WND 580 TIPS MAIN ANSWERS AND QUESTIONS
SET A+
✔✔You have a patient in acute care who has multiple risk factors for skin breakdown.
Which of the following statements are true regarding frequency of skin assessment?
a. A head to toe skin assessment should be done only upon initial admission.
b. Patients at risk for skin breakdown should have at least a daily skin inspection.
c. Skin inspection should be performed twice an eight-hour shift for those at risk.
d. Skin inspections should only be done daily if the patient has a wound. - ✔✔b.
Patients at risk for skin breakdown should have at least a daily skin inspection.
✔✔Your wound assessment reveals a full thickness ulcer, with scant amount of
serosanguinous drainage. You note that the wound base is pale pink and there is a
tunnel at 3 o'clock. The wound measurements are unchanged in the last 2 week's
wound assessments. The patient denies pain with palpation, but you note mild
periwound erythema. What would be your BEST response in developing the plan of
care for this patient?
a. Apply an antimicrobial hydrofiber rope into the tunnel.
b. Apply topical antibiotic ointment with a gauze strip wicked into the tunnel.
c. Apply a silver hydrogel impregnated gauze strip wicked into the tunnel.
d. Call primary care provider for oral antibiotics. - ✔✔c. Apply a silver hydrogel
impregnated gauze strip wicked into the tunnel.
✔✔Which of the following dressings would be most appropriate for a patient with a full-
thickness pressure injury with significant undermining and a dry wound bed?
a. Wet-to-dry gauze.
b. Hydrogel impregnated gauze.
c. Hydrocolloid wafer.
d. Alginate. - ✔✔b. Hydrogel impregnated gauze.
, ✔✔Of the following dressings, which would be most appropriate for a shallow, clean,
granulating wound that measures 2 cm X 1.5 cm and has minimal exudate?
a. Calcium alginate.
b. Wet-to-dry gauze.
c. Enzymatic debrider.
d. Hydrocolloid dressing. - ✔✔d. Hydrocolloid dressing.
✔✔Of the following, which would be most appropriate as a primary dressing for an
exudative pressure injury with a depth of 4.5 cm?
a. Amorphous hydrogel.
b. Hydrocolloid wafer.
c. Calcium alginate.
d. Composite dressing. - ✔✔c. Calcium alginate.
✔✔Of the following dressings, which is best for the moderately exudative venous ulcer?
a. Transparent dressing.
b. Foam dressing.
c. Saline soaked gauze.
d. Hydrogel sheet dressing. - ✔✔b. Foam dressing.
✔✔Patients undergoing myocutaneous flap closure of a pressure injury are BEST
managed in the initial postoperative period on what type of support surface?
a. An alternating air mattress with frequent position changes.
b. Any surface as long as they are turned every 2 hours.
c. A water-flotation device.
d. An air-fluidized bed with non-shear surface. - ✔✔d. An air-fluidized bed with non-
shear surface.
✔✔Acute versus chronic wound characteristics are:
a. the same, no different characteristics.
b. have different types of cellular activity, different levels of proteases.
c. acute wounds are better looking than chronic wounds.
d. have the same amount of growth factors. - ✔✔b. have different types of cellular
activity, different levels of proteases.
✔✔Ultrasonic mist aids in debridement of necrotic tissue and reduces bioburden of
wounds using:
a. A saline mist.
b. An isopropyl alcohol mist.
c. A betadine scrub mist.
SET A+
✔✔You have a patient in acute care who has multiple risk factors for skin breakdown.
Which of the following statements are true regarding frequency of skin assessment?
a. A head to toe skin assessment should be done only upon initial admission.
b. Patients at risk for skin breakdown should have at least a daily skin inspection.
c. Skin inspection should be performed twice an eight-hour shift for those at risk.
d. Skin inspections should only be done daily if the patient has a wound. - ✔✔b.
Patients at risk for skin breakdown should have at least a daily skin inspection.
✔✔Your wound assessment reveals a full thickness ulcer, with scant amount of
serosanguinous drainage. You note that the wound base is pale pink and there is a
tunnel at 3 o'clock. The wound measurements are unchanged in the last 2 week's
wound assessments. The patient denies pain with palpation, but you note mild
periwound erythema. What would be your BEST response in developing the plan of
care for this patient?
a. Apply an antimicrobial hydrofiber rope into the tunnel.
b. Apply topical antibiotic ointment with a gauze strip wicked into the tunnel.
c. Apply a silver hydrogel impregnated gauze strip wicked into the tunnel.
d. Call primary care provider for oral antibiotics. - ✔✔c. Apply a silver hydrogel
impregnated gauze strip wicked into the tunnel.
✔✔Which of the following dressings would be most appropriate for a patient with a full-
thickness pressure injury with significant undermining and a dry wound bed?
a. Wet-to-dry gauze.
b. Hydrogel impregnated gauze.
c. Hydrocolloid wafer.
d. Alginate. - ✔✔b. Hydrogel impregnated gauze.
, ✔✔Of the following dressings, which would be most appropriate for a shallow, clean,
granulating wound that measures 2 cm X 1.5 cm and has minimal exudate?
a. Calcium alginate.
b. Wet-to-dry gauze.
c. Enzymatic debrider.
d. Hydrocolloid dressing. - ✔✔d. Hydrocolloid dressing.
✔✔Of the following, which would be most appropriate as a primary dressing for an
exudative pressure injury with a depth of 4.5 cm?
a. Amorphous hydrogel.
b. Hydrocolloid wafer.
c. Calcium alginate.
d. Composite dressing. - ✔✔c. Calcium alginate.
✔✔Of the following dressings, which is best for the moderately exudative venous ulcer?
a. Transparent dressing.
b. Foam dressing.
c. Saline soaked gauze.
d. Hydrogel sheet dressing. - ✔✔b. Foam dressing.
✔✔Patients undergoing myocutaneous flap closure of a pressure injury are BEST
managed in the initial postoperative period on what type of support surface?
a. An alternating air mattress with frequent position changes.
b. Any surface as long as they are turned every 2 hours.
c. A water-flotation device.
d. An air-fluidized bed with non-shear surface. - ✔✔d. An air-fluidized bed with non-
shear surface.
✔✔Acute versus chronic wound characteristics are:
a. the same, no different characteristics.
b. have different types of cellular activity, different levels of proteases.
c. acute wounds are better looking than chronic wounds.
d. have the same amount of growth factors. - ✔✔b. have different types of cellular
activity, different levels of proteases.
✔✔Ultrasonic mist aids in debridement of necrotic tissue and reduces bioburden of
wounds using:
a. A saline mist.
b. An isopropyl alcohol mist.
c. A betadine scrub mist.
