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Wound Care

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

The type of intention healing that includes closures with staples or sutures.

a)

Secondary

b)

Primary

c)

Inflammation

d)

Tertiary

2.

Type of wound healing complication that occurs due to incomplete hemostasis.

a)

Abrasion

b)

Dehiscence

c)

Hematoma

d)

Hemorrhage

3.

Sanguineous drainage can indicate

a)

Infection

b)

Healing

c)

Need for a drain

d)

Active bleeding

4.

The image shows which wound healing complication?

a)

Evisceration

b)

Dehiscence

c)

Laceration

d)

Hematoma

5.

The CDC classifies wounds that include entry to GI, GU, or respiratory tracts as

a)

Class I Clean

b)

Class II Clean-contaminated

c)

Class III Contaminated

d)

Class IV Dirty/infected

6.

A pressure ulcer with partial-thickness loss of dermis, that may appear as a red blister is which stage?

a)

Stage II

b)

Stage IV

c)

Stage I

d)

Stage III

7.

Which stage of pressure ulcer includes muscle damage with possible bone exposure?

a)

Stage IV

b)

Stage I

c)

Stage III

d)

Stage II

8.

This pressure ulcer is classified as

a)

Stage III

b)

Stage IV

c)

Unstageable

d)

Stage II

9.

Which of the following is not an appropriate nursing intervention for pressure ulcer treatment?

a)

Reposition patient Q 2 hrs

b)

Use a special mattress to reduce pressure

c)

Encourage ambulation

d)

Strict bedrest

10.

Which of the following is not a treatment for stasis ulcers?

a)

Unna boot

b)

Wet-to-dry dressing

c)

hydrocolloid dressing

d)

Compression therapy

11.

Which phase of wound healing includes the formation of fibrin?

a)

Hemostasis

b)

Inflammatory

c)

Reconstruction

d)

Maturation

12.

A wound that cannot be closed requiring a drain is an example of what kind of intention healing?

a)

Tertiary

b)

Primary

c)

Secondary

d)

None of the above

13.

A balanced diet can help assist in wound healing. Foods that are rich in vitamin C may include

a)

seafood

b)

bananas

c)

tomatoes

d)

avocado

14.

Clear, watery drainage from a wound should be documented as

a)

Serosanguineous

b)

Purulent

c)

Sanguineous

d)

Serous

15.

What intervention should be completed 30 minutes prior to a dressing change?

a)

Administer analgesics

b)

Mark the dressing for drainage

c)

Emptying the bladder

d)

Position change

16.

Which type of dressing is air and water tight, keeping the wound moist?

a)

ABD pads

b)

Occlusive

c)

Telfa pads

d)

semiocclusive

17.

Surgical glue is beneficial for all of the following except

a)

Lower rates of infection

b)

Less time in OR

c)

Can be used for diabetic patients

d)

Less scarring

18.

What nursing interventions are appropriate for a stage I pressure ulcer?

a)

Applying a moisture barrier cream

b)

Hydrocolloid dressing

c)

Cleaning with sterile water

d)

debridement

19.

Which is not true of wound VACs?

a)

Change the dressing Q 24-72 hrs

b)

Helping draw together wound edges

c)

Keeps the wound dry and cool

d)

Decreases inflammation

20.

Cavity containing pus that is surrounded by inflamed tissue is considered to be an

a)

Adhesion

b)

Abrasion

c)

Abscess

d)

Evisceration