Accurate Answers | Latest 2026 Update
1. Why is it important to remove tape in the direction of hair growth when
changing a dressing over a hairy area?
It helps to speed up the healing process of the incision.
It allows for better airflow to the wound.
It prevents the dressing from sticking to the wound.
Removing tape in the direction of hair growth minimizes discomfort
and skin irritation.
2. The patient asks what else she can do for the knee pain. The nurse suggests
the use of cold on the knee because it will
focus attention to the area, stimulating healing.
distract from the pain.
directly reduce swelling, which will reduce pain.
relax the muscles, reducing pain.
3. The nurse is caring for a patient who is due for a dressing change. What is the
best way to remove the old dressing?
Pull the dressing off in a quick motion against the direction of hair
growth.
Pull the dressing slowly in the direction of hair growth.
Pull the dressing off in a quick motion in the direction of hair growth.
Pull the dressing slowly against the direction of hair growth.
,4. What should be done to avoid tension on drains when removing an old
dressing from a surgical incision?
Use caution to avoid tension on any drains that are present.
Pull the dressing off in a single motion.
Remove the dressing quickly to minimize discomfort.
Apply additional tape to secure the dressing before removal.
5. Describe why drying a wound after irrigation is important in wound care
management.
Drying a wound prevents the formation of scabs.
Drying a wound after irrigation helps to create an optimal
environment for healing and reduces the risk of infection.
Drying a wound is unnecessary as moisture is beneficial for all
wounds.
Drying a wound is only important for surgical wounds.
6. You understand that patients with Penrose drain will require the following
care:
The drain must be connected to suction if ordered.
The drain is not sutured in place, so care is taken to not dislodge it.
The suction pulls drainage away from the wound as it re-expands.
The drain must be compressed after emptying to work properly.
7. What is the characteristic feature of a stage 3 pressure ulcer?
Partial-thickness skin loss.
Full-thickness tissue loss with exposed bone.
, Full-thickness tissue loss with visible fat.
Skin intact with non-blanchable redness.
8. How is the vacuum re-established after emptying a drain such as a Jackson-
Pratt drain or Hemovac?
By turning the suction on.
By compressing the drain reservoir.
By "milking" the tubing.
By keeping the drain lower than the insertion site.
9. What is the first action a nurse should take when a surgical incision has
eviscerated?
Place moist sterile gauze over the site.
Contact the surgical team.
Elevate the client's legs.
Administer pain medication.
10. A nurse is caring for a patient who is at high risk for pressure ulcers. If the
nurse needs to reposition the patient in a side-lying position, what angle
should the head of the bed be set to ensure optimal care?
90 degrees
45 degrees
60 degrees
30 degrees