WOUND CARE EXAM
QUESTIONS AND ANSWERS
GRADED A+ 100% VERIFIED:
2026
1. List the principles of surgical asepsis and explain the rationale for each
principle.: -sterile object remains sterile only when touched by another sterile
object
,-place only sterile objects on sterile field
-sterile object or field out of range of vision or an object held below a person's waist
is contaminated
-sterile object becomes contaminated by prolonged exposure to air
-a sterile object or field becomes contaminated by capillary action when a sterile
surface comes in contact w/ a wet contaminated surface
-b/c fluid flows in direction of gravity, sterile object becomes contaminated if
gravity causes a contaminated liquid to flow over surface of an object (keep wet
hands up above elbows, dry from fingers to elbows)
-the edges of a sterile field or container are contaminated (1-inch border)
2. risk factors for pressure ulcer development and nursing interventions to reduce
ulcer development: SHEAR-keep HOB <30 degree angle. reposition frequency is
determined by
tissue tolerance, lvl of activity, and mobility. std=every 1-2 hrs for bed bound, every
1 hr for chair. use support surfaces to redistribute wt
,FRICTION-minimal layers of bed linens between pt and the surface. keep heels ott
bed. teach pt's to reposition wt every 15 min. use assisitive devices when
transferring or turning pt.
MOISTURE-use an incontinence cleanser and moisture barrier cream, toileting
schedule, fecal incontinence collector or condom cath, use underpads or diapers
that wick moisture AWAY from skin rather than trap it
NUTRITION-nutrition assessment, ensure adequate intake of PROTEIN, fat, and
carbs, consult RD, ensure adequate fluid intake
INFECTION-
AGE-thin skin increases
3. Partial-thickness wound: wounds that heal by primary intention and shallow
wounds that only involve loss of epidermis/dermis
heal by resurfacing of wound with new epidermal cells
, 4. Partial-thickness wound repair: Inflammatory response-[erythema/edema inc
WBC to site]. usually subsides in <24 hrs
i 7 day
Epidermal repair-[epidermal cells migrate across wound]. moist n s
env-heal in ~4days, dry env-heal
Dermal repair-[epidermis thickens and anchors to cells]. resumes normal fxn.
pink, dry, and fragile skin. occurs concurrently w/ epidermal repair
5. Full-thickness wound: involve tissue loss and extend to at least
Sub Q layer. can be acute (surgical wound) or chronic (pressure ulcer)
can be healed by primary or secondary intention
6. Full-thickness wound repair: Hemostasis-[controls bleeding]. platelets cause
coag and vasocontric- tion, and break down and release growth factors (GF
initiate entire wound healing process). DOES NOT occur in wounds healing by
secondary intention! (comprimises repair process)
QUESTIONS AND ANSWERS
GRADED A+ 100% VERIFIED:
2026
1. List the principles of surgical asepsis and explain the rationale for each
principle.: -sterile object remains sterile only when touched by another sterile
object
,-place only sterile objects on sterile field
-sterile object or field out of range of vision or an object held below a person's waist
is contaminated
-sterile object becomes contaminated by prolonged exposure to air
-a sterile object or field becomes contaminated by capillary action when a sterile
surface comes in contact w/ a wet contaminated surface
-b/c fluid flows in direction of gravity, sterile object becomes contaminated if
gravity causes a contaminated liquid to flow over surface of an object (keep wet
hands up above elbows, dry from fingers to elbows)
-the edges of a sterile field or container are contaminated (1-inch border)
2. risk factors for pressure ulcer development and nursing interventions to reduce
ulcer development: SHEAR-keep HOB <30 degree angle. reposition frequency is
determined by
tissue tolerance, lvl of activity, and mobility. std=every 1-2 hrs for bed bound, every
1 hr for chair. use support surfaces to redistribute wt
,FRICTION-minimal layers of bed linens between pt and the surface. keep heels ott
bed. teach pt's to reposition wt every 15 min. use assisitive devices when
transferring or turning pt.
MOISTURE-use an incontinence cleanser and moisture barrier cream, toileting
schedule, fecal incontinence collector or condom cath, use underpads or diapers
that wick moisture AWAY from skin rather than trap it
NUTRITION-nutrition assessment, ensure adequate intake of PROTEIN, fat, and
carbs, consult RD, ensure adequate fluid intake
INFECTION-
AGE-thin skin increases
3. Partial-thickness wound: wounds that heal by primary intention and shallow
wounds that only involve loss of epidermis/dermis
heal by resurfacing of wound with new epidermal cells
, 4. Partial-thickness wound repair: Inflammatory response-[erythema/edema inc
WBC to site]. usually subsides in <24 hrs
i 7 day
Epidermal repair-[epidermal cells migrate across wound]. moist n s
env-heal in ~4days, dry env-heal
Dermal repair-[epidermis thickens and anchors to cells]. resumes normal fxn.
pink, dry, and fragile skin. occurs concurrently w/ epidermal repair
5. Full-thickness wound: involve tissue loss and extend to at least
Sub Q layer. can be acute (surgical wound) or chronic (pressure ulcer)
can be healed by primary or secondary intention
6. Full-thickness wound repair: Hemostasis-[controls bleeding]. platelets cause
coag and vasocontric- tion, and break down and release growth factors (GF
initiate entire wound healing process). DOES NOT occur in wounds healing by
secondary intention! (comprimises repair process)
