vSim #1 - Josephine Morrow - Venous Ulcer
Exam Questions With Correct Answers
The nurse is preparing to irrigate a wound. Which statement, if made by the nurse, indicates an
understanding of the procedure? - answer"I will gently direct a stream of fluid into the wound,
keeping the syringe tip a...
The nurse is preparing to irrigate a wound. Which statement, if made by the nurse, indicates an
understanding of the procedure? - answer✔"I will gently direct a stream of fluid into the wound,
keeping the syringe tip at least 1 inch from the upper tip of the wound."
The nurse is reviewing a patient's laboratory results to determine the current nutritional status. Which
of the following will negatively affect wound healing? - answer✔Protein deficiency
Vitamin B excess
The nurse removes a dressing and assesses yellow, foul-smelling drainage. How would the nurse
document this finding? - answer✔Purulent
Which of the following sign(s) and symptom(s) would the nurse expect in a patient with chronic venous
insufficiency? - answer✔Wound exudate
Lower extremity edema
The nurse is performing a sterile dressing change. After donning sterile gloves, the nurse drops the
dressing on the bed and does not have a replacement. What is the appropriate action at this time? -
answer✔Ask the patient to press the call bell to summon a co-worker to obtain another dressing.
The nurse is assessing a patient admitted with a venous stasis ulcer on the right lower extremity. When
assessing the wound, the nurse will include which of the following? - answer✔Length, width, and depth
in centimeters
Condition of surrounding skin
Presence of undermining or tunneling
The nurse is conducting a skin assessment using the Braden Scale. How would the nurse interpret a
score of 12? - answer✔High risk
The home health nurse is completing an admission assessment on a patient admitted for impaired skin
integrity. Which question(s) would be appropriate for the nurse to ask the patient? - answer✔"Have you
used pads or special pants because you can't control your urine?"
"Do you have any sores on your body?"
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