WorksheetsWound Assessment and Management Quiz
Total questions: 100
Worksheet time: 50mins
What is the primary purpose of the "Wound Assessment and Management" policy at Hamad Medical Corporation (HMC)?
To provide a standardized approach to wound care and ensure appropriate management of wounds.
To focus solely on surgical wounds and their healing process.
To develop new surgical techniques for wound treatment.
To eliminate the need for medical staff in wound care.
Which of the following is an example of an acute wound?
A wound caused by a surgical procedure.
A wound that fails to heal within the expected time frame.
A wound resulting from cancer metastasizing to the skin.
A wound caused by poor nutrition and infection.
What distinguishes a chronic wound from an acute wound?
Chronic wounds fail to heal within the normal expected time frame and remain in the inflammatory phase.
Chronic wounds are caused by surgical procedures.
Chronic wounds heal in a predictable and orderly manner.
Chronic wounds are caused by trauma such as falls or stabs.
Which of the following best describes a palliative wound?
A wound caused by trauma such as a fall or stab.
A wound resulting from an incurable disease like cancer that has metastasized to the skin.
A wound caused by hot objects, flames, or radiation.
A wound that heals in a predictable and orderly manner.
What is a burn wound classified as?
A wound caused by blunt force or projectiles.
A wound caused by hot objects, flames, electricity, or radiation.
A wound that fails to heal within four weeks.
A wound resulting from cancer metastasizing to the skin.
What is the definition of a colonized wound?
A wound with a loss of epithelial lining.
A wound where the level of organisms not only increases but becomes established.
A wound caused by mechanical forces, including removal of adhesives.
A wound with localized damage to the skin and underlying soft tissue.
What is a skin tear?
A wound caused by trauma or pressure secondary to neuropathy or vascular disease.
A traumatic wound caused by mechanical forces, including removal of adhesives.
A localized damage to the skin and underlying soft tissue over a bony prominence.
A wound caused by disruption in arterial blood flow.
Which of the following is NOT a type of ulcer mentioned in the document?
Venous Ulcer
Arterial Ulcer
Diabetic Foot Ulcer
Pressure Ulcer
What is the primary cause of arterial ulcers?
Malfunctioning venous valves causing increased pressure in the vein.
Disruption in arterial blood flow causing arterial insufficiency.
Trauma or pressure secondary to neuropathy or vascular disease.
A combination of arterial and venous pathologies.
What is the main characteristic of contamination in a wound?
A wound with a loss of epithelial lining.
A wound with localized damage to the skin and underlying soft tissue.
Small numbers of bacteria detected in a wound that are not multiplying.
A wound caused by mechanical forces, including removal of adhesives.
What is a diabetic foot ulcer most vulnerable to?
Increased pressure in the vein.
Disruption in arterial blood flow.
Pressure, ischemia, or ulceration due to poor fitting shoes and an insensate foot.
The transient presence of bacteria.
What is the term used to describe the invasion of a wound by proliferating microorganisms that causes local tissue damage and impedes wound healing?
Epibole
Infection
Granulation tissue
Necrosis
What is the process called in which a wound becomes covered with epithelial cells, with pink tissue migrating over living cells from the wound edges?
Granulation tissue
Epithelialization
Hyper granulation
Wound debridement
Which term refers to rolled or curled-under closed wound edges that may be dry, callused, or hyperkeratotic?
Epibole
Necrosis
Edema
Hyper granulation
What is the name of the process by which accumulated necrotic tissue, exudate, and bacteria are removed from a wound bed to prepare for healing?
Granulation tissue
Wound debridement
Epithelialization
Hyper granulation
What is the term for red and moist vascular connective tissue that forms during the wound healing process?
Necrosis
Granulation tissue
Hyper granulation
Edema
What is the standardized technique used during clinical procedures to prevent microbial contamination of aseptic key parts and key sites?
Wound debridement
Aseptic Technique
Hyper granulation
Surgical site infection
What is the term used to describe dead tissue that is black or brown in color and completely devitalized?
Edema
Necrosis or eschar
Granulation tissue
Epibole
What is the term for red, friable, shiny tissue with a soft appearance above the level of the surrounding skin?
Hyper granulation
Necrosis
Edema
Infection
What is the term for slight swelling and firmness at the wound edge that may indicate infection if accompanied by warmth?
Necrosis
Edema
Epibole
Granulation tissue
What is the term for an infection related to an operative procedure that occurs at or near the surgical incision within 30 days of the procedure or within 90 days if prosthetic material is implanted?
Aseptic Technique
Surgical site infection
Hyper granulation
Wound debridement
What does the term "Induration" refer to in the context of wound assessment and management?
A collection of pus in confined tissue spaces.
A hardened mass or formation with defined edges.
A microbially derived sessile community.
A condition caused by bacterial infection.
Which of the following best describes "Abscess" in wound management terminology?
A hardened mass or formation with defined edges.
A collection of pus in confined tissue spaces, usually caused by bacterial infection.
A microbially derived sessile community attached to a substratum.
A condition characterized by altered gene transcription.
What is "Biofilm" in the context of wound assessment?
A hardened mass or formation with defined edges.
A collection of pus in confined tissue spaces.
A microbially derived sessile community characterized by cells attached to a substratum or interface.
A condition caused by bacterial infection.
Who is responsible for approving the wound assessment and management policy?
Wound Care Nursing Network (WCNN).
Facility Executive Director of Nursing.
Chief Nursing Officer.
All HMC Nurses and Midwives.
What is the responsibility of the Wound Care Nursing Network (WCNN) in coordination with the Assessment of Patient (AOP) Corporate Committee?
Approving the policy.
Developing, reviewing, revising, and disseminating the policy.
Implementing and monitoring compliance to the policy.
Being aware of and complying with the policy.
What are the five elements included in a comprehensive skin assessment on admission?
Temperature, elasticity, color, moisture level, and skin integrity.
Temperature, elasticity, color, pain level, and skin integrity.
Temperature, turgor, color, moisture level, and skin elasticity.
Temperature, turgor, color, moisture level, and skin integrity.
Which appendix is used for assessing pressure injury risk in adults above the age of 14 years?
Appendix 1
Appendix 2
Appendix 3
Appendix 4
What is the primary goal of wound assessment and management?
To minimize further trauma and preserve viable tissue
To classify skin tears
To refer patients to a wound care specialty nurse
To use electronic medical records for consultation
Which appendix provides the ISTAP Skin Tear Classification System?
Appendix 5
Appendix 6
Appendix 7
Appendix 4
What should a physician do before initiating an electronic consultation for wound care?
Refer to Appendix 7
Assess the wound and consult the wound care specialty nurse
Contact the Tissue Viability Nurse directly
Follow the physician’s order for wound management
Which appendix is used for staging pressure injuries according to NPUAP-EPUAP 2016 classification?
Appendix 5
Appendix 6
Appendix 7
Appendix 3
What should nurses/midwives do in facilities without a wound care specialty nurse?
Refer to Appendix 6
Follow the physician’s order for wound management
Use the Braden Scale for assessment
Contact the Tissue Viability Nurse
Which type of patients with wounds should be referred to a Podiatry specialist according to the policy?
Patients with vascular and diabetic leg ulcers (below knee)
Patients with skin rashes, allergies, eczema, and fungal infections
Patients receiving radiation therapy
Patients with burn grade 2, 3, and 4
What is the referred specialty for patients receiving hyperbaric oxygen therapy?
Dermatology
Hyperbaric Staff
Burn Specialty
Stoma Care Specialist
Which of the following is an inclusion criterion for referral to a Tissue Viability/Wound Care Specialty Nurse?
Patients with stoma
Patients with burn grade 2, 3, and 4
Deteriorating Pressure Injury stage 1
Patients receiving radiation therapy
Which type of wound is NOT included in the referral to a Tissue Viability/Wound Care Specialty Nurse?
Complex surgical wounds
Non-healing trauma wounds
Patients with vascular and diabetic leg ulcers (below knee)
Chronic wounds such as leg ulcers, DFU, venous ulcers, arterial ulcers, and mixed etiology ulcers
Which of the following is a condition that requires referral to a Dermatology specialist?
Patients with stoma
Patients with skin rashes, allergies, eczema, and fungal infections
Patients with burn grade 2, 3, and 4
Deteriorating Pressure Injury stage 1
What is the referred specialty for patients with burn grade 2, 3, and 4?
Podiatry
Burn Specialty
Dermatology
Stoma Care Specialist
Which of the following is NOT an inclusion criterion for referral to a Tissue Viability/Wound Care Specialty Nurse?
Deteriorating Pressure Injury stage 1
Patients with burn grade 2, 3, and 4
Complex surgical wounds
Suspected wound infection
What type of patients should be referred to a Stoma Care Specialist?
Patients with vascular and diabetic leg ulcers (below knee)
Patients with stoma
Patients receiving radiation therapy
Patients with burn grade 2, 3, and 4
Which of the following is an example of a chronic wound that requires referral to a Tissue Viability/Wound Care Specialty Nurse?
Deteriorating Pressure Injury stage 1
Non-healing trauma wounds
Leg ulcers, DFU, venous ulcers, arterial ulcers, and mixed etiology ulcers
Complex surgical wounds
What is the referred specialty for patients receiving radiation therapy?
Podiatry
Dermatology
Radiation therapy nurses
Hyperbaric Staff
What is the maximum number of working days within which referred patients must be assessed by a wound care specialty nurse?
2 working days
3 working days
5 working days
7 working days
Which of the following is NOT a principle for managing acute wounds?
Liaising with the surgical team to coordinate treatment
Considering the wound history and presence of foreign bodies
Ignoring the position of the wound
Considering the position of the wound over joints
What should be documented during every dressing change in wound assessment and management?
Type of wound, location, and pressure injury category
Skin tear classification and factors delaying wound healing
Both A and B
Only the pressure injury category
Which patient factor is considered in wound healing assessment?
Wound pain score
Serum albumin result
Both A and B
Nature of wound bed
What is the nature of the wound bed recorded as during wound assessment?
A percentage of the tissue
A numerical score
A qualitative description
A pressure injury stage
What are some classic signs and symptoms of an infected wound that nurses should recognize?
Local swelling, heat, pain, and redness
Increased appetite and energy levels
Decreased heart rate and blood pressure
Improved wound healing and skin integrity
Which of the following is a practice for managing radiation therapy patients with acute skin reactions?
Assess skin integrity weekly by the radiation nurse
Manage acute skin reactions solely by the physician
Assess skin integrity daily by the radiation nurse and weekly by the radiation oncologist
Avoid dressing changes for radiation therapy patients
What is the purpose of evaluating the wound healing process and effectiveness of dressing?
To ensure proper nutrition for the patient
To monitor the progress of wound healing
To prevent the need for wound specimen collection
To avoid educating patients and families
Which of the following is NOT a symptom of an infected wound?
Pyrexia, rigors, or tachycardia
Granulation tissue that bleeds easily
Localized edema and improved skin integrity
Abnormal smell or malodor
What should nurses provide to patients and families as part of wound management?
Medication prescriptions
Education as per policy CL 6090 Patient and Family Education
Surgical procedures
Weekly wound assessments
What is the basis for determining the frequency of dressing changes in wound care management?
Physician’s order, wound assessment, or manufacturer recommendations
Nurse’s personal judgment
Patient’s preference
Random selection
Who must the assigned wound care specialty nurse inform if a consultation or referral is needed?
The treating physician
The patient’s family
The hospital administrator
The pharmacist
What must be done before activating proposal orders by wound care clinical nurse specialists?
Orders must be co-signed by the physician
Orders must be approved by the patient
Orders must be reviewed by the hospital administrator
Orders must be signed by the nurse only
What is required for wound care clinical nurse specialists to maintain competency?
Regular training and maintaining relevant competency
Attending monthly hospital meetings
Submitting weekly reports
Consulting with patients daily
What is the first step in wound management in HHCS?
Skin assessment on admission and during each visit
Consulting the hospital administrator
Referring to the patient’s family
Conducting a random survey
Who should the assigned nurse consult for wound management in HHCS?
Wound Care Specialty Nurse
Hospital administrator
Patient’s family
Pharmacist
What is the maximum time frame within which a Wound Care Specialty Nurse should visit the patient to assess the wound after referral?
Within 1 working day
Within 3 working days
Within 5 working days
Within 7 working days
Which of the following is NOT a responsibility of the Wound Care Specialty Nurse during wound assessment and re-assessment?
Determine the type of dressing
Determine frequency of the visit
Perform surgical procedures
Refer the patient to other disciplines as needed
What should an allied health professional do if they identify a wound during a home visit?
Treat the wound immediately
Inform the assigned nurse as soon as possible
Refer the patient to a hospital
Take a photograph of the wound
What is one of the responsibilities of the assigned nurse during wound care management?
Perform surgery on the wound
Visit the patient within three working days
Prescribe medication for the wound
Ignore changes in the wound condition
What must be obtained before taking wound photography during initial assessment or discharge?
Verbal agreement only
Written permission only
Both verbal agreement and written permission
No permission is required
What should be documented in the patient’s medical record if wound photography is refused?
The reason for the wound
Refusal of wound photography
The type of dressing used
The frequency of wound care visits
Who is responsible for wound management if the family prefers to access care outside HMC facilities?
HMC Wound Care Specialty Nurse
The family
The Infection Control Practitioner (ICP)
The outsourcing agency
What should be reported through Electronic Incident Reporting for newly developed wounds?
All wounds, including diabetic ulcers and epidermolysis bullosa
Only wounds related to diabetic ulcers and epidermolysis bullosa
All newly developed wounds, except those related to diabetic ulcers and epidermolysis bullosa
Only infected wounds
What is the role of the Infection Control Practitioner (ICP) for HHCS in wound management?
To document wound photography refusal
To notify all infected wounds for follow-up and further management
To train nurses on wound dressing
To determine the type of dressing
Within how many working days should the HHCS wound care specialty nurse visit the patient after referral?
1 working day
2 working days
3 working days
5 working days
What is one of the responsibilities of the Wound Care Specialty Nurse based on the assessment?
Documenting the patient’s medical history
Determining the type of dressing
Referring the patient to another facility
Reporting all wounds through Electronic Incident Reporting
Which of the following is NOT a responsibility of the Wound Care Specialty Nurse in coordination with the outsourcing agency?
Determine the type of dressing
Train/Educate the assigned nurse on wound dressing
Perform surgical procedures
Initiate the plan of care and follow up as per plan of care
What is the primary goal of wound cleansing according to the policy?
To completely dry the wound bed
To minimize pain and trauma to the tissue
To avoid the use of sterile solutions
To prevent the use of personal protective equipment (PPE)
Which of the following is NOT a purpose of wound cleansing as mentioned in the document?
Removal of slough and necrotic tissue
Promotion of patient comfort
Complete drying of the wound bed
Biofilm disruption
What type of solution is recommended for irrigating a healthy wound?
Antimicrobial solution with PHMB
Hypertonic saline
Sterile solution of 0.9% sodium chloride or sterile water
Non-sterile tap water
Which antimicrobial solution is suggested for cleaning chronic and infected wounds?
Polyhexamethylene Biguanide (PHMB)
Sterile water
Sodium chloride
Transparent limb-shaped plastic cover
What is the recommended temperature for irrigation fluid used in wound cleansing?
Room temperature
37°C (close to body temperature)
Below 20°C
Above 50°C
What type of swab should be used if wiping is needed during wound cleansing?
A non-filamented swab
A dry cotton swab
A sterile gauze pad
A plastic swab
What is the purpose of using a transparent limb-shaped plastic cover during bathing or showering for patients with foot ulcers?
To keep the wound bed dry
To promote faster healing
To prevent the use of sterile solutions
To avoid the need for PPE
When should personal protective equipment (PPE) be used during wound cleansing?
When the wound is irrigated under pressure
When the wound is not infected
When using sterile water
When the wound is completely healed
What does the "T" in the T.I.M.E. principle of wound bed preparation stand for?
Tissue
Temperature
Treatment
Therapy
Which clinical action is associated with the "I" in the T.I.M.E. principle?
Remove defective tissue, debride
Restore moisture balance
Remove or reduce bacterial load with antimicrobial dressings
Reassess T, I, and M
What is the goal of wound healing for the "M" in the T.I.M.E. principle?
Viable (vascularized) wound bed
Reduced bacterial burden and inflammation
Optimal moisture balance restored
Restoration of appropriate pH level
What should be done if the edge of a wound remains static after 2-4 weeks?
Remove defective tissue
Reassess T, I, and M
Reassess and refer for specialist treatment
Add moisture to dry wounds
Which of the following is NOT a requirement for wound dressing?
Maintain a moist environment
Be non-toxic and non-allergenic
Be adherent to the wound
Allow gaseous and fluid exchange
What is the purpose of maintaining a moist environment at the wound/dressing interface?
To prevent bacterial growth
To promote healing
To reduce inflammation
To increase exudate production
What does the "E" in the T.I.M.E. principle focus on?
Edema management
Edge of wound non-advancing or undermining
Exudate control
Elasticity of the wound
Table showing the T.I.M.E. principle of wound bed preparation, including wound factors, clinical actions, and wound healing outcomes.
T.I.M.E. principle
R.I.C.E. principle
A.B.C.D. principle
S.A.F.E. principle
What is the primary consideration when selecting a wound dressing according to the HMC policy?
The patient's financial status
A holistic assessment of the patient in conjunction with evidence-based practice
The availability of the dressing in the hospital
The color of the dressing
Which of the following is NOT a requirement for wound dressing as per the HMC policy?
It must be cost-effective
It must be comfortable and consider factors like odor control and pain relief
It must be used without following the manufacturer’s instructions
It must promote the next stage of wound healing based on clinical need
What should a nurse do if leakage or strikethrough occurs in a wound dressing?
Ignore it and continue using the same dressing
Replace the dressing and evaluate the product choice
Use a different dressing without consulting the physician
Wait for the next scheduled dressing change
Who should the nurse consult when discussing advanced dressing technology?
The patient’s family
The Tissue Viability Clinical Nurse Specialist and the surgeon
The hospital administration
The pharmacist
How should wound healing be monitored according to the HMC policy?
By observing the wound visually without documentation
Through comprehensive wound re-assessment and documentation of findings
By relying on the patient’s feedback only
By using a single evaluation method
What is the title of the policy/procedure document?
Wound Care and Healing
Wound Assessment and Management
Chronic Wound Treatment
Pressure Injury Management
What is the effective date of the "Wound Assessment and Management" policy?
February 2014
May 2023
June 25, 2023
May 2026
Which identification number is assigned to the "Wound Assessment and Management" policy?
CL 6076
CL 5067
CL 7065
CL 6075
Where should all documentation related to wound assessment and management be recorded?
In the patient's physical file
On the EMR as indicated per section
In the nurse's personal notes
In the hospital's general database
Which reference provides information on "The process of wound healing"?
Collins F., Hampton S., White R. (2002)
Sedlarik, K.M. (2003)
Stotts, N. (2000)
Doughty, D.B., & McNichol, L.L. (2016)
Which publication discusses "Challenges in the treatment of chronic wounds"?
Armstrong, D.G., & Meyr, A.J. (2016)
Frykberg, R.G., & Banks, J. (2015)
McFarland, A., & Smith, F. (2014)
Stotts, N. (2000)
What is the next review date for the "Wound Assessment and Management" policy?
February 2014
May 2023
May 2026
June 25, 2023
Which reference provides a guide for nurses on wound care?
Collins F., Hampton S., White R. (2002)
Dealey, C. (2005)
Stotts, N. (2000)
Doughty, D.B., & McNichol, L.L. (2016)
