Wound Care Fundamentals Prep Exam
Questions And Correct Answers.
The nurse is observing an unlicensed assistive personnel (UAP) move a patient in bed. Which action by
the UAP would the nurse praise?
1. Slides the patient across the bed
2. Pulls the patient across the bed
3. Drags the patient across the bed
4. Lifts the patient across the bed - Answer 4. Lifts the patient across the bed
Option 4:
Avoid pulling or dragging a patient across the bed rather than lifting him or her, because the shearing
force to the patient's skin can result in destruction of the epidermis and dermis.
[Page reference: 528]
The nurse is collecting data on a patient's wound drainage. The drainage is reddish in color. How would
the nurse document this finding?
1. Sanguineous drainage present.
2. Serosanguineous drainage present.
3. Serous drainage present.
4. Purulent drainage present. - Answer 1. Sanguineous drainage present.
Option 1:
,Sanguineous drainage looks like blood.
[Page reference: 539]
Test Taking Tip: Here are some hints to help differentiate between the different types of drainage:
• Sanguineous: Comes from the Latin word for "bloody" and means "containing blood." It refers to red,
bloody drainage.
•Serous: Comes from the Latin word for "serum," the clear liquid portion of the blood. It refers to clear
to pale yellow drainage that looks like serum.
•Purulent: Comes from the Latin word meaning "full of pus" and means "containing pus." It is thick
yellow or green drainage and is a sign of infection.
• Serosanguineous: Both blood and clear drainage are present. Combined, they turn dressing materials a
pink color.
The nurse is removing staples from a patient's leg incision. Which technique should the nurse use?
1. Remove staples in succession
2. Gently pull the handles apart
3. Slide hooked jaw under the staple
4. Place staple remover near the knot - Answer 3. Slide hooked jaw under the staple
Option 3:
The hooked jaw of the staple remover slides under the middle of the staple to remove the staple.
A patient has a Jackson-Pratt drain. How should the nurse care for the drain?
1. Empty the drain when it is one-third full
2. Wear gloves and gown to empty drain
, 3. Raise above insertion site
4. Wipe the spout with alcohol before emptying - Answer 4. Wipe the spout with alcohol before
emptying
Option 4:
Wipe the drain spout with an alcohol sponge to prevent introducing microorganisms into the drain.
The nurse is helping a coworker turn a patient. Which action by the coworker would cause the nurse to
intervene?
1. Gently rubs a red area on the hip bone
2. Places a pillow behind the patient's back
3. Positions a pillow between the patient's knees
4. Puts heel protectors on the patient - Answer 1. Gently rubs a red area on the hip bone
Option 1:
The nurse would intervene, as this is an inappropriate action. Avoid massaging the erythematous area,
which could cause further tissue damage.
The nurse is describing a fistula to a female patient. Click on the area the nurse would identify as the
fistula. - Answer A sinus tract is a channel or tunnel that develops between two cavities or between an
infected cavity and the surface of the skin, sometimes known as a fistula. The fistula is between the
rectum and vagina.
[Page reference: 532]
The nurse is cleaning a patient's abdominal incision and Jackson-Pratt drain. Which action should the
nurse take?
Questions And Correct Answers.
The nurse is observing an unlicensed assistive personnel (UAP) move a patient in bed. Which action by
the UAP would the nurse praise?
1. Slides the patient across the bed
2. Pulls the patient across the bed
3. Drags the patient across the bed
4. Lifts the patient across the bed - Answer 4. Lifts the patient across the bed
Option 4:
Avoid pulling or dragging a patient across the bed rather than lifting him or her, because the shearing
force to the patient's skin can result in destruction of the epidermis and dermis.
[Page reference: 528]
The nurse is collecting data on a patient's wound drainage. The drainage is reddish in color. How would
the nurse document this finding?
1. Sanguineous drainage present.
2. Serosanguineous drainage present.
3. Serous drainage present.
4. Purulent drainage present. - Answer 1. Sanguineous drainage present.
Option 1:
,Sanguineous drainage looks like blood.
[Page reference: 539]
Test Taking Tip: Here are some hints to help differentiate between the different types of drainage:
• Sanguineous: Comes from the Latin word for "bloody" and means "containing blood." It refers to red,
bloody drainage.
•Serous: Comes from the Latin word for "serum," the clear liquid portion of the blood. It refers to clear
to pale yellow drainage that looks like serum.
•Purulent: Comes from the Latin word meaning "full of pus" and means "containing pus." It is thick
yellow or green drainage and is a sign of infection.
• Serosanguineous: Both blood and clear drainage are present. Combined, they turn dressing materials a
pink color.
The nurse is removing staples from a patient's leg incision. Which technique should the nurse use?
1. Remove staples in succession
2. Gently pull the handles apart
3. Slide hooked jaw under the staple
4. Place staple remover near the knot - Answer 3. Slide hooked jaw under the staple
Option 3:
The hooked jaw of the staple remover slides under the middle of the staple to remove the staple.
A patient has a Jackson-Pratt drain. How should the nurse care for the drain?
1. Empty the drain when it is one-third full
2. Wear gloves and gown to empty drain
, 3. Raise above insertion site
4. Wipe the spout with alcohol before emptying - Answer 4. Wipe the spout with alcohol before
emptying
Option 4:
Wipe the drain spout with an alcohol sponge to prevent introducing microorganisms into the drain.
The nurse is helping a coworker turn a patient. Which action by the coworker would cause the nurse to
intervene?
1. Gently rubs a red area on the hip bone
2. Places a pillow behind the patient's back
3. Positions a pillow between the patient's knees
4. Puts heel protectors on the patient - Answer 1. Gently rubs a red area on the hip bone
Option 1:
The nurse would intervene, as this is an inappropriate action. Avoid massaging the erythematous area,
which could cause further tissue damage.
The nurse is describing a fistula to a female patient. Click on the area the nurse would identify as the
fistula. - Answer A sinus tract is a channel or tunnel that develops between two cavities or between an
infected cavity and the surface of the skin, sometimes known as a fistula. The fistula is between the
rectum and vagina.
[Page reference: 532]
The nurse is cleaning a patient's abdominal incision and Jackson-Pratt drain. Which action should the
nurse take?
