NUR 3028 Mosby Nursing Video Skills Review Questions
and answers- Skin Integrity, Wound Care
1. A patient who had surgery yesterday has the initial dressing covering the surgical
site. What is the nurse's responsibility in assessing this patient's wound?
a. Remove the dressing, inspect the wound, and reapply a new dressing.
b. Inspect the wound and reapply the surgical dressing every 2 hours.
c. Inspect the wound, and keep the dressing off until the health care provider arrives.
d. Wait until the health care provider orders the removal of the surgical dressing.
d. Wait until the health care provider orders the removal of the surgical dressing.
2. When emptying a Jackson-Pratt drain, which issue should nursing assistive
personnel (NAP) report immediately to the nurse as a potential abnormality?
a. The drainage is odorless.
b. The drainage is straw colored.
c. The patient doesn't like looking at the drainage tubing.
d. The amount of drainage was greater today than yesterday.
d. The amount of drainage was greater today than yesterday.
3. Which action can the nurse delegate to nursing assistive personnel (NAP) to help
prevent the development of pressure ulcers in an older adult patient?
a. Reposition the patient at least every 2 hours.
b. Assess the patient's bony prominences every shift.
c. Educate the family about the importance of healthy skin.
d. Assist the patient in the selection of high-protein foods.
a. Reposition the patient at least every 2 hours.
4. How would the nurse safely apply an enzyme debridement ointment?
a. Daub ointment on dead tissue at the wound edges.
b. Put ointment on a tongue blade, and gently spread it on the center of the wound.
c. Apply ointment to necrotic tissue in the wound while avoiding contact with
surrounding skin.
d. Apply a gauze dressing to ensure contact with the ointment.
c. Apply ointment to necrotic tissue in the wound while avoiding contact with
surrounding skin.
5. When changing a patient's surgical dressing 24 hours postoperatively, when would
the nurse apply sterile gloves?
a. After performing hand hygiene at the start of the procedure
b. Before removing the inner dressing
c. After removing the original dressing materials and performing hand hygiene a second
time
d. Just before cleansing the wound with sterile water
, c. After removing the original dressing materials and performing hand hygiene a second
time
6. What is the nurse's best response when additional bloody drainage appears on the
initial abdominal dressing of a patient who had surgery 7 hours ago?
a. Notify the surgeon of the bleeding.
b. Remove the dressing, and assess the wound.
c. Assess the patient for signs of shock.
d. Further assess the patient and the wound.
d. Further assess the patient and the wound.
7. Which measurements would the nurse use to calculate the surface area of a patient's
pressure ulcer?
a. Height and weight
b. Length and width
c. Length and depth
d. Width and depth
b. Length and width
8. What is the proper method for cleansing the evacuation port of a wound drainage
system?
a. Cleanse it with normal saline.
b. Wash it with soap and warm water.
c. Rinse it with sterile water.
d. Wipe it with an alcohol sponge.
d. Wipe it with an alcohol sponge.
9. Which action would maximize the suction produced by the Jackson-Pratt drainage
system after the system has been emptied?
a. Pinning the tubing to the patient's hospital gown
b. Compressing the bulb while replacing the port cap
c. Emptying the drainage container only when it is 90% full
d. Placing the drainage container below the wound site
b. Compressing the bulb while replacing the port cap
10. A nurse is irrigating a patient's abdominal wound 2 days postoperatively. Which
finding would need to be reported to the health care provider?
a. Drainage that was not present previously
b. Redness at the abdominal suture line
c. Granulation tissue in the wound bed
d. The patient reports less pain
a. Drainage that was not present previously
11. Which imaging study or diagnostic test would the nurse review to determine if the
pressure ulcer on a patient's left heel is infected?
a. White blood cell count
and answers- Skin Integrity, Wound Care
1. A patient who had surgery yesterday has the initial dressing covering the surgical
site. What is the nurse's responsibility in assessing this patient's wound?
a. Remove the dressing, inspect the wound, and reapply a new dressing.
b. Inspect the wound and reapply the surgical dressing every 2 hours.
c. Inspect the wound, and keep the dressing off until the health care provider arrives.
d. Wait until the health care provider orders the removal of the surgical dressing.
d. Wait until the health care provider orders the removal of the surgical dressing.
2. When emptying a Jackson-Pratt drain, which issue should nursing assistive
personnel (NAP) report immediately to the nurse as a potential abnormality?
a. The drainage is odorless.
b. The drainage is straw colored.
c. The patient doesn't like looking at the drainage tubing.
d. The amount of drainage was greater today than yesterday.
d. The amount of drainage was greater today than yesterday.
3. Which action can the nurse delegate to nursing assistive personnel (NAP) to help
prevent the development of pressure ulcers in an older adult patient?
a. Reposition the patient at least every 2 hours.
b. Assess the patient's bony prominences every shift.
c. Educate the family about the importance of healthy skin.
d. Assist the patient in the selection of high-protein foods.
a. Reposition the patient at least every 2 hours.
4. How would the nurse safely apply an enzyme debridement ointment?
a. Daub ointment on dead tissue at the wound edges.
b. Put ointment on a tongue blade, and gently spread it on the center of the wound.
c. Apply ointment to necrotic tissue in the wound while avoiding contact with
surrounding skin.
d. Apply a gauze dressing to ensure contact with the ointment.
c. Apply ointment to necrotic tissue in the wound while avoiding contact with
surrounding skin.
5. When changing a patient's surgical dressing 24 hours postoperatively, when would
the nurse apply sterile gloves?
a. After performing hand hygiene at the start of the procedure
b. Before removing the inner dressing
c. After removing the original dressing materials and performing hand hygiene a second
time
d. Just before cleansing the wound with sterile water
, c. After removing the original dressing materials and performing hand hygiene a second
time
6. What is the nurse's best response when additional bloody drainage appears on the
initial abdominal dressing of a patient who had surgery 7 hours ago?
a. Notify the surgeon of the bleeding.
b. Remove the dressing, and assess the wound.
c. Assess the patient for signs of shock.
d. Further assess the patient and the wound.
d. Further assess the patient and the wound.
7. Which measurements would the nurse use to calculate the surface area of a patient's
pressure ulcer?
a. Height and weight
b. Length and width
c. Length and depth
d. Width and depth
b. Length and width
8. What is the proper method for cleansing the evacuation port of a wound drainage
system?
a. Cleanse it with normal saline.
b. Wash it with soap and warm water.
c. Rinse it with sterile water.
d. Wipe it with an alcohol sponge.
d. Wipe it with an alcohol sponge.
9. Which action would maximize the suction produced by the Jackson-Pratt drainage
system after the system has been emptied?
a. Pinning the tubing to the patient's hospital gown
b. Compressing the bulb while replacing the port cap
c. Emptying the drainage container only when it is 90% full
d. Placing the drainage container below the wound site
b. Compressing the bulb while replacing the port cap
10. A nurse is irrigating a patient's abdominal wound 2 days postoperatively. Which
finding would need to be reported to the health care provider?
a. Drainage that was not present previously
b. Redness at the abdominal suture line
c. Granulation tissue in the wound bed
d. The patient reports less pain
a. Drainage that was not present previously
11. Which imaging study or diagnostic test would the nurse review to determine if the
pressure ulcer on a patient's left heel is infected?
a. White blood cell count
