Practice Question
The nurse is admitting an older patient from a nursing home to the medical surgical unit. During the physical examination, the nurse observes a shallow open reddish, pink wound bed without slough on the patient's buttocks (see below). How will the nurse stage this pressure injury?
Answer Choices:
Correct Answer:
Stage II
Rationale:
✅ Shallow open wound with a pink/red wound bed indicates partial-thickness skin loss, consistent with Stage II.
✅ No slough or eschar is present, differentiating from Stage III or IV.
✅ Epidermis and dermis are partially damaged but not full-thickness.
✅ Stage I involves only non-blanchable erythema, which is not case here.
✅ Early identification prevents progression to deeper tissue injury.
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This question is from Nur3317 PathoPharm Exam 2 which contains 79 questions.
More Questions from This Exam
A patient with type 2 diabetes is admitted for an outpatient coronary arteriogram. Which information obtained by the nurse is most important to report to the health care provider before the procedure?
Answer Choices:
A. The patients most recent Hb A1C was 6.5%.
B. The patient’s admission blood glucose is 128 mg/dl.
C. The patient took the prescribed metformin today.
D. The patient took me prescribed captopril this morning.
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Answer Choices:
A. IV morphine sulfate 6 mg
B. Fentanyl 2 mg IV
C. Oral ibuprofen 800 mg
D. Oral acetaminophen 650 mg
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Answer Choices:
A. Pruritis
B. Dark colored urine
C. Chest pain
D. Light clay colored stool
E. High fever
The patient with a thoracic aorta aneurysm describes the classic symptoms of this disorder to the nurse. How did the patient describe the symptoms?
Answer Choices:
A. deep diffuse chest pain radiating to interscapular area
B. intense substernal pressure with a tearing feeling
C. numbness and tingling in the left arm
D. no complaints verbalized
A patient who has received chemotherapy has a critically low platelet count. The nurse expects Which drug or drug class to be used to stimulate platelet cell production?
Answer Choices:
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Pathophysiology
- Answer Choices: 4