Question 1

Which layer of the skin is primarily responsible for anchoring the skin to underlying tissues and contains fat cells that help insulate the body?

Accepted Answer

Subcutaneous layer

Question 2

A patient presents with a yellowish, itchy skin. Which underlying condition is most likely responsible for these symptoms?

Accepted Answer

Jaundice

Question 3

Which of the following is NOT a function of the skin?

Accepted Answer

Production of insulin

Question 4

A 75-year-old patient is admitted with a stage 2 pressure injury. Which characteristic best describes this stage?

Accepted Answer

Partial-thickness skin loss with exposed dermis

Question 5

Which wound complication is most likely to occur in a patient with excessive bleeding and delayed wound healing?

Accepted Answer

Hemorrhage

Question 6

During the inflammatory phase of wound healing, which cell type is primarily responsible for ingesting debris and releasing growth factors?

Accepted Answer

Macrophages

Question 7

A patient with diabetes develops a chronic wound on the lower leg. Which factor is most likely contributing to delayed wound healing?

Accepted Answer

Immunosuppression

Question 8

Which of the following best describes the process of dehiscence?

Accepted Answer

Separation of wound layers

Question 9

A nurse is caring for a patient with a mixed wound containing red, yellow, and black tissue. According to the color classification system, which action should be prioritized?

Accepted Answer

Debride the wound

Question 10

Which equation best represents the relationship between blood flow ($$Q$$), vessel radius ($$r$$), and pressure difference ($$\Delta P) in $$maintaining adequate circulation for wound healing?

Accepted Answer

$$Q = \pi r^4$ \frac{\Delta P}{8 \eta L}$$

Question 11

A patient with impaired collagen formation is at increased risk for which of the following?

Accepted Answer

Increased risk for tissue damage from pressure

Question 12

Which of the following is a systemic factor that can delay wound healing?

Accepted Answer

Corticosteroid drug use

Question 13

A patient is prescribed a hot pack for muscle pain. Which physiological effect is expected from heat application?

Accepted Answer

Dilation of peripheral blood vessels

Question 14

Which type of wound is most likely to require surgical intervention or proteolytic enzymes for débridement?

Accepted Answer

Stage 3 pressure injury

Question 15

A patient with urinary incontinence develops impaired skin integrity due to overhydration. Which term best describes this condition?

Accepted Answer

Maceration

Question 16

Which of the following is the most appropriate method for cleaning a pressure injury?

Accepted Answer

Use 0.9% normal saline solution and clean from top to bottom or center to outside with new gauze for each wipe

Question 17

A patient is at risk for pressure injury due to immobility and malnutrition. Which preventive measure should be prioritized?

Accepted Answer

Assess at-risk patients daily and provide nutritional supplements

Question 18

Which type of drainage system is most likely to be used for a deep surgical wound requiring continuous suction?

Accepted Answer

Jackson-Pratt drain

Question 19

A patient with a wound presents with purulent drainage. Which characteristic best describes this type of drainage?

Accepted Answer

Thick, yellow, green, or brown fluid indicating infection

Question 20

A nurse is teaching a patient about home wound care. Which topic should be emphasized to optimize healing and prevent infection?

Accepted Answer

Supplies and infection prevention

Ch 33: Skin Integrity and Wound Care

Guida di studio - Domande di pratica

Study guide - Flashcard