Deck 23: Assisting With Wound Care

Question 1

Common causes of pressure ulcers include the following except

A) Pressure
B) Friction
C) Shearing
D) Burns

Answer 1

Burns

Question 2

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

Answer 2

A stasis ulcer

Question 3

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

Answer 3

Incontinence and moisture on the skin

Question 4

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

Question 5

Pressure ulcers usually occur

A) On the arms and legs
B) On the hands and feet
C) On the buttocks
D) Over bony prominences

Question 6

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 7

Which person has the least risk for a pressure ulcer?

A) The person who has urinary incontinence
B) The person who has fecal incontinence
C) The person who has shortness of breath
D) The person who has circulatory problems

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

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

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

Question 10

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

A) Using full bed rails at all times
B) Measures to prevent friction and shearing
C) Using an assist device to move the person
D) Using pillows to support the arms and legs

Question 11

To prevent skin tears, do the following

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 12

To prevent skin tears, do the following

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 13

Common causes of wounds include the following except

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

Question 14

A break in the skin or mucous membrane is

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

Question 15

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 16

A pressure ulcer is called the following except

A) Bed sore
B) Pressure sore
C) Stasis ulcer
D) Decubitus ulcer

Question 17

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 18

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 19

A condition in which there is death of tissue is

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

Question 20

An injury resulting from pressure or pressure in combination with shear and friction is

A) A pressure ulcer
B) A wound
C) A thrombus
D) Phlebitis

Question 21

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 22

The recommended position for preventing and treating pressure ulcers is the

A) Supine position
B) Prone position
C) Fowler's position
D) 30-degree lateral position

Question 23

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 24

Which of the following prevents pressure on the legs, feet, and toes?

A) Bed cradle
B) Heel elevator
C) Eggcrate-type pad
D) Flotation pad

Question 25

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 26

To prevent pressure ulcers, do the following

A) Keep the person's skin clean and dry
B) Massage pressure points
C) Use soap to clean the skin
D) Scrub and rub the skin during bathing

Question 27

Early signs of pressure ulcers include the following except

A) Reddened skin
B) Tingling in the area
C) Pain or burning in the area
D) The skin is cracked and peeling

Question 28

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 29

Persons at risk for pressure ulcers are repositioned at least every

A) Hour
B) 1 to 2 hours
C) 3 to 4 hours
D) Shift

Question 30

A resident has an eggcrate-type pad on the bed. For bottom linens, you need

A) A mattress pad, bottom sheet, plastic drawsheet, and cotton drawsheet
B) A bottom sheet, plastic drawsheet, and cotton drawsheet
C) A bottom sheet and cotton drawsheet
D) Only a bottom sheet

Question 31

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 32

To prevent pressure ulcers, do the following

A) Provide clean linens every day
B) Change linens whenever they are wet or soiled
C) Change linens whenever they are wrinkled
D) Provide clean linens every shift

Question 33

Pressure ulcers can occur where skin has contact with skin. What can you use to prevent such contact?

A) Pillows
B) Bed cradle
C) Eggcrate-like mattress
D) Flotation pad

Question 34

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 35

Which of the following scrapes the skin?

A) Skin tear
B) Friction
C) Pressure
D) Shearing

Question 36

A resident has dry skin. What should you do?

A) Use soap during the person's bath.
B) Apply moisturizer as directed by the nurse.
C) Apply cornstarch to dry areas.
D) Apply powder to dry areas.

Question 37

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 38

A female resident is obese. She is at risk for pressure ulcers in the following areas except

A) Between abdominal folds
B) Under her breasts
C) Between her legs and buttocks
D) On her forehead and chin

Question 39

Circulatory ulcers 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 40

To prevent pressure ulcers, persons sitting in chairs need to shift their positions every

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

Question 41

Elastic stocking also are called

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

Question 42

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 43

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 44

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 45

A dressing is 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 46

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 47

Which is not a purpose of wound dressings?

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

Question 48

Which statement about diabetic foot ulcers is correct?

A) They can affect 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 49

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

A) Telling the person what the drainage smells like
B) Removing tape by pulling it toward the wound
C) Removing dressings so the person sees the unsoiled side
D) Removing the old dressing gently

Question 50

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 51

Which type of tape allows movement of a body part?

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

Question 52

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 53

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 54

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 55

Elastic bandages are applied to

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

Question 56

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 57

When Montgomery ties are used,

A) Ties are removed for the dressing change
B) Ties are undone for the dressing change
C) Adhesive strips are removed for the dressing change
D) Adhesive strips are changed daily

Question 58

A thrombus is

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

Question 59

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 60

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 61

Dilate means to

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

Question 62

When heat is applied, the skin is

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

Question 63

A 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 64

Binders do the following except

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

Question 65

When blood vessels dilate, blood flow

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

Question 66

Constrict means to

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

Question 67

Heat applications do the following except

A) Relieve pain
B) Relax muscles
C) Decrease blood flow
D) Decrease joint stiffness

Question 68

Which of the following is applied to the perineal area?

A) Abdominal binder
B) Elastic bandage
C) Breast binder
D) T-binder

Question 69

Heat and cold applications do the following except

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

Question 70

Cyanosis is

A) A pink color
B) A bluish color
C) Swelling of the tissues
D) Excessive redness of the skin

Question 71

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 72

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 73

Heat applications

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

Question 74

When heat is applied too long, blood vessels

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

Question 75

Binders are applied to the following areas except

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

Question 76

A 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 77

When heat is applied too long, blood flow

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

Question 78

A binder is wet. What should you do?

A) Change the dressing.
B) Re-apply the binder.
C) Apply a new binder.
D) Let it dry.

Question 79

A nurse asks you to apply a heat application. Before doing so, you must make sure that

A) The nurse explained the procedure to the person
B) The procedure is in your job description
C) You have time to complete the task
D) The person signed a consent form

Question 80

When blood vessels constrict, blood flow

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