LPN Wound Care and Skin Integrity 1 — Questions and Answers
Question 1: Which sequence correctly identifies the four phases of wound healing in order?
- Hemostasis, Inflammation, Proliferation, Maturation (Correct answer)
- Inflammation, Hemostasis, Maturation, Proliferation
- Proliferation, Hemostasis, Inflammation, Maturation
- Maturation, Proliferation, Hemostasis, Inflammation
Correct answer: Hemostasis, Inflammation, Proliferation, Maturation
Wound healing proceeds sequentially through hemostasis, inflammation, proliferation, and maturation phases.
Question 2: A patient has a clean surgical cut made by a scalpel. This wound type is best classified as a(n):
- Laceration
- Abrasion
- Incision (Correct answer)
- Puncture
Correct answer: Incision
An incision is a clean wound made intentionally by a sharp surgical instrument with smooth, well-approximated edges.
Question 3: During wound assessment, the LPN notes redness, warmth, swelling, and pain around the wound edges. These findings indicate the wound is in which healing phase?
- Hemostasis
- Maturation
- Proliferation
- Inflammation (Correct answer)
Correct answer: Inflammation
Redness, heat, swelling, and pain are the cardinal signs of inflammation, which is the second phase of wound healing.
Question 4: A pressure injury shows full-thickness skin loss with visible subcutaneous fat but no exposed bone, tendon, or muscle. This is classified as:
- Stage 1
- Stage 2
- Stage 3 (Correct answer)
- Stage 4
Correct answer: Stage 3
Stage 3 pressure injuries involve full-thickness skin loss with visible subcutaneous tissue; bone, tendon, and muscle remain unexposed.
Question 5: Which dressing type is most appropriate for a dry wound that requires a moist environment to promote healing?
- Dry gauze dressing
- Hydrocolloid dressing (Correct answer)
- Dry sterile dressing
- Transparent film dressing
Correct answer: Hydrocolloid dressing
Hydrocolloid dressings contain gel-forming agents that maintain a moist wound environment, promoting healing in dry wounds.
Question 6: When cleansing a wound, the LPN should follow which primary principle?
- Apply full-strength hydrogen peroxide to disinfect
- Wipe from the outer edges toward the center
- Cleanse from the cleanest area to the most contaminated area (Correct answer)
- Use alcohol-based solution for maximum antimicrobial effect
Correct answer: Cleanse from the cleanest area to the most contaminated area
Wound cleansing proceeds from the least contaminated area (wound center) to the most contaminated area (surrounding skin) to prevent introducing bacteria.
Question 7: Which patient position best redistributes pressure away from the sacrum to prevent pressure ulcer formation?
- Supine with head of bed elevated 45 degrees
- Prone position
- Lateral (side-lying) position (Correct answer)
- Semi-Fowler's at 30 degrees
Correct answer: Lateral (side-lying) position
The lateral position shifts weight off the sacrum entirely, which is the most vulnerable bony prominence in supine patients.
LPN Wound Care and Skin Integrity 1
Which sequence correctly identifies the four phases of wound healing in order?