Wound Care Mastery

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Courtney P

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Wound Care Mastery


Wound Care MasteryVersión en línea lecture notes por Courtney P 1 What does a positive wound culture indicate? a Wound is healing b Wound size is reducing c Infection is present d No infection is present 2 Which phase of wound healing involves epithelialization and angiogenesis? a Inflammatory phase b Proliferative phase c Maturation phase d Hemostasis phase 3 Stage 1 pressure injury is defined by skin that does what under pressure? a Blanches easily b Does not blanch c Is necrotic d Has open ulcer 4 What does a Braden Scale assess? a Risk for developing pressure injuries b Nutritional status only c Current infection risk d Wound depth 5 Which exudate type is normal in the inflammatory stage? a Serosanguinous b Serous c Sanguineous d Purulent 6 Purulent exudate is characterized as what? a Clear and watery b Thin and pink c Colorless d Thick and opaque 7 What is the goal of wound irrigation? a Sterilize the entire area b Clean wound while avoiding trauma c Disinfect surrounding skin d Dry the wound completely 8 Which dressing care practice helps prevent peri-wound maceration? a Apply alcohol repeatedly b Use tight bandaging c Use skin barrier creams d Remove all moisture 9 Which phase follows inflammation in healing? a Infectious phase b Proliferative phase c Hemostasis phase d Maturation phase 10 What is autolytic debridement? a Immediate amputation b Using moist dressings to digest necrotic tissue c Chemical dissolution d Surgical removal only 11 Which wound closure type heals beneath a closure? a Secondary intention b Tertiary intention c Primary intention d No closure needed 12 What best describes a stage 3 pressure injury? a Eschar only b Superficial only c Only dermal involvement d Full thickness with possible fat visible 13 Which bacteria-related concept is common in chronic wounds? a Granulation tissue b Epithelialization c Biofilm d Hemostasis 14 What does blanching indicate on a suspected stage 1 injury? a Infection present b Deep tissue damage c Negative test only d Positive blanch test 15 Which factor does NOT directly impair wound healing? a Hyperhydration b Malnutrition c Diabetes d Smoking 16 Which lab abnormality signals infection risk in wounds? a Elevated WBC b Low BUN c Low WBC d High albumin 17 Which exudate type is never considered normal in a wound bed? a Purulent b Serous c Sanguineous d Serosanguinous 18 What is a hallmark of wound necrosis in the wound bed? a Necrotic tissue colors brown/black b Bright red tissue c Healthy moisture d Pink granulation tissue 19 Which is a common method of wound debridement? a Topical cooling b Bandaging alone c Sterilization d Sharp wound debridement 20 What device aids wound healing by removing fluid and pulling edges? a Vacuum Assisted Closure (VAC) b Hydrocolloid only c Topical cream d Wound pump only 21 Which factor helps reduce edema in venous ulcers? a Warm compresses b High-salt diet c Compression dressings d Frequent soap baths 22 Which phase includes angiogenesis starting within 24 hours? a Maturation phase b Inflammatory phase c Hemostasis phase d Proliferative phase 23 What is the first step in infection control for wounds? a Wearing gloves only b Hand hygiene c Antibiotic use d Sterile dressings only 24 Which tissue is characteristic of stage 4 pressure injuries? a Eschar only b Extensive tissue necrosis c Subcutaneous fat intact d Only surface skin loss 25 What does serous drainage look like? a Clear, thin, watery b Colored blood c Opaque and creamy d Thick and opaque 26 Which healing type has delayed healing with more scar tissue? a No healing required b Primary intention only c Immediate healing d Secondary/tertiary intention 27 Which factor can delay wound healing due to nutrition? a Protein deficiency b Too much fat c Excess protein d Overhydration 28 Which is NOT a wound assessment component? a Anatomic location b Wound color preference c Wound size d Wound base 29 Which phase is associated with collagen formation? a Proliferative phase b Inflammatory phase c Hemostasis phase d Maturation phase 30 What is a key sign of infection in wounds? a Dry wound base b No drainage c Healthy pink tissue d Purulent exudate 31 What does the clock face analogy help identify? a Location of sinus tracts b Type of exudate c Size of the wound d Depth of tissue loss 32 Which tissue describes a wound bed that is pink and moist? a Slough b Necrotic tissue c Eschar d Viable granulation tissue 33 What technique avoids driving bacteria deeper into tissue during cleaning? a Strong scrubbing b Alcohol rubs c High heat d Gentle irrigation 34 Which dressing is used to maintain moisture in a wound bed? a Cold packs b Alcohol-soaked gauze c Dry gauze only d Moist topical dressings 35 Which condition increases infection risk in wounds? a Biofilm formation b Hydration c Adequate perfusion d Clean environment 36 Which factor affects wound healing indirectly? a Regular exercise b Water intake c Alcohol consumption d Daily sleep 37 Which exudate type contains blood? a Serosanguinous b Serous c Sanguineous d Purulent 38 Which scenario uses autolytic debridement? a Moist wound dressings foster digestion of necrotic tissue b Surgical removal c Chemical dissolution d Dry gauze only 39 What is a hallmark of stage 2 pressure injury? a No skin loss b Only epidermis intact c Partial-thickness skin loss d Full-thickness loss 40 Which lab value rising may indicate delayed healing? a High albumin b Elevated glucose c Low WBC d Low glucose 41 What is the purpose of packing wounds? a Dry wound completely b Stop all moisture c Eliminate dead space d Seal wound edges instantly 42 Which wound feature helps determine etiology? a Wound edges shape b Color only c Location alone d Age of patient 43 What is an example of a topical antiseptic used in wounds? a Alcohol-based gel only b Honey c Soap d Water 44 What should peri-wound assessment extend from the wound edge? a 2 cm b 10 cm c At least 4 cm d No defined distance 45 Which is a sign of local infection in the wound area? a Erythema and edema b Coolness c No redness d Bronzing skin 46 Which tissue change signals maturation/remodeling? a Collagen remodeling b Necrosis c Slough formation d New infection 47 Which dressing change practice supports healing? a Ignore exudate b Change rarely c Keep wound dry always d Maintain moisture where appropriate 48 Which is a key nursing consideration for delayed healing? a Ignore nutrition b Limit fluids c Reduce activity d Nutrition assessment 49 Which factor is part of the wound assessment base? a Hair growth around b Wound base viability c Patient mood d Wound color preference 50 Which wound type commonly ends with scarring as it heals? a Secondary/tertiary intention b No scarring c Immediate complete closure d Primary intention only 51 Which action helps prevent wound odor? a Adjust dressing frequency b Ignore odor c Use the same dressing forever d Increase heat exposure 52 What is the normal appearance of granulation tissue? a White and flaky b Pink/red and moist c Black and dry d Blue and hard 53 Which statement best describes a fever in wound infection? a Fever excludes infection b Systemic sign may accompany wound infection c Fever always means sepsis d Fever is unrelated to wounds 54 Which wound care strategy minimizes tissue trauma during cleansing? a Hot water rinse b Gentle irrigation with normal saline c Alcohol spray d Aggressive scrubbing 55 Which intervention protects peri-wound skin? a Skin barrier products b Removing all barrier c Constant drying with heat d Frequent irrigation with harsh solutions 56 Which factor is commonly used to categorize exudate amount? a Color of surrounding skin b Amount of drainage on dressing c Wound odor only d Patient age 57 Which is a sign that wound healing is progressing? a Increased necrosis b Reduction in wound size c Worsening depth d Constant drainage 58 What is a primary role of debridement? a Remove necrotic tissue b Dry out wound completely c Encourage infection d Seal wound with tape 59 Which statement best describes edema in wounds? a No exudate b Vasodilation and exudate c Dry wound bed d Immediate closure 60 Which factor directly impacts healing by nutrition? a Calorie restriction b Vitamin A only c Carbohydrate intake d Protein intake 61 Which wound feature helps stage pressure injuries? a Presence of hair b Location alone c Color only d Tissue loss depth 62 Which exudate type is tan, yellow, green, or brown? a Serous b Purulent c Sanguineous d Serosanguinous 63 What is the goal of moisturizer in wound care? a Dry the wound completely b Promote cracking c Remove all moisture d Protect exposed tissue and skin 64 Which healing pattern is associated with infection risk? a Immediate closure b No scar formation c Rapid healing d Delayed healing 65 Which component is part of wound assessment depth? a Temperature only b Color assessment only c Depth measurement d Hair density 66 Which practice reduces infection risk with biofilm? a Ignore signs b Wound cultures when infection suspected c Avoid cultures d Only treat with antibiotics 67 Which tissue describes a wound base that is pink/red and moist? a Eschar b Slough c Necrotic tissue d Healthy granulation tissue 68 Which of the following is a common wound dressing concept? a Never change b Moisture balance c Always dry d Always wet 69 Which technique helps monitor healing progress over time? a No assessment b One-time assessment c Regular wound measurements d Assess only if symptoms worsen 70 What factor is often reviewed when administering antibiotics for infection? a Hair color b Wound culture results c Voice pitch d Patient IQ 71 Which wound management method removes drainage and debris? a Applying ointment only b Cleansing with saline c No cleansing d Rubbing with alcohol 72 Which type of wound healing leaves a scar but restores function? a Initial injury only b Immediate perfect restoration c Remodeling phase d No scar formation 73 Which is a common indication for VAC therapy? a Diabetic foot ulcers b Dry skin patches c Toes glazed with lotion d Aloe vera only 74 Which is a primary sign of local infection in wounds? a Cool temperature b Immediate granulation c No exudate d Wound odor 75 What does undermining refer to in wound description? a Edge rounding b Healthy tissue growth c Outer surface scabbing d Tissue erosion under wound edges 76 Which factor helps prevent neuropathic injury progression? a Immobility b Skip inspections c Education and prevention d Ignore foot care 77 Which is a hallmark of stage 3 pressure injury? a Superficial abrasion b Full thickness with fat visible c Erythema only d Only blister 78 Which exudate is not normal in a wound bed? a Serous b Sanguineous c Purulent d Serosanguinous 79 Which action is inappropriate for infection control? a Wound culture if indicated b Sterile technique c Wearing gloves only d Hand hygiene 80 Which factor is an internal influence on wound healing? a Sun exposure b Diabetes c Hair color d Eye color 81 Which is a feature of edema in the wound bed? a Edema indicates inflammation b No exudate c Immediate healing d No inflammation 82 What does a wound bed with pink granulation tissue indicate? a No healing b Infection c Progressing healing d Necrosis 83 Which material is used to maintain moisture in a wound bed? a Alcohol wipes b Cotton balls c Hydrogel dressings d Dry gauze only 84 What is a key purpose of wound dressings? a Stop all exudate completely b Delay healing c Protect and manage moisture d Induce infection 85 Which healing type is often used for contaminated wounds? a No healing required b Tertiary intention c Primary intention d Secondary intention only 86 Which feature helps identify neuropathic ulcers? a Excessive pain always b Necrosis only c Immediate infection always d Reduced pain due to neuropathy 87 Which of the following is a common wound cleansing agent to avoid cytotoxicity? a Betadine b Normal saline c Hydrogen peroxide d Alcohol 88 What should be assessed at every dressing change besides the wound? a Hair length b Hair color c Peri-wound skin condition d Nail length 89 Which stage involves full thickness skin loss with visible tissue? a Stage 1 b Stage 4 pressure injury c Stage 2 d Stage 3 pressure injury 90 Which is an example of a topical antimicrobial product? a Regular soap b Water only c Alcohol gel d Silver sulfadiazine 91 What does the term edema signify in wound assessment? a Swelling b Darkening only c No change d Dryness 92 Which factor is essential for successful wound healing nutrition-wise? a Low fats b Adequate protein c High caffeine d Low calories 93 Which statement describes wound culture results? a Identify bacteria and antibiotics to which they are susceptible b Predict healing time c Only identify infection present d Ignore antibiotic susceptibility 94 Which would classify a wound as partial thickness? a Damage to muscle b Damage to subcutaneous tissue only c Damage limited to epidermis/dermis d Damage to bone 95 What is the effect of smoking on wounds? a Only affects lungs b No effect c Impaired inflammatory response and healing d Accelerates healing 96 Which is a correct statement about the Braden scale? a Predicts infection b Assesses nutrition alone c Used to predict pressure injury risk d Measures wound depth 97 Which type of exudate is thick and opaque and not normal? a Serous b Serosanguinous c Sanguineous d Purulent 98 Which wound attribute is measured with a sterile cotton-tip applicator? a Wound odor b Wound depth c Wound color d Wound shape 99 Which condition is NOT a common wound complication listed? a Dehiscence b Cellulitis c Abscess d Hydrocephalus 100 Which factor is essential when managing delayed wound healing? a Dietitian consultation for nutrition b Ignore nutrition c Increase sugar intake d Reduce fluids

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Wound Care MasteryVersión en línea

por Courtney P

What does a positive wound culture indicate?

Which phase of wound healing involves epithelialization and angiogenesis?

Stage 1 pressure injury is defined by skin that does what under pressure?

What does a Braden Scale assess?

Which exudate type is normal in the inflammatory stage?

Purulent exudate is characterized as what?

What is the goal of wound irrigation?

Which dressing care practice helps prevent peri-wound maceration?

Which phase follows inflammation in healing?

What is autolytic debridement?

Which wound closure type heals beneath a closure?

What best describes a stage 3 pressure injury?

Which bacteria-related concept is common in chronic wounds?

What does blanching indicate on a suspected stage 1 injury?

Which factor does NOT directly impair wound healing?

Which lab abnormality signals infection risk in wounds?

Which exudate type is never considered normal in a wound bed?

What is a hallmark of wound necrosis in the wound bed?

Which is a common method of wound debridement?

What device aids wound healing by removing fluid and pulling edges?

Which factor helps reduce edema in venous ulcers?

Which phase includes angiogenesis starting within 24 hours?

What is the first step in infection control for wounds?

Which tissue is characteristic of stage 4 pressure injuries?

What does serous drainage look like?

Which healing type has delayed healing with more scar tissue?

Which factor can delay wound healing due to nutrition?

Which is NOT a wound assessment component?

Which phase is associated with collagen formation?

What is a key sign of infection in wounds?

What does the clock face analogy help identify?

Which tissue describes a wound bed that is pink and moist?

What technique avoids driving bacteria deeper into tissue during cleaning?

Which dressing is used to maintain moisture in a wound bed?

Which condition increases infection risk in wounds?

Which factor affects wound healing indirectly?

Which exudate type contains blood?

Which scenario uses autolytic debridement?

What is a hallmark of stage 2 pressure injury?

Which lab value rising may indicate delayed healing?

What is the purpose of packing wounds?

Which wound feature helps determine etiology?

What is an example of a topical antiseptic used in wounds?

What should peri-wound assessment extend from the wound edge?

Which is a sign of local infection in the wound area?

Which tissue change signals maturation/remodeling?

Which dressing change practice supports healing?

Which is a key nursing consideration for delayed healing?

Which factor is part of the wound assessment base?

Which wound type commonly ends with scarring as it heals?

Which action helps prevent wound odor?

What is the normal appearance of granulation tissue?

Which statement best describes a fever in wound infection?

Which wound care strategy minimizes tissue trauma during cleansing?

Which intervention protects peri-wound skin?

Which factor is commonly used to categorize exudate amount?

Which is a sign that wound healing is progressing?

What is a primary role of debridement?

Which statement best describes edema in wounds?

Which factor directly impacts healing by nutrition?

Which wound feature helps stage pressure injuries?

Which exudate type is tan, yellow, green, or brown?