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Clinical Skills in Wound Care and Dressing Change Management, Exams of Nursing

The University of Edinburgh (Edin)Nursing

Clinical Skills in Wound Care and Dressing Change Management Clinical Skills in Wound Care and Dressing Change Management.

Typology: Exams

2024/2025

Available from 07/15/2025

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Clinical Skills in Wound Care and Dressing Change
Management
1. A patient has a stage II pressure ulcer on their heel. What is the
first step in wound care?
A) Apply antibiotic ointment only
B) Clean the wound gently with saline solution ✓
C) Cover the wound with dry gauze without cleaning
D) Use hydrogen peroxide to clean the wound
2. During a dressing change, you notice increased redness and
swelling around the wound edges. What is the appropriate action?
A) Continue dressing change as usual
B) Report signs of infection to the healthcare provider
immediately ✓
C) Apply heat to the wound area
D) Ignore since mild redness is normal
3. A diabetic patient’s foot ulcer shows yellowish slough and a foul
odor. This indicates:
A) Healthy granulation tissue
B) Presence of infection ✓
C) Wound healing properly
D) Dry wound bed
4. When changing a wound dressing, what personal protective
equipment (PPE) should you wear?
A) None, if the wound is clean
B) Gloves only ✓
C) Gloves, gown, and mask for all dressing changes
D) Mask only
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Clinical Skills in Wound Care and Dressing Change Management

  1. A patient has a stage II pressure ulcer on their heel. What is the first step in wound care? A) Apply antibiotic ointment only B) Clean the wound gently with saline solution ✓ C) Cover the wound with dry gauze without cleaning D) Use hydrogen peroxide to clean the wound
  2. During a dressing change, you notice increased redness and swelling around the wound edges. What is the appropriate action? A) Continue dressing change as usual B) Report signs of infection to the healthcare provider immediately ✓ C) Apply heat to the wound area D) Ignore since mild redness is normal
  3. A diabetic patient’s foot ulcer shows yellowish slough and a foul odor. This indicates: A) Healthy granulation tissue B) Presence of infection ✓ C) Wound healing properly D) Dry wound bed
  4. When changing a wound dressing, what personal protective equipment (PPE) should you wear? A) None, if the wound is clean B) Gloves only ✓ C) Gloves, gown, and mask for all dressing changes D) Mask only
  1. A patient’s surgical wound is dry with no drainage. What type of dressing is most appropriate? A) Occlusive dressing B) Dry sterile gauze ✓ C) Wet-to-dry dressing D) Hydrocolloid dressing
  2. After cleaning a wound, why is it important to dry the surrounding skin before applying a new dressing? A) To prevent maceration and skin breakdown ✓ B) To reduce pain C) Because wet skin helps dressing stick better D) It is not necessary to dry the skin
  3. What is the primary purpose of using a transparent film dressing on a wound? A) To allow the wound to dry completely B) To maintain a moist wound environment and protect from bacteria ✓ C) To absorb large amounts of drainage D) To help remove dead tissue
  4. During a dressing change, you notice a patient grimacing and guarding the wound site. What should you do? A) Continue quickly to finish the dressing change B) Pause and assess patient comfort, provide pain management if needed ✓ C) Ignore the discomfort, it’s normal D) Apply more pressure to speed healing
  5. Which statement best describes when to change a wound dressing?

C) To add moisture to the wound D) To reduce pain

  1. After applying a new dressing, how often should you assess the wound? A) Once a week B) Daily or as ordered by the healthcare provider ✓ C) Only when patient reports pain D) After complete healing only
  2. A patient with a pressure injury requires repositioning to relieve pressure. How often should you reposition? A) Every 4 hours B) Every 2 hours ✓ C) Every 6 hours D) Only when patient requests
  3. When applying a new dressing, why is it important to cover the wound edges? A) Prevent contamination and skin damage around the wound ✓ B) To stop bleeding C) To prevent moisture buildup inside the wound D) It is not necessary
  4. A patient has a wound with black eschar tissue. What should be the nursing priority? A) Leave the eschar intact for protection B) Notify the physician for possible debridement ✓ C) Remove eschar with cotton swab D) Cover with dry gauze
  5. The patient’s wound dressing becomes saturated with blood. What is your immediate response?

A) Remove dressing and apply a new one B) Reinforce dressing with additional gauze and notify provider ✓ C) Leave as is and observe D) Apply ointment on top of saturated dressing

  1. Which of the following indicates proper hand hygiene during wound care? A) Washing hands with soap and water before and after dressing change ✓ B) Wearing gloves only without washing hands C) Using hand sanitizer only after procedure D) Wearing double gloves without handwashing
  2. You are caring for a patient with a draining wound. What is the best dressing type to manage moderate to heavy exudate? A) Hydrocolloid B) Alginate ✓ C) Transparent film D) Dry gauze
  3. What is the key sign that a wound is healing properly? A) Increased pain and swelling B) Formation of new granulation tissue ✓ C) Heavy purulent drainage D) Wound edges becoming separated
  4. When educating a patient on wound care at home, which instruction is most important? A) Change dressings with clean hands only B) Report signs of infection such as redness or increased drainage immediately ✓

A) Use adhesive tape tightly B) Use a gauze wrap or netting for gentle securement ✓ C) Use staples D) Do not secure dressing

  1. During wound assessment, what does the presence of tunneling mean? A) Wound depth is shallow B) Presence of channels extending from the wound ✓ C) Wound edges are closed D) Wound is healing
  2. Which patient is at highest risk for developing pressure ulcers? A) Ambulatory adult with balanced nutrition B) Bedridden elderly patient with poor circulation ✓ C) Young adult with minor injury D) Patient who exercises regularly
  3. Which sign requires immediate medical attention during wound care? A) Mild itching B) Extreme redness and fever ✓ C) Slight swelling at wound site D) Dry skin around wound
  4. What is the best way to minimize contamination during dressing changes? A) Change dressing in a crowded area B) Use sterile gloves and maintain sterile technique ✓ C) Reuse old dressings if clean D) Touch wound edges with clean hands only
  1. You are caring for a patient with a diabetic foot ulcer. Which intervention is essential? A) Encourage weight bearing on the foot B) Keep the foot elevated and offloaded ✓ C) Apply tight dressing D) Allow patient to choose dressing type
  2. A patient’s wound dressing is dry and sticks to the wound bed. What is appropriate? A) Soak dressing with saline before removal ✓ B) Remove dressing forcefully C) Do not change dressing D) Use dry gloves during removal only
  3. What is the recommended method of pain control during dressing changes? A) Avoid pain medication before dressing change B) Administer prescribed analgesic 30 minutes before procedure ✓ C) Perform dressing change as fast as possible regardless of pain D) Ignore pain complaints
  4. Which of the following indicates wound infection? A) Clear drainage and healthy tissue B) Purulent drainage, odor, and increased warmth ✓ C) Dryness around wound D) Pink granulation tissue
  5. How often should a wound be irrigated during dressing change? A) Every hour B) Only if ordered and as needed to remove debris ✓

C) Ask patient about wound size D) Measure only length

  1. When performing a dressing change on a bleeding wound, what is the first step? A) Apply direct pressure and elevate limb ✓ B) Apply dry gauze and leave C) Remove old dressing quickly D) Use alcohol to clean surrounding skin
  2. Which factor delays wound healing? A) Adequate nutrition B) Smoking ✓ C) Good circulation D) Proper wound care
  3. Why is it important to document wound appearance and dressing changes? A) For legal purposes and to monitor healing progress ✓ B) It is optional C) Only for billing D) For staff communication only
  4. In changing a wound dressing, you accidentally drop a sterile dressing on the floor. What should you do? A) Pick it up and use it if still looks clean B) Discard it and use a new sterile dressing ✓ C) Use it after wiping with antiseptic D) Use it for non-sterile dressing
  5. Which type of wound drainage is serous? A) Clear, watery fluid ✓ B) Thick yellow pus

C) Bright red blood D) Green foul-smelling fluid

  1. What is the correct way to remove tape from skin during dressing removal? A) Pull tape quickly upward B) Pull tape back over itself gently, close to skin ✓ C) Cut the tape without removing D) Leave tape on skin
  2. What temperature of irrigation solution is best for wound cleansing? A) Cold from refrigerator B) Warm or room temperature to minimize discomfort ✓ C) Hot water D) Ice water
  3. How should a nurse handle the disposal of used dressings with drainage? A) Place in regular trash without precautions B) Dispose in a biohazard waste container ✓ C) Flush down the toilet D) Give to patient to take home
  4. After wound care, what is an important instruction to the patient? A) Keep dressing dry and report increased pain, swelling or redness ✓ B) Expose wound to sun daily C) Remove dressing every hour D) Stop scheduled dressing changes when pain decreases