Basic Nursing Skills Wound Care & Dressings

Question 1

Which type of wound healing occurs when wound edges are approximated and there is minimal tissue loss?

Accepted Answer

Primary intention

Answer

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:

Accepted Answer

Granulation tissue formation filling a large wound

Answer

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?

Accepted Answer

Serosanguineous

Answer

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?

Accepted Answer

Partial-thickness skin loss with exposed dermis

Answer

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?

Accepted Answer

Elevating the head of bed greater than 30 degrees

Answer

Elevating the head of bed greater than 30 degrees increases shear and friction on the sacrum, promoting pressure injury development.

Basic Nursing Skills Practice Test