Take the Test

1. The reticular layer of the dermis contains macrophages, which are:

• a. Needed to supply nutrients to the epidermis.
• b. Responsible for skin integrity.
• c. Essential for wound healing.
• d. Required for the protection of internal organs.

2. A chronic wound can be defined as a wound that:

• a. Requires surgical closure.
• b. Takes three weeks to complete the normal phases of wound healing.
• c. Becomes infected.
• d. Becomes stalled in one phase of healing.

3. In appearance, healthy granulation tissue in the base of an open wound should be:

• a. Beefy red with a bumpy, uneven surface resembling velvet.
• b. Pale pink with a shiny, smooth surface.
• c. Dark red with uneven ridges of newly forming tissue.
• d. Bright red with a thin layer of serosanguinous exudate.

4. One of the main factors in determining whether a wound will be closed immediately by primary intention or left open to heal by secondary or tertiary intention is:

• a. The age of the patient.
• b. The location of the wound.
• c. The level of risk of infection.
• d. The level of blood supply.

5. Primary closure is regarded as the best option for:

• a. Chronic wounds.
• b. Wounds with greater tissue loss.
• c. Pressure injuries.
• d. Facial wounds.

6. During the process of wound healing, nutritional assessment should be made:

• a. On an on-going basis.
• b. Once, at the first patient assessment.
• c. When the patient refuses to eat.
• d. After changes to the treatment plan.

7. What is the basis for using one consistent method of wound measurement during the course of treatment?

• a. It is quicker and more convenient for staff.
• b. A minimum amount of time is required to train staff.
• c. The patient will become accustomed to the procedure.
• d. It best captures changes in the dimension of the wound.

8. Which wound characteristic may indicate infection?

• a. Watery, pink wound drainage
• b. A dry wound bed
• c. Malodorous wound drainage
• d. Closed wound edges

9. Debridement is a wound care technique that involves cleaning a wound by:

• a. Removing the wound’s scab.
• b. Washing the wound with a surgical skin cleanser.
• c. Applying surfactants to loosen contaminants in the wound bed.
• d. Removing debris and dead tissue from the wound.

10. Which of the following describes the correct technique to use when applying an alginate dressing to a deep wound?

• a. Use several layers of tightly packed alginate dressing to completely fill the wound cavity.
• b. Cut the dressing into several smaller pieces before applying it to the wound.
• c. Place a single layer of alginate dressing over the wound bed, covered by layers of fluffed gauze.
• d. Put layers of saline-moistened gauze over the wound bed, covered by a layer of alginate dressing.

11. In order to manage pain during a dressing change, when is a prescribed analgesic usually administered?

• a. 30–60 minutes prior to the dressing change
• b. As soon as the patient starts complaining of pain
• c. Once the dressing change is completed
• d. At the clinician’s discretion

12. Which of the following is considered a disadvantage of punch biopsy for obtaining a wound culture?

• a. It is very painful.
• b. It can be performed only in a hospital setting.
• c. It may result in blood clot formation.
• d. It can be performed only by a physician, nurse practitioner, or physician assistant.

13. Which of the following is a factor known to cause wound ischemia and impede healing?

• a. Ineffective oxygenation of the blood due to anemia, lung problems, or smoking
• b. Lack of exercise and prolonged periods in the supine position
• c. A past history of excessive alcohol consumption
• d. Poor nutritional intake due to a diet lacking in essential amino acids

14. Which of the following statements correctly describes the use of compression in treating venous ulcers?

• a. Compression is typically greatest at the calf and least at the ankle.
• b. If exudate is heavy, foam-type dressings are used under compression wraps.
• c. Compression wraps can be left in place for up to two weeks.
• d. The presence of arterial disease is a contraindication for compression.

15. Which of the following presents a particular challenge in choosing wound dressings for pediatric patients?

• a. The large selection of pediatric-specific products to choose from
• b. The higher cost for pediatric-specific products
• c. The safety of products that were tested only on adults
• d. The importance of complying with parental preference over patient preference

16. Which of the following is a factor that makes hospice patients more likely to develop pressure injuries?

• a. Decreased food and fluid intake
• b. Elevated body temperature
• c. Confusion and restlessness
• d. Patient apathy

17. How often are negative-pressure wound dressings usually changed?

• a. Once a week
• b. Every 48 to 72 hours
• c. Daily
• d. As needed

18. Which instructions are given to patients regarding changing their wound dressings at home?

• a. Wash and dry your hands before starting the procedure.
• b. Change the dressing only when absolutely needed.
• c. Remove the old dressing as quickly as possible.
• d. Leave the wound uncovered for several hours.