Deck 27: Comfort, Rest, and Sleep

Question 1

A resident has an open wound on the lower left leg.It is caused by poor arterial blood flow.This wound is a(n)_____ ulcer.

A)Pressure
B)Stasis
C)Venous
D)Arterial

Answer 1

Arterial

Question 2

A closed wound caused by a blow to the body is a(n)

A)Contusion
B)Abrasion
C)Laceration
D)Clean wound

Answer 2

Contusion

Question 3

The dermis and epidermis of the skin are broken.This is

A)Trauma
B)Gangrene
C)A partial-thickness wound
D)A full-thickness wound

Answer 3

A partial-thickness wound

Question 4

An infected wound is a(n)_____ wound.

A)Contaminated
B)Open
C)Dirty
D)Full-thickness

Question 5

A wound is not infected.It is a(n)

A)Clean wound
B)Abrasion
C)Contusion
D)Surgical incision

Question 6

A wound involves the skin,muscle,and bone.This is

A)Trauma
B)Gangrene
C)A partial-thickness wound
D)A full-thickness wound

Question 7

A wound has large amounts of microbes.It shows signs of infection.It is a(n)_____ wound.

A)Contaminated
B)Infected
C)Open
D)Purulent

Question 8

A wound has separated.Abdominal organs are protruding through the wound.This is

A)Evisceration
B)A skin tear
C)Trauma
D)Dehiscence

Question 9

A wound created for therapy is a(n)_____ wound.

A)Open
B)Clean
C)Closed
D)Intentional

Question 10

A wound has a high risk for infection.This is a(n)_____ wound.

A)Contaminated
B)Chronic
C)Full-thickness
D)Infected

Question 11

A partial-thickness wound caused by the scraping away or rubbing of the skin is a(n)

A)Pressure ulcer
B)Laceration
C)Abrasion
D)Penetrating wound

Question 12

A wound has torn tissues and jagged edges.This is a(n)

A)Penetrating wound
B)Laceration
C)Incision
D)Intentional wound

Question 13

A wound does not heal easily.It is a _____ wound.

A)Chronic
B)Contaminated
C)Full-thickness
D)Dirty

Question 14

Tissues are injured,but the skin is not broken.This is a(n)

A)Contusion
B)Abrasion
C)Laceration
D)Closed wound

Question 15

A resident has an open wound on her left foot.She has poor circulation in her arteries and veins.Her wound is a(n)_____ ulcer.

A)Arterial
B)Venous
C)Stasis
D)Circulatory

Question 16

A condition in which there is death of tissue is

A)Trauma
B)Gangrene
C)A partial-thickness wound
D)A full-thickness wound

Question 17

The skin or mucous membrane is broken.This is a(n)_____ wound.

A)Open
B)Clean
C)Closed
D)Intentional

Question 18

A cut has clean,straight edges.It was produced with a sharp instrument.The wound is a(n)

A)Penetrating wound
B)Laceration
C)Incision
D)Intentional wound

Question 19

A resident had lung surgery.The person's incision is best described as a(n)

A)Clean wound
B)Contaminated wound
C)Incision
D)Clean-contaminated wound

Question 20

Wound layers have separated.This is

A)Evisceration
B)A skin tear
C)Trauma
D)Dehiscence

Question 21

Skin tears are caused by all of the following except

A)Friction and shearing
B)Pulling or bumping a body part
C)Direct pressure on the skin
D)Incontinence and moisture on the skin

Question 22

The skin and underlying tissues are pierced.This is a(n)

A)Incision
B)Penetrating wound
C)Contusion
D)Puncture wound

Question 23

Which statement about skin tears is incorrect?

A)Skin tears can occur during bathing,dressing,re-positioning,or transfers.
B)Skin tears are painful.
C)Infection can develop in a skin tear.
D)Skin tears usually occur over a bony area.

Question 24

A thrombus is a

A)Rip in the skin
B)Blood clot
C)Vascular ulcer
D)Penetrating wound

Question 25

Bloody drainage is _____ drainage.

A)Purulent
B)Serosanguineous
C)Serous
D)Sanguineous

Question 26

To prevent skin tears,you need to

A)Follow the person's care plan
B)Wear gloves
C)Position the person supine
D)Follow Standard Precautions and the Bloodborne Pathogen Standard

Question 27

The skin is injured.Which is a major threat?

A)Incontinence
B)Infection
C)Gangrene
D)Evisceration

Question 28

Circulatory ulcers occur

A)On the arms and hands
B)On the buttocks
C)On the legs and feet
D)Where skin is in contact with skin

Question 29

You are helping a resident dress.Which clothing will help prevent skin tears?

A)Garments with zippers
B)Shorts and a sleeveless blouse
C)A hospital gown
D)A soft fleece sweatshirt and sweatpants

Question 30

All of the following are common sites for skin tears except the

A)Hands
B)Arms
C)Lower legs
D)Sacrum

Question 31

Thin,watery,blood-tinged drainage is _____ drainage.

A)Purulent
B)Serosanguineous
C)Serous
D)Sanguineous

Question 32

A resident has an open wound on the right lower leg.The person has poor blood return through her veins.Her wound is a(n)

A)Arterial ulcer
B)Stasis ulcer
C)Pressure ulcer
D)Skin tear

Question 33

Clear,watery fluid from a wound is _____ drainage.

A)Purulent
B)Serosanguineous
C)Serous
D)Sanguineous

Question 34

Phlebitis is

A)Inflammation of a vein
B)Trauma
C)A thrombus
D)A closed wound

Question 35

A resident is in bed.The person needs re-positioning.All of the following will help prevent skin tears except

A)Raising bed rails
B)Using measures to prevent friction and shearing
C)Using an assist device to move the person
D)Using pillows to support the arms and legs

Question 36

Which will help prevent skin tears?

A)Keep your fingernails short and smoothly filed.
B)Wear simple earrings.
C)Wear gloves.
D)Practice hand hygiene before and after giving care.

Question 37

A resident has a rip in the skin.The epidermis is separated from underlying tissue.This is a(n)

A)Pressure ulcer
B)Abrasion
C)Skin tear
D)Decubitus ulcer

Question 38

An accident or violent act that causes injury is

A)Shock
B)Wound
C)Trauma
D)Inflammation

Question 39

Drainage that is thick green,yellow,or brown is _____ drainage.

A)Purulent
B)Serosanguineous
C)Serous
D)Sanguineous

Question 40

An open wound made by a sharp object is a(n)

A)Incision
B)Penetrating wound
C)Contusion
D)Puncture wound

Question 41

Elastic stockings also are called

A)Anti-embolism stockings
B)Support hose
C)Elastic bandages
D)Montgomery bandages

Question 42

A resident has a venous ulcer.You are helping the person dress.The person can wear all of the following except

A)Baggy pants
B)Garters to hold socks in place
C)Shoes
D)A sweatshirt

Question 43

Which statement about elastic stockings is incorrect?

A)They are applied before the person gets out of bed.
B)They are removed every 8 hours for 30 minutes.
C)The person sits in the chair while the stockings are off.
D)Twists,wrinkles,and creases can cause discomfort.

Question 44

A resident has a venous ulcer.The person needs re-positioning at least every

A)Hour
B)2 hours
C)4 hours
D)Shift

Question 45

Which statement about venous ulcers is incorrect?

A)They commonly occur on the heels and inner aspect of the ankles.
B)They are painful and heal slowly.
C)You need to cut the person's toenails to prevent skin tears and scratching.
D)The person has difficulty walking.

Question 46

An elastic bandage is applied from the

A)Lower part to the top part
B)Top part to the lower part
C)Back to front
D)Front to back

Question 47

Bleeding stops and a scab forms during the _____ phase of wound healing.

A)Inflammatory
B)Proliferative
C)Maturation
D)Scarring

Question 48

Elastic bandages and elastic stockings do all of the following except

A)Promote comfort
B)Promote circulation
C)Prevent injury
D)Prevent infection

Question 49

Which will not help prevent circulatory ulcers?

A)Providing good skin care
B)Keeping linens clean and dry
C)Scrubbing the skin during bathing
D)Making sure shoes fit well

Question 50

A resident has an elastic bandage on the right leg.The bandage is loose and wrinkled.What should you do?

A)Apply a new bandage.
B)Re-apply the bandage.
C)Remove the bandage for a few hours.
D)Secure the bandage with tape.

Question 51

A resident has an elastic bandage.How often should you check the color and temperature in the bandaged part?

A)Every 15 minutes
B)Every 30 minutes
C)Every 45 minutes
D)Every 60 minutes

Question 52

Elastic bandages are applied to the

A)Hands
B)Pelvis
C)Upper and lower extremities
D)Abdomen

Question 53

You are applying an elastic bandage to a person's left leg.Which is incorrect?

A)Position the part in good alignment.
B)Face the person during the procedure.
C)Start at the top (proximal)part of the extremity.
D)Expose the toes if possible.

Question 54

A resident has a venous ulcer.The doctor ordered elastic stockings.What size should you use?

A)Large thigh-high
B)Large knee-high
C)Medium thigh-high
D)The size directed by the nurse

Question 55

A resident has a venous ulcer.Your care should include

A)Keeping the person's linens dry and wrinkle-free
B)Massaging pressure points and reddened areas
C)Rubbing the person's skin after bathing
D)Keeping the person's heels on the bed

Question 56

The nurse asks you to apply an elastic bandage to a resident's left arm.You should apply the bandage

A)So it is loose
B)With firm,even pressure
C)So you can slide 3 fingers under it
D)So you can slide your hand under it

Question 57

A resident has an arterial ulcer.Which will not promote healing?

A)The person stopping smoking
B)Massaging pressure points
C)Applying a heel elevator to the affected foot
D)Having a bed cradle on the bed

Question 58

A wound was closed with staples.Wound healing will occur through _____ intention.

A)Primary
B)Secondary
C)Third
D)Tertiary

Question 59

All of the following are common with venous ulcers except

A)Blisters
B)Brown skin
C)Skin that is dry,leathery,and hard
D)Itching

Question 60

A resident has an arterial ulcer.The person's care includes all of the following except

A)Reminding the person not to sit with crossed legs
B)Making sure that the person is in a warm setting
C)Keeping the person's feet clean and dry
D)Cutting the person's toenails

Question 61

A wound is contaminated and infected.Wound edges are not brought together and the wound gaps.Healing will occur through _____ intention.

A)Primary
B)Secondary
C)Third
D)Tertiary

Question 62

Which is not a purpose of wound dressings?

A)Prevent microbes from entering the wound.
B)Promote comfort.
C)Promote arterial and venous circulation.
D)Cover wounds.

Question 63

Which type of tape allows movement of a body part?

A)Adhesive tape
B)Paper tape
C)Plastic tape
D)Elastic tape

Question 64

Gauze dressings

A)Have a non-stick surface
B)Absorb drainage
C)Allow observations of the wound
D)Keep the wound moist

Question 65

You are securing a dressing with tape.Where do you apply the tape?

A)Around the entire body part
B)To the top and bottom of the dressing
C)To the top,middle,and bottom of the dressing
D)To the middle of the dressing

Question 66

The nurse weighs dressings before and after applying them.Why are they weighed?

A)To measure the amount of drainage
B)To determine the phase of wound healing
C)To get an accurate measurement of the person's weight
D)To measure output

Question 67

Which nutrient is needed for wound healing?

A)Fat
B)Carbohydrate
C)Protein
D)Sodium

Question 68

Which statement about dressing changes is incorrect?

A)Contact with blood,body fluids,secretions,or excretion is likely.
B)The nurse tells you what dressing products to use.
C)For mental well-being,the person needs to look at the wound.
D)You need to control your nonverbal communication and body language during dressing changes.

Question 69

Which dressing will most likely stick to a wound?

A)Non-adherent gauze
B)Dry dressing
C)Transparent adhesive film
D)Wet-to-wet dressing

Question 70

Which type of wound healing involves leaving the wound open and closing it later?

A)Primary intention
B)Primary closure
C)Secondary intention
D)Tertiary intention

Question 71

A dressing is loose.What can happen?

A)Skin tears can occur.
B)Evisceration can occur.
C)Drainage can escape.
D)Pressure ulcers can develop.

Question 72

When observing a wound,you can do all of the following except

A)Observe the wound's appearance
B)Note if there is an odor from the wound or drainage
C)Observe the surrounding skin
D)Measure the wound's depth

Question 73

The nurse asks you to apply a dry,non-sterile dressing.Which action is incorrect?

A)Telling the person what the drainage smells like
B)Removing tape by pulling it toward the wound
C)Removing dressings so the person sees the unsoiled side
D)Removing the old dressing gently

Question 74

A dressing is loose.What can happen?

A)Microbes can enter the wound.
B)Wound edges can separate.
C)Dehiscence can occur.
D)The wound can become larger.

Question 75

A dressing is secured with tape.When the tape is removed,some skin is removed.This causes a(n)

A)Skin tear
B)Pressure ulcer
C)Abrasion
D)Contusion

Question 76

A person has a large dressing and needs frequent dressing changes.You would expect the nurse to secure the dressings with

A)Paper tape
B)Elastic tape
C)A binder
D)Montgomery ties

Question 77

When Montgomery ties are used,how many ties are needed on each side?

A)1 on the right side,1 on the left side
B)At least 2 on the right side,at least 2 on the left side
C)At least 3 on the right side,at least 3 on the left side
D)4 on the right side,4 on the left side

Question 78

The nurse asks you to apply a dry,non-sterile dressing.The dressing change causes pain and discomfort.What should you do?

A)Ask the person to take slow,deep breaths.
B)Distract the person during the dressing change.
C)Ask the nurse when a pain-relief drug was given.
D)Tell the person that the procedure will not hurt.

Question 79

A drain is inserted into a wound.What is its purpose?

A)The nurse administers drugs through the drain.
B)Drainage leaves the wound through the drain.
C)It is used to measure wound depth.
D)It is used to measure wound size.

Question 80

Which is not a purpose of wound dressings?

A)Protect the wound.
B)Absorb drainage.
C)Remove dead tissue.
D)Prevent moisture.