Question 1

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. B

Question 2

Wound disruption is characterized by which of the following symptoms?

Accepted Answer

A)  Bradycardia 
B)  Abnormal discharge and change in the contour of the wound 
C)  Increased bowel gas pressure 
D)  Increased blood pressure 
A)  Bradycardia 
B)  Abnormal discharge and change in the contour of the wound 
C)  Increased bowel gas pressure 
D)  Increased blood pressure B

Question 3

One main cause of wound dehiscence is:

Accepted Answer

A)  obesity. 
B)  wound infection. 
C)  overextended bladder. 
D)  perforated bowel. 
A)  obesity. 
B)  wound infection. 
C)  overextended bladder. 
D)  perforated bowel. B

Question 4

Tissue along the incision reaches its greatest strength in about 7 to 15 days.

Accepted Answer

A) True 
 B)False

Question 5

Never cover the entire incision with a dressing,because the air will keep it dry and prevent bacteria from forming.

Accepted Answer

A) True 
 B)False

Question 6

____ 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 7

Which is one of the four classifications of wounds?

Accepted Answer

A)  Sterile 
B)  Clean 
C)  Aseptic 
D)  Chronic-dirty 
A)  Sterile 
B)  Clean 
C)  Aseptic 
D)  Chronic-dirty

Question 8

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 9

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 10

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

Accepted Answer

A) True 
 B)False

Question 11

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 12

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 13

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 14

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 15

Which is one of the key elements of first-intention closure?

Accepted Answer

A)  Tissue loss 
B)  Separation of wound edges 
C)  Minimal or no postoperative swelling 
D)  Serous discharge 
A)  Tissue loss 
B)  Separation of wound edges 
C)  Minimal or no postoperative swelling 
D)  Serous discharge

Question 16

It is a safe practice to make a longer incision than needed to allow room to retract the necessary organs and vessels to control bleeding.

Accepted Answer

A) True 
 B)False

Question 17

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

Question 18

Which is a condition that may delay wound healing?

Accepted Answer

A)  Gastritis 
B)  Otitis media 
C)  Leukemia 
D)  Sebaceous cyst 
A)  Gastritis 
B)  Otitis media 
C)  Leukemia 
D)  Sebaceous cyst

Question 19

One cause of adhesions is:

Accepted Answer

A)  use of thrombin and gelfoam. 
B)  keloids. 
C)  rough tissue handling. 
D)  surgical towels. 
A)  use of thrombin and gelfoam. 
B)  keloids. 
C)  rough tissue handling. 
D)  surgical towels.

Question 20

The two main skin layers above the subcutaneous layers are called:

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

Exam 29: Wound Healing and Hemostasis

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

Wound disruption is characterized by which of the following symptoms?

One main cause of wound dehiscence is:

Tissue along the incision reaches its greatest strength in about 7 to 15 days.

Never cover the entire incision with a dressing,because the air will keep it dry and prevent bacteria from forming.

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

Which is one of the four classifications of wounds?

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?

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

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

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

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

A drain can enhance wound healing by:

What are the benefits of early ambulation?

Which is one of the key elements of first-intention closure?

It is a safe practice to make a longer incision than needed to allow room to retract the necessary organs and vessels to control bleeding.

Why is a nasogastric tube inserted during an intraabdominal procedure?

Which is a condition that may delay wound healing?

One cause of adhesions is:

The two main skin layers above the subcutaneous layers are called:

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

Gynecologic and Obstetric Surgery

Urologic Surgery

Orthopedic Surgery

Neurosurgery of the Brain and Peripheral Nerves

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