Basic Nursing Skills Wound Care & Dressings 1 — Questions and Answers
Question 1: Which type of wound healing occurs when wound edges are approximated and there is minimal tissue loss?
- Secondary intention
- Tertiary intention
- Primary intention (Correct answer)
- Quaternary intention
Correct answer: Primary intention
Primary intention healing occurs when wound edges are brought together (e.g., surgical incision) with minimal tissue loss and scarring.
Question 2: Wound healing by secondary intention is characterized by:
- Immediate wound closure with sutures
- Granulation tissue formation filling a large wound (Correct answer)
- Delayed primary closure after infection resolves
- Healing without any scarring
Correct answer: Granulation tissue formation filling a large wound
Secondary intention healing occurs when wounds are left open and heal through granulation tissue formation, contraction, and epithelialization.
Question 3: Which wound drainage is described as thin, watery, and blood-tinged?
- Serous
- Purulent
- Serosanguineous (Correct answer)
- Sanguineous
Correct answer: Serosanguineous
Serosanguineous drainage is a mix of serous (clear/watery) and sanguineous (bloody) drainage, appearing pink or light red.
Question 4: The nurse is assessing a Stage 2 pressure injury. What does it look like?
- Intact skin with non-blanchable redness
- Partial-thickness skin loss with exposed dermis (Correct answer)
- Full-thickness skin loss involving subcutaneous fat
- Full-thickness with exposed bone, tendon, or muscle
Correct answer: Partial-thickness skin loss with exposed dermis
Stage 2 pressure injuries show partial-thickness skin loss with exposed dermis, appearing as a shallow open ulcer or intact/ruptured blister.
Question 5: Which position should be avoided to prevent sacral pressure injuries?
- Semi-Fowler's at 30 degrees
- Lateral positioning at 30 degrees
- Elevating the head of bed greater than 30 degrees (Correct answer)
- Prone positioning
Correct answer: Elevating the head of bed greater than 30 degrees
Elevating the head of bed greater than 30 degrees increases shear and friction on the sacrum, promoting pressure injury development.
Question 6: Wound debridement refers to:
- Applying a moisture-retentive dressing
- Removing necrotic or devitalized tissue from a wound (Correct answer)
- Measuring wound depth with a probe
- Irrigating a wound with normal saline
Correct answer: Removing necrotic or devitalized tissue from a wound
Debridement is the removal of necrotic, devitalized, or contaminated tissue to promote wound healing.
Basic Nursing Skills Wound Care & Dressings 1
Which type of wound healing occurs when wound edges are approximated and there is minimal tissue loss?