LVN Wound Care 5

Question 1

A patient has a wound with 100% yellow, soft, moist slough covering the base. The MOST appropriate initial intervention is:

Accepted Answer

Using a moisture-donating dressing such as a hydrogel to facilitate autolytic debridement

Answer

Hydrogel dressings donate moisture to wounds covered in slough, promoting autolytic debridement to remove non-viable tissue.

Question 2

Which pressure injury location is MOST common in bedridden patients who spend the majority of time in a supine position?

Accepted Answer

Sacrum and coccyx

Answer

The sacrum and coccyx bear the greatest pressure in the supine position, making them the most common site for pressure injuries in bed-bound patients.

Question 3

An LVN is caring for a patient with an arterial (ischemic) leg ulcer. Which intervention is CONTRAINDICATED?

Accepted Answer

Elevating the limb above heart level to reduce edema

Answer

Elevating an ischemic limb further reduces already compromised arterial perfusion, worsening tissue ischemia.

Question 4

When assessing a tunneling wound, the LVN should document tunnel depth using:

Accepted Answer

A flexible sterile cotton-tipped applicator, measuring the depth and noting the clock position

Answer

A sterile cotton-tipped applicator is gently inserted to assess tunnel depth and direction, documented using clock-face positioning.

Question 5

A patient receiving compression therapy for a venous leg ulcer reports increasing pain and coolness of the foot after the bandage was applied. The LVN should:

Accepted Answer

Remove the compression bandage immediately and reassess circulation

Answer

Pain, numbness, and coolness after compression application indicate excessive pressure and potential arterial compromise; the bandage must be removed immediately.

(LVN) Licensed Vocational Nurse Practice Test

(LVN) Licensed Vocational Nurse Practice Test

LVN Wound Care 5