Deck 33: Wound Care

Question 1

Skin tears are caused by all of the following except

A)Friction
B)Shearing
C)Short and smooth fingernails
D)Removing tape or adhesives

Answer 1

Short and smooth fingernails

Question 2

A wound has a high risk of an infection.This is

A)A contaminated wound
B)A chronic wound
C)A full-thickness wound
D)An infected wound

Answer 2

A contaminated wound

Question 3

An open wound has clean,straight edges.It was made with a sharp instrument.The wound is

A)A penetrating wound
B)A laceration
C)An incision
D)An intentional wound

Answer 3

An incision

Question 4

A wound does not heal easily.It is

A)A chronic wound
B)A contaminated wound
C)A full-thickness wound
D)A dirty wound

Question 5

A closed wound caused by a blow to the body is

A)A contusion
B)An abrasion
C)A laceration
D)A clean wound

Question 6

A wound has torn tissues and jagged edges.This is

A)A penetrating wound
B)A laceration
C)An incision
D)An intentional wound

Question 7

Wound layers have separated.This is

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

Question 8

A patient has an open wound on her left foot.She has poor circulation in her arteries and veins.Her wound is

A)An arterial ulcer
B)A venous ulcer
C)A stasis ulcer
D)A circulatory ulcer

Question 9

A patient had lung surgery.The person's incision is best described as

A)A clean wound
B)A contaminated wound
C)An incision
D)A clean-contaminated wound

Question 10

A wound created for therapy is

A)An open wound
B)A clean wound
C)A closed wound
D)An intentional wound

Question 11

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 12

A wound has large amounts of microbes.It shows signs of infection.It is

A)A contaminated wound
B)An infected wound
C)An open wound
D)A purulent wound

Question 13

A partial-thickness wound caused by the scraping away or rubbing of the skin is

A)A pressure ulcer
B)A laceration
C)An abrasion
D)A penetrating wound

Question 14

Tissues are injured,but the skin is not broken.This is

A)A contusion
B)An abrasion
C)A laceration
D)A closed wound

Question 15

A resident has an open wound on the lower left leg.It is caused by poor arterial blood flow.This wound is

A)A pressure ulcer
B)A stasis ulcer
C)A venous ulcer
D)An arterial ulcer

Question 16

A dirty wound is also known as

A)A contaminated wound
B)An infected wound
C)A clean-contaminated wound
D)A full-thickness wound

Question 17

A wound is not infected.It is

A)A clean wound
B)An abrasion
C)A contusion
D)A surgical incision

Question 18

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

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

Question 19

The skin or mucous membrane is broken.This is

A)An open wound
B)A clean wound
C)A closed wound
D)An intentional wound

Question 20

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 21

Clear,watery fluid from a wound is

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

Question 22

Skin tears are caused by 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 23

The following are common sites for skin tears except

A)The hands
B)The arms
C)The lower legs
D)The sacrum

Question 24

Those at risk of skin tears include all of the following except

A)Being obese
B)Having poor hydration
C)Having altered mental awareness
D)Having poor nutrition

Question 25

An open wound made by a sharp object is

A)An incision
B)A penetrating wound
C)A contusion
D)A puncture wound

Question 26

A resident has an open wound on the right lower leg.The person has poor blood flow through her veins.Her wound is

A)An arterial ulcer
B)A stasis ulcer
C)A pressure ulcer
D)A skin tear

Question 27

Any injury caused by unrelieved pressure is

A)A wound
B)A thrombus
C)Phlebitis
D)A pressure ulcer

Question 28

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 long-sleeve sweatshirt and sweatpants

Question 29

A break or rip in the outer layers of the skins is known as

A)An incision
B)A penetrating wound
C)A contusion
D)A skin tear

Question 30

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

Question 31

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

A)A pressure ulcer
B)An abrasion
C)A skin tear
D)A decubitus ulcer

Question 32

Drainage that is thick green,yellow,or brown is

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

Question 33

A hematoma is

A)A rip in the skin
B)A swelling that contains blood
C)A vascular ulcer
D)A penetrating wound

Question 34

Bloody drainage is

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

Question 35

Phlebitis is

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

Question 36

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 37

The skin is injured.Which is a major threat?

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

Question 38

An accident or violent act that causes injury is

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

Question 39

Thin,watery,blood-tinged drainage is

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

Question 40

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 41

An open wound on the foot caused by complications from diabetes is

A)A nerve ulcer
B)A diabetic foot ulcer
C)A circulatory ulcer
D)A blood vessel ulcer

Question 42

To prevent skin tears,you need to

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 43

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

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

Question 44

Bleeding stops and a scab forms during the

A)Inflammatory phase of wound healing
B)Proliferative phase of wound healing
C)Maturation phase of wound healing
D)Scarring phase of wound healing

Question 45

Which statement about diabetic foot ulcers is correct?

A)They can affect the nerves and blood vessels.
B)Only the nerves are affected.
C)Only the blood vessels are affected.
D)They are easy to heal.

Question 46

A patient 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 47

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

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

Question 48

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

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

Question 49

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 50

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

A)Every hour
B)Every 2 hours
C)Every 4 hours
D)Every shift

Question 51

Common causes of arterial ulcers include the following except

A)High blood pressure
B)Diabetes
C)Narrowed arteries
D)Burns

Question 52

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 53

The following are common with venous ulcers except

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

Question 54

Arterial ulcers usually occur

A)On arms and legs
B)On the hands and feet
C)On the toes and outer side of the ankle
D)Over bony prominences

Question 55

This 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 56

Excessive loss of blood in a short time is

A)Shock
B)Hemorrhage
C)Evisceration
D)Bleeding

Question 57

Which is not a risk factor for venous ulcers?

A)History of blood clots
B)Decreased mobility
C)Obesity
D)Evisceration

Question 58

Which nutrient is needed for wound healing?

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

Question 59

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 60

A patient is in bed.The person needs re-positioning.The following will help prevent skin tears except

A)Bed rails
B)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 61

You are assisting the nurse with a sterile dressing change on a 4-year-old child.Which is incorrect?

A)Children are often afraid of dressing changes.
B)A calm child helps prevent contamination of the sterile field.
C)A parent or caregiver holds the child so the wound can be reached with ease.
D)The child is restrained to prevent contamination of the sterile field.

Question 62

A dressing is secured with tape.When the tape is removed,some skin is removed.This causes

A)A skin tear
B)A pressure ulcer
C)An abrasion
D)A contusion

Question 63

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 64

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 65

A person 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 66

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 67

When observing a wound,you can do 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 68

The nurse asks you to apply a dry,non-sterile dressing.What should you do after removing the old dressing?

A)Remove your gloves and decontaminate your hands.
B)Put on clean gloves.
C)Put on sterile gloves.
D)Open the new dressings.

Question 69

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 70

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 71

Which type of tape allows movement of a body part?

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

Question 72

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 73

Which is not a purpose of wound dressings?

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

Question 74

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 75

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.Wait 30 minutes to begin.
D)Tell the person that the procedure will not hurt.

Question 76

Which signals internal hemorrhage?

A)Vomiting blood and loss of consciousness
B)Large amounts of bloody drainage
C)Dressings soaked with blood
D)Pooling of blood under a body part

Question 77

A dressing becomes dislodged.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 78

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,sides,and bottom of the dressing
D)To the middle of the dressing

Question 79

Gauze dressings

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

Question 80

Which statement about dressing changes is incorrect?

A)Contact with blood,body fluids,secretions,or excretions 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.