BSN 206 Wound Care Complete Review 2026 | High-Yield
Content
1. A patient with a chronic wound is not eating well and shows signs of delayed
healing. What nursing intervention should be prioritized?
Encourage the patient to keep the wound exposed to air.
Administer steroids to enhance healing.
Increase the frequency of dressing changes.
Assess and improve the patient's nutritional intake.
2. After an initial skin assessment, the nurse documents the presence of a
reddened area that is a 1 cm blister According to recognized staging systems,
this pressure injury would be classified as:
Stage 1 dark maroon wound, skin intact
Stage 4 blanchable reddened area, 2 cm
Stage 3 wound base with red granulation tissue
Stage 2 with 1cm blister noted
3. A patient who underwent major abdominal surgery reports increased
drainage from the surgical site. As a nurse, what should be your immediate
action?
Assess the wound for signs of dehiscence and notify the physician.
Apply a new dressing without further assessment.
Administer pain medication to the patient.
Encourage the patient to cough to clear their lungs.
, 4. Describe the significance of using a pressure reducing support surface in the
prevention of pressure injuries.
A pressure reducing support surface helps to distribute weight
evenly and reduce pressure on bony prominences, thereby
preventing skin breakdown.
A pressure reducing support surface increases the risk of skin
irritation.
A pressure reducing support surface is primarily used for comfort and
does not affect pressure injury prevention.
A pressure reducing support surface is only necessary for patients
with existing wounds.
5. 5 days ago a diabetic patient had an exploratory laparotomy. Patient history
indicates a BMI of 32 and smokes 1 pack a day. Based on this information, the
nurse knows she needs to be alert for what?
Hemorrhage
Development of blood clot
Wound dehiscence
Development of fistula
6. What is a common complication that a nurse should monitor for in a
postoperative patient with diabetes and obesity?
wound dehiscence
seroma
infection
hematoma
Content
1. A patient with a chronic wound is not eating well and shows signs of delayed
healing. What nursing intervention should be prioritized?
Encourage the patient to keep the wound exposed to air.
Administer steroids to enhance healing.
Increase the frequency of dressing changes.
Assess and improve the patient's nutritional intake.
2. After an initial skin assessment, the nurse documents the presence of a
reddened area that is a 1 cm blister According to recognized staging systems,
this pressure injury would be classified as:
Stage 1 dark maroon wound, skin intact
Stage 4 blanchable reddened area, 2 cm
Stage 3 wound base with red granulation tissue
Stage 2 with 1cm blister noted
3. A patient who underwent major abdominal surgery reports increased
drainage from the surgical site. As a nurse, what should be your immediate
action?
Assess the wound for signs of dehiscence and notify the physician.
Apply a new dressing without further assessment.
Administer pain medication to the patient.
Encourage the patient to cough to clear their lungs.
, 4. Describe the significance of using a pressure reducing support surface in the
prevention of pressure injuries.
A pressure reducing support surface helps to distribute weight
evenly and reduce pressure on bony prominences, thereby
preventing skin breakdown.
A pressure reducing support surface increases the risk of skin
irritation.
A pressure reducing support surface is primarily used for comfort and
does not affect pressure injury prevention.
A pressure reducing support surface is only necessary for patients
with existing wounds.
5. 5 days ago a diabetic patient had an exploratory laparotomy. Patient history
indicates a BMI of 32 and smokes 1 pack a day. Based on this information, the
nurse knows she needs to be alert for what?
Hemorrhage
Development of blood clot
Wound dehiscence
Development of fistula
6. What is a common complication that a nurse should monitor for in a
postoperative patient with diabetes and obesity?
wound dehiscence
seroma
infection
hematoma
