RN Exam Practice
Management of CareQuestion 389 of 2368

A wound measures 4 cm along the head-to-toe axis and 2 cm from side to side. How should the nurse document the wound size?

  1. 2 cm by 4 cm, giving width first
  2. 4 cm by 2 cm, giving width first
  3. 4 cm by 2 cm, giving length first
  4. 2 cm by 4 cm, giving depth first
Show answer

Correct answer: 4 cm by 2 cm, giving length first

Wounds are described as length by width. Length follows the head-to-toe axis and width is measured side to side.

Source: Nursing Skills, 2nd edition (Open RN, Chippewa Valley Technical College, 2023), Wound Care: Wound Size. Licensed under CC BY 4.0.

Practice the topic "Management of Care"

Questions last reviewed: 18 October 2026