Wound Care Assessment & Documentation

Reviewed by Editorial Team

The ProProfs editorial team is comprised of experienced subject matter experts. They've collectively created over 10,000 quizzes and lessons, serving over 100 million users. Our team includes in-house content moderators and subject matter experts, as well as a global network of rigorously trained contributors. All adhere to our comprehensive editorial guidelines, ensuring the delivery of high-quality content.

Learn about Our Editorial Process

| By Smartnurses

Smartnurses

Community Contributor

Quizzes Created: 1 | Total Attempts: 4,221

| Attempts: 4,267

Questions

Feedback

During the Quiz End of Quiz

Difficulty

Sequential Easy First Hard First

Share on Facebook Share on Twitter Share on Whatsapp Share on Pinterest Share on Email Copy to Clipboard Embed on your website

1/10 Questions

Maceration of the peri wound skin does not affect the healing of the wound as long as the wound bed looks good.
- True
- False

About This Quiz

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

Wound care Assessment & Documentation - Quiz

2.

A wound covered 100% by slough or black eschar is unstageable.
- True
- False
Correct Answer

A. True

Explanation

A wound covered 100% by slough or black eschar is considered unstageable because it is not possible to determine the depth or extent of the wound underneath the slough or eschar. This makes it difficult to accurately assess the wound and determine the appropriate treatment plan.

Rate this question:

2
3.

Nurse may suspect deep tissue injury when purple or maroon area of discolored, intact skin is noted.
- True
- False
Correct Answer

A. True

Explanation

A nurse may suspect deep tissue injury when they observe a purple or maroon area of discolored, intact skin. This discoloration is an indication of damage to the underlying tissue, even though the skin appears to be intact. Therefore, the statement is true.

Rate this question:

3
4.

Nurses must make sure to update a stage of a wound as granulation improves.
- True
- False
Correct Answer

A. False

Explanation

Nurses do not need to update a stage of a wound as granulation improves. The stages of wound healing (such as granulation, epithelialization, and maturation) are not updated or changed once they have been identified. Instead, nurses monitor the progress of the wound healing process and document any changes or improvements in the wound's appearance, size, or other characteristics.

Rate this question:

5
5.

A stage two pressure ulcer is a shallow open ulcer with a red or pink wound bed, that may have slough.
- True
- False
Correct Answer

A. False

Explanation

A stage two pressure ulcer is not a shallow open ulcer with a red or pink wound bed that may have slough. Instead, a stage two pressure ulcer is characterized by a shallow open ulcer with a red-pink wound bed, without slough. Therefore, the correct answer is False.

Rate this question:

2
6.

Wound edges that are detached means that the base of the wound is deeper than the edge.
- True
- False
Correct Answer

A. True

Explanation

The statement is true because when wound edges are detached, it means that the base of the wound is deeper than the edge. This can occur when there is significant tissue damage or when the wound is healing from the inside out. Detached wound edges can make it more challenging for the wound to heal properly and may require additional medical intervention to promote healing.

Rate this question:

2
7.

A stage four pressure ulcer always has undermining and/or tunneling.
- True
- False
Correct Answer

A. False

Explanation

A stage four pressure ulcer is the most severe type of pressure ulcer, involving extensive tissue damage and often exposing muscle or bone. While undermining and tunneling can occur in some cases of stage four pressure ulcers, it is not always present. Therefore, the statement that a stage four pressure ulcer always has undermining and/or tunneling is false.

Rate this question:

2
8.

Partial thickness tissue loss is when subcutaneous fat may be visible as well as tendon or muscle but no bone exposed.
- True
- False
Correct Answer

A. False

Explanation

The given statement describes the characteristics of full thickness tissue loss, not partial thickness tissue loss. Partial thickness tissue loss is when the dermis is exposed and the wound appears as a shallow open ulcer. It does not involve the exposure of subcutaneous fat, tendon, muscle, or bone. Therefore, the correct answer is False.

Rate this question:

1
9.

A pressure ulcer can be defined as a lesion caused by unrelieved pressure resulting in damage of underlying tissues.
- True
- False
Correct Answer

A. True

Explanation

A pressure ulcer is indeed defined as a lesion that occurs due to unrelieved pressure, which leads to damage in the underlying tissues. This can happen when there is prolonged pressure on a specific area of the body, such as when a person remains in the same position for an extended period of time. The pressure restricts blood flow to the area, causing tissue damage and the formation of an ulcer. Therefore, the statement "A pressure ulcer can be defined as a lesion caused by unrelieved pressure resulting in damage of underlying tissues" is true.

Rate this question:

2
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?
- True
- False
Correct Answer

A. True

Explanation

The nurse would write that the wound near the ankle is distal to the wound located on the thigh because distal refers to a position farther away from the center of the body or a specific reference point, in this case, the thigh. Since the ankle is farther away from the thigh, it is considered distal. Therefore, the statement is true.

Rate this question:

3

Quiz Review Timeline (Updated): Jun 12, 2024 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

Current Version
Jun 12, 2024

Quiz Edited by
ProProfs Editorial Team
Jul 31, 2011

Quiz Created by
Smartnurses

Wound care Assessment & Documentation

Maceration of the peri wound skin does not affect the healing of the wound as long as the wound bed looks good.

Quiz Preview

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

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

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

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

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

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

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

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

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?