1. Which technique is appropriate to use for a back massage?

1. Use light strokes to minimize discomfort.
2. Stroke up from the buttocks to the shoulders.
3. Hold the lotion bottle under cool running water.
4. Keep your hands in contact with the person’s skin.

2. Which action is appropriate when caring for a person with elastic stockings?

1. Discard the stockings if they become soiled.
2. Remove the stockings at least every 4 hours.
3. Observe the condition of the person’s skin each week.
4. Smooth out any wrinkles, creases, or twists in the stockings.

3. Which action is appropriate when changing a dry, non-sterile dressing?

1. Encourage the person to participate in care by having him or her apply the clean dressing and tape.
2. Remove the tape from the dressing by holding the skin down and pulling the tape quickly away from the wound.
3. Remove the old dressing all at once, holding the soiled side so the person can see the amount of drainage present.
4. Help the person into a comfortable position, cover him or her with a bath blanket, and expose only the affected body part.

4. What is the major cause of pressure ulcers?

1. Friction
2. Shearing
3. Debilitating illness
4. Unrelieved pressure

5. After applying a dry, non-sterile dressing, which observation should you report to the nurse?

1. Lack of pain
2. Cool pink skin
3. Clean dry skin
4. Green drainage

6. When you are caring for a person with elastic stockings, which observation is a concern and should be reported to the nurse?

1. Pink, warm toes
2. Numbness in the legs
3. Reduced swelling in the lower legs
4. Increased circulation to the lower legs

7. If the nurse gives the person a pain-relief drug, how long should you expect to wait before changing the person’s dressing?

1. 10 minutes
2. 15 minutes
3. 20 minutes
4. 30 minutes

8. What is the purpose of a back massage?

1. To relax the muscles
2. To decrease circulation
3. To give the person energy
4. To increase muscle tension

9. Which protective device may be used to prevent and treat pressure ulcers?

1. Turn clock
2. Bed cradle
3. Moisturizer
4. Lift assist device

10. When removing a dry, non-sterile dressing, you notice that it is sticking to the person’s wound. What should you do?

1. Moisten the dressing with saline solution.
2. Pull off the dressing quickly to minimize pain.
3. Apply adhesive remover on a 4 x 4 gauze square.
4. Postpone the dressing change until the wound heals.

11. Which person has the lowest risk of developing a pressure ulcer?

1. A woman with oliguria
2. A woman with malnutrition
3. A man with fecal incontinence
4. A man with a healed pressure ulcer

12. When is a good time to give a back massage?

1. With evening care
2. Before re-positioning
3. Before a bath or shower
4. First thing in the morning

13. How long does a back massage typically last?

1. 3 to 5 minutes
2. 8 to 10 minutes
3. 10 to 15 minutes
4. 15 to 20 minutes

14. After removing a person’s elastic stockings, how long should you expect to leave them off before reapplying them?

1. 30 minutes
2. 60 minutes
3. 2 hours
4. 4 hours

15. What is the purpose of applying a dry, non-sterile dressing?

1. To prevent contact with blood or body fluids
2. To cover a wound and protect it from injury and microbes
3. To prevent skin breakdown over a body area, such as the ankle or hip
4. To cover medicated creams or ointments and prevent the spread of infection

16. When you give a back massage, which action is appropriate?

1. Always wear gloves when giving a back massage.
2. Notify the nurse if the person has signs of skin breakdown.
3. Vigorously massage reddened areas to increase blood flow there.
4. Wash the back before massaging if you see open skin or drainage.

17. For most persons, how frequently should you remove elastic stockings?

1. Once every 8 hours
2. Once every 12 hours
3. Once every 24 hours
4. Once every other day

18. Which action is appropriate when assisting with pressure ulcer care?

1. Wash the area with disinfecting soap and vigorously dry it
2. Using cool lotion, firmly massage the skin over the reddened area
3. Stop the procedure and notify the nurse if the person has open areas
4. Apply an antibacterial cream to the area and cover with a sterile dressing

19. What is another name for a pressure ulcer?

1. Bed sore
2. Venous ulcer
3. Diabetic ulcer
4. Shearing sore

20. What is the purpose of elastic stockings?

1. To hold a dressing in place
2. To keep the person’s legs warm
3. To promote venous blood return to the heart
4. To prevent pressure ulcers on the heels and ankles