Deck 24: Assisting With Wound Care

Question 1

A person has a wound. Which is a major threat?

A) Incontinence
B) Infection
C) Edema
D) Confusion

Answer 1

Infection

Question 2

A break in the skin or mucous membrane is

A) A pressure ulcer
B) Trauma
C) A wound
D) A prominence

Answer 2

A wound

Question 3

Open wounds on the lower legs or feet caused by decreased blood flow through the arteries or veins are

A) Pressure ulcers
B) Decubitus ulcers
C) Diabetic ulcers
D) Circulatory ulcers

Answer 3

Circulatory ulcers

Question 4

Circulatory ulcers often occur

A) On the arms and hands
B) On the buttocks
C) On the legs and feet
D) Where skin is in contact with skin

Question 5

Common causes of wounds include the following except

A) Surgery
B) Decreased calcium levels
C) Trauma
D) Unrelieved pressure

Question 6

Skin tears are caused by the following except

A) Friction and shearing
B) Pulling or bumping a body part
C) Pressure on the skin
D) Incontinence and moisture on the skin

Question 7

You are helping a resident dress. Which clothing will help prevent skin tears?

A) Garments with zippers
B) Shorts and a sleeveless blouse
C) A hospital gown
D) Soft clothes with long sleeves and long pants

Question 8

An accident or violent act that injures the skin, mucous membranes, bones, and organs is

A) Shock
B) A wound
C) Trauma
D) Inflammation

Question 9

Common causes of wounds include the following except

A) Surgery
B) Trauma
C) Increased blood flow through arteries or veins
D) Nerve damage

Question 10

A resident has an open wound on the right lower leg. The person has poor blood return through her veins. Her wound is

A) An arterial ulcer
B) A stasis ulcer
C) A pressure ulcer
D) A skin tear

Question 11

A patient has a venous ulcer. The person needs repositioning at least

A) Every hour
B) Every 2 hours
C) Every 4 hours
D) Every shift

Question 12

A patient is in bed. The person needs repositioning. Which measure will not help prevent skin tears?

A) Using full bed rails without pads at all times
B) Using methods that prevent friction and shearing
C) Using an assist device to move the person
D) Using pillows to support the arms and legs

Question 13

To prevent skin tears, which of the following should you do?

A) Keep your fingernails short and smoothly filed.
B) Wear simple earrings.
C) Wear gloves.
D) Practice hand hygiene before and after giving care.

Question 14

A resident has a rip in the skin. The epidermis is separated from underlying tissue. This is

A) A pressure ulcer
B) A diabetic wound
C) A skin tear
D) A decubitus ulcer

Question 15

A condition in which there is death of tissue is

A) Trauma
B) Gangrene
C) A constriction
D) An embolus

Question 16

Which statement about skin tears is incorrect?

A) Holding a person's arm or leg too tight can cause a skin tear.
B) Skin tears are painful.
C) Infection can develop in a skin tear.
D) Skin tears usually occur over a bony area.

Question 17

A patient has a venous ulcer. You are helping the person dress. The person can wear the following except

A) Baggy pants
B) Elastic garters to hold socks in place
C) Shoes
D) A sweatshirt

Question 18

To prevent skin tears, which of the following should be done?

A) Follow the person's care plan.
B) Wear gloves.
C) Position the person supine.
D) Follow Standard Precautions and the Bloodborne Pathogen Standard.

Question 19

Which will not help prevent circulatory ulcers?

A) Providing good skin care
B) Keeping linens clean and dry
C) Scrubbing the skin during bathing
D) Making sure shoes fit well

Question 20

A resident has an open wound on the lower left leg. It is caused by poor arterial blood flow. This wound is

A) A pressure ulcer
B) A stasis ulcer
C) A venous ulcer
D) An arterial ulcer

Question 21

Which is not a purpose of wound dressings?

A) Prevent microbes from entering the wound.
B) Promote comfort.
C) Promote arterial and venous circulation.
D) Cover unsightly wounds.

Question 22

A thrombus is

A) A blood clot
B) An infected wound
C) A pressure point
D) A circulatory ulcer

Question 23

When Montgomery ties are used,

A) Ties are undone for the dressing change
B) Ties are undone each time the person uses the bathroom
C) Adhesive strips are removed for the dressing change
D) Adhesive strips are changed daily

Question 24

Which statement about diabetic foot ulcers is correct?

A) They are affected by the nerves and blood vessels.
B) Only the nerves are affected.
C) Only the blood vessels are affected.
D) They are easy to heal.

Question 25

Which type of tape allows movement of a body part?

A) Adhesive tape
B) Paper tape
C) Plastic tape
D) Elastic tape

Question 26

A resident has an arterial ulcer. Which measure is incorrect?

A) Remind the person not to sit with crossed legs.
B) Avoid injury to the legs and feet.
C) Keep the person's feet clean and dry.
D) Massage reddened areas.

Question 27

Elastic stocking also are called

A) Anti-embolism stockings
B) Support hose
C) Elastics bandages
D) Montgomery bandages

Question 28

A person needs frequent dressing changes. You would expect the nurse to secure the dressings with

A) Paper tape
B) Elastic tape
C) A binder
D) Montgomery ties

Question 29

After applying an elastic bandage, how often do you need to check the color and temperature of the extremity?

A) Every 15 minutes
B) Every hour
C) Every 2 hours
D) Every 3 hours

Question 30

When applying elastic bandages, which is incorrect?

A) Position the person in good alignment.
B) Face the person during the procedure.
C) Start at the top (proximal) part of the extremity.
D) Expose fingers or toes if possible.

Question 31

An open wound on the foot caused by complications from diabetes is

A) A nerve ulcer
B) A diabetic foot ulcer
C) A circulatory ulcer
D) A blood vessel ulcer

Question 32

A resident has an arterial ulcer. Which will not promote healing?

A) The person is repositioned according to the care plan.
B) Pressure points are massaged.
C) A heel elevator is applied to the affected foot.
D) A bed cradle is placed on the bed.

Question 33

After applying an elastic bandage to a patient's right leg, the person complains of pain and tingling in her right foot. What should you do?

A) Remove the bandage and tell the nurse at once.
B) Remove the bandage and reapply it in 10 minutes.
C) Tell the person you will check the bandage in 15 minutes.
D) Ask the nurse to bring the person a pain pill.

Question 34

A dressing is loose. What can happen?

A) Skin tears can occur.
B) Wound edges can separate.
C) Drainage can escape.
D) Pressure ulcers can develop.

Question 35

Which statement about elastic stockings is incorrect?

A) They are applied before the person gets out of bed.
B) They are applied so the opening in the toe area is over the top of the toes.
C) The person sits up in the chair while the stockings are off.
D) Twists, creases, or wrinkles can cause discomfort.

Question 36

Which is not a purpose of wound dressings?

A) Protect the wound.
B) Absorb drainage.
C) Remove dead tissue.
D) Prevent moisture.

Question 37

A dressing is dislodged and loose. What can happen?

A) Microbes can enter the wound.
B) Wound edges can separate.
C) Pressure ulcers can develop.
D) The wound can become larger.

Question 38

You are securing a dressing with tape. Where do you apply the tape?

A) Around the entire body part
B) To the top and bottom of the dressing
C) To the top, middle, and bottom of the dressing
D) To the middle of the dressing

Question 39

Elastic bandages are applied to

A) The hands
B) The feet
C) The arms and legs
D) The abdomen

Question 40

A patient has a venous ulcer. Your care should include

A) Keeping the person's linens dry and wrinkle-free
B) Massaging pressure points and reddened areas
C) Rubbing the person's skin after bathing
D) Keeping the person's heels on the bed

Question 41

Constrict means to

A) Expand or open wider
B) Narrow
C) Reduce blood flow
D) Increase blood flow

Question 42

Heat applications

A) Reduce bleeding
B) Decrease blood flow
C) Promote healing
D) Numb the skin

Question 43

The nurse asks you to apply a dry, non-sterile dressing. The dressing change causes pain and discomfort. What should you do?

A) Ask the person to take slow, deep breaths.
B) Distract the person during the dressing change.
C) Ask the nurse when a pain-relief drug was given. Wait 30 minutes to begin.
D) Tell the person that the procedure will not hurt.

Question 44

When blood vessels constrict, blood flow

A) Increases
B) Decreases
C) Stops
D) Changes direction

Question 45

The nurse asks you to apply a dry, non-sterile dressing. Which action is incorrect?

A) Touching only the outer edges of the dressing
B) Removing tape by pulling it away from the wound
C) Removing dressings so the person sees the unsoiled side
D) Removing the old dressing gently

Question 46

A hot pack involves

A) Wrapping a body part
B) Immersing the body part in water
C) A dry application
D) A soft pad applied to a body area

Question 47

Heat applications do the following except

A) Promote healing
B) Relax muscles
C) Prevent infection
D) Reduce tissue swelling

Question 48

A binder is loose and out of position. What should you do?

A) Change the dressing.
B) Re-apply the binder.
C) Apply a new binder.
D) Secure it with tape.

Question 49

Binders do the following except

A) Prevent infection
B) Hold dressings in place
C) Prevent injury
D) Support wounds

Question 50

Which statement about dressing changes is incorrect?

A) Contact with blood, body fluids, secretions, or excretion is likely.
B) The nurse tells you what dressing to use.
C) For mental well-being, the person needs to look at the wound.
D) You need to control your nonverbal communication and body language during dressing changes.

Question 51

Binders are applied to the following areas except

A) The arms and legs
B) The abdomen
C) The chest
D) The perineal area

Question 52

Cold applications do the following except

A) Reduce pain
B) Prevent swelling
C) Increase circulation
D) Decrease bleeding

Question 53

A binder is moist. What should you do?

A) Call for the nurse.
B) Re-apply the binder.
C) Change the binder.
D) Let it dry.

Question 54

A hot compress is

A) Wrapping a body part with a wet or dry application
B) Immersing the body part in water
C) A dry application
D) A soft pad applied over a body area

Question 55

When heat is applied too long, blood vessels

A) Dilate
B) Constrict
C) Collapse
D) Become less elastic

Question 56

The nurse asks you to apply a dry, non-sterile dressing. You remove the old dressing. After you observe the wound and wound drainage, what should you do?

A) Remove your gloves, put them into the plastic bag, and decontaminate your hands.
B) Put on clean gloves and open the new dressing.
C) Remove your gloves and put on sterile gloves.
D) Open the new dressings.

Question 57

Dilate means to

A) Expand or open wider
B) Narrow
C) Reduce blood flow
D) Increase blood flow

Question 58

Safety pins are used to secure a binder. Pins should point

A) Toward the wound
B) Away from the wound
C) Toward the waist
D) Away from the waist

Question 59

When blood vessels dilate, blood flow

A) Increases
B) Decreases
C) Stops
D) Changes direction

Question 60

When heat is applied, the skin is

A) Pale and cool
B) Bluish in color
C) Red and warm
D) Blistered

Question 61

Which of the following is an electrical device?

A) Aquathermia pad
B) Sitz bath
C) Commercial heat or cold pack
D) Ice collar

Question 62

When heat is applied, older persons are at risk for

A) Burns
B) Skin tears
C) Pressure ulcers
D) Cyanosis

Question 63

Before applying moist heat or cold applications, which of the following should you do?

A) Measure water temperature.
B) Measure water depth.
C) Measure and record the amount of water as intake.
D) Show the person how to change the temperature.

Question 64

The nurse delegates a hot soak to you. To protect the person from burns, you need to

A) Put the soak in a cover
B) Measure water temperature
C) Set the temperature with a key
D) Use warm water

Question 65

Which is a safety measure for applying an aquathermia pad?

A) Follow electrical safety precautions.
B) Place the heating unit on the person's bed.
C) Secure the pad in place with pins.
D) Place the pad under the body part.

Question 66

A cool application is

A) 93° F to 98° F
B) 80° F to 93° F
C) 65° F to 80° F
D) 50° F to 65° F

Question 67

During a sitz bath, you need to carefully observe the person for

A) Nausea and vomiting
B) Appetite changes
C) Cyanosis at the application site
D) Weakness and faintness

Question 68

Which will not promote safety when applying a heat or cold application?

A) Follow agency policies for safe temperature ranges.
B) Cover dry heat or cold applications before applying them.
C) Observe the skin every 15 minutes for signs of complications.
D) Place the signal light within the person's reach.

Question 69

An aquathermia pad is not placed under a body part because

A) Heat cannot escape
B) The hoses can cause discomfort
C) It is difficult to observe the application site
D) The body part must be kept in good alignment

Question 70

Which is a dry heat application?

A) Hot compress
B) Hot soak
C) Sitz bath
D) Aquathermia pad

Question 71

When heat is applied too long, blood flow

A) Increases
B) Decreases
C) Changes direction
D) Stops

Question 72

Which statement about moist heat applications is incorrect?

A) Water is in contact with the skin.
B) Moist heat has faster effects than dry heat.
C) Moist heat penetrates deeper than dry heat does.
D) Moist heat applications have higher temperatures than dry heat applications.

Question 73

A warm application is

A) 106° F to 115° F
B) 98° F to 106° F
C) 93° F to 98° F
D) 80° F to 93° F

Question 74

A sitz bath involves

A) A hand and wrist
B) A foot and ankle
C) A knee and hip
D) The perineal and rectal areas

Question 75

After applying a hot compress, how often should you check the application site?

A) Every 5 minutes
B) Every 10 minutes
C) Every 15 minutes
D) Every 20 minutes

Question 76

Before applying dry heat or cold applications, which of the following should you do?

A) Measure water temperature.
B) Cover the application before applying it.
C) Show the person how to change the temperature.
D) Set a timer.

Question 77

The nurse asks you to apply a commercial hot pack. How should you warm the pack?

A) Put it in boiling water.
B) Heat it in a microwave oven.
C) Strike, knead, or squeeze the package.
D) Follow the manufacturer's instructions.

Question 78

When applying heat or cold applications, which is incorrect?

A) Know how to use the equipment.
B) Expose only the application site.
C) Place the signal light within the person's reach.
D) Let the person choose the application site.

Question 79

A person has a joint replacement. Which is correct?

A) No heat applications are allowed.
B) Heat applications are allowed except over the area of implant.
C) Heat applications are allowed over the area of implant.
D) No cold applications are allowed.

Question 80

Heat and cold applications are applied for no longer than

A) 5 to 10 minutes
B) 10 to 15 minutes
C) 15 to 20 minutes
D) 20 to 25 minutes