RN Exam Practice
Reduction of Risk PotentialQuestion 2300 of 2368

A client has a wound with tunneling. How should the nurse assess the depth of the tunneling?

  1. Use a sterile cotton-tipped applicator and document with the clock method
  2. Insert a gloved finger and document the depth in fingerbreadths
  3. Measure only the head-to-toe length and the lateral width
  4. Estimate the percentage of the bandage that is covered
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Correct answer: Use a sterile cotton-tipped applicator and document with the clock method

A sterile cotton-tipped applicator measures tunneling or undermining depth, and the clock method documents it.

Source: Nursing Fundamentals, 2nd edition (Open RN, Chippewa Valley Technical College, 2024), Integumentary: Objective Assessment. Licensed under CC BY 4.0.

Practice the topic "Reduction of Risk Potential"

Questions last reviewed: 18 October 2026