ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 26 : Wound Care Questions
Question 1 of 5
A colonized wound is one in which
Correct Answer: D
Rationale: A colonized wound has many microorganisms but no clinical signs of infection, distinguishing it from an infected wound.
Question 2 of 5
All of the following are found during your assessment of a surgical wound. Which would concern you the most?
Correct Answer: C
Rationale: Redness, warmth, and swelling around the wound margin are signs of infection, which is most concerning and requires prompt intervention.
Question 3 of 5
Which of these patients is most at risk for developing a pressure injury?
Correct Answer: B
Rationale: The 78-year-old patient has multiple risk factors: immobility, incontinence, and likely poor skin integrity, increasing pressure injury risk.
Question 4 of 5
A patient has a black, hard, leathery scab on his left heel. The stage of this injury is
Correct Answer: D
Rationale: A black, leathery scab (eschar) indicates an unstageable pressure injury, as the depth cannot be assessed due to necrotic tissue.
Question 5 of 5
If a patient had a stage 3 pressure injury, you would expect to see which of the following on assessment?
Correct Answer: D
Rationale: Stage 3 pressure injuries involve full-thickness loss of skin and subcutaneous tissue, often with undermining or tunneling.