Which of the following wound irrigation devices will provide approximately 8 psi in irrigant
pressure to the wound surface?
a 35 ml syringe with 19 gauge Angiocath
b 250 ml squeeze bottle
c Bulb syringe
d 6 ml syringe with 19 gauge Angiocath Correct Ans-a 35 ml syringe with 19 gauge
Angiocath
Which of the following is the most important criterion when assessing a patient's level of
wound pain?
a Patient's behavior
b Type of wound
c Patient's report of pain
d Patient's facial expression Correct Ans-c Patient's report of pain
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Which of the following is likely to have the MOST negative effect on wound healing for a 65 yo
woman?
a Hypoalbuminemia
b BMI of 20.2
c BMI of 28
d Vegan diet Correct Ans-a Hypoalbuminemia (this is an indication of protein malnutrition
and may cause delayed wound healing
Which of the following is the most definitive method for obtaining a wound specimen for
culture and sensitivities?
a Tissue biopsy
b Sterile swab of wound
c Needle biopsy
d Sterile swab of discharge Correct Ans-a Tissue biopsy
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Which of the following extends from a wound under normal issue and connects two
structures, such as the wound and an organ?
a Undermining
b fistula
c tunneling
d abscess Correct Ans-fistula
A patient has a wound on the right hip with tunneling and fistulae. Which of the following is
MOST indicative of an abscess formation?
a Increased purulent discharge
b Increased wound pain
c Increased erythema and swelling at wound perimeter
d Erythematous, painful, swollen area 3 cm from wound perimeter Correct Ans-d
Erythematous, painful, swollen area 3 cm from wound perimeter
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Which of the following laboratory tests is the most effective to monitor acute changes in
nutritional status?
a Total protein
b Albumin
c Prealbumin
d Trasferrin Correct Ans-c Prealbumin is used to monitor acute changes in nutritional
status because it has a half life of only 2-3 days.
On the eighth day of wound care, granulation tissue is evident about the wound perimeter,
and the wound is beginning to contract. The wound is in which of the following phases of
healing?
a Proliferation
b Inflammation
c Hemostasis