FIRST ASSISTANT CERTIFYING EXAM STUDY GUIDE (WOUND HEALING) 100% VERIFIED ANSWERS 2024/25, Exams of Nursing

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FIRST ASSISTANT CERTIFYING

EXAM STUDY GUIDE (WOUND

HEALING) 100% VERIFIED

ANSWERS 2024/

CORRECT

Which of the following methods should the surgical assistant consider when cutting sutures? A. According to the surgeon's preference B. According to the assistant's preference C. Leave a one centimeter tail for non-absorbable suture D. Cut on the knot for absorbable suture A. According to the surgeon's preference Which of the following would affect normal wound healing? A. Penicillin allergy B. Peripheral vascular disease C. Clean wound D. Latex allergy B. Peripheral vascular disease The most common cause of delayed wound healing in the operative patient is: A. Wound infection B. Tissue loss C. Dehiscence D. Adhesions A. Wound infections

The three phases of wound healing include all of the following EXCEPT: A. Fibroplastic phase B. Chronic phase C. Remodeling phase D. Inflammatory phase B. Chronic phase Which of the following sutures should not be used in the placement of heart valves? A. Polypropylene B. Polyglactin C. Polydioxanone D. Polyglecaprone C. Polydioxanone Wounds in which there is significant bacterial contamination, foreign bodies, or extensive tissue trauma are generally closed by which intention? A. Delayed primary B. Primary union C. Lag D. Granulation D. Granulation Which of the following types of stitch patterns provides an excellent cosmetic closure? A. Subcuticular stitch B. Retention stitch C. Purse-string stitch D. Simple stitch A. subcuticular stitch The primary factor when selecting the surgical needle is: A. The metal's ability to resist corrosion B. Preventing microbial growth C. Reducing as much as possible the trauma to the tissue D. Ease of loading the needle on the needle holder

C. Reducing as much as possible the trauma to the tissue Which of the following microorganisms is responsible for causing postoperative wound edge erythema and rebound tenderness? A. S. aureus B. Clostridium C. Group B streptococci D. S. epidermis C. Group B streptococci It is recommended that the square knot is: A. Performed as a two-handed tie B. Only used on small vessels C. Performed by placing vertical tension on the final throw D. Only used on superficial, not deep wound, vessels A. Accomplished as a two-handed tie Which of the following statements concerning the principles of suture placement is correct? A. Sutures should be placed as close to the wound edge as possible to prevent tissue necrosis B. Sutures should be as far as possible from the wound edge to prevent knot slippage and displacement C. Sutures should be placed in deep tissue to prevent hematoma D. Suture placement should place as much tension on the tissue as possible to promote healing C. Suture should be placed in deep tissue to prevent hematoma Sutures placed in a wound to prevent wound evisceration are called: A. Stent B. Fixation C. Retention D. Traction C. Retention In which incision could retention sutures be used? A. Vertical midline

B. McBurney C. Transverse D. Thoracoabdominal A. Vertical midline Which of the following types of stitches incorporates the seromuscular layer and submucosa? A. Lembert B. Connell C. Halsted D. Cushing A. Lembert During hemostasis, prothrombin and thromboplastin, along with calcium ions in the blood, form: A. Fibrinogen B. Thrombin C. Fibrin D. ADP D. Thrombin Endoscopic knot tying performed externally, introduced, and secured intra-abdominally is: A. Intracorporeal B. Extracorporeal C. Intra-abdominal D. Transabdominal B. Extracorporeal Which of the following is an abnormal activated clotting time? A. More than 120 seconds B. 90 to 120 seconds C. 60 to 90 seconds D. 30 to 60 seconds A. More than 120 seconds

Wound classification is assigned when: A. Incision is made B. Drain is placed C. Procedure is complete D. Cavity is entered C. Procedure is complete Removal of devitalized tissue is: A. Debridement B. Herniation C. Proliferation D. Dehiscence A. Debridement Which phase of healing begins within minutes of injury? A. Proliferation B. Maturation C. Inflammatory D. Extravasation C. Inflammatory Which type of needle would be selected for use on skin or tendon? A. Taper B. Blunt C. Cutting D. Trocar C. Cutting An absorbable suture that offers extended wound support: A. Vicryl B. PDS C. Plain D. Chromic

B. PDS

Polyglactin 910 suture is: A. Absorbable, natural B. Nonabsorbable, natural C. Absorbable, Synthetic D. Nonabsorbable, synthetic C. Absorbable, synthetic Continuous lateral stitches placed beneath the epithelial layer of the skin are: A. Interrupted B. Subcuticular C. Purse-string D. Subcutaneous B. Subcuticular The amount of tension or pull expressed in pounds that a suture can withstand before it breaks is: A. Pliability B. Capillarity C. Tensile Strength D. Knot strength C. Tensile strength If the suture breaks and the remainder of the suture line stays intact, which suture technique was utilized? A. Interrupted B. Running C. Continuous D. Purse-string A. Interrupted Serosanguineous drainage means: A. Purulent B. Green-tinged

C. Blood-tinged D. Hemorrhage C. Blood-tinged The term for a wound that completely separates and the internal organs extrude is: A. Dehiscence B. Ischemia C. Necrosis D. Evisceration D. Evisceration Which of the following is a continuous circular suture placed around the lumen of a structure causing it to close? A. Purse-string B. Vertical mattress C. Retention stitch D. Horizontal mattress A. Purse-string Postoperatively, skin staples are generally removed: A. Within 24 hours B. Within 48 hours C. 5-7 days D. 10-14 days C. 5-7 days A wound that is left open and closed secondarily when there is no longer evidence of infection is an example of: A. Delayed closure B. Closure by first intention C. Closure by second intention D. Dehiscence A. Delayed closure

Wound drains may be secured with: A. Nonabsorbable suture on a cutting needle B. Nonabsorbable suture on a taper needle C. Absorbable suture on a cutting needle D. Absorbable suture on a taper needle A. Nonabsorbable suture on a cutting neddle Which term refers to the transmission of fluid along a strand of suture? A. Pliability B. Capillarity C. Memory D. Elasticity B. Capillarity Which of the following blood components is essential in clot formation? A. RBCs B. Platelets C. WBCs D. Hemoglobin B. Platelets Which of the following is the body's normal response to cell and tissue injury? A. Inflammation B. Infection C. Dehiscence D. Keloid A. Inflammation Which of the following causes localized temperature elevation during the inflammatory response? A. Increased blood flow B. Edema C. Histamine D. Leukocytosis

A. Increased blood flow Between which of the following postoperative days can dehiscence typically occur? A. First and third B. Fifth and tenth C. Twelfth and fifteenth D. Seventeenth and twentieth B. Fifth and tenth Delayed wound healing may be related to: A. Blood type B. Gender C. Ethnicity D. Age D. Age A common pathogen typically associated with decubitus ulcers is staphylococcus: A. Proteus B. Epidermidis C. Pyogenes D. Aureus D. Aureaus Which wound complication would require immediate surgery? A. Dehiscence B. Evisceration C. Fistula D. Adhesion B. Evisceration Which of the following is used to reinforce a subcuticular closure? A. Steri-strips B. Staples

C. Collodion D. Retention bridge A. Steri-strips Impaired healing of a vertical abdominal incision can result in: A. Cellulitis B. Dilatation C. Peritonitis D. Herniation D. Herniation