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Skin Integrity & Wound Care - NCLEX Style Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A nurse is assessing a patient with a surgical incision. Which finding is most concerning?

• Pink granulation tissue

✔✔B. Purulent drainage

• Mild redness around edges
• Scab formation at the wound site

A stage 1 pressure injury is best identified by which of the following?✔✔A. Non-blanchable redness on intact skin

• Open blister with clear fluid
• Deep tissue loss with eschar
• Yellow drainage with foul odor

Which dressing would be most appropriate for a heavily exudating wound?

• Transparent film
• Hydrocolloid 1 / 3

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✔✔C. Foam dressing

• Dry sterile gauze

Which of the following increases a patient's risk for pressure ulcers?

• Ambulation twice daily

✔✔B. Incontinence and immobility

• Healthy diet and fluid intake
• Using an air mattress

Which intervention is most important to promote wound healing?

• Daily wound irrigation with saline

✔✔B. Maintaining a moist wound environment

• Exposing wound to air
• Covering wound with dry gauze only

What type of wound healing occurs when surgical edges are closed with sutures?

• Secondary intention
• Tertiary intention 2 / 3

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✔✔C. Primary intention

• Open intention

A nurse notes a black, leathery area in the sacral region. What is the appropriate term?

• Slough
• Granulation tissue

✔✔C. Eschar

• Erythema

Which nutritional supplement is most important for wound healing?

• Vitamin K

✔✔B. Protein

• Iron
• Magnesium

A nurse is caring for a patient with a wound emitting yellow-green drainage and a foul odor.What should the nurse suspect?

• Good healing process
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