Question 1
Types of wounds
CORRECT ANSWER
Intentional or unintentional
Open or closed
Acute or chronic
Partial thickness, full thickness, complex
Question 2
how do you apply an abdominal binder?
CORRECT ANSWER
start at typhoid, fasten from the bottom up
used for support to keep dressing intact
remove every two hours to asses underlying skin and wound
Question 3
Risk factors for pressure ulcers
CORRECT ANSWER
Fecal and unitary incontinence
Friction and shearing
immobility
1
,inadequate nutrition (decreased protein, Vitamin C, zinc)
Decreased mental status
excessive body heat (moisture)
advanced age
chronic conditions
Diminished sensation
Incorrect positioning
Question 4
Signs of infected pressure ulcer?
CORRECT ANSWER
Change in color, odor, or drainage. Sever infections cause fever and increased WBC.
Question 5
During your assessment of a new patient, the nurse notices a Stage I pressure ulcer, what are
the signs that this nurse is correct about this pressure ulcer being a stage one?
CORRECT ANSWER
Non-blachable
No opening
Question 6
What do you do for a stage I pressure ulcer?
CORRECT ANSWER
Apply barrier creams
2
,Reposition patient Q2hr
Question 7
As you assess your new patient you notice a sore on a bony premise that is blister-like, with
partial thickness skin loss, pt is complaining of pain where the wound is present which stage
is this pressure ulcer?
CORRECT ANSWER
Stage II
Question 8
What type of dressing do you use for a stage II pressure ulcer?
CORRECT ANSWER
Mepaplex or Duoderm
Question 9
Full thickness skin loss, involving damage or necrosis of subcutaneous is what stage pressure
ulcer?
CORRECT ANSWER
Stage III
Question 10
Full thickness skin loss with tissue necrosis, damage to the muscle and bone, wound goes
through nerves and not painful with tunneling present, which stage is this wound?
CORRECT ANSWER
3
, Stage IV
Question 11
Treating pressure ulcers
CORRECT ANSWER
Minimize direct pressure
Reposition Q2hr
Schedule and DOCUMENT position change
use assistive devices
Dressing changes as ordered
Keep sheets dry and wrinkle free
Keep pt dry if incontinent
ROM 3reps 2x daily
Question 12
What is regeneration?
CORRECT ANSWER
replacement of destroyed tissue by the same kind of cells
Question 13
Primary intention healing
CORRECT ANSWER
tissue surfaces are approximated (closed) and there is minimal or no tissue loss, formation
of minimal granulation tissue and scarring
4
Types of wounds
CORRECT ANSWER
Intentional or unintentional
Open or closed
Acute or chronic
Partial thickness, full thickness, complex
Question 2
how do you apply an abdominal binder?
CORRECT ANSWER
start at typhoid, fasten from the bottom up
used for support to keep dressing intact
remove every two hours to asses underlying skin and wound
Question 3
Risk factors for pressure ulcers
CORRECT ANSWER
Fecal and unitary incontinence
Friction and shearing
immobility
1
,inadequate nutrition (decreased protein, Vitamin C, zinc)
Decreased mental status
excessive body heat (moisture)
advanced age
chronic conditions
Diminished sensation
Incorrect positioning
Question 4
Signs of infected pressure ulcer?
CORRECT ANSWER
Change in color, odor, or drainage. Sever infections cause fever and increased WBC.
Question 5
During your assessment of a new patient, the nurse notices a Stage I pressure ulcer, what are
the signs that this nurse is correct about this pressure ulcer being a stage one?
CORRECT ANSWER
Non-blachable
No opening
Question 6
What do you do for a stage I pressure ulcer?
CORRECT ANSWER
Apply barrier creams
2
,Reposition patient Q2hr
Question 7
As you assess your new patient you notice a sore on a bony premise that is blister-like, with
partial thickness skin loss, pt is complaining of pain where the wound is present which stage
is this pressure ulcer?
CORRECT ANSWER
Stage II
Question 8
What type of dressing do you use for a stage II pressure ulcer?
CORRECT ANSWER
Mepaplex or Duoderm
Question 9
Full thickness skin loss, involving damage or necrosis of subcutaneous is what stage pressure
ulcer?
CORRECT ANSWER
Stage III
Question 10
Full thickness skin loss with tissue necrosis, damage to the muscle and bone, wound goes
through nerves and not painful with tunneling present, which stage is this wound?
CORRECT ANSWER
3
, Stage IV
Question 11
Treating pressure ulcers
CORRECT ANSWER
Minimize direct pressure
Reposition Q2hr
Schedule and DOCUMENT position change
use assistive devices
Dressing changes as ordered
Keep sheets dry and wrinkle free
Keep pt dry if incontinent
ROM 3reps 2x daily
Question 12
What is regeneration?
CORRECT ANSWER
replacement of destroyed tissue by the same kind of cells
Question 13
Primary intention healing
CORRECT ANSWER
tissue surfaces are approximated (closed) and there is minimal or no tissue loss, formation
of minimal granulation tissue and scarring
4
