Wound Care Practice Questions: Assessment and Documentation

1. Question 1
   • A chronic wound heals rapidly without complications
   • A chronic wound is always caused by surgery
   • An acute wound usually follows a predictable healing process
   • An acute wound is always caused by infection
2. Question 2
   • The type of dressing applied
   • The patient's pain score
   • The wound's odor
   • The location of undermining or tunneling
3. Question 3
   • Depth, width, length
   • Width, depth, length
   • Length, width, depth
   • Length, depth, circumference
4. Question 4
   • Measure diagonally across the wound every time
   • Estimate the length visually
   • Measure only the area containing exudate
   • Measure the longest head-to-toe dimension
5. Question 5
   • Thin, clear or pale-yellow drainage
   • Bright-red drainage containing clots
   • Brown, foul-smelling drainage
   • Thick, green drainage
6. Question 6
   • Red tissue present throughout wound bed
   • Looks bad
   • Dressing was changed as ordered
   • Wound appears normal
7. Question 7
   • Erythema
   • Maceration
   • Tunneling
   • Granulation
8. Question 8
   • Raised, firm scar tissue
   • Black, dry tissue in the wound bed
   • Dry, intact skin surrounding the wound
   • White, softened skin surrounding the wound
9. Question 9
   • The brand of measuring device
   • The condition of the surrounding skin
   • The time of the patient's last meal
   • The patient's height
10. Question 10
    • Wound is concerning
    • Patient has a bad sore
    • Wound looks much better
    • Wound measures 3 cm long, 2 cm wide, and 0.5 cm deep
11. Question 11
    • The initial appearance and drainage can be evaluated before they are altered
    • Assessment is unnecessary after cleansing
    • Cleansing creates all wound findings
    • The dressing type cannot be identified afterward
12. Question 12
    • The patient's favorite sleeping position
    • An estimate of the wound's age only
    • A precise anatomical description
    • The nurse's preferred dressing brand
13. Question 13
    • The nurse's shift preference
    • Size and tissue characteristics
    • The patient's room number only
    • The packaging color of the dressing
14. Question 14
    • Yellow drainage produced by infection
    • Hard black tissue caused by dried necrosis
    • White, softened tissue caused by excess moisture
    • Healthy-looking red or pink tissue associated with wound healing
15. Question 15
    • Slough
    • Granulation
    • Approximation
    • Epithelialization
16. Question 16
    • The wound edges are necessarily separated
    • The wound is producing purulent drainage
    • The wound contains only necrotic tissue
    • New epithelial tissue is forming over the wound surface
17. Question 17
    • Maceration
    • Dehiscence
    • Granulation
    • Epithelialization
18. Question 18
    • A transparent film used on every wound
    • An absorbent dressing
    • A dry gauze dressing intended only for inspection
    • A nonabsorbent protective cover
19. Question 19
    • To reduce disruption of the wound bed during removal
    • To increase pressure on the wound
    • To adhere firmly to the wound bed
    • To remove all necrotic tissue mechanically
20. Question 20
    • High absorbency
    • A design that retains all moisture against intact skin
    • Complete impermeability without absorbency
    • Adhesion directly to fragile tissue
21. Question 21
    • Clean from the least contaminated area toward the more contaminated area
    • Use the same gauze repeatedly across all surfaces
    • Scrub vigorously until bleeding occurs
    • Begin with the most contaminated area
22. Question 22
    • To increase the wound's exposure to air
    • To make the wound appear larger
    • To avoid measuring the wound
    • To prevent transferring contaminants back across the wound
23. Question 23
    • To seal the wound edges permanently
    • To replace wound assessment
    • To measure the patient's pain tolerance
    • To deliver a stream of solution that helps remove debris from the wound
24. Question 24
    • Use an unmeasured amount of material
    • Leave all packing outside the wound
    • Gently fill the space without tightly compressing the material
    • Pack material tightly until the wound edges blanch
25. Question 25
    • Absorbent alginate only
    • Occlusive foam only
    • Packing strip
    • Transparent film
26. Question 26
    • Place used supplies back on the sterile field
    • Maintain the required level of asepsis throughout the procedure
    • Use clean technique whenever the wound is deep
    • Touch the wound with ungloved hands after hand hygiene
27. Question 27
    • Intact, dry periwound skin
    • Macerated periwound skin
    • A wound with no drainage
    • A closed incision with approximated edges
28. Question 28
    • Place supplies on the patient's bed without assessment
    • Touch the inside of sterile packages to stabilize them
    • Open all packages before verifying the procedure
    • Perform hand hygiene and prepare a clean work area
29. Question 29
    • Transparent film only
    • Suture
    • Adhesive strip used as a closure device
    • Foam
30. Question 30
    • Use force regardless of the patient's report
    • Remove the dressing without observing the skin
    • Pull rapidly upward from the skin
    • Support the skin and remove the adhesive gently

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