Skin Integrity and Wound Healing Chapter
36: Test Bank Questions; with Answers
While assessing a new wound, the nurse notes red, watery drainage. What type of
drainage will the nurse document this as?
a) Sanguineous
b) Serosanguineous
c) Serous
d) Purosanguineous - Answer b) Serosanguineous
Three days after a patient had abdominal surgery, the nurse notes a 4-cm periwound
erythema and swelling at the distal end of the incision. The area is tender and warm to
the touch. Staples are intact along the incision, and there is no obvious drainage. Heart
rate is 96 beats/min and oral temperature is 100.8F (38.2C). The nurse would suspect
that the patient has what kind of complication?
a) Infection at the incisional site
b) Dehiscence of the wound
c) Hematoma under the skin
d) Formation of granulation tissue - Answer a) Infection at the incisional site
, The nurse would know care for a stage II pressure ulcer is achieving the desired goal when:
a) The ulcer is completely healed with minimal scarring
b) The patient reports no pain at the site
c) A minimal amount of drainage is noted
d) The wound bed contains 100% granulated tissue - Answer d) The wound bed contains
100% granulated tissue
Your patient has a deep wound on the right hip, with tunneling at the 8 oclock position
extending 5 cm. The wound is draining large amounts of serosanguineous fluid and
contains 100% red beefy tissue in the wound bed. Of the following, which would be an
appropriate dressing choice?
a) Alginate dressing
b) Dry gauze dressing
c) Hydrogel
d) Hydrocolloid dressing - Answer a) Alginate dressing
Of the following, which is the best choice for performing wound irrigation?
a) Water jet irrigation
b) 35-cc syringe with a 19-gauge angiocatheter
c) 5-cc syringe with a 23-gauge needle
d) Bulb syringe - Answer b) 35-cc syringe with a 19-gauge angiocatheter
Your patient has multiple open wounds that require treatment. When performing
dressing changes, you should:
36: Test Bank Questions; with Answers
While assessing a new wound, the nurse notes red, watery drainage. What type of
drainage will the nurse document this as?
a) Sanguineous
b) Serosanguineous
c) Serous
d) Purosanguineous - Answer b) Serosanguineous
Three days after a patient had abdominal surgery, the nurse notes a 4-cm periwound
erythema and swelling at the distal end of the incision. The area is tender and warm to
the touch. Staples are intact along the incision, and there is no obvious drainage. Heart
rate is 96 beats/min and oral temperature is 100.8F (38.2C). The nurse would suspect
that the patient has what kind of complication?
a) Infection at the incisional site
b) Dehiscence of the wound
c) Hematoma under the skin
d) Formation of granulation tissue - Answer a) Infection at the incisional site
, The nurse would know care for a stage II pressure ulcer is achieving the desired goal when:
a) The ulcer is completely healed with minimal scarring
b) The patient reports no pain at the site
c) A minimal amount of drainage is noted
d) The wound bed contains 100% granulated tissue - Answer d) The wound bed contains
100% granulated tissue
Your patient has a deep wound on the right hip, with tunneling at the 8 oclock position
extending 5 cm. The wound is draining large amounts of serosanguineous fluid and
contains 100% red beefy tissue in the wound bed. Of the following, which would be an
appropriate dressing choice?
a) Alginate dressing
b) Dry gauze dressing
c) Hydrogel
d) Hydrocolloid dressing - Answer a) Alginate dressing
Of the following, which is the best choice for performing wound irrigation?
a) Water jet irrigation
b) 35-cc syringe with a 19-gauge angiocatheter
c) 5-cc syringe with a 23-gauge needle
d) Bulb syringe - Answer b) 35-cc syringe with a 19-gauge angiocatheter
Your patient has multiple open wounds that require treatment. When performing
dressing changes, you should:
