Epidermis on the sole has

5 Layers
4 Layers
3 Layers
2 Layers
The statements related to Exudate are correct EXCEPT
Yellow thick exudates are indication of infection
Exudate contains lot of leukocytes and growth factor and is a normal process
Exudate has to be dried for faster healing
Wound exudates gradually reduces after inflammatory phase
Mrs. K has her right hand burns. While dressing her wound nurse is expected to
Clean the wound and apply the dressing covering her entire hand
Clean,separate digits and apply dressings
Debride and cover the wound with dressing
Clean and apply silver sulfadiazine cream between her digits
In patients with third degree burns the wound appears as
Reddish
Charred out white colored
Bleb filled with transudate
Scattered wound
Acute wound has to better cleansed using
Dakins solution
Acetic acid
Normal saline
Hydrogen peroxide
Undermining of the wound edges indicate
Infection of the wound
Arterial blood supply inadequate
Malignant change
Pressure ulcer
Mr.R has a suspected venous ulcer. Before starting compression therapy nurse should ensure
 HbA1C is normal
Patency of vein is okay
Ankle brachial pressure index is not less than 0.8
BP is normal
Mr.X has a wound which drains thick, foul smelling, green exudate . What kind of drainage is
this?
Serous drainage
Sanguineous drainage
Serosanguineous drainage
Purulent drainage
Mrs. R had undergone laporatomy after perforation of DV The Wound is classified as
Clean wound - Clean I
Clean contaminated - Class II
Contaminated - Class III
Dirty wound – Class IV
The proliferation phase of healing is characterized by
A Constriction of blood vessels
The formation of scar tissue
A release of white blood cells
The development of new tissue
Mrs.S had sustained burns in her leg . Now the burn wound appears with blistering and she
complaints of severe pain .Identify type of burn
Superficial
Partial thickness
Full thickness
Electrical burn
The dakins solution is used for cleansing
Clean surgical wound
Contaminated pressure ulcer
Arterial ulcer of leg
All the above wounds
Mr.Z has a leg ulcer . He has the history of Diabetes for the past 15 years. The second and third
toes have black discoloration . Identify ulcer type
Arterial ulcer
Venous ulcer
Pressure sore
Charcoat foot
Spontaneous bright red exudates comes from the wound bed. The correct inference is
Superficial wound infection
Deep wound infection
Normal, indicates blood supply
Traumatic wound handling
The patient has a wound with a thick eschar that often reforms when treated with other dressings.
The clinicians decides to initiate
Silver dressings
Honey dressings
Iodine dressings
PHMB foam dressings
Surgical debridement is contraindicated in
Venous ulcer
Pressure sore
Arterial ulcer
Diabetic ulcer
Mr.X is presenting 4 days after traumatic wound measuring 10cm×5cm×2cm. The expected
normal wound presentation is
Mild redness around the wound with pink watery exudates
Yellowish discolourisation of wound with yellowish thick exudates
Red and peri wound swollen with excess exudates
Dry wound with scan formation
What type of dressing can be used for wound with high exudates periwound skin maceration
Hydrogel dressing
Hydrocolloid dressing
Dry gauze dressing
 Foam dressing
Autolytic debridement can be facilitated by
Bio occlusive dressing
Drying the wound
Dry gauze dressing
Topical antibiotic therapy
Mrs.L is diagnosed with arterial leg ulcer. pain expected from Mrs.L is
Moderate to severe pain
Severe pain while elevating leg and reduced when dangling
Pain reduction when supported with pillow
Pain increased while moving the toes
Exudation indicative of infection are all excepts
Thick , Brown
Thick yellowish
Profuse viscus blood stained
Profuse thin blood stained
Mrs. X developed pressure ulcer and her wound bed appears with margins in pink color with the
central area black tissue and slough formation with tunneling in the sacral region. Identify the
grade of the wound
Grade I pressure ulcer
Grade II pressure ulcer
Grade III pressure ulcer
Grade IV pressure ulcer
Mrs.Latha, 55 years obese lady diagnosed to have ARDS is treated with prone ventilation. The
pressure ulcer risk areas to be protected are 1) Forehead 2) Abdomen 3) Heel 4) Knees
1,2,3
2,3,4
1,2&4
1,3,4
Mr.O has a wound that is heavily draining. The clinicians chooses to treat it with
Non occlusive foam
Charcoal
 Biological wound
Film/Membrane
Patient has malodorous exudates. The dressing of choice can be
Alginate
Charcoal
Film
Patrolatum gauze
The wound is termed chronic wound When
Wound takes more than 4 weeks to heal
When wound needs debridement
Wound got struck at some phase and takes more than 6weeks to heal
Wound that showed signs of infection and treated with antibiotic
Mr.L has an arterial leg ulcer. The expected treatment is
High compression
application of footcradle.
Revascularization
Plantar pressure redistribution
Patient Mr. X is a negative pressure therapy (NPWT). Commonly lost nutrients in NPWT is
Vitamin D ,E & Minerals
Vitamin B, C & Albumin
Vitamin A, C, E & Zn
All vitamins and minerals
Nutrient that promote collagen synthesis is 1) Vitamin C 2) Iron 3) Zinc
1& 2
2&3
1&3
1,2&3
Patient Mrs.A has a venous foot ulcer. Before application of compression therapy nurse has to
check
Blood pressure
Pedal pulse
 Pain
All the above
The layer of the skin that protects against moisture and breakdown is
Epidermis
Dermis
Subcutaneous
Hypodermis
Ms. Prema, is bedridden for more than Three months and emaciated. Developed ulcer on the
sacrum which is measures 5cm X4cm X2cm with black colour tissue. The Grade of the ulcer
Grade I
Grade II
Grade III
Grade IV
Mr. X wound shows thick greenish pus discharge. Wound culture showed pseudomonas growth.
Anti septic agent for wound cleansing appropriate for “X” is
Povidone iodine
Chlorhexidine
Acetic acid 5%
Methyline blue
On 3rd post operative day patient temperature is 38.5º C with moderate increase in exudates
indicates
Normal reaction to surgical trauma
Early signs of surgical site infection
Immunocompromised state of patient
Need for culture and sensitivity test
Mrs. R’ Wound drains thin, Watery, Yellowish discharge on 8th POD.The exudate is
Sanguineous
Serous
Serosanguineous
Purulent
Ms. Sita had 2nd degree burn over her foot underwent split thickness skin graft.The nursing
concern in post operative period is 1. Immobilize the grafted site 2.Elevate leg with pillow 3.
Encourage ankle exercises
 1&2
2&3
1& 3
1,2,3
Mr ’X’ is a known diabetic for past 10 years, has callus on the heel and a wound below the
pressure bearing areas.His legs are warm. The common cause for this wound is
Peripheral Neuropathy
Ischemia
Neuroischemia
Peripheral artery disease
Eschar is usually
Yellow in color and wet
Greenish and sticky
Black in color and hard
Avascular layer of the skin is
Hypo dermis
Epidermis
Sub dermal layer
Dermis
Most appropriate Nursing Intervention before sharp debridement is
Clean the wound with saline
Administer antibiotic
Administer opiod
Take wound photograp
Mrs.P has a wound with a moderate amount of drainage. She comes from far away place and
needs to have a dressing that can stay in place for extended times. The wound care nurses use
Film
Hydrogel
An acrylic dressing
Calcium alginate
All agents are used for chemical debridement except
 Collagenase
Trypsin
 Urea
 Uric acid
Black discoloration drying of skin and edema of leg is common in
Diabetic food Ulcer
Venous foot Ulcer
Arterial Ulcer
Pressure Ulcer
Mr. Ram has 45% burns on his body Burn wound cleansing can be done with
Shower with tap water
Medicated tub both
Acetic acid
Hydrogen peroxide
Ms. Selvi suffers ulcer in the leg. Her leg is dried edematous. The most appropriate Nursing
measure for Ms. Selvi is
Elevate the leg with pillow
Elevate the leg and compression dressing
No compression dressing
Apply intermittently pressure and keep foot flat
Mr.Rahim’s post operative wound drained lot of thin exudates. Temperature raised to 39ºC. His
wound gapped and healed after 2 months. This type of wound heading is called
Primary intension
Secondary intension
Tertiary intension
Delayed primary
intension
The nursing action before application of mefenide acetate to burn wound is 1) premedicate
20minutes earlier 2) Hydrate the patient adequately 3) Explain to the patient that it may cause
burning sensation
1& 2
2&3
 1&3
1,2&3
How long does it takes for wound healing to complete
1-10 days
10-21 days
1week-3 weeks
21days -2 years
Hydrogen peroxide cannot be used for cleansing in
Contaminated wound
Ulcer with sinus tract
Diabetic ulcer
Partial thickness wound