Basic Nursing Skills Wound Care & Dressings

Question 1

Which type of wound healing occurs when wound edges are approximated and there is minimal tissue loss?

Accepted Answer

Primary intention

Answer

Secondary intention

Answer

Tertiary intention

Answer

Quaternary intention

Question 2

Wound healing by secondary intention is characterized by:

Accepted Answer

Granulation tissue formation filling a large wound

Answer

Immediate wound closure with sutures

Answer

Delayed primary closure after infection resolves

Answer

Healing without any scarring

Question 3

Which wound drainage is described as thin, watery, and blood-tinged?

Accepted Answer

Serosanguineous

Answer

Serous

Answer

Purulent

Answer

Sanguineous

Question 4

The nurse is assessing a Stage 2 pressure injury. What does it look like?

Accepted Answer

Partial-thickness skin loss with exposed dermis

Answer

Intact skin with non-blanchable redness

Answer

Full-thickness skin loss involving subcutaneous fat

Answer

Full-thickness with exposed bone, tendon, or muscle

Question 5

Which position should be avoided to prevent sacral pressure injuries?

Accepted Answer

Elevating the head of bed greater than 30 degrees

Answer

Semi-Fowler's at 30 degrees

Answer

Lateral positioning at 30 degrees

Answer

Prone positioning

Question 6

Wound debridement refers to:

Accepted Answer

Removing necrotic or devitalized tissue from a wound

Answer

Applying a moisture-retentive dressing

Answer

Measuring wound depth with a probe

Answer

Irrigating a wound with normal saline