Question 1

The nurse instructing a patient about the effects of diabetes mellitus informs the patient that diabetes mellitus:

Accepted Answer

A)  improves overall tissue perfusion. 
B)  promotes release of oxygen to tissues. 
C)  causes hemoglobin to have a greater affinity for oxygen. 
D)  causes hemoglobin to have a decreased affinity for oxygen. 
A)  improves overall tissue perfusion. 
B)  promotes release of oxygen to tissues. 
C)  causes hemoglobin to have a greater affinity for oxygen. 
D)  causes hemoglobin to have a decreased affinity for oxygen. C

Question 2

When preparing to remove a dressing,the nurse should don __________ gloves.

Accepted Answer

clean
To remove a dressing,clean gloves are appropriate.

Question 3

When the nurse discovers that the gauze dressing has adhered to the wound,the nurse should:

Accepted Answer

A)  call the RN. 
B)  gently remove the gauze with sterile forceps. 
C)  cover with occlusive dressing. 
D)  moisten the dressing with sterile water. 
A)  call the RN. 
B)  gently remove the gauze with sterile forceps. 
C)  cover with occlusive dressing. 
D)  moisten the dressing with sterile water. D

Question 4

The nurse is removing every other staple from a surgical wound,which has been closed with 15 staples.If the wound begins to separate after removal of 3 of the 15 staples,the nurse should:

Accepted Answer

A)  remove 7 more alternate staples and securely tape with Steri-Strips. 
B)  cover with moist dressing and apply a binder. 
C)  continue to remove staples as ordered because this is an expected outcome. 
D)  leave the 12 staples in place and record the separation. 
A)  remove 7 more alternate staples and securely tape with Steri-Strips. 
B)  cover with moist dressing and apply a binder. 
C)  continue to remove staples as ordered because this is an expected outcome. 
D)  leave the 12 staples in place and record the separation.

Question 5

The nurse caring for a patient with a surgical wound promotes healing by:

Accepted Answer

A)  offering fluids every 4 hours. 
B)  encouraging the consumption of large meals. 
C)  encouraging up to 1000 mL of daily fluid intake. 
D)  encouraging the consumption of small frequent meals. 
A)  offering fluids every 4 hours. 
B)  encouraging the consumption of large meals. 
C)  encouraging up to 1000 mL of daily fluid intake. 
D)  encouraging the consumption of small frequent meals.

Question 6

The nurse informs a patient that a wet-to-dry dressing is applied wet and allowed to dry.This drying process causes it to adhere to the wound,which when removed results in:

Accepted Answer

A)  destruction of tissue. 
B)  bleeding. 
C)  mechanical debridement. 
D)  prevention of infection. 
A)  destruction of tissue. 
B)  bleeding. 
C)  mechanical debridement. 
D)  prevention of infection.

Question 7

The nurse assessing a patient's wound notes thick,yellow drainage.The nurse documents this finding as:

Accepted Answer

A)  serous drainage. 
B)  purulent drainage. 
C)  sanguineous drainage. 
D)  serosanguineous drainage. 
A)  serous drainage. 
B)  purulent drainage. 
C)  sanguineous drainage. 
D)  serosanguineous drainage.

Question 8

The nurse instructs the patient in home wound irrigation to hold the hand-held showerhead approximately ______ inches from the wound .

Accepted Answer

A)  2.5 
B)  6 
C)  12 
D)  18 
A)  2.5 
B)  6 
C)  12 
D)  18

Question 9

The nurse is assisting a patient to a sitting position when the patient suddenly complains of feeling that his surgical incision has separated.The nurse recognizes this as an indication of:

Accepted Answer

A)  cellulitis. 
B)  dehiscence. 
C)  evisceration. 
D)  extravasation. 
A)  cellulitis. 
B)  dehiscence. 
C)  evisceration. 
D)  extravasation.

Question 10

A transparent dressing has which advantages? (Select all that apply.)

Accepted Answer

A)  Adheres to undamaged skin 
B)  Contains the exudate 
C)  Reduces wound contamination 
D)  Serves as a barrier to external bacteria 
E)  Speeds epithelial growth 
A)  Adheres to undamaged skin 
B)  Contains the exudate 
C)  Reduces wound contamination 
D)  Serves as a barrier to external bacteria 
E)  Speeds epithelial growth

Question 11

The nurse assessing a patient's wound notes pale red watery drainage.The nurse documents this finding as:

Accepted Answer

A)  serous drainage. 
B)  purulent drainage. 
C)  sanguineous drainage. 
D)  serosanguineous drainage. 
A)  serous drainage. 
B)  purulent drainage. 
C)  sanguineous drainage. 
D)  serosanguineous drainage.

Question 12

The nurse assessing a patient's wound notes a clear watery drainage.The nurse documents this finding as:

Accepted Answer

A)  serous drainage. 
B)  purulent drainage. 
C)  sanguineous drainage. 
D)  serosanguineous drainage. 
A)  serous drainage. 
B)  purulent drainage. 
C)  sanguineous drainage. 
D)  serosanguineous drainage.

Question 13

Primary intention has a marked advantage over other phases of wound healing because:

Accepted Answer

A)  healing is rapid. 
B)  healing rarely becomes infected. 
C)  minimal scarring results. 
D)  healing is painless. 
A)  healing is rapid. 
B)  healing rarely becomes infected. 
C)  minimal scarring results. 
D)  healing is painless.

Question 14

The Centers for Disease Control (CDC)classifies wounds according to the amount of contamination.An uninfected surgical wound with less than a 5% chance of becoming infected postoperatively is classified as a:

Accepted Answer

A)  dirty wound. 
B)  clean-contaminated wound. 
C)  contaminated wound. 
D)  clean wound. 
A)  dirty wound. 
B)  clean-contaminated wound. 
C)  contaminated wound. 
D)  clean wound.

Question 15

The nurse instructs a patient who has a drain in a surgical wound that the wound will heal by:

Accepted Answer

A)  primary intention. 
B)  secondary intention. 
C)  tertiary intention. 
D)  deliberate intention. 
A)  primary intention. 
B)  secondary intention. 
C)  tertiary intention. 
D)  deliberate intention.

Question 16

To assist the postoperative patient to cough,the nurse:

Accepted Answer

A)  supports the patient's back. 
B)  offers an antitussive. 
C)  splints the abdomen with a pillow. 
D)  leans patient against the bedside table. 
A)  supports the patient's back. 
B)  offers an antitussive. 
C)  splints the abdomen with a pillow. 
D)  leans patient against the bedside table.

Question 17

The nurse encourages a patient recovering from a hysterectomy to drink at least _______ mL of fluid a day.

Accepted Answer

2000
two thousand
A recovering

Question 18

The nurse assures a patient that the purple,raised,immature scar of his surgical wound is normal and caused by _______ formation.

Accepted Answer

collagen
Collagen fo

Question 19

Because the physician has not ordered a dressing change for a draining wound,the nurse should assess the amount of drainage by:

Accepted Answer

A)  weighing the patient to estimate the weight of the saturated dressing. 
B)  reinforcing the dressing. 
C)  circling and dating the outline of the exudate on the dressing. 
D)  counting each dressing as 1 mL of drainage. 
A)  weighing the patient to estimate the weight of the saturated dressing. 
B)  reinforcing the dressing. 
C)  circling and dating the outline of the exudate on the dressing. 
D)  counting each dressing as 1 mL of drainage.

Question 20

The day following surgery,the nurse notes bloody drainage on the dressing.The nurse will record this drainage as:

Accepted Answer

A)  serosanguineous. 
B)  sanguineous. 
C)  serous. 
D)  purulent. 
A)  serosanguineous. 
B)  sanguineous. 
C)  serous. 
D)  purulent.

Exam 13: Surgical Wound Care

The nurse instructing a patient about the effects of diabetes mellitus informs the patient that diabetes mellitus:

When preparing to remove a dressing,the nurse should don __________ gloves.

When the nurse discovers that the gauze dressing has adhered to the wound,the nurse should:

The nurse is removing every other staple from a surgical wound,which has been closed with 15 staples.If the wound begins to separate after removal of 3 of the 15 staples,the nurse should:

The nurse caring for a patient with a surgical wound promotes healing by:

The nurse informs a patient that a wet-to-dry dressing is applied wet and allowed to dry.This drying process causes it to adhere to the wound,which when removed results in:

The nurse assessing a patient's wound notes thick,yellow drainage.The nurse documents this finding as:

The nurse instructs the patient in home wound irrigation to hold the hand-held showerhead approximately ______ inches from the wound .

The nurse is assisting a patient to a sitting position when the patient suddenly complains of feeling that his surgical incision has separated.The nurse recognizes this as an indication of:

A transparent dressing has which advantages? (Select all that apply.)

The nurse assessing a patient's wound notes pale red watery drainage.The nurse documents this finding as:

The nurse assessing a patient's wound notes a clear watery drainage.The nurse documents this finding as:

Primary intention has a marked advantage over other phases of wound healing because:

The Centers for Disease Control (CDC)classifies wounds according to the amount of contamination.An uninfected surgical wound with less than a 5% chance of becoming infected postoperatively is classified as a:

The nurse instructs a patient who has a drain in a surgical wound that the wound will heal by:

To assist the postoperative patient to cough,the nurse:

The nurse encourages a patient recovering from a hysterectomy to drink at least _______ mL of fluid a day.

The nurse assures a patient that the purple,raised,immature scar of his surgical wound is normal and caused by _______ formation.

Because the physician has not ordered a dressing change for a draining wound,the nurse should assess the amount of drainage by:

The day following surgery,the nurse notes bloody drainage on the dressing.The nurse will record this drainage as:

the Evolution of Nursing

Legal and Ethical Aspects of Nursing

Communication

Vital Signs

Physical Assessment

Nursing Process and Critical Thinking

Documentation

Cultural and Ethnic Considerations

Life Span Development

Loss, grief , dying, and Death

Admission, Transfer, and Discharge

Medical-Surgical Asepsis and Infection Prevention and Control

Safety

Body Mechanics and Patient Mobility

Pain Management, Comfort, Rest, and Sleep

Complementary and Alternative Therapies

Hygiene and Care of the Patient’s Environment

Specimen Collection and Diagnostic Examination

Selected Nursing Skills

Basic Nutrition and Nutrition Therapy

Fluids and Electrolytes

Mathematics Review and Medication Administration

Emergency First Aid Nursing

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, Newborn, and Family with Special Needs

Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child with a Physical Disorder

Care of the Child with a Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Basic Concepts of Mental Health

Care of the Patient with a Psychiatric Disorder

Care of the Patient with an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Professional Roles and Leadership

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