AMSN Wound Care and Skin Integrity 3

Question 1

A patient with a skin tear on the forearm requires wound care. The nurse should first:

Accepted Answer

Gently irrigate with normal saline and approximate the skin flap if viable before dressing

Answer

Apply a tight compression bandage immediately

Answer

Apply povidone-iodine to prevent infection

Answer

Scrub the wound with a stiff brush to clean it

Question 2

A patient undergoing radiation therapy develops moist desquamation of the irradiated skin area. The nurse should:

Accepted Answer

Gently cleanse with water, apply moisture barrier, and avoid friction

Answer

Apply alcohol-based skin products to dry the area quickly

Answer

Debride the area with wet-to-dry dressings

Answer

Apply ice packs to the area

Question 3

Which intervention is most effective in preventing wound infection in a surgical patient?

Accepted Answer

Administering prophylactic IV antibiotics within 60 minutes before the surgical incision

Answer

Administering prophylactic antibiotics for 14 days post-operatively

Answer

Shaving the surgical site the night before surgery

Answer

Applying antiseptic ointment to the wound daily

Question 4

A patient with a draining wound has periwound skin breakdown from moisture. The nurse should apply which product to protect the surrounding skin?

Accepted Answer

Moisture barrier ointment or liquid skin protectant to the periwound area

Answer

Dry gauze taped over the area

Answer

Wet-to-dry dressings to the entire wound and periwound area

Answer

Adhesive film dressing directly over the macerated skin

Question 5

A patient with a sacral pressure injury has yellow, soft, stringy tissue in the wound bed. The nurse identifies this as:

Accepted Answer

Slough — non-viable tissue that impedes healing and may require debridement

Answer

Granulation tissue — a positive healing sign

Answer

Necrotic eschar requiring immediate surgical debridement

Answer

Normal epithelizing tissue

Question 6

A nurse is caring for a patient with a dehisced abdominal wound healing by secondary intention with a wound VAC. The nurse understands that the primary goal of secondary intention healing is:

Accepted Answer

Gradual filling of the wound with granulation tissue from the base upward

Answer

Direct edge-to-edge surgical closure

Answer

Delayed primary closure after 3–5 days

Answer

Applying skin grafts immediately