answer:
It guides preventive care, reduces skin injury, shortens hospital stay, maintains functional status, and decreases healthcare costs.
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Question:
What scale is used to determine the risk of pressure injuries?
Answer:
The Braden Scale.
Question:
What causes medical device-related pressure injuries?
Answer:
Pressure or shear from diagnostic or therapeutic devices.
Question:
Who are high-risk clients for medical device-related pressure injuries?
Answer:
Critically ill individuals.
Question:
What are common sites for medical device-related pressure injuries?
Answer:
Face, head, and ears.
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