ENA Wound Management Study Guide 2026 | Emergency Nursing
Wound Care & Exam Prep
Four patients come to the emergency department with identical leg wounds sustained in a 2-
foot fall when a deck collapsed. Which patient is most likely to have impaired wound healing?
A. A 45-year-old obese man who has type 2 diabetes mellitus and steroid-dependent asthma.
B. A 23-year-old man who has no significant medical history and whose last tetanus
immunization was more than 10 years ago.
C. A 54-year-old woman who currently takes warfarin (Coumadin) for chronic atrial fibrillation.
D. A 17-yearl-old adolescent girl who has sickle cell disease. - ✔✔A
For a patient who was treated for an avulsion, which discharge instruction is appropriate?
A. Return in 2 days for removal of the packing and for a wound check.
B. Use a sunscreen or wear protective clothing for at least 6 months to prevent permanent
tissue discoloration.
C. Keep the area splinted until advised otherwise by your primary physician.
D. Keep the wound covered with a bulky dressing to protect the exposed tissue. - ✔✔D
Surgical glue (DERMABOND) provides which type of wound closure?
A. Primary intention
B. Secondary intention
C. Delayed closure
D. Tertiary intention - ✔✔A
, A patient presents to the emergency department after falling from her bicycle and landing in
gravel. She has multiple abrasions on both arms and legs. After thorough cleansing, the wounds
require dressing before the patient is discharged. For this patient, which wound dressing
strategy promotes optimal wound healing?
A. Cover all the wounds with transparent film dressings.
B. Cover the wounds with topical antibiotic ointment and nonadhesive dressings.
C. Leave the wounds open to the air so that they can heal more rapidly.
D. Dry the areas and then cover all the wounds with gauze dressings. - ✔✔B
Which statement accurately characterizes wound care?
A. A tetanus-prone wound can result from a crushing mechanism.
B. Uncomplicated minor wounds require prophylactic antibiotics.
C. Tetanus toxoid provides passive immunization against tetanus.
D. The most effective intervention to reduce the risk of infection is antibiotic administration. -
✔✔A
Which injury is characterized by full-thickness tissue loss and commonly affects the fingertips or
tip of the nose?
A. Laceration
B. Abrasion
C. Contusion
D. Avulsion - ✔✔D
Wound Care & Exam Prep
Four patients come to the emergency department with identical leg wounds sustained in a 2-
foot fall when a deck collapsed. Which patient is most likely to have impaired wound healing?
A. A 45-year-old obese man who has type 2 diabetes mellitus and steroid-dependent asthma.
B. A 23-year-old man who has no significant medical history and whose last tetanus
immunization was more than 10 years ago.
C. A 54-year-old woman who currently takes warfarin (Coumadin) for chronic atrial fibrillation.
D. A 17-yearl-old adolescent girl who has sickle cell disease. - ✔✔A
For a patient who was treated for an avulsion, which discharge instruction is appropriate?
A. Return in 2 days for removal of the packing and for a wound check.
B. Use a sunscreen or wear protective clothing for at least 6 months to prevent permanent
tissue discoloration.
C. Keep the area splinted until advised otherwise by your primary physician.
D. Keep the wound covered with a bulky dressing to protect the exposed tissue. - ✔✔D
Surgical glue (DERMABOND) provides which type of wound closure?
A. Primary intention
B. Secondary intention
C. Delayed closure
D. Tertiary intention - ✔✔A
, A patient presents to the emergency department after falling from her bicycle and landing in
gravel. She has multiple abrasions on both arms and legs. After thorough cleansing, the wounds
require dressing before the patient is discharged. For this patient, which wound dressing
strategy promotes optimal wound healing?
A. Cover all the wounds with transparent film dressings.
B. Cover the wounds with topical antibiotic ointment and nonadhesive dressings.
C. Leave the wounds open to the air so that they can heal more rapidly.
D. Dry the areas and then cover all the wounds with gauze dressings. - ✔✔B
Which statement accurately characterizes wound care?
A. A tetanus-prone wound can result from a crushing mechanism.
B. Uncomplicated minor wounds require prophylactic antibiotics.
C. Tetanus toxoid provides passive immunization against tetanus.
D. The most effective intervention to reduce the risk of infection is antibiotic administration. -
✔✔A
Which injury is characterized by full-thickness tissue loss and commonly affects the fingertips or
tip of the nose?
A. Laceration
B. Abrasion
C. Contusion
D. Avulsion - ✔✔D
