BSN WEEK 8 WOUND CARE EXAM QUESTIONS
WITH 100% ACCURATE ANSWERS
Which of the following is an example of healing by secondary intention? (Select all that apply.) -
Accurate answers A burn; A dog bite; A full-thickness pressure injury.
It is suspected that a patient is developing a wound infection. Which assessment data would support this
conclusion? (Select all that apply.) - Accurate answers Increased complains of pain at the wound
site; White blood cell count 13,000 mm³ (elevated); Yellow-tinged drainage; Foul odor noted from
previous dressing; Temperature 100.3° F (37.94° C)
Which of the following lab results or measurements indicate a risk for impaired wound healing? (Select
all that apply.) - Accurate answers Fasting blood glucose of 215 mg/dl (elevated); A hemoglobin
count of 10.0 f per dL (decreased); A BMI (body mass index) of 35 (elevated); A serum albumin of 2.9
g/dl (decreased)
Identify the functions of dressings. (Select all that apply.) - Accurate answers Protection from
outside contaminants and further tissue injury; Maintaining a moist environment; Increased patient
comfort; Control of bleeding and drainage.
Which of the following regarding the removal of the old dressing on a surgical incision are accurate?
(Select all that apply.) - Accurate answers If dressing is over a hairy area, remove tape in the
direction of hair growth; Use caution to avoid tension on any drains that are present.
Which of the following is a method of wound debridement? - Accurate answers Damp-to-dry
dressing.
The nurse is teaching the nursing assistive personnel (NAP) in a nursing home about daily routine
measures to reduce the incidence of pressure injuries within the agency. Which of the following should
the nurse include in the teaching? (Select all that apply.) - Accurate answers Turning patients at
least every 2 hours; Positioning patient in the 30-degree lateral position; Using a turn sheet to reposition
patients; Use of pillow bridging when needed.
How is the vacuum re-established after emptying a drain such as a Jackson-Pratt drain or Hemovac? -
Accurate answers By compressing the drain reservoir.
A nurse is explaining how to perform a dressing change. Which of the following sequence for changing a
surgical wound dressing (wound drain present) indicates that the nurse requires further education
regarding this procedure? - Accurate answers Cleanse wound. Use a separate swab for each
cleansing stroke. Cleanse around drain by using a circular stroke starting near the drain and moving
outward. Clean incision in direction from bottom to top.
A patient is to have frequent dressing changes. What should the nurse use to secure the dressing? -
Accurate answers Montgomery ties
WITH 100% ACCURATE ANSWERS
Which of the following is an example of healing by secondary intention? (Select all that apply.) -
Accurate answers A burn; A dog bite; A full-thickness pressure injury.
It is suspected that a patient is developing a wound infection. Which assessment data would support this
conclusion? (Select all that apply.) - Accurate answers Increased complains of pain at the wound
site; White blood cell count 13,000 mm³ (elevated); Yellow-tinged drainage; Foul odor noted from
previous dressing; Temperature 100.3° F (37.94° C)
Which of the following lab results or measurements indicate a risk for impaired wound healing? (Select
all that apply.) - Accurate answers Fasting blood glucose of 215 mg/dl (elevated); A hemoglobin
count of 10.0 f per dL (decreased); A BMI (body mass index) of 35 (elevated); A serum albumin of 2.9
g/dl (decreased)
Identify the functions of dressings. (Select all that apply.) - Accurate answers Protection from
outside contaminants and further tissue injury; Maintaining a moist environment; Increased patient
comfort; Control of bleeding and drainage.
Which of the following regarding the removal of the old dressing on a surgical incision are accurate?
(Select all that apply.) - Accurate answers If dressing is over a hairy area, remove tape in the
direction of hair growth; Use caution to avoid tension on any drains that are present.
Which of the following is a method of wound debridement? - Accurate answers Damp-to-dry
dressing.
The nurse is teaching the nursing assistive personnel (NAP) in a nursing home about daily routine
measures to reduce the incidence of pressure injuries within the agency. Which of the following should
the nurse include in the teaching? (Select all that apply.) - Accurate answers Turning patients at
least every 2 hours; Positioning patient in the 30-degree lateral position; Using a turn sheet to reposition
patients; Use of pillow bridging when needed.
How is the vacuum re-established after emptying a drain such as a Jackson-Pratt drain or Hemovac? -
Accurate answers By compressing the drain reservoir.
A nurse is explaining how to perform a dressing change. Which of the following sequence for changing a
surgical wound dressing (wound drain present) indicates that the nurse requires further education
regarding this procedure? - Accurate answers Cleanse wound. Use a separate swab for each
cleansing stroke. Cleanse around drain by using a circular stroke starting near the drain and moving
outward. Clean incision in direction from bottom to top.
A patient is to have frequent dressing changes. What should the nurse use to secure the dressing? -
Accurate answers Montgomery ties
