Wound care Assessment & Documentation

10 Questions | Total Attempts: 771

SettingsSettingsSettings
Please wait...
Documentation Quizzes & Trivia

Wound care Assessment & Documentation, post test. (Must achieve a passing score of 70%)


Questions and Answers
  • 1. 
     Maceration of the peri wound skin does not affect the healing of the wound as long as the wound bed looks good.
    • A. 

      True

    • B. 

      False

  • 2. 
    A wound covered 100% by slough or black eschar is unstageable.
    • A. 

      True

    • B. 

      False

  • 3. 
     Nurse may suspect deep tissue injury when purple or maroon area of discolored, intact skin is noted.
    • A. 

      True

    • B. 

      False

  • 4. 
     Nurses must make sure to update a stage of a wound as granulation improves.
    • A. 

      True

    • B. 

      False

  • 5. 
    A stage two pressure ulcer is a shallow open ulcer with a red or pink wound bed, that may have slough.
    • A. 

      True

    • B. 

      False

  • 6. 
     Wound edges that are detached means that the base of the wound is deeper than the edge.
    • A. 

      True

    • B. 

      False

  • 7. 
    A stage four pressure ulcer always has undermining and/or tunneling.
    • A. 

      True

    • B. 

      False

  • 8. 
    Partial thickness tissue loss is when subcutaneous fat may be visible as well as tendon or muscle but no bone exposed.
    • A. 

      True

    • B. 

      False

  • 9. 
     A pressure ulcer can be defined as a lesion caused by unrelieved pressure resulting in damage of underlying tissues.
    • A. 

      True

    • B. 

      False

  • 10. 
    When documenting a wound near the ankle, it would be correct for the nurse to write that the wound is distal to the wound located on the thigh?
    • A. 

      True

    • B. 

      False

Back to Top Back to top