LEARNING ASSESSMENT

MODULE TWO

  1. Wheelchair patients need to change positions how often?
  2. every 30 minutes
  3. every 15 minutes
  4. every 2 hours
  5. not at all if have cushion
  1. The most selective form of debridement is:
  2. autolytic
  3. sharp
  4. mechanical
  5. enzymatic
  1. When placing a patient in the side-lying position, what degree of lateral

rotation will simultaneously avoid pressure from the sacrum and the trochanter?

  1. 15 degrees
  2. 30 degrees
  3. 45 degrees
  4. 60 degrees
  1. A dietary consult becomes necessary if the patient’s serum albumin is

less than:

  1. 6.0 g/dl
  2. 4.0 g/dl
  3. 2.5 g/dl
  4. 3.5 g/dl
  1. Scar tissue can reach what percentage of normal tissue tensile strength?
  2. 90%
  3. 80%
  4. 100%
  5. 50%
  1. If the patient’s knees are higher than the hips while he or she is in the

wheelchair, which bony prominences are at higher risk for the development of pressure ulcers?

  1. trochanters
  2. iliac crests
  3. ischial tuberosities
  4. vertebral bodies
  1. The greatest risk of pressure ulcer development in the older adult

receiving care at home or in a long-term care facility is when:

  1. the individual is confined to a wheelchair
  2. the Braden Scale mobility subscale denotes “slightly

limited”

  1. a nurse’s aid is the primary caregiver
  2. the individual is well-nourished
  1. When teaching skin care, which of the statements would be included

in the patient/family education?

  1. skin must be inspected at least weekly
  2. a patient can be turned onto a reddened area of skin
  3. it is good to avoid friction by dragging the body across the bed
  4. pH balanced cleansing and moisturizing products should be used
  1. When obtaining a swab wound culture, proper technique should include:
  2. cleansing with iodophor solution and swabbing viable tissue
  3. cleansing with iodophor solution and swabbing exudate
  4. cleansing with normal saline and swabbing viable tissue
  5. cleansing with normal saline and swabbing exudate
  1. Which of the following dressings is the most absorptive?
  2. hydrogel
  3. impregnated gauze
  4. alginate
  5. hydrocolloid
  1. Which of the following dressings requires a secondary dressing?
  2. hydrogel
  3. hydrocolloid
  4. polyurethane foam
  5. transparent film
  1. What is a suggested time frame for a practitioner to allow for a wound to respond to a new treatment?
  2. 48 hours
  3. 7 days
  4. 2 weeks
  5. 1 month
  1. Which is the most common, safest, and cost-effective wound cleansing

solution?

  1. normal saline
  2. betadine
  3. hydrogen peroxide
  4. commercial wound cleanser
  1. Skin that is overhydrated from constant wetness is:
  2. less permeable to irritants
  3. more likely to be eroded by friction
  4. more protected against microorganisms
  5. less likely to be affected by shearing
  1. Which of these types of products is best used on denuded skin?
  2. water-based lotion
  3. sulfa-based cream
  4. petroleum-based moisturizer
  5. zinc-based protective paste
  1. Which of the following factors makes the elderly population at risk for

skin impairment?

  1. overhydration of skin cells
  2. diminished skin elasticity
  3. thicker dermal/epidermal junction
  4. higher rate of epidermal proliferation
  1. Which of the following equipment may be helpful for increasing bed

mobility of the bedridden patient?

  1. foot cradles
  2. posey straps
  3. overhead frame w/trapeze
  4. elastostraps
  1. Which of the following wound care products can be used to help avoid

the effects of friction and shearing?

  1. transparent films and hydrocolloid dressings
  2. hydrogel dressings
  3. polyurethane foam dressings
  4. absorption-type dressings
  1. Observable pressure-related alteration of intact skin is classified ad a

Stage I. The defined area is persistently red in light skin but in dark skin

can present as?

  1. black
  2. tan
  3. brown
  4. purple
  1. When examining a pressure ulcer, which assessment is key in

determining the stage of that ulcer?

  1. size and location
  2. deepest layer of exposed tissue
  3. exudate and ulcer edges
  4. surrounding skin condition

ANSWER KEY:

1. b

2. a

3. b

4. d

5. b

6. c

7. a

8. d

9. c

10.c

11.a

12.c

13.a

14.b

15.d

16.b

17.c

18.a

19.d

20.b