LVN Wound Care 2

Question 1

A Stage II pressure injury is best characterized by which finding?

Accepted Answer

Partial-thickness skin loss with a shallow open bed or intact blister

Answer

Stage II pressure injuries involve partial-thickness skin loss presenting as a shallow open wound or intact/ruptured serum-filled blister.

Question 2

When documenting a wound, the LVN notes the wound edges are 'undermined.' What does this mean?

Accepted Answer

Tissue destruction extends under intact skin beyond the wound margins

Answer

Undermining refers to tissue destruction that extends under the surrounding intact skin, creating a pocket around the wound edge.

Question 3

Which type of wound exudate suggests a high bacterial bioburden and potential infection?

Accepted Answer

Purulent — thick, opaque, green or yellow

Answer

Purulent exudate (thick, yellow, green, or tan) indicates the presence of white blood cells and bacteria, signaling infection.

Question 4

The LVN is caring for a patient with a venous leg ulcer. Which characteristic finding differentiates it from an arterial ulcer?

Accepted Answer

Shallow ulcer with irregular edges and brownish skin discoloration around it

Answer

Venous ulcers are typically shallow with irregular edges, located around the medial malleolus, and surrounded by hyperpigmented (brownish) skin.

Question 5

A patient's surgical wound is healing by secondary intention. What does this indicate?

Accepted Answer

The wound is left open and heals from the base up by granulation tissue

Answer

Secondary intention healing occurs when a wound is left open and fills in from the bottom up through granulation tissue formation.

(LVN) Licensed Vocational Nurse Practice Test