Question 1

The nurse clarifies that the first stage of wound healing is:

Accepted Answer

A)  proliferation. 
B)  maturation. 
C)  reconstruction. 
D)  inflammation.

Question 2

The nurse changing a wet-to-damp normal saline dressing for a patient with an ulcer on the heel finds that the old dressing is stuck to the wound bed. The nurse's most beneficial intervention would be to:

Accepted Answer

A)  add normal saline to loosen it. 
B)  pull it off using slow, steady pressure. 
C)  leave it in place and cover it with new, wet dressings. 
D)  moisten it with povidone-iodine.

Question 3

A patient has a pooling of blood under unbroken skin of the hip after a fall. The nurse should document that this patient has a(n):

Accepted Answer

A)  abrasion. 
B)  laceration. 
C)  hematoma. 
D)  avulsion.

Question 4

A nurse performing a right eye irrigation will position the patient:

Accepted Answer

A)  upright with the head hyperextended. 
B)  upright with the head tilted toward the left eye. 
C)  supine with the head hyperextended. 
D)  supine with the head tilted toward the right eye.

Question 5

A patient who underwent removal of a breast must be discharged home with a Jackson-Pratt wound drain in place. As the patient demonstrates the procedure for emptying it, the nurse should correct her if she:

Accepted Answer

A)  uses one alcohol wipe to clean both the spout and the plug. 
B)  compresses the device in the hand before closing. 
C)  refrains from touching the drainage spout with the hand. 
D)  points the device away from herself while opening it.

Question 6

Because the patient with an abdominal dressing requires frequent dressing changes, the abdomen is beginning to show skin irritation from repeated tape removal. The nurse would change the dressing procedure in order to use:

Accepted Answer

A)  paper tape. 
B)  Montgomery straps. 
C)  Karaya paste. 
D)  elastic adhesive tape.

Question 7

A nurse explains that the major purpose of the use of a hydrocolloid dressing is to:

Accepted Answer

A)  keep the wound dry. 
B)  help destroy microorganisms in an infected wound. 
C)  occlude air and promote breakdown of necrotic tissue. 
D)  leave the dressing in place for 10 days.

Question 8

A patient is due for a wound dressing change for a horizontal lower abdominal incision. In which direction should the nurse pull to remove the tape from the old dressing?

Accepted Answer

A)  From left to right across the abdomen 
B)  From right to left across the abdomen 
C)  From the top of the wound to the bottom 
D)  From each of the four sides toward the wound

Exam 38: Providing Wound Care and Treating Pressure Ulcers