WOUND CARE PRACTICE TEST QUESTIONS
WITH 100% ACCURATE ANSWERS
The nurse is reviewing the client's medical record. Which of the following findings places the client at
risk for delayed wound healing?
Select all that apply.
- Hyperlipidemia
- Diabetes Mellitus
- Medication History
- Cholesterol Level
- Prealbumin level - Accurate answers - Diabetes Mellitus
- Medication history
- Prealbumin level
A nurse is preparing to assist with irrigating a wound for a client. Which of the following actions should
the nurse plan to take?
- Irrigate the wound until that solution is draining is clear
- Flush the wound from the most contaminated area to the cleanest area
- Hold the tip of the syringe at least 1.3 cm (0.5 in) above the wound while irrigating
- Chill the irrigant prior to the procedure - Accurate answers Irrigate the wound until the solution is
draining is clear
- Discard the dressing in the bedside trash receptacle.
- Place the dressing in a biohazardous waste container.
- Wrap the dressing in a clear plastic bag and discard it in the bedside trash receptacle.
- Double bag the dressing, label it "biohazard," and send it for decontamination. - Accurate answers
Place the dressing in a biohazardous waste container
A nurse is caring for a client who has a stage-3 pressure ulcer that now has some granulating tissue.
Which of the following interventions should the nurse recommend for inclusion in the plan of care?
- Apply a heat lamp twice a day
- Cleans with a 0.9% sodium chloride irrigation
- cleans with povidone-iodine solution
- massage reddened areas during dressing changes - Accurate answers Cleanse with 0.9% sodium
chloride irrigation
A nurse is collecting data on a client who has a wound that is healing by first intention. Which of the
following findings should the nurse expect?
- Skin edges of the wound are sutured closed
- Healing of the wound is prolonged
- Granulation tissue forming at the bottom of the wound bed
, - Wound is contaminated at the time of injury - Accurate answers Skin edges of the wound are
sutured closed
A nurse is assisting with discharge planning for a client who has a sacral pressure injury and has a
prescription for daily dressing changes. Which of the following resource referrals should the nurse
anticipate from the provider for this client?
- Home care
- Hospice care
- Long-term care
- Assisted Living - Accurate answers Home care
A nurse is assisting with speaking in front of a group of nurses about new guidelines to prevent pressure
ulcers. Which of the following actions by the nurse demonstrates confidence?
- The nurse stands tall before talking
- The nurse paces back and forth while making the speech
- The nurse looks down at her notes for the duration of the talk
- The nurse taps her foot repeatedly during the speech - Accurate answers The nurse stands tall
before talking
A nurse is caring for a client who is 3 days postoperatice following a cholecystectomy. The nurse
suspects the client's wound is infected because the drainage from the dressing is yellow and thick.
Which of the following findings should the nurse report as the type of drainage found?
- Sanguineous
- Serous
- Serosanguineous
- Purulent - Accurate answers Purulent
A nurse is in the emergency department is assisting with the care of a client who has a deep laceration
on her left lower forearm and is bleeding heavily form the wound. Which of the following actions should
the nurse take first?
- Apply a tourniquet just above the wound
- Apply pressure directly to th ewound
- Elevate the extremity
- Place the client in a modified Trendelenburg position - Accurate answers Apply pressure directly
to the wound
A nurse is preparing to perform wound care and remove staples from a client's surgical incision
following a hip replacement. Identify the sequence the nurse should follow
- Remove every other staple
- Wipe cleansing solution directly over the surgical incision
- Remove remaining staples
- Remove the wound dressing
- Clean the skin along the sides of the incision - Accurate answers 1) Remove the wound dressing
WITH 100% ACCURATE ANSWERS
The nurse is reviewing the client's medical record. Which of the following findings places the client at
risk for delayed wound healing?
Select all that apply.
- Hyperlipidemia
- Diabetes Mellitus
- Medication History
- Cholesterol Level
- Prealbumin level - Accurate answers - Diabetes Mellitus
- Medication history
- Prealbumin level
A nurse is preparing to assist with irrigating a wound for a client. Which of the following actions should
the nurse plan to take?
- Irrigate the wound until that solution is draining is clear
- Flush the wound from the most contaminated area to the cleanest area
- Hold the tip of the syringe at least 1.3 cm (0.5 in) above the wound while irrigating
- Chill the irrigant prior to the procedure - Accurate answers Irrigate the wound until the solution is
draining is clear
- Discard the dressing in the bedside trash receptacle.
- Place the dressing in a biohazardous waste container.
- Wrap the dressing in a clear plastic bag and discard it in the bedside trash receptacle.
- Double bag the dressing, label it "biohazard," and send it for decontamination. - Accurate answers
Place the dressing in a biohazardous waste container
A nurse is caring for a client who has a stage-3 pressure ulcer that now has some granulating tissue.
Which of the following interventions should the nurse recommend for inclusion in the plan of care?
- Apply a heat lamp twice a day
- Cleans with a 0.9% sodium chloride irrigation
- cleans with povidone-iodine solution
- massage reddened areas during dressing changes - Accurate answers Cleanse with 0.9% sodium
chloride irrigation
A nurse is collecting data on a client who has a wound that is healing by first intention. Which of the
following findings should the nurse expect?
- Skin edges of the wound are sutured closed
- Healing of the wound is prolonged
- Granulation tissue forming at the bottom of the wound bed
, - Wound is contaminated at the time of injury - Accurate answers Skin edges of the wound are
sutured closed
A nurse is assisting with discharge planning for a client who has a sacral pressure injury and has a
prescription for daily dressing changes. Which of the following resource referrals should the nurse
anticipate from the provider for this client?
- Home care
- Hospice care
- Long-term care
- Assisted Living - Accurate answers Home care
A nurse is assisting with speaking in front of a group of nurses about new guidelines to prevent pressure
ulcers. Which of the following actions by the nurse demonstrates confidence?
- The nurse stands tall before talking
- The nurse paces back and forth while making the speech
- The nurse looks down at her notes for the duration of the talk
- The nurse taps her foot repeatedly during the speech - Accurate answers The nurse stands tall
before talking
A nurse is caring for a client who is 3 days postoperatice following a cholecystectomy. The nurse
suspects the client's wound is infected because the drainage from the dressing is yellow and thick.
Which of the following findings should the nurse report as the type of drainage found?
- Sanguineous
- Serous
- Serosanguineous
- Purulent - Accurate answers Purulent
A nurse is in the emergency department is assisting with the care of a client who has a deep laceration
on her left lower forearm and is bleeding heavily form the wound. Which of the following actions should
the nurse take first?
- Apply a tourniquet just above the wound
- Apply pressure directly to th ewound
- Elevate the extremity
- Place the client in a modified Trendelenburg position - Accurate answers Apply pressure directly
to the wound
A nurse is preparing to perform wound care and remove staples from a client's surgical incision
following a hip replacement. Identify the sequence the nurse should follow
- Remove every other staple
- Wipe cleansing solution directly over the surgical incision
- Remove remaining staples
- Remove the wound dressing
- Clean the skin along the sides of the incision - Accurate answers 1) Remove the wound dressing
