Question 1
Question: Which of the following factors might affect a patient's wound
healing? a. Age, nutrition, and medications b. Disease, nutrition, and
medications c. Disease, age, and medications d. Age, nutrition, disease, and
medications
Correct Answer: d Rationale: All four factors—age, nutrition, disease, and
medications—are critical to the wound healing process. Older age slows cell
regeneration, poor nutrition lacks the building blocks for tissue repair,
chronic diseases like diabetes compromise circulation, and certain
medications (e.g., corticosteroids) can suppress the immune system.
Question 2
Question: It would be appropriate to apply a transparent film dressing to a
superficial laceration.
True
False Correct Answer: True Rationale: Transparent film dressings
are thin, flexible, and waterproof, making them ideal for minor, non-
exudating wounds. They protect the wound from contamination while
creating a moist environment that promotes healing.
Question 3
Question: The nurse is monitoring the collection of a 24-hour urine
specimen. What action by the nurse will yield the most accurate test
results?
a. Use a sterile container for the collection. b. Keep the urine in a collection
bottle in a container of ice. c. Place the urine in a dark-colored container to
prevent deterioration from light. d. Discard the first voiding of the day and
begin the 24-hour collection with the second voiding.
Correct Answer: b Rationale: To ensure the accuracy of a 24-hour urine
test, the sample must be kept cold. This prevents bacterial growth and the
decomposition of chemical substances in the urine, which would otherwise
alter the test results.
Question 4
Question: The nurse needs to apply a dry sterile dressing. Which should
the nurse implement first?
, a. Remove excess moisture from the wound. b. Remove the old dressing
and inspect the wound. c. Cleanse with sterile saline solution. d.
Prepare a sterile field.
Correct Answer: c Rationale: The first clinical action for a dressing
change is to cleanse the wound. This removes debris, old drainage,
and bacteria, which is essential for preventing infection and
promoting new tissue growth.
Question 5
Question: It is appropriate for the nurse to assign a sterile dressing change
to the health care assistant (HCA) as long as the HCA has developed a
professional relationship with the client.
True
False Correct Answer: False Rationale: A sterile dressing change is
a procedure requiring a licensed nurse's skills and clinical judgment.
It involves maintaining a sterile field and assessing the wound, tasks
that are outside the scope of practice for an HCA.
Question 6
Question: A normal fasting blood glucose level is 4.0 – 6.0 mmol/L.
True
False Correct Answer: True Rationale: The standard normal range
for fasting blood glucose is 4.0-6.0 mmol/L. Values outside this range
may indicate hypoglycemia or hyperglycemia.
Question 7
Question: Some dressings may be changed every 3 or 4 days depending on
the wound and the product selected.
True
False Correct Answer: True Rationale: Many modern, advanced
wound dressings are designed for extended use to maintain a moist
healing environment and reduce the trauma to the wound bed from
frequent changes. The frequency of change is dictated by the dressing
type and the amount of wound drainage.
Question 8
Question: Which of the following factors might affect a patient's wound
healing? a. Age, nutrition, and medications b. Disease, nutrition, and
medications c. Disease, age, and medications d. Age, nutrition, disease, and
medications
Correct Answer: d Rationale: All four factors—age, nutrition, disease, and
medications—are critical to the wound healing process. Older age slows cell
regeneration, poor nutrition lacks the building blocks for tissue repair,
chronic diseases like diabetes compromise circulation, and certain
medications (e.g., corticosteroids) can suppress the immune system.
Question 2
Question: It would be appropriate to apply a transparent film dressing to a
superficial laceration.
True
False Correct Answer: True Rationale: Transparent film dressings
are thin, flexible, and waterproof, making them ideal for minor, non-
exudating wounds. They protect the wound from contamination while
creating a moist environment that promotes healing.
Question 3
Question: The nurse is monitoring the collection of a 24-hour urine
specimen. What action by the nurse will yield the most accurate test
results?
a. Use a sterile container for the collection. b. Keep the urine in a collection
bottle in a container of ice. c. Place the urine in a dark-colored container to
prevent deterioration from light. d. Discard the first voiding of the day and
begin the 24-hour collection with the second voiding.
Correct Answer: b Rationale: To ensure the accuracy of a 24-hour urine
test, the sample must be kept cold. This prevents bacterial growth and the
decomposition of chemical substances in the urine, which would otherwise
alter the test results.
Question 4
Question: The nurse needs to apply a dry sterile dressing. Which should
the nurse implement first?
, a. Remove excess moisture from the wound. b. Remove the old dressing
and inspect the wound. c. Cleanse with sterile saline solution. d.
Prepare a sterile field.
Correct Answer: c Rationale: The first clinical action for a dressing
change is to cleanse the wound. This removes debris, old drainage,
and bacteria, which is essential for preventing infection and
promoting new tissue growth.
Question 5
Question: It is appropriate for the nurse to assign a sterile dressing change
to the health care assistant (HCA) as long as the HCA has developed a
professional relationship with the client.
True
False Correct Answer: False Rationale: A sterile dressing change is
a procedure requiring a licensed nurse's skills and clinical judgment.
It involves maintaining a sterile field and assessing the wound, tasks
that are outside the scope of practice for an HCA.
Question 6
Question: A normal fasting blood glucose level is 4.0 – 6.0 mmol/L.
True
False Correct Answer: True Rationale: The standard normal range
for fasting blood glucose is 4.0-6.0 mmol/L. Values outside this range
may indicate hypoglycemia or hyperglycemia.
Question 7
Question: Some dressings may be changed every 3 or 4 days depending on
the wound and the product selected.
True
False Correct Answer: True Rationale: Many modern, advanced
wound dressings are designed for extended use to maintain a moist
healing environment and reduce the trauma to the wound bed from
frequent changes. The frequency of change is dictated by the dressing
type and the amount of wound drainage.
Question 8
