Surgical Wound care Quiz
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Do you know how to take care of surgical wounds? Take this surgical wound care quiz to expand your knowledge about how to properly take care of such wounds! If proper care is not given to wounds of such nature, it is entirely possible to develop an infection that can even be life-threatening. Let's dive headfirst into this quiz. All the best! Source: Foundations of Nursing by Christensen and Kockrow, pages 310-342.
- 1.
After an abdominal surgery, abdominal muscles contract and cause intraabdominal pressure. If the incisional area is weak, what is possible to happen?
- A.
Dehiscence
- B.
Evisceration
- C.
Decubitus
- D.
Shearing
Correct Answer
A. DehiscenceExplanation
p. 310Rate this question:
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- 2.
How are wounds classified? Select all the apply:
- A.
Cause
- B.
Severity of injury
- C.
Amount of contamination
- D.
Skin's integrity
- E.
Color and shape
Correct Answer(s)
A. Cause
B. Severity of injury
C. Amount of contamination
D. Skin's integrityExplanation
p. 310Rate this question:
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- 3.
A cut produced surgically by a sharp instrument creating an opening into an organ or space in the body
- A.
Puncture
- B.
Incision
- C.
Stoma
- D.
Abrasion
Correct Answer
B. IncisionExplanation
p. 310Rate this question:
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- 4.
Stab wound for a drainage system
- A.
Puncture
- B.
Incision
- C.
Stoma
- D.
Abrasion
Correct Answer
A. PunctureExplanation
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- 5.
Classification of wound according to the CDC. Select all that apply:
- A.
Clean
- B.
Clean-contaminated
- C.
Contaminated
- D.
Dirty or infected
- E.
Aseptic or sterile
Correct Answer(s)
A. Clean
B. Clean-contaminated
C. Contaminated
D. Dirty or infectedExplanation
p. 311Rate this question:
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- 6.
Which of the following four phases of wound healing are arranged accordingly
- A.
Hemostasis, inflammatory phase, maturation, reconstruction
- B.
Hemostasis, inflammatory phase, reconstruction, maturation
- C.
Hemostasis, reconstruction, maturation, inflammatory phase
- D.
Inflammatory phase, hemostasis, maturation, reconstruction
Correct Answer
B. Hemostasis, inflammatory phase, reconstruction, maturationExplanation
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- 7.
During hemostasis, termination of bleeding begins and blood clots are formed. What is in the blood clot that helps hold the wound together?
- A.
Granulation
- B.
Hemes
- C.
Fibrin
- D.
Leucocytes
Correct Answer
C. FibrinExplanation
p. 311Rate this question:
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- 8.
When does wound dehiscence primarily take place?
- A.
Maturation phase
- B.
Reconstruction phase
- C.
Inflammatory phase
- D.
Mitotic phase
Correct Answer
B. Reconstruction phaseExplanation
p. 311Rate this question:
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- 9.
Definition of a Keloid
- A.
A painful disease involving tissue damage
- B.
This is another phase of wound healing
- C.
Same as an eschar only with a lighter color
- D.
Overgrowth of a collagenous scar tissue at the site of the wound
Correct Answer
D. Overgrowth of a collagenous scar tissue at the site of the woundExplanation
p. 311Rate this question:
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- 10.
Best Definition of EXUDATE
- A.
Exactly the same as Drainage
- B.
It is a noun derived from the verb "to exude"
- C.
Fluid, cells, or other substances that have been slowly exuded or discharged, from cells or blood through small pores or breaks in cell membranes.
- D.
That which emerges from an injured tissue
Correct Answer
C. Fluid, cells, or other substances that have been slowly exuded or discharged, from cells or blood through small pores or breaks in cell membranes.Explanation
p. 311Rate this question:
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- 11.
What is granulation tissue?
- A.
Composed of small microscopic grains of epithelial cells
- B.
A group of cells that form a grain
- C.
The tissue that remains after a scar is healed
- D.
Soft, pink, fleshy projections consisting of capillaries surrounded by fibrous collagen.
Correct Answer
D. Soft, pink, fleshy projections consisting of capillaries surrounded by fibrous collagen.Explanation
p. 311Rate this question:
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- 12.
Which of the following statements about wound healing are true? Select all that apply:
- A.
The stages for wound healing provide a model for acute wound healing and not necessarily chronic.
- B.
The stages of wound healing are not necessarily linear
- C.
The least amount of scar after healing would be in the primary intention wound
- D.
Tertiary intention healing produces the smallest scar
Correct Answer(s)
A. The stages for wound healing provide a model for acute wound healing and not necessarily chronic.
B. The stages of wound healing are not necessarily linear
C. The least amount of scar after healing would be in the primary intention woundExplanation
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- 13.
A patient who had an appendicitis removed early in the morning is having a hard time going to sleep because of coughing. What is the best non-pharmacological intervention that a nurse could provide him?
- A.
Apply a pillow, rolled blanket, or the palms of the hands to the incisional area to lessen intraabdominal pressure
- B.
Administer a PRN pain medication
- C.
Call the surgeon and tell him to intervene
- D.
Bind the wound with a Montgomery wrap
Correct Answer
A. Apply a pillow, rolled blanket, or the palms of the hands to the incisional area to lessen intraabdominal pressureExplanation
p. 312Rate this question:
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- 14.
The process of applying a pillow, rolling a bath blanket, or the palms of the hands to an incisional area to decrease intraabdominal pressure is called what?.
- A.
Binding
- B.
Wrapping
- C.
Splinting
- D.
Dressing
Correct Answer
C. SplintingExplanation
p. 312Rate this question:
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- 15.
It is a factor that impairs wound healing by interfering with normal cellular mechanisms that promote release of oxygen to tissues. It reduces the amount of functional hemoglobin in blood.
- A.
Obesity
- B.
Radiation
- C.
Smoking
- D.
Malnutrition
Correct Answer
C. SmokingExplanation
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- 16.
A chronic disease that impairs wound healing because it causes hemoglobin to have greater affinity for oxygen, so it fails to release oxygen to tissues. An effect of this disease alters ability of leukocytes to perform phagocytosis needed for wound healing. This same effect will also support overgrowth of fungal and yeasts infection which are both contraindicated for wound healing
- A.
Multiple sclerosis
- B.
Diabetes insipidus
- C.
Diabetes mellitus
- D.
Myocardial infection
Correct Answer
C. Diabetes mellitusExplanation
p. 313Rate this question:
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- 17.
Which of the following groups are not a factor that could impair wound healing?
- A.
Obesity, malnutrition and age
- B.
Impaired oxygenation, radiation and smoking
- C.
Height, weight and body mass
- D.
Drugs, diabetes mellitus and wound stress
Correct Answer
C. Height, weight and body massExplanation
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- 18.
During the first day after surgery, how often would you inspect the dressings?
- A.
Every 2 to 4 hours for the first 24 hours
- B.
Every 8 to 10 hours for the first 42 hours
- C.
Every 6 to 8 hours for the first 30 hours
- D.
Every 2 to 4 hours for the first 12 hours
Correct Answer
A. Every 2 to 4 hours for the first 24 hoursExplanation
p. 314Rate this question:
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- 19.
Which of the following is not an evidence of infection?
- A.
Elevated WBC
- B.
Purulent drainage
- C.
Primary intention
- D.
Increased leukocytes
Correct Answer
C. Primary intentionExplanation
p. 314Rate this question:
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- 20.
When doing wound care, which of the following should be the first thing to do?
- A.
Introduce yourself
- B.
Explain the procedure
- C.
Refer to medical record, care plan or kardex
- D.
Identify patient
Correct Answer
C. Refer to medical record, care plan or kardexExplanation
p. 314Rate this question:
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- 21.
When are dressings over closed wound usually removed?
- A.
The day after surgery
- B.
On the third day
- C.
A week after surgery
- D.
When the physician gives the order
Correct Answer
B. On the third dayExplanation
p. 315Rate this question:
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- 22.
What kind of dressings promote healing by keeping wounds moist yet sterile?
- A.
Binders and steri-strips
- B.
Transparent and permeable dressings
- C.
Occlusive and semi-occlusive dressings
- D.
Wet and dry dressings
Correct Answer
C. Occlusive and semi-occlusive dressingsExplanation
p. 315Rate this question:
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- 23.
When using an occlusive dressing, where will the tape strips be attached?
- A.
Several inches apart
- B.
On all sides of the dressing
- C.
One on top of the other
- D.
On the four corners
Correct Answer
B. On all sides of the dressingExplanation
p. 315Rate this question:
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- 24.
When Montgomery straps are soiled, when do they get replaced?
- A.
Every 2 hours
- B.
Once every shift
- C.
At least once a week
- D.
Every 2 to 3 days
Correct Answer
D. Every 2 to 3 daysExplanation
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- 25.
A method and a trend that allows atmospheric oxygen to circulate above the wound, aiding in the healing process
- A.
Use Montgomery straps without binders
- B.
Protect sutured, clean wounds with occlusive dressing after surgery.
- C.
Leave sutured, clean wounds undressed after surgery or use loose dressings
- D.
Allow dry to dry dressings using occlusive gauze
Correct Answer
C. Leave sutured, clean wounds undressed after surgery or use loose dressingsExplanation
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- 26.
Often the choice for management of wound with little exudate or drainage such as abrasions and non-draining postoperative incisions.
- A.
Semi-occlusive
- B.
Wet-to-dry dressing
- C.
Dry dressing
- D.
Occlusive
Correct Answer
C. Dry dressingExplanation
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- 27.
Which of the following statements about dry dressing are true? Select all that apply
- A.
Keeps initial bleeding to a minimum, protects wound from injury and prevents introduction of bacteria
- B.
If dry dressing adheres to a wound, moisten dressing with distilled water before removing the gauze
- C.
Prevents deeper tissue from drying out by keeping wound surface moist
- D.
Does not debride wounds
Correct Answer(s)
A. Keeps initial bleeding to a minimum, protects wound from injury and prevents introduction of bacteria
C. Prevents deeper tissue from drying out by keeping wound surface moist
D. Does not debride woundsExplanation
p. 316 - If dry dressing adheres to a wound, moisten dressing with NORMAL SALINE OR STERILE (not distilled) water before removing the gauze.Rate this question:
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- 28.
A one day postoperative patient is scheduled to have an initial wound dressing. What would be an appropriate thing to do before doing the intervention?
- A.
Provide an analgesic while doing wound care
- B.
Give an analgesic 30 minutes before exposing the wound
- C.
Offer an analgesic after changing the dressing
- D.
Do not offer any analgesic because it is contraindicated
Correct Answer
B. Give an analgesic 30 minutes before exposing the woundExplanation
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- 29.
When doing wound care, which of the following should not be done?
- A.
Wash hands before donning sterile gloves
- B.
Use sterile gloves while removing wound dressing
- C.
If drains are present, remove dressings one layer at a time
- D.
Cover wound with appropriately sized dry sterile dressing and use drain dressing, if applicable
Correct Answer
B. Use sterile gloves while removing wound dressingExplanation
p. 317. Don clean gloves and remove dressing and discardRate this question:
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- 30.
When changing a sterile dry dressing, which of the following is a proper way of cleaning a wound?
- A.
Cleanse wound and surrounding area with regular swab, starting from incision and moving outward, using one stroke per swab
- B.
Cleanse wound and surrounding area with antiseptic swab, starting from incision and moving outward, using one stroke per swab.
- C.
Cleanse wound and surrounding area with alcohol, starting from incision and moving outward
- D.
Cleanse wound and surrounding area with antiseptic swab, starting from the edges of the wound towards the incision
Correct Answer
B. Cleanse wound and surrounding area with antiseptic swab, starting from incision and moving outward, using one stroke per swab.Explanation
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- 31.
Which of the following are commonly used wetting agents? Select all that apply:
- A.
Normal Saline
- B.
Distilled Water
- C.
Sodium Hypochlorite Solution
- D.
Isotonic Solutions and Lactated Ringer
- E.
Dakin
Correct Answer(s)
A. Normal Saline
C. Sodium Hypochlorite Solution
D. Isotonic Solutions and Lactated Ringer
E. DakinExplanation
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- 32.
What is the primary purpose of wet-to-dry dressing?
- A.
To mechanically debride a wound
- B.
To perform aseptic cleansing
- C.
To protect the wound from further injury
- D.
To provide an aesthetic appearance to wound dressing
Correct Answer
A. To mechanically debride a woundExplanation
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- 33.
Which of the following are effective antimicrobial agents either for Psuedomonas Aeruginosa or other pathogens but are toxic to fibroblasts in standard solutions?
- A.
Povidone-iodine
- B.
Lactated Ringer
- C.
Hypertonic Solutions
- D.
Acetic Acid
Correct Answer(s)
A. Povidone-iodine
D. Acetic AcidExplanation
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- 34.
In changing a wet-to-dry dressing, what happens when you apply dry dressing over wet gauze?
- A.
Pulls microbes from the wounds and allows termination of pathogens
- B.
Pulls moisture from the wound and allows for absorption of excess moisture
- C.
Pulls ischemic tissue and removes excess drainage
- D.
Pulls necrotic tissue from the wound and accelerates healing
Correct Answer
B. Pulls moisture from the wound and allows for absorption of excess moistureExplanation
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- 35.
After opening and partially using a 10 ml bottle of a normal saline wetting agent for wound care, what should be done next?
- A.
Wetting solutions should always be refrigerated 24 hours after opening and to prevent harboring microorganism growth.
- B.
Wetting solutions should be discarded 24 hours after opening and replaced with fresh solution because they can harbor microorganism growth.
- C.
Wetting solutions should be discarded an hours after opening and replaced with fresh solution because they can harbor microorganism growth.
- D.
Wetting solutions should be sealed after after opening and used as often as needed
Correct Answer
B. Wetting solutions should be discarded 24 hours after opening and replaced with fresh solution because they can harbor microorganism growth.Explanation
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- 36.
What are the advantages of a transparent dressing? Select all that apply:
- A.
Adheres to undamaged skin to contain exudate and minimize wound contamination
- B.
Promotes a moist environment that speeds epithelial cell growth
- C.
Accelerates wound healing by providing fibroblast stimulators
- D.
Serves as a barrier to external fluids and bacteria yet still allows the wound to breathe
- E.
Allows wound assessment without removing the film, as well as remove the film without damaging underlying tissue
Correct Answer(s)
A. Adheres to undamaged skin to contain exudate and minimize wound contamination
B. Promotes a moist environment that speeds epithelial cell growth
D. Serves as a barrier to external fluids and bacteria yet still allows the wound to breathe
E. Allows wound assessment without removing the film, as well as remove the film without damaging underlying tissueExplanation
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- 37.
For best results, when or how should transparent dressings be used? Select all that apply;
- A.
On clean debrided wounds that are not actively bleeding
- B.
Apply it so not wrinkles form, but do not stretch it over the skin
- C.
On eschar or over non-stagale decubitus
- D.
Ideal for small superficial wounds and as a dressing over an IV catheter site
Correct Answer(s)
A. On clean debrided wounds that are not actively bleeding
B. Apply it so not wrinkles form, but do not stretch it over the skin
D. Ideal for small superficial wounds and as a dressing over an IV catheter siteExplanation
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- 38.
Gentle washing of an area with a stream of solution delivered through a syringe.
- A.
Sterilization
- B.
Irrigation
- C.
Innundation
- D.
Effleurage
Correct Answer
B. IrrigationExplanation
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- 39.
After applying a transparent dressing, it is labeled with which information? Select all that apply:
- A.
Date
- B.
Initials
- C.
Location
- D.
Time
Correct Answer(s)
A. Date
B. Initials
D. TimeExplanation
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- 40.
The principles of basic wound irrigation include the following. Select all that apply
- A.
After irrigation, dry the wound with a clean gauze
- B.
Cleanse in a direction from the least contaminated to the most contaminated
- C.
During irrigation, apply cold compress
- D.
When irrigating, make sure all the solution flows from the least contaminated to the most contaminated
Correct Answer(s)
B. Cleanse in a direction from the least contaminated to the most contaminated
D. When irrigating, make sure all the solution flows from the least contaminated to the most contaminatedExplanation
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- 41.
Wound irrigation promotes wound healing through the following reasons. Select all that apply:
- A.
By removing debris from wound surface
- B.
By loosening and removing eschar
- C.
By moistening the wound
- D.
By decreasing bacterial counts
Correct Answer(s)
A. By removing debris from wound surface
B. By loosening and removing eschar
D. By decreasing bacterial countsExplanation
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- 42.
Common solutions used for irrigation. Select all that apply
- A.
Warm water
- B.
Hydrogen peroxide
- C.
Mild detergent
- D.
Saline
Correct Answer(s)
A. Warm water
C. Mild detergent
D. SalineExplanation
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- 43.
When doing wound irrigation for a deep wound with small opening (deep ulcers), which of the following devices should you use?
- A.
13-gauge needle with a 25 mL syringe
- B.
Tuberculin needle
- C.
19-gauge needle (or angiocath) with a 35 mL syringe
- D.
Same needle as insulin
Correct Answer
C. 19-gauge needle (or angiocath) with a 35 mL syringeExplanation
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- 44.
When doing a wound irrigation, how should the syringe be positioned?
- A.
1 finger-length above the wound
- B.
1 cm above the wound
- C.
1 inch above the wound
- D.
1 mm above the wound
Correct Answer
C. 1 inch above the woundExplanation
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- 45.
When doing wound care, in order to prevent fluid from being retained in the wound, how should a patient be positioned?
- A.
The patient should stand while receiving wound care
- B.
The patient should be an a dorsal recumbent position
- C.
The patient should be supine for comfort
- D.
Position the patient to his/her side to encourage the irrigant to flow away from the wound
Correct Answer
D. Position the patient to his/her side to encourage the irrigant to flow away from the woundExplanation
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- 46.
Cavity containing pus and surrounded by inflamed tissue, formed as a result of suppuration in a localized infection
- A.
Adhesion
- B.
Abscess
- C.
Cellulitis
- D.
Dehiscence
Correct Answer
B. AbscessExplanation
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- 47.
Collection of extravasated blood trapped in the tissues or in an organ resulting from incomplete hemostasis after surgery or injury
- A.
Cellulitis
- B.
Evisceration
- C.
Extravasation
- D.
Hematoma
Correct Answer
D. HematomaExplanation
A hematoma is a collection of extravasated blood that becomes trapped in the tissues or an organ due to incomplete hemostasis after surgery or injury. This can occur when blood vessels are damaged and blood leaks out into the surrounding area, forming a localized clot. Hematomas can vary in size and severity, and may cause swelling, pain, and discoloration of the skin. Treatment for a hematoma may involve monitoring, applying ice or heat, elevating the affected area, or in some cases, draining the blood.Rate this question:
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- 48.
Passage or escape into the tissues, usually of blood, serum or lymph
- A.
Adhesion
- B.
Evisceration
- C.
Extravasation
- D.
Hematoma
Correct Answer
C. ExtravasationExplanation
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- 49.
In order to determine whether a patient is hemorrhaging, what do you need to observe? Select all that apply:
- A.
Increased thirst and restlessness
- B.
Cool, clammy skin
- C.
Rapid thready pulse
- D.
Decreased blood pressure and urinary output
- E.
Paresthesia on lower extremities
Correct Answer(s)
A. Increased thirst and restlessness
B. Cool, clammy skin
C. Rapid thready pulse
D. Decreased blood pressure and urinary outputExplanation
p. 324Rate this question:
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- 50.
If hemorrhage is not detected or stopped, what is most likely to happen?
- A.
Hypervolemic shock leading to an excessive dehydration
- B.
Hypovolemic shock leading to a cardiac infection
- C.
Hypovolemic shock leading to a collapsed circulatory system
- D.
Hypervolemic shock leading to water retention
Correct Answer
C. Hypovolemic shock leading to a collapsed circulatory systemExplanation
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Mar 22, 2023Quiz Edited by
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