PN 121 NURSING SKILLS; WOUND CARE AND
NUTRITIONAL SUPPORT EXAM QUESTIONS AND
ANSWERS
Suction Drainage System - ANSWER A system that drains fluid away
from a wound after surgery by creating suction in a tube that's inserted
into the wound.
Closed Drainage System - ANSWER A system where tubes are
connected to collection containers, making them a closed system.
Open Drainage System - ANSWER A system that uses gravity, not
suction, to draw fluid from the wound.
Jackson Pratt (JP) drain - ANSWER A thin tube with a bulb on the end
that drains fluid away from a wound.
Hemovac drain - ANSWER A drain that removes fluid from the wound by
creating suction.
Penrose drain - ANSWER A drain that uses gravity to draw fluid from the
wound.
Fluid capacity of Hemovac drain - ANSWER Can hold 100, 400, or 800
mL of drainage.
Wound Culture - ANSWER Testing fluid within the wound to determine if
infection is present.
Eschar - ANSWER Dark black crust over an area of pressure.
Stage I Pressure Ulcer - ANSWER Area of intact nonblanchable redness
over a bony prominence.
, Stage II Pressure Ulcer - ANSWER Shallow open ulcer with a red-pink
wound bed over a bony prominence.
Stage III Pressure Ulcer - ANSWER Open ulcer where fat or
subcutaneous tissue is exposed but bone, tendon, and muscle are not
exposed.
Stage IV Pressure Ulcer - ANSWER Open ulcer with bone, tendon, or
muscle exposed.
Spiral Reverse Bandage - ANSWER Bandage turn that creates a figure
8 appearance but is not enclosing a joint.
Homeostasis - ANSWER The phase where the body initially stops
bleeding by forming a clot at the wound site.
Inflammatory phase - ANSWER Occurs when the wound is fresh and
includes both homeostasis and phagocytosis.
Reconstruction phase - ANSWER Occurs when the wound begins to
heal and lasts about 21 days after the injury.
Maturation phase - ANSWER The phase when scar tissue forms as a
clot begins to form.
Primary intention - ANSWER The wound is clean with little tissue loss,
and the edges are approximated.
Secondary intention - ANSWER Greater tissue loss where the edges
cannot be brought together, healing from the bottom up.
Tertiary intention - ANSWER The wound is left open for a time to allow
granulation tissue to form, then it is sutured closed.
Normal blood glucose range - ANSWER 70-100 mg/dL.
Position to prevent aspiration - ANSWER 30-45 degrees.
NUTRITIONAL SUPPORT EXAM QUESTIONS AND
ANSWERS
Suction Drainage System - ANSWER A system that drains fluid away
from a wound after surgery by creating suction in a tube that's inserted
into the wound.
Closed Drainage System - ANSWER A system where tubes are
connected to collection containers, making them a closed system.
Open Drainage System - ANSWER A system that uses gravity, not
suction, to draw fluid from the wound.
Jackson Pratt (JP) drain - ANSWER A thin tube with a bulb on the end
that drains fluid away from a wound.
Hemovac drain - ANSWER A drain that removes fluid from the wound by
creating suction.
Penrose drain - ANSWER A drain that uses gravity to draw fluid from the
wound.
Fluid capacity of Hemovac drain - ANSWER Can hold 100, 400, or 800
mL of drainage.
Wound Culture - ANSWER Testing fluid within the wound to determine if
infection is present.
Eschar - ANSWER Dark black crust over an area of pressure.
Stage I Pressure Ulcer - ANSWER Area of intact nonblanchable redness
over a bony prominence.
, Stage II Pressure Ulcer - ANSWER Shallow open ulcer with a red-pink
wound bed over a bony prominence.
Stage III Pressure Ulcer - ANSWER Open ulcer where fat or
subcutaneous tissue is exposed but bone, tendon, and muscle are not
exposed.
Stage IV Pressure Ulcer - ANSWER Open ulcer with bone, tendon, or
muscle exposed.
Spiral Reverse Bandage - ANSWER Bandage turn that creates a figure
8 appearance but is not enclosing a joint.
Homeostasis - ANSWER The phase where the body initially stops
bleeding by forming a clot at the wound site.
Inflammatory phase - ANSWER Occurs when the wound is fresh and
includes both homeostasis and phagocytosis.
Reconstruction phase - ANSWER Occurs when the wound begins to
heal and lasts about 21 days after the injury.
Maturation phase - ANSWER The phase when scar tissue forms as a
clot begins to form.
Primary intention - ANSWER The wound is clean with little tissue loss,
and the edges are approximated.
Secondary intention - ANSWER Greater tissue loss where the edges
cannot be brought together, healing from the bottom up.
Tertiary intention - ANSWER The wound is left open for a time to allow
granulation tissue to form, then it is sutured closed.
Normal blood glucose range - ANSWER 70-100 mg/dL.
Position to prevent aspiration - ANSWER 30-45 degrees.
