OSCE OSCE Wound Care and Dressings 3

Question 1

A patient's surgical wound shows dehiscence with no signs of infection. The wound edges are approximated but have separated at the surface. What is the FIRST action?

Accepted Answer

Notify the surgeon immediately

Answer

Wound dehiscence requires prompt surgical assessment; the nurse should notify the physician immediately while keeping the wound moist and covered.

Question 2

Which characteristic of wound exudate is MOST concerning for infection?

Accepted Answer

Thick, malodorous, purulent exudate

Answer

Thick, purulent, foul-smelling exudate is a classic indicator of wound infection and requires further assessment and culture.

Question 3

When applying a compression bandage to a venous leg ulcer, which technique is used to ensure graduated compression?

Accepted Answer

Apply highest pressure at the ankle, decreasing toward the knee

Answer

Graduated compression applies the highest pressure at the ankle (approximately 40 mmHg) decreasing toward the knee to promote venous return.

Question 4

A patient develops maceration of the periwound skin. Which intervention is MOST appropriate to protect this area?

Accepted Answer

Apply a petroleum-based skin protectant or barrier cream

Answer

Skin barrier products such as zinc oxide or petrolatum protect periwound skin from excess moisture and maceration.

Question 5

In the OSCE station, you are asked to identify the type of tissue visible in a wound bed. The tissue appears bright red and granular with a bumpy surface. This describes:

Accepted Answer

Granulation tissue

Answer

Granulation tissue is bright red, moist, and has a granular or cobblestone appearance, indicating healthy wound healing.

OSCE Practice Test

OSCE Practice Test

OSCE OSCE Wound Care and Dressings 3