Question 1

What is the most important condition to promote wound healing?

Accepted Answer

A) Stop smoking 
B) Young age 
C) Nutritional status 
D) Oxygenation of tissue 
A) Stop smoking 
B) Young age 
C) Nutritional status 
D) Oxygenation of tissue D

Question 2

Wound disruption is characterized by which of the following symptoms?

Accepted Answer

A) Bradycardia 
B) Abnormal opening and exposure of the wound 
C) Increased bowel gas pressure 
D) Increased blood pressure 
A) Bradycardia 
B) Abnormal opening and exposure of the wound 
C) Increased bowel gas pressure 
D) Increased blood pressure B

Question 3

Radiopaque sponges are not to be used as part of the dressing.

Accepted Answer

A) True 
 B)False  True

Question 4

What term defines an overgrowth of firm,rounded scar that extends beyond the border of the wound?

Accepted Answer

A) Keloid 
B) Hairy skin 
C) Seroma 
D) Hematoma 
A) Keloid 
B) Hairy skin 
C) Seroma 
D) Hematoma

Question 5

Which is one of the three components of a three-layer dressing?

Accepted Answer

A) Small layer 
B) Constrictive layer 
C) Pressure layer 
D) Outer layer 
A) Small layer 
B) Constrictive layer 
C) Pressure layer 
D) Outer layer

Question 6

What type of wound occurs after a dirty object penetrates skin and requires debridement of devitalized tissue?

Accepted Answer

A) Closed wound 
B) Complicated wound 
C) Contaminated wound 
D) Simple wound 
A) Closed wound 
B) Complicated wound 
C) Contaminated wound 
D) Simple wound

Question 7

What type of dressing facilitates new tissue growth and is commonly used on burn wounds?

Accepted Answer

A) Wet-to-wet 
B) Wet-to-dry 
C) Silicone 
D) Dry sterile 
A) Wet-to-wet 
B) Wet-to-dry 
C) Silicone 
D) Dry sterile

Question 8

A drain can enhance wound healing by

Accepted Answer

A) preventing infection. 
B) increasing wound dead space. 
C) increasing seroma formation. 
D) preventing tissue devitalization. 
A) preventing infection. 
B) increasing wound dead space. 
C) increasing seroma formation. 
D) preventing tissue devitalization.

Question 9

All tissues should be handled gently for complete hemostasis during the surgical procedure.

Accepted Answer

A) True 
 B)False

Question 10

Which is an external mechanical method of hemostasis used in the OR setting?

Accepted Answer

A) Sequential compression device (SC
D)  
B) Sclerotherapy 
C) Thrombin 
D) Oxytocin 
A) Sequential compression device (SC
D)  
B) Sclerotherapy 
C) Thrombin 
D) Oxytocin

Question 11

Which layers of skin are cut into during the initial skin incision?

Accepted Answer

A) Glabrous and hairy 
B) Epidermis and dermis 
C) Fascia and epidermis 
D) Adipose and fascia 
A) Glabrous and hairy 
B) Epidermis and dermis 
C) Fascia and epidermis 
D) Adipose and fascia

Question 12

What are the benefits of early ambulation?

Accepted Answer

A) Increased gas pain 
B) Improved circulation 
C) Increased gastroparesis 
D) Decreased wound pain 
A) Increased gas pain 
B) Improved circulation 
C) Increased gastroparesis 
D) Decreased wound pain

Question 13

Which is a preventive measure that should be followed to reduce postoperative wound infections?

Accepted Answer

A) Do not operate on infected patients. 
B) Control exogenous infections. 
C) Decrease number of air exchanges in the OR suite. 
D) Increase turnover rate of cleaning OR suites in between cases. 
A) Do not operate on infected patients. 
B) Control exogenous infections. 
C) Decrease number of air exchanges in the OR suite. 
D) Increase turnover rate of cleaning OR suites in between cases.

Question 14

What influences the ease in which a skin incision is made?

Accepted Answer

A) Type of knife handle 
B) The type of surgery 
C) Toughness of skin or scar tissue 
D) Excess tension on the skin or wound 
A) Type of knife handle 
B) The type of surgery 
C) Toughness of skin or scar tissue 
D) Excess tension on the skin or wound

Question 15

In what type of wound healing is the wound left open and allowed to heal from the inner toward the outer surface?

Accepted Answer

A) Third intention 
B) First intention 
C) Second intention 
D) Non-intention 
A) Third intention 
B) First intention 
C) Second intention 
D) Non-intention

Question 16

What type of wound healing is present when the wound is cleaned and debrided,antibiotic therapy is initiated,and a deeper and wider scar results?

Accepted Answer

A) Second intention 
B) First intention 
C) Third intention 
D) Non-intention 
A) Second intention 
B) First intention 
C) Third intention 
D) Non-intention

Question 17

___________ is characterized by swelling between fascial layers in any plane of the body.

Accepted Answer

A) Incisional infection 
B) Compartment syndrome 
C) Necrotizing fasciitis 
D) Keloid 
A) Incisional infection 
B) Compartment syndrome 
C) Necrotizing fasciitis 
D) Keloid

Question 18

Which is an example of a chronic wound?

Accepted Answer

A) A wound with no local infection 
B) Separation of wound edges 
C) Minimal postoperative swelling 
D) Ulcer or pressure sore 
A) A wound with no local infection 
B) Separation of wound edges 
C) Minimal postoperative swelling 
D) Ulcer or pressure sore

Question 19

An elevated leukocyte level (white blood cell count)indicates the presence of infection.

Accepted Answer

A) True 
 B)False

Question 20

Why is a nasogastric tube inserted during an intraabdominal procedure?

Accepted Answer

A) To insert tube feeding contents 
B) To insert air into esophagus 
C) To aspirate stomach contents 
D) To cauterize bleeding in stomach 
A) To insert tube feeding contents 
B) To insert air into esophagus 
C) To aspirate stomach contents 
D) To cauterize bleeding in stomach

Exam 29: Wound Healing and Hemostasis

What is the most important condition to promote wound healing?

Wound disruption is characterized by which of the following symptoms?

Radiopaque sponges are not to be used as part of the dressing.

What term defines an overgrowth of firm,rounded scar that extends beyond the border of the wound?

Which is one of the three components of a three-layer dressing?

What type of wound occurs after a dirty object penetrates skin and requires debridement of devitalized tissue?

What type of dressing facilitates new tissue growth and is commonly used on burn wounds?

A drain can enhance wound healing by

All tissues should be handled gently for complete hemostasis during the surgical procedure.

Which is an external mechanical method of hemostasis used in the OR setting?

Which layers of skin are cut into during the initial skin incision?

What are the benefits of early ambulation?

Which is a preventive measure that should be followed to reduce postoperative wound infections?

What influences the ease in which a skin incision is made?

In what type of wound healing is the wound left open and allowed to heal from the inner toward the outer surface?

What type of wound healing is present when the wound is cleaned and debrided,antibiotic therapy is initiated,and a deeper and wider scar results?

___________ is characterized by swelling between fascial layers in any plane of the body.

Which is an example of a chronic wound?

An elevated leukocyte level (white blood cell count)indicates the presence of infection.

Why is a nasogastric tube inserted during an intraabdominal procedure?

Perioperative Education

Foundations of Perioperative Patient Care Standards

Legal, regulatory, and Ethical Issues

The Perioperative Patient Care Team and Professional Credentialing

The Surgical First Assistant

Administration of Perioperative Patient Care Services

The Patient: the Reason for Your Existence

Perioperative Pediatrics

Perioperative Geriatrics

Physical Facilities

Ambulatory Surgery Centers and Alternative Surgical Locations

Care of the Perioperative Environment

Potential Sources of Injury to the Caregiver and the Patient

Surgical Microbiology and Antimicrobial Therapy

Principles of Aseptic and Sterile Techniques

Appropriate Attire, Surgical Hand Hygiene, and Gowning and Gloving

Decontamination and Disinfection

Sterilization

Surgical Instrumentation

Specialized Surgical Equipment

Preoperative Preparation of the Patient

Diagnostics, specimens, and Oncologic Considerations

Surgical Pharmacology

Anesthesia: Techniques and Agents

Coordinated Roles of the Scrub Person and the Circulating Nurse

Positioning,prepping,and Draping the Patient

Physiologic Maintenance and Monitoring of the Perioperative Patient

Surgical Incisions implants and Wound Closure

Postoperative Patient Care

Potential Perioperative Complications

Endoscopy and Robotic-Assisted Surgery

General Surgery

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Urologic Surgery

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