AORN Wound Management 3

Question 1

What is the primary goal of maintaining a moist wound environment during healing?

Accepted Answer

Facilitating cell migration and reducing scar formation

Answer

A moist wound environment optimizes cell migration, supports autolytic debridement, and has been shown to reduce scar formation compared to dry healing.

Question 2

Which layer of the skin serves as the PRIMARY barrier against microbial invasion and must be carefully preserved or restored in wound management?

Accepted Answer

Epidermis

Answer

The epidermis, particularly the stratum corneum, provides the primary physical and chemical barrier against microorganisms and environmental hazards.

Question 3

A patient undergoing abdominal surgery develops a wound dehiscence on postoperative day 5. Which type of wound closure will MOST likely be used to manage this complication?

Accepted Answer

Tertiary (delayed primary) intention

Answer

Tertiary (delayed primary) closure allows the wound to be left open temporarily for observation and debridement before surgical closure, optimizing conditions for healing.

Question 4

When applying a sterile wound dressing intraoperatively, the perioperative nurse should ensure the dressing is applied:

Accepted Answer

Before the surgical drapes are removed to maintain sterility

Answer

Sterile dressings must be applied while the sterile field is still intact before drape removal to prevent wound contamination.

Question 5

Which phase of wound healing involves fibroblast proliferation and collagen deposition?

Accepted Answer

Proliferative phase

Answer

During the proliferative phase, fibroblasts migrate to the wound, synthesize collagen, and form granulation tissue to fill the defect.

(AORN) Association of PeriOperative Registered Nurses Practice Test

(AORN) Association of PeriOperative Registered Nurses Practice Test

AORN Wound Management 3