CLINICAL NURSING SKILLS AND
TECHNIQUES 10TH EDITION TEST BANK
2026 COMPLETE GUIDE QUESTIONS AND
VERIFIED SOLUTIONS GRADED A+
⩥ ANS:
Answer: D
Healing by primary intention occurs when the edges of a clean surgical
incision remain close together. The wound heals quickly, and tissue loss
is minimal or absent. The skin cells quickly regenerate, and the capillary
walls stretch across under the suture line to form a smooth surface as
they join. Wounds that are left open and are allowed to heal by scar
formation are classified as healing by secondary intention. Connective
tissue development is evident during healing by secondary intention.
Healing by tertiary intention occurs when surgical wounds are not closed
immediately but are left open for 3 to 5 days to allow edema or infection
to diminish.
⩥
Answer: 2. The nurse is caring for a patient who has a dressing over a
surgical wound created the night before. The dressing has never been
changed. How should the nurse proceed?
⩥ ANS:
,Answer: B
To promote patient comfort, administer an analgesic as ordered, usually
30 to 45 minutes before changing the dressing. However, you will need
to assess to determine the best time for analgesic administration before
providing wound care. Do not remove an initial surgical dressing for
direct wound inspection until a physician writes a medical order for
removal. The presence of wound exudate is an expected stage of
epithelial cell growth.
⩥ DIF:
Answer: Cognitive Level: Application REF: Text reference: p. 1015
⩥ OBJ:
Answer: Perform a wound assessment. TOP: Medicating the Patient
Before Dressing Changes
⩥ KEY:
Answer: Nursing Process Step: Implementation
⩥ MSC:
Answer: NCLEX: Physiological Integrity
⩥
,Answer: 3. The nurse is in the process of irrigating the wound for a
patient who has a large pressure ulcer on his buttock. How should the
nurse proceed?
⩥ ANS:
Answer: C
When one is irrigating, all the solution flows from the least
contaminated to the most contaminated area. The pressure needed to
irrigate wounds is between 4 and 15 psi. Irrigating solutions are sterile.
⩥ When one is irrigating, all the solution flows from the least
contaminated to the most contaminated area. The pressure needed to
irrigate wounds is between 4 and 15 psi. Irrigating solutions are sterile.
Answer:
⩥
Answer: 4. The nurse is changing a surgical dressing and is cleansing the
wound. She knows that:
⩥ a.
Answer: the incision line should be cleansed last.
⩥ b.
, Answer: she should start at one end of the incision line and swab the
entire length.
⩥ c.
Answer: she should start at the center of the incision line and swab
toward one end.
⩥ d.
Answer: she should work in a circular motion around the incision line.
⩥ ANS:
Answer: C
⩥ The center is the most important part of the suture line; therefore,
using a sterile swab or gauze, clean the suture line by starting at the
center of the suture line and working toward one end. With another
sterile swab or gauze, start at the center of the incision and work toward
the other end. All other cleansing involves moving from one end to the
other on each side of the incision. Work in straight lines, moving away
from the suture line with each successive stroke.
Answer:
⩥ DIF:
Answer: Cognitive Level: Application REF: Text reference: p. 1026
TECHNIQUES 10TH EDITION TEST BANK
2026 COMPLETE GUIDE QUESTIONS AND
VERIFIED SOLUTIONS GRADED A+
⩥ ANS:
Answer: D
Healing by primary intention occurs when the edges of a clean surgical
incision remain close together. The wound heals quickly, and tissue loss
is minimal or absent. The skin cells quickly regenerate, and the capillary
walls stretch across under the suture line to form a smooth surface as
they join. Wounds that are left open and are allowed to heal by scar
formation are classified as healing by secondary intention. Connective
tissue development is evident during healing by secondary intention.
Healing by tertiary intention occurs when surgical wounds are not closed
immediately but are left open for 3 to 5 days to allow edema or infection
to diminish.
⩥
Answer: 2. The nurse is caring for a patient who has a dressing over a
surgical wound created the night before. The dressing has never been
changed. How should the nurse proceed?
⩥ ANS:
,Answer: B
To promote patient comfort, administer an analgesic as ordered, usually
30 to 45 minutes before changing the dressing. However, you will need
to assess to determine the best time for analgesic administration before
providing wound care. Do not remove an initial surgical dressing for
direct wound inspection until a physician writes a medical order for
removal. The presence of wound exudate is an expected stage of
epithelial cell growth.
⩥ DIF:
Answer: Cognitive Level: Application REF: Text reference: p. 1015
⩥ OBJ:
Answer: Perform a wound assessment. TOP: Medicating the Patient
Before Dressing Changes
⩥ KEY:
Answer: Nursing Process Step: Implementation
⩥ MSC:
Answer: NCLEX: Physiological Integrity
⩥
,Answer: 3. The nurse is in the process of irrigating the wound for a
patient who has a large pressure ulcer on his buttock. How should the
nurse proceed?
⩥ ANS:
Answer: C
When one is irrigating, all the solution flows from the least
contaminated to the most contaminated area. The pressure needed to
irrigate wounds is between 4 and 15 psi. Irrigating solutions are sterile.
⩥ When one is irrigating, all the solution flows from the least
contaminated to the most contaminated area. The pressure needed to
irrigate wounds is between 4 and 15 psi. Irrigating solutions are sterile.
Answer:
⩥
Answer: 4. The nurse is changing a surgical dressing and is cleansing the
wound. She knows that:
⩥ a.
Answer: the incision line should be cleansed last.
⩥ b.
, Answer: she should start at one end of the incision line and swab the
entire length.
⩥ c.
Answer: she should start at the center of the incision line and swab
toward one end.
⩥ d.
Answer: she should work in a circular motion around the incision line.
⩥ ANS:
Answer: C
⩥ The center is the most important part of the suture line; therefore,
using a sterile swab or gauze, clean the suture line by starting at the
center of the suture line and working toward one end. With another
sterile swab or gauze, start at the center of the incision and work toward
the other end. All other cleansing involves moving from one end to the
other on each side of the incision. Work in straight lines, moving away
from the suture line with each successive stroke.
Answer:
⩥ DIF:
Answer: Cognitive Level: Application REF: Text reference: p. 1026
