Answers
Page 1 of 321
,Question 1
Which factor is essential for promoting normal wound healing?
Correct Answer
A. Adequate rest and hydration
Question 2
What is the key difference between primary and secondary wound healing?
Correct Answer
B. Secondary healing involves greater tissue loss and more scarring.
Page 2 of 321
,Question 1
A nurse is selecting dressings for a client who has a full-thickness pressure injury and is experiencing considerable
pain during dressing changes, despite administration of the prescribed analgesic prior to wound care. Which of
the following types of dressings should the nurse select to help minimize the pain of dressing changes?
Correct Answer
Hydrogel
[RATIONALE: The nurse should select hydrogel for this client because hydrogel does not adhere to the wound
bed and maintains moisture, which results in decreased pain.]
Question 2
A nurse is caring for a client who has a stage 4 sacral pressure injury for which the provider has prescribed
mechanical debridement. Which of the following is a form of mechanical debridement that the nurse should
expect the client to receive?
Correct Answer
Pulsating lavage
[RATIONALE: Pulsating lavage or irrigations provides mechanical debridement by dislodging exudate, debris, and
necrotic tissue in the wound bed.]
Page 3 of 321
, Question 3
A nurse is caring for a client who has developed a stage 1 pressure injury in the area of the right ischial tuberosity.
Which of the following should the nurse plan to apply to the client's pressure injury?
Correct Answer
Barrier creams
[RATIONALE: Barrier creams and ointments are used for clients that are prone to skin breakdown from pressure,
shear, or incontinence. Therefore, the nurse should plan to apply barrier creams for a client who has a stage 1
pressure injury.]
Question 4
A nurse is documenting data about a deep necrotic wound on a client's left buttock. The nurse observes a
yellowish-tan, soft, stringy area of necrotic tissue formed in clumps and adhering firmly to the wound bed. Which
of the following assessment findings should the nurse document?
Correct Answer
Slough
[DEF: stringy necrotic tissue that appears whitish/yellowish/tan in color & is firmly attached to the wound bed]
Page 4 of 321