QUESTIONS & PRACTICE TEST | VERIFIED CORRECT ANSWERS| HIGH-YIELD EXAM
REVIEW | ULTIMATE STUDY GUIDE
1. What does the acronym SBAR stand for in nursing documentation?
Summary, Background, Assessment, Response
Situation, Basis, Assessment, Review
Summary, Background, Analysis, Recommendation
Situation, Background, Assessment, Recommendation
2. Describe the types of wounds that typically heal by secondary intention and
explain why this method is used.
Secondary intention is used for all types of wounds regardless of their
size or condition.
Wounds that are large, infected, or have tissue loss typically heal by
secondary intention because the edges cannot be brought
together.
Wounds that heal by secondary intention are always superficial and
do not require extensive care.
Only surgical wounds heal by secondary intention due to the need for
precise closure.
3. What are some common types of life-threatening deep wound infections?
Superficial abscess
Chronic ulcer
Mild dermatitis
Necrotizing fasciitis
,4. What does the acronym SOAP stand for in nursing documentation?
Subjective, Objective, Assessment, Plan
Systematic, Organized, Analytical, Practical
Summary, Observation, Analysis, Procedure
Standardized, Objective, Assessment, Plan
5. If a patient is malnourished, how might this impact their wound healing
process?
Improved healing due to better nutrient absorption
No impact on healing
Faster healing due to energy availability
Delayed healing and increased risk of complications
6. Describe the purpose of using SOAP notes in nursing documentation.
SOAP notes provide a structured method for documenting patient
information and care.
SOAP notes are used to summarize patient history without detail.
SOAP notes are informal notes taken during patient interactions.
SOAP notes are primarily for billing and insurance purposes.
7. Describe the key characteristics of an arterial (ischemic) ulcer and how it
differs from other types of ulcers.
An arterial (ischemic) ulcer is characterized by a dark, necrotic center
and is usually painless.
An arterial (ischemic) ulcer is a type of pressure ulcer that develops
due to prolonged pressure on the skin.
, An arterial (ischemic) ulcer is moist, red, and typically found on the
lower legs.
An arterial (ischemic) ulcer is characterized by a pale appearance,
well-defined edges, and occurs on areas with poor blood flow,
often on the feet or toes.
8. What are the three phases of wound healing?
Hemostasis, Inflammatory, Remodeling
Inflammatory, Proliferative, Maturation
Proliferative, Maturation, Regeneration
Inflammatory, Regeneration, Remodeling
9. Which of the following are signs of wound infection that should be looked
out for?
Pain
Heat
Redness
Swelling
All of the Above
10. In a scenario where a patient presents with a complex wound, which
documentation method would be most appropriate to use and why?
PIE notes, as they focus on the specific problem, the interventions
taken, and the evaluation of the outcomes.
SOAP notes, because they provide a comprehensive overview of all
patient information.
, PIE notes, because they are simpler and less detailed than SOAP
notes.
DAR notes, since they emphasize data collection only.
11. A patient has a surgical incision that is healing well with the edges closely
approximated. What type of wound healing is this an example of?
Delayed primary intention
Secondary intention
Primary intention
Tertiary intention
12. Describe the importance of the Transfer of Accountability (TOA) process in
nursing practice.
The TOA process is primarily focused on documenting medication
administration.
The TOA process is a method for assessing wound healing stages.
The TOA process ensures that critical patient information is
accurately communicated during shifts or handoffs.
The TOA process is used to classify different types of wounds.
13. Describe the key processes that occur during the remodeling phase of
wound healing.
During the remodeling phase, the wound is cleaned and debris is
removed.
During the remodeling phase, inflammation occurs and immune
responses are activated.