Take the Test

1. Which statement describes the role of macrophages found in the reticular layer of the dermis?

• 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. Which statement is included in the definition of chronic wound?

• 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. Which statement describes the appearance of healthy granulation tissue in the base of an open wound?

• 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. Which characteristic is used to determine if a wound will be closed by primary intention or left open to heal by secondary or tertiary intention?

• a. Patient age
• b. Wound location
• c. Risk for infection
• d. Blood supply to the area

5. For which type of acute wound is primary closure regarded as the best choice for the step of closing a wound?

• a. Trauma wound
• b. Wound with significant tissue loss
• c. Abrasion
• d. Facial wound

6. How often during the wound-healing process should a nutritional assessment be made?

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

7. For which reason should one consistent method of wound measurement be used during 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. Which action describes the technique of cleaning a wound by debridement?

• 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 statement 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 and cover them by a layer of alginate dressing.

11. At which time is a prescribed analgesic usually administered in order to manage pain during a dressing change?

• a. 30 to 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. For which reason is a punch biopsy avoided when collecting a wound culture?

• a. Due to high level of pain
• b. Must be performed only in a hospital setting
• c. May result in blood clot formation
• d. Must be performed only by a physician, nurse practitioner, or physician assistant

13. Which factor is 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 statement describes a contraindication to the use of compression in treating a venous ulcer?

• a. The patient requests multilayer compression
• b. The ulcer exhibits heavy exudate
• c. Compression wraps can only be changed every two weeks
• d. Arterial disease is present

15. Which factor presents a challenge in choosing wound dressings for pediatric patients in particular?

• a. The larger 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 factor 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. At which frequency are negative-pressure wound dressings generally recommended to be changed?

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

18. Which instructions should be given to patients regarding changing wound dressings at home?

• a. Wash and dry the hands before and after 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.