OSCE OSCE Wound Care and Dressings 4

Question 1

A patient has a wound with a sinus tract measuring 3 cm deep. How should this area be packed?

Accepted Answer

Loosely fill the sinus tract without overpacking

Answer

Sinus tracts should be loosely packed to absorb exudate and allow drainage without putting pressure on the tract walls that could impair healing.

Question 2

Which patient population is at HIGHEST risk for developing a pressure injury within 24 hours of admission?

Accepted Answer

Elderly patient with hip fracture on bed rest

Answer

Elderly patients with hip fractures are immobile, often have reduced tissue perfusion, and poor skin integrity, placing them at very high risk for pressure injuries.

Question 3

In the OSCE, you are asked to perform a Braden Scale assessment. Which subscale specifically evaluates the patient's ability to change and control body position?

Accepted Answer

Mobility

Answer

The Mobility subscale of the Braden Scale assesses the patient's ability to change and control body position independently.

Question 4

A wound culture is ordered. Which technique for wound culture collection provides the most accurate results?

Accepted Answer

Tissue biopsy or quantitative wound swab after irrigation

Answer

Tissue biopsy or a quantitative Levine technique swab after irrigation provides the most accurate representation of true wound bioburden.

Question 5

A patient has a wound with undermining noted at the 9 o'clock position extending 2 cm. How would you document this finding?

Accepted Answer

Undermining 2 cm at 9 o'clock position

Answer

Undermining is documented by its depth and clock position (e.g., 2 cm at 9 o'clock), distinguishing it from tunneling which has a narrow opening.

OSCE Practice Test

OSCE Practice Test

OSCE OSCE Wound Care and Dressings 4