Question 1

Which of the following tasks might be delegated to nursing assistive personnel (NAP)?

Accepted Answer

A) Pressure dressing to an actively bleeding wound 
B) Chronic wound that needs a nonsterile moist-to-dry dressing change 
C) Hydrogel dressing change 
D) Wound assessment during the dressing change 
A) Pressure dressing to an actively bleeding wound 
B) Chronic wound that needs a nonsterile moist-to-dry dressing change 
C) Hydrogel dressing change 
D) Wound assessment during the dressing change B

Question 2

What should the nurse remember to do when applying a hydrocolloid dressing?

Accepted Answer

A) Apply granules after applying the wafer. 
B) Never use a secondary dressing. 
C) Hold the dressing in place. 
D) Use silk tape to hold the dressing in place. 
A) Apply granules after applying the wafer. 
B) Never use a secondary dressing. 
C) Hold the dressing in place. 
D) Use silk tape to hold the dressing in place. C

Question 3

For a patient with a transparent film dressing,the nurse assesses that there is white,opaque fluid accumulation and the surrounding tissue is inflamed.How should the nurse respond?

Accepted Answer

A) Culture the wound. 
B) Leave the current dressing in place. 
C) Apply gauze over the top of the dressing. 
D) Remove and stretch the film more tightly over the wound. 
A) Culture the wound. 
B) Leave the current dressing in place. 
C) Apply gauze over the top of the dressing. 
D) Remove and stretch the film more tightly over the wound. A

Question 4

The nurse would consider a dry dressing appropriate for a wound that requires which of the following?

Accepted Answer

A) Protection 
B) Debridement 
C) Absorption of heavy exudate 
D) Healing by second intention 
A) Protection 
B) Debridement 
C) Absorption of heavy exudate 
D) Healing by second intention

Question 5

The nurse is caring for a patient who is bleeding.To control bleeding,apply a _____ dressing.

Accepted Answer

A) pressure 
B) alginate 
C) foam 
D) hydrocolloid 
A) pressure 
B) alginate 
C) foam 
D) hydrocolloid

Question 6

Which of the following is an appropriate procedure for the nurse to implement during the application of an absorption or alginate dressing?

Accepted Answer

A) Never cut the dressing to fit the wound. 
B) Irrigate the wound gently to remove residual gel. 
C) Fill the wound cavity entirely with the dressing material. 
D) Never use a secondary dressing. 
A) Never cut the dressing to fit the wound. 
B) Irrigate the wound gently to remove residual gel. 
C) Fill the wound cavity entirely with the dressing material. 
D) Never use a secondary dressing.

Question 7

A _______________ is a clear,adherent,nonabsorptive,polyurethane moisture- and vapor-permeable dressing that often is used for protection over high-friction areas and over intravenous (IV)catheters.

Accepted Answer

transparent dressing
A transparent dress

Question 8

The patient has a large,deep wound on the sacral region.The nurse correctly packs the wound by:

Accepted Answer

A) filling two-thirds of the wound cavity. 
B) leaving saline-soaked folded gauze squares in place. 
C) putting the dressing in very tightly. 
D) extending only to the upper edge of the wound. 
A) filling two-thirds of the wound cavity. 
B) leaving saline-soaked folded gauze squares in place. 
C) putting the dressing in very tightly. 
D) extending only to the upper edge of the wound.

Question 9

_______________ dressings are used for wounds that require debridement.

Accepted Answer

Moist-to-dry
Moist-t

Question 10

A __________ dressing comes in direct contact with the wound bed.

Accepted Answer

primary
A primary dr

Question 11

The nurse is demonstrating a dressing change to a nursing student.What key safety features should be emphasized during the process? (Select all that apply. )

Accepted Answer

A) Knowing the type of wound 
B) Knowing the expected amount of drainage 
C) Knowing the patient's blood type 
D) Knowing whether drainage tubes are present 
A) Knowing the type of wound 
B) Knowing the expected amount of drainage 
C) Knowing the patient's blood type 
D) Knowing whether drainage tubes are present

Question 12

Hydrocolloid dressings are used for which of the following? (Select all that apply. )

Accepted Answer

A) Maintaining a moist wound environment 
B) Autolytic debriding of necrotic wounds 
C) Absorption of moderately draining wounds 
D) Protecting from friction 
A) Maintaining a moist wound environment 
B) Autolytic debriding of necrotic wounds 
C) Absorption of moderately draining wounds 
D) Protecting from friction

Question 13

Serious hemorrhaging has resulted in the patient experiencing a fluid and electrolyte imbalance.How should the nurse respond?

Accepted Answer

A) Initiate intravenous (IV)therapy. 
B) Order blood for transfusions. 
C) Remove and reapply any dressings. 
D) Monitor vital signs every 15 minutes. 
A) Initiate intravenous (IV)therapy. 
B) Order blood for transfusions. 
C) Remove and reapply any dressings. 
D) Monitor vital signs every 15 minutes.

Question 14

The nurse is caring for a patient who has a wound healing by primary intention that has little to no drainage.Which dressing is most appropriate for this type of wound?

Accepted Answer

A) Moist-to-dry dressing 
B) Hydrocolloid dressing 
C) Dry dressing 
D) Hydrogel dressing 
A) Moist-to-dry dressing 
B) Hydrocolloid dressing 
C) Dry dressing 
D) Hydrogel dressing

Question 15

The patient is brought from a construction site to the emergency department with a pipe puncturing his abdomen.The pipe is still in place.The patient is triaged and is scheduled for the operating room.What should the nurse do while waiting for the surgeon?

Accepted Answer

A) Pull the pipe out in the direction of entry. 
B) Push the pipe through to the other side,then out. 
C) Leave the pipe in place. 
D) Apply direct pressure to the insertion site of the pipe. 
A) Pull the pipe out in the direction of entry. 
B) Push the pipe through to the other side,then out. 
C) Leave the pipe in place. 
D) Apply direct pressure to the insertion site of the pipe.

Question 16

___________ healing takes place when tissue is cleanly cut and the margins are reapproximated.

Accepted Answer

Primary
Primary heal

Question 17

Which of the following are examples of wounds that heal by secondary intention? (Select all that apply. )

Accepted Answer

A) Burns 
B) Surgical incisions 
C) Infected wounds 
D) Deep pressure ulcers 
A) Burns 
B) Surgical incisions 
C) Infected wounds 
D) Deep pressure ulcers

Question 18

The nurse is changing a film dressing over a wound that is showing a large amount of drainage.How should the nurse proceed?

Accepted Answer

A) Apply a film dressing after culturing the wound. 
B) Apply a film dressing after cleansing the area. 
C) Choose another type of dressing for this wound. 
D) Keep the wound open to air. 
A) Apply a film dressing after culturing the wound. 
B) Apply a film dressing after cleansing the area. 
C) Choose another type of dressing for this wound. 
D) Keep the wound open to air.

Question 19

What should the nurse anticipate might happen to a patient if bleeding cannot be controlled?

Accepted Answer

A) Skin dryness 
B) Bradycardia 
C) Hypovolemic shock 
D) Hypertension 
A) Skin dryness 
B) Bradycardia 
C) Hypovolemic shock 
D) Hypertension

Question 20

_____________ dressings cover or hold primary dressings in place.

Accepted Answer

Secondary
Secondary

Exam 41: Dressings, Bandages, and Binders

Which of the following tasks might be delegated to nursing assistive personnel (NAP)?

What should the nurse remember to do when applying a hydrocolloid dressing?

For a patient with a transparent film dressing,the nurse assesses that there is white,opaque fluid accumulation and the surrounding tissue is inflamed.How should the nurse respond?

The nurse would consider a dry dressing appropriate for a wound that requires which of the following?

The nurse is caring for a patient who is bleeding.To control bleeding,apply a _____ dressing.

Which of the following is an appropriate procedure for the nurse to implement during the application of an absorption or alginate dressing?

A _______________ is a clear,adherent,nonabsorptive,polyurethane moisture- and vapor-permeable dressing that often is used for protection over high-friction areas and over intravenous (IV)catheters.

The patient has a large,deep wound on the sacral region.The nurse correctly packs the wound by:

_______________ dressings are used for wounds that require debridement.

A __________ dressing comes in direct contact with the wound bed.

The nurse is demonstrating a dressing change to a nursing student.What key safety features should be emphasized during the process? (Select all that apply. )

Hydrocolloid dressings are used for which of the following? (Select all that apply. )

Serious hemorrhaging has resulted in the patient experiencing a fluid and electrolyte imbalance.How should the nurse respond?

The nurse is caring for a patient who has a wound healing by primary intention that has little to no drainage.Which dressing is most appropriate for this type of wound?

The patient is brought from a construction site to the emergency department with a pipe puncturing his abdomen.The pipe is still in place.The patient is triaged and is scheduled for the operating room.What should the nurse do while waiting for the surgeon?

___________ healing takes place when tissue is cleanly cut and the margins are reapproximated.

Which of the following are examples of wounds that heal by secondary intention? (Select all that apply. )

The nurse is changing a film dressing over a wound that is showing a large amount of drainage.How should the nurse proceed?

What should the nurse anticipate might happen to a patient if bleeding cannot be controlled?

_____________ dressings cover or hold primary dressings in place.

Using Evidence in Practice

Admitting, Transfer, and Discharge

Communication and Collaboration

Documentation and Informatics

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Medical Asepsis

Sterile Technique

Safe Patient Handling, Transfer, and Positioning

Exercise Mobility

Support Surfaces and Special Beds

Patient Safety

Disaster Preparedness

Pain Management

Palliative Care

Personal Hygiene and Bed Making

Care of the Eye and Ear

Safe Medication Preparation

Administration of Nonparenteral Medications

Administration of Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Cardiac Care

Closed Chest Drainage Systems

Emergency Measure for Life Support

Intravenous and Vascular Access Therapy

Blood Therapy

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Pressure Injury Prevention and Care

Wound Care and Irrigations

Therapeutic Use of Heat and Cold

Home Care Safety

Home Care Teaching

Filters