LVN Wound Care & Dressing Techniques 3

Question 1

A patient's wound is classified as having 'yellow slough' in the wound bed. What does this indicate about wound healing status?

Accepted Answer

Necrotic tissue is present and may impede healing

Answer

Yellow slough is devitalized, necrotic tissue that creates a bacterial growth medium and must be removed to allow healing to progress.

Question 2

When using the RED-YELLOW-BLACK (RYB) wound assessment system, a wound with a black wound bed should be managed by:

Accepted Answer

Applying a moisture-retentive dressing to promote autolysis

Answer

Black wounds contain eschar that should be debrided; moisture-retentive dressings promote autolytic debridement of the necrotic tissue.

Question 3

Which action by the LVN demonstrates correct technique when removing an adherent dressing?

Accepted Answer

Soak the dressing with normal saline before removal to loosen adherence

Answer

Moistening an adherent dressing with saline loosens it and prevents trauma to fragile wound tissue during removal.

Question 4

A nurse notes that a surgical wound has separated along the suture line with intestines visible through the opening. This is termed:

Accepted Answer

Evisceration

Answer

Evisceration is the protrusion of internal organs through a wound opening and requires emergency intervention.

Question 5

A patient has a surgical wound with a Jackson-Pratt (JP) drain. The LVN notes the drain bulb is fully expanded and not compressed. What action should be taken?

Accepted Answer

Empty and recompress the bulb to restore suction

Answer

A JP drain bulb must be emptied and recompressed to restore the negative pressure suction that removes wound drainage.

(LVN) Licensed Vocational Nurses Certification Practice Test

(LVN) Licensed Vocational Nurses Certification Practice Test

LVN Wound Care & Dressing Techniques 3