Surgical Wound care Quiz

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  • 1/98 Questions

    Definition of a Keloid

    • A painful disease involving tissue damage
    • This is another phase of wound healing
    • Same as an eschar only with a lighter color
    • Overgrowth of a collagenous scar tissue at the site of the wound
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About This Quiz

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 See morethe best! Source: Foundations of Nursing by Christensen and Kockrow, pages 310-342.

Surgical Wound care Quiz - Quiz

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  • 2. 

    Gentle washing of an area with a stream of solution delivered through a syringe. 

    • Sterilization

    • Irrigation

    • Innundation

    • Effleurage

    Correct Answer
    A. Irrigation
    Explanation
    p. 321

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  • 3. 

    Best Definition of EXUDATE

    • Exactly the same as Drainage

    • It is a noun derived from the verb "to exude"

    • Fluid, cells, or other substances that have been slowly exuded or discharged, from cells or blood through small pores or breaks in cell membranes.

    • That which emerges from an injured tissue

    Correct Answer
    A. 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. 311

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  • 4. 

    Which of the following groups are not a factor that could impair wound healing?

    • Obesity, malnutrition and age

    • Impaired oxygenation, radiation and smoking

    • Height, weight and body mass

    • Drugs, diabetes mellitus and wound stress

    Correct Answer
    A. Height, weight and body mass
    Explanation
    p. 313

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  • 5. 

    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? 

    • Provide an analgesic while doing wound care

    • Give an analgesic 30 minutes before exposing the wound

    • Offer an analgesic after changing the dressing

    • Do not offer any analgesic because it is contraindicated

    Correct Answer
    A. Give an analgesic 30 minutes before exposing the wound
    Explanation
    p. 316

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  • 6. 

    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?

    • Apply a pillow, rolled blanket, or the palms of the hands to the incisional area to lessen intraabdominal pressure

    • Administer a PRN pain medication

    • Call the surgeon and tell him to intervene

    • 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 pressure
    Explanation
    p. 312

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  • 7. 

    When a post-operative patient states that something has given way and the feeling is brought on by periods of sneezing, coughing or vomiting, what could have possibly happened? 

    • Early symptoms of flu

    • Patient is having a running nose

    • A wound dehiscence occurred

    • The patient is just hungry

    Correct Answer
    A. A wound dehiscence occurred
    Explanation
    p. 324

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  • 8. 

    Wire sutures are removed by physician

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Wire sutures are typically used in surgical procedures to hold together tissues or close incisions. These sutures are made of wire and require a physician to remove them after a certain period of time. This is because wire sutures are more durable and can cause more discomfort if left in for too long. Therefore, it is true that wire sutures are removed by a physician.

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  • 9. 

    A cut produced surgically by a sharp instrument creating an opening into an organ or space in the body

    • Puncture

    • Incision

    • Stoma

    • Abrasion

    Correct Answer
    A. Incision
    Explanation
    p. 310

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  • 10. 

    Stab wound for a drainage system 

    • Puncture

    • Incision

    • Stoma

    • Abrasion

    Correct Answer
    A. Puncture
    Explanation
    p. 310

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  • 11. 

    Steri-strips are not removed and are allowed to loosen and peel off gradually

    • True

    • False

    Correct Answer
    A. True
    Explanation
    p. 326

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  • 12. 

    Since it is not an invasive procedure, a  Wound Vacuum Assisted Closure (Wound VAC)  device does not require a Physician's order.   

    • True

    • False

    Correct Answer
    A. False
    Explanation
    p. 331

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  • 13. 

    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

    • Multiple sclerosis

    • Diabetes insipidus

    • Diabetes mellitus

    • Myocardial infection

    Correct Answer
    A. Diabetes mellitus
    Explanation
    p. 313

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  • 14. 

    During the first day after surgery, how often would you inspect the dressings? 

    • Every 2 to 4 hours for the first 24 hours

    • Every 8 to 10 hours for the first 42 hours

    • Every 6 to 8 hours for the first 30 hours

    • Every 2 to 4 hours for the first 12 hours

    Correct Answer
    A. Every 2 to 4 hours for the first 24 hours
    Explanation
    p. 314

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  • 15. 

    Which of the following is not an evidence of infection?

    • Elevated WBC

    • Purulent drainage

    • Primary intention

    • Increased leukocytes

    Correct Answer
    A. Primary intention
    Explanation
    p. 314

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  • 16. 

    When doing wound care, in order to prevent fluid from being retained in the wound, how should a patient be positioned?

    • The patient should stand while receiving wound care

    • The patient should be an a dorsal recumbent position

    • The patient should be supine for comfort

    • Position the patient to his/her side to encourage the irrigant to flow away from the wound

    Correct Answer
    A. Position the patient to his/her side to encourage the irrigant to flow away from the wound
    Explanation
    p. 323

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  • 17. 

    During hemostasis, termination of bleeding begins and blood clots are formed.  What is in the blood clot that helps hold the wound together?

    • Granulation

    • Hemes

    • Fibrin

    • Leucocytes

    Correct Answer
    A. Fibrin
    Explanation
    p. 311

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  • 18. 

    What is granulation tissue?

    • Composed of small microscopic grains of epithelial cells

    • A group of cells that form a grain

    • The tissue that remains after a scar is healed

    • Soft, pink, fleshy projections consisting of capillaries surrounded by fibrous collagen.

    Correct Answer
    A. Soft, pink, fleshy projections consisting of capillaries surrounded by fibrous collagen.
    Explanation
    p. 311

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  • 19. 

    Cavity containing pus and surrounded by inflamed tissue, formed as a result of suppuration in a localized infection 

    • Adhesion

    • Abscess

    • Cellulitis

    • Dehiscence

    Correct Answer
    A. Abscess
    Explanation
    p. 323

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  • 20. 

    Without a physician's order, what do you do with a dressing that is saturated with exudate?

    • Wait for an order before doing anything

    • Go ahead and replace it. Then inform the physician later

    • Reinforce the dressing over the incisional area by placing sterile gauze on top of the original dressing and anchor it securely

    • Do nothing until the order has arrived

    Correct Answer
    A. Reinforce the dressing over the incisional area by placing sterile gauze on top of the original dressing and anchor it securely
    Explanation
    p. 338

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  • 21. 

    Removal of fluids from a body cavity, wound or other source of discharge by one or more methods. 

    • Exudate

    • Extravasation

    • Drainage

    • Cellular suction

    Correct Answer
    A. Drainage
    Explanation
    p. 325

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  • 22. 

    A device that assists in wound closure by applying localized negative pressure to draw the edges of a wound together. It accelerates wound healing by promoting the formation of granulation tissue, collagen, fibroblasts, and inflammatory cells in order to close or improve the condition of a wound in preparation for a skin graft.  

    • Hemivac

    • Wound Vacuum-assisted closure (Wound VAC)

    • Jackson Pratt

    • Davol

    Correct Answer
    A. Wound Vacuum-assisted closure (Wound VAC)
    Explanation
    p. 330

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  • 23. 

    What is the primary purpose of wet-to-dry dressing?

    • To mechanically debride a wound

    • To perform aseptic cleansing

    • To protect the wound from further injury

    • To provide an aesthetic appearance to wound dressing

    Correct Answer
    A. To mechanically debride a wound
    Explanation
    p. 318

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  • 24. 

    If hemorrhage is  not detected or stopped, what is most likely to happen?

    • Hypervolemic shock leading to an excessive dehydration

    • Hypovolemic shock leading to a cardiac infection

    • Hypovolemic shock leading to a collapsed circulatory system

    • Hypervolemic shock leading to water retention

    Correct Answer
    A. Hypovolemic shock leading to a collapsed circulatory system
    Explanation
    p. 324

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  • 25. 

    A moist environment may damage the wound edges (peri-wound skin). It is classified as moisture-associated skin damage (MASD). What do you call this damage?

    • Laceration

    • Maceration

    • Incision

    • Evisceration

    Correct Answer
    A. Maceration
    Explanation
    p. 333

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  • 26. 

    After an abdominal surgery, abdominal muscles contract and cause intraabdominal pressure. If the incisional area is weak, what is possible to happen?

    • Dehiscence

    • Evisceration

    • Decubitus

    • Shearing

    Correct Answer
    A. Dehiscence
    Explanation
    p. 310

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  • 27. 

    After applying a transparent dressing, it is labeled with which information? Select all that apply:

    • Date

    • Initials

    • Location

    • Time

    Correct Answer(s)
    A. Date
    A. Initials
    A. Time
    Explanation
    p. 321

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  • 28. 

    When using an occlusive dressing, where will the tape strips be attached?  

    • Several inches apart

    • On all sides of the dressing

    • One on top of the other

    • On the four corners

    Correct Answer
    A. On all sides of the dressing
    Explanation
    p. 315

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  • 29. 

    A strip or roll of cloth or other material can be wound around a part of the body in a variety of ways for multiple purposes.

    • Scarf

    • Bandage

    • Gauze

    • Bandana

    Correct Answer
    A. Bandage
    Explanation
    p. 333

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  • 30. 

    Which of the following four phases of wound healing are arranged accordingly

    • Hemostasis, inflammatory phase, maturation, reconstruction

    • Hemostasis, inflammatory phase, reconstruction, maturation

    • Hemostasis, reconstruction, maturation, inflammatory phase

    • Inflammatory phase, hemostasis, maturation, reconstruction

    Correct Answer
    A. Hemostasis, inflammatory phase, reconstruction, maturation
    Explanation
    p. 311

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  • 31. 

    When changing a sterile dry dressing, which of the following is a proper way of cleaning a wound?

    • Cleanse wound and surrounding area with regular swab, starting from incision and moving outward, using one stroke per swab

    • Cleanse wound and surrounding area with antiseptic swab, starting from incision and moving outward, using one stroke per swab.

    • Cleanse wound and surrounding area with alcohol, starting from incision and moving outward

    • Cleanse wound and surrounding area with antiseptic swab, starting from the edges of the wound towards the incision

    Correct Answer
    A. Cleanse wound and surrounding area with antiseptic swab, starting from incision and moving outward, using one stroke per swab.
    Explanation
    p. 317

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  • 32. 

    Collection of extravasated blood trapped in the tissues or in an organ resulting from incomplete hemostasis after surgery or injury

    • Cellulitis

    • Evisceration

    • Extravasation

    • Hematoma

    Correct Answer
    A. Hematoma
    Explanation
    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.

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  • 33. 

    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. 

    • Obesity

    • Radiation

    • Smoking

    • Malnutrition

    Correct Answer
    A. Smoking
    Explanation
    p. 319

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  • 34. 

    How long does the outer edge of a wound appear inflamed?

    • First 2 to 3 weeks

    • First 2 to 3 hours

    • First 2 to 3 days

    • First 20 to 30 minutes

    Correct Answer
    A. First 2 to 3 days
    Explanation
    p. 338

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  • 35. 

    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?. 

    • Binding

    • Wrapping

    • Splinting

    • Dressing

    Correct Answer
    A. Splinting
    Explanation
    p. 312

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  • 36. 

    When doing wound irrigation for a deep wound with small opening (deep ulcers), which of the following devices should you use?

    • 13-gauge needle with a 25 mL syringe

    • Tuberculin needle

    • 19-gauge needle (or angiocath) with a 35 mL syringe

    • Same needle as insulin

    Correct Answer
    A. 19-gauge needle (or angiocath) with a 35 mL syringe
    Explanation
    p. 332

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  • 37. 

    Upon doing wound care of a patient who had an abdominal surgery this morning , nurse observes 325 mL of exudate extracted from patient's Hemovac. What would she do next?

    • Assess the patient for complication

    • Empty the Hemovac and clean appropriately

    • Report the findings to the physician immediately

    • Change the patient dressing

    Correct Answer
    A. Report the findings to the physician immediately
    Explanation
    p. 327 - Treat exudate or drainage in quantities greater than 300 mL in the first 24 hours as abnormal and report it immediately

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  • 38. 

    A nurse is removing a suture. Which of the following would be a sign that this nurse needs further training?  

    • Grasps and elevates knotted end of suture with hemostat or forceps.

    • Grasps continuous suture and removes loop of suture, pulling contaminated stitch through tissue

    • Documents the number of staples or sutures removed

    • Removes one to three sutures at a time

    Correct Answer
    A. Grasps continuous suture and removes loop of suture, pulling contaminated stitch through tissue
    Explanation
    pages 326-327

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  • 39. 

    When doing wound care, which of the following should not be done? 

    • Wash hands before donning sterile gloves

    • Use sterile gloves while removing wound dressing

    • If drains are present, remove dressings one layer at a time

    • Cover wound with appropriately sized dry sterile dressing and use drain dressing, if applicable

    Correct Answer
    A. Use sterile gloves while removing wound dressing
    Explanation
    p. 317. Don clean gloves and remove dressing and discard

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  • 40. 

    When doing a wound irrigation, how should the syringe be positioned? 

    • 1 finger-length above the wound

    • 1 cm above the wound

    • 1 inch above the wound

    • 1 mm above the wound

    Correct Answer
    A. 1 inch above the wound
    Explanation
    p. 322

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  • 41. 

    Existence of a wound indicates what kind of nursing diagnosis?

    • Risk for infection

    • Impaired skin integrity

    • Loss of self image

    • Powerlessness

    Correct Answer
    A. Impaired skin integrity
    Explanation
    p. 338

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  • 42. 

    When are sutures and staples generally removed?

    • In 1 to 2 weeks after surgery or sooner if healing is adequate

    • In 48 to 60 hours after surgery or sooner if healing is adequate

    • In 7 to 10 days after surgery or sooner if healing is adequate

    • In 5 to 8 days after surgery or sooner if healing is adequate

    Correct Answer
    A. In 7 to 10 days after surgery or sooner if healing is adequate
    Explanation
    p. 324

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  • 43. 

    A system of tubing and other apparatus attached to the body to remove fluid in an airtight circuit that prevents environmental contaminants from entering the wound.   

    • Open drainage system

    • Closed drainage system

    • Suction drainage

    • Vacuum drainage

    Correct Answer
    A. Closed drainage system
    Explanation
    p. 328

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  • 44. 

    Classification of wound according to the CDC. Select all that apply:

    • Clean

    • Clean-contaminated

    • Contaminated

    • Dirty or infected

    • Aseptic or sterile

    Correct Answer(s)
    A. Clean
    A. Clean-contaminated
    A. Contaminated
    A. Dirty or infected
    Explanation
    p. 311

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  • 45. 

    In changing a wet-to-dry dressing, what happens when you apply dry dressing over wet gauze? 

    • Pulls microbes from the wounds and allows termination of pathogens

    • Pulls moisture from the wound and allows for absorption of excess moisture

    • Pulls ischemic tissue and removes excess drainage

    • Pulls necrotic tissue from the wound and accelerates healing

    Correct Answer
    A. Pulls moisture from the wound and allows for absorption of excess moisture
    Explanation
    p. 319

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  • 46. 

    After opening and partially using a 10 ml bottle of a normal saline wetting agent for wound care, what should be done next?

    • Wetting solutions should always be refrigerated 24 hours after opening and to prevent harboring microorganism growth.

    • Wetting solutions should be discarded 24 hours after opening and replaced with fresh solution because they can harbor microorganism growth.

    • Wetting solutions should be discarded an hours after opening and replaced with fresh solution because they can harbor microorganism growth.

    • Wetting solutions should be sealed after after opening and used as often as needed

    Correct Answer
    A. Wetting solutions should be discarded 24 hours after opening and replaced with fresh solution because they can harbor microorganism growth.
    Explanation
    p. 320

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  • 47. 

    Passage or escape into the tissues, usually of blood, serum or lymph 

    • Adhesion

    • Evisceration

    • Extravasation

    • Hematoma

    Correct Answer
    A. Extravasation
    Explanation
    p. 323

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  • 48. 

    How often should a Davol or Hemovac systems  be observed?

    • Every hour

    • Every 2 to 4 hours

    • Once every shift

    • At least once a day

    Correct Answer
    A. Every 2 to 4 hours
    Explanation
    p. 329

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  • 49. 

    A type of bandage that is made of large pieces of material to fit a specific body part mostly made of elastic, cotton, muslin or flannel 

    • Tie

    • Gauze

    • Binder

    • Bandana

    Correct Answer
    A. Binder
    Explanation
    p. 334

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  • Current Version
  • Jan 13, 2025
    Quiz Edited by
    ProProfs Editorial Team
  • Jun 01, 2013
    Quiz Created by
    Arnoldjr2

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