2026 | High-Yield Study Guide
1. If a nursing assistive personnel reports that the drainage from a Jackson-Pratt
drain has increased significantly, what should the nurse's immediate action
be?
Assess the patient for signs of infection or complications.
Document the report and continue with other tasks.
Reassure the patient that it is normal.
Change the drain immediately without assessment.
2. Describe the importance of avoiding contact with surrounding skin when
applying enzyme debridement ointment.
It helps to keep the wound moist and promotes healing.
It ensures that the ointment works faster on the necrotic tissue.
It allows for better absorption of the ointment into the wound.
Avoiding contact with surrounding skin prevents irritation and
maintains healthy tissue.
3. What is one action that a nurse can delegate to nursing assistive personnel to
help prevent pressure injuries?
Reposition the patient at least every 2 hours.
Educate the family about the importance of healthy skin.
Assist the patient in the selection of high-protein foods.
Assess the patient's bony prominences every shift.
,4. If possible, when should the nurse empty a Jackson-Pratt drain?
When the drain is full
Every 4 hours
Once per shift
When the drain is half-full
5. Why is it important for a nurse to wear clean gloves when handling wound
dressings?
Wearing clean gloves prevents contamination and protects both the
nurse and the patient.
Wearing clean gloves is only necessary for sterile procedures.
Wearing clean gloves is primarily for the nurse's comfort.
Wearing clean gloves is optional if the wound appears clean.
6. Why is it important for nurses to delegate certain tasks related to wound care
to nursing assistive personnel?
Delegating tasks allows nurses to focus on more complex
assessments and interventions while ensuring basic care is
provided.
Nursing assistive personnel are trained to perform all aspects of
wound care independently.
Nursing assistive personnel are responsible for assessing the patient's
overall health.
Delegation is unnecessary as nurses can perform all tasks efficiently.
, 7. Why is it important for nursing assistive personnel to report an increase in
drainage from a Jackson-Pratt drain?
An increase in drainage may indicate a potential complication or
infection.
Patient preferences should always take precedence over drainage
amounts.
Increased drainage is a normal part of the healing process.
The drainage color is more important than the amount.
8. At which point would the nurse need to intervene when overseeing the NAP
in obtaining a Quantitative wound culture for Aerobic Organisms?
The NAP identifies a 1-cm area of the wound that is free from necrotic
tissue.
The NAP collects the culture from the wound prior to cleaning it.
The NAP allows the wound to dry.
The NAP uses a sterile swab from a culturette tube.
9. When changing the dressing of an infected abdominal would, which action
reduces nurse's risk for infection?
Begin antibiotic therapy prior to changing dressing
Adhering to clean technique during intervention
Complete dressing change in a timely manner
Using appropriate PPE