The nurse clarifies that the second stage of wound healing is:
Proliferation
Maturation
Inflammation
Remodeling
The Correct Answer is A
Choice A rationale
The second stage of wound healing is proliferation, which occurs after the initial hemostasis phase. During proliferation, the wound begins to be rebuilt with new, healthy granulation tissue. This tissue is rich in collagen, which forms a foundation for new tissue growth. Capillaries grow across the wound, bringing oxygen and nutrients that are essential for healing. New skin cells begin to form over this granulation tissue, which is a critical component of the healing process.
Choice B rationale
Maturation is the third and final stage of wound healing. It follows the proliferation stage and involves the remodeling of collagen, which strengthens the tissue and restores its normal function. During maturation, the new tissue slowly gains strength and flexibility. Here, the collagen fibers reorganize, the tissue remodels and contracts, and the healed wound becomes more resilient. This stage can take a long time, sometimes up to a year or more, depending on the wound’s severity and the patient’s overall health.
Choice C rationale
Inflammation is indeed the second stage of wound healing. It is a natural part of the healing process and involves controlling bleeding, preventing infection, and enabling the migration of healing cells to the wound area.
Choice D rationale
Remodeling is the last stage of wound healing, not the second. It occurs after the wound has closed and involves the long-term strengthening and formation of scar tissue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale
Keeping the skin and surrounding tissue clean and dry helps prevent infection, which is crucial for proper wound healing. A clean environment is less likely to harbor bacteria that can cause complications.
Choice B rationale
Proper nutrition, particularly adequate protein and vitamins, provides the necessary building blocks for tissue repair and supports the immune system, which is essential for healing.
Choice C rationale
Resting and minimizing movement of the incisional area help prevent further injury and allow the body’s resources to focus on the healing process.
Choice D rationale
While fluid intake is important, 4000 mL per day may be excessive unless specifically recommended for the patient’s condition. Overhydration can be harmful.
Choice E rationale
Exercise and deep breathing increase blood flow and oxygenation to tissues, which are vital for healing. Oxygen is needed for cellular functions that repair tissue.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale
Inspecting the plug and cord for cracks or fraying is essential to prevent electrical hazards and ensure the safety of both the patient and healthcare staff.
Choice B rationale
Securing the pad to the patient helps to maintain the correct position and prevent burns or other injuries from improper pad placement.
Choice C rationale
Instructing the patient not to sleep on the pad is important because prolonged, direct contact with the heat source can cause burns, especially if the patient is immobile or has sensory deficits.
Choice D rationale
Assisting the patient to lie on top of the pad is not recommended as it can lead to burns due to increased temperature exposure in one area.
Choice E rationale
Using a thermometer to check the temperature of the pad ensures that it is within a safe range for application to the patient's skin, preventing burns.

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