HCC Exam 1 Questions & Answers
2024/2025
Symptoms/signs of pediculosis capitis - ANSWERSWhite specs on hair, itching scalp
Parts of body most at risk for skin breakdown - ANSWERSWhere skin is stretched, compressed
Pressure points, tailbone, heels, elbows, ankle, hips, femur (bed sores)
Lab values indicative of infection - ANSWERS
Lab values indicative of nutritional deficits - ANSWERS-put patients at risk impaired tissue integrity
Recommended dietary nutrients for patients with wounds or pressure ulcers - ANSWERSProtein,
vitamins A C E, high calorie
Factors that predispose patients or increase the risk for compromised skin integrity - ANSWERS
Patient care measures to reduce the risk of skin breakdown - ANSWERS-keep clean/dry
-manage incontinence
-don't massage skin
-ph appropriate skin cleanser
Factors that can put patients at risk for impaired wound healing - ANSWERSAge, body type, nutritional
status, immunosuppression, disease
first intention wound healing - ANSWERSopen wounds are closed surgically with sutures or staples
, second intention wound healing - ANSWERSgranulation occurs in infected wounds or wounds w/ edges
not approximated; pack w/ moist sterile dressing & cover w/ dry sterile dressing
third intention wound healing - ANSWERShealing of a wound that has already formed granulation tissue
and undergone secondary closure
inflammatory wound healing phase 2 - ANSWERS-vasoconstriction
-clot formation
-hemostasis
-phagocytosis of microorganisms
Proliferation (wound healing) 3 - ANSWERSWound is rebuilt with new granulation tissue made up of
collagen and extracellular matrix.
Stages of wound healing - ANSWERShemostasis, inflammation, proliferation, contraction, remodeling
Hemostasis Phase 1 - ANSWERSBlood clotting begins within minutes of injury, platelets stick to injured
site, release chemical to promote further clotting and activation of fibrin, which forms mesh and "plugs"
opening.
contraction in wound healing 4 - ANSWERSStretching of dermis without cellular proliferation
stage one pressure ulcer - ANSWERSpersistent redness; skin is intact with visible, non blanchable redness
over a localized area, typically over bony prominence; changes in skin temperature, tissue consistency
and sensation (pain, itching)
Stage to pressure ulcer - ANSWERS- involves the dermis with partial thickness loss which presents as
shallow open ulcer that can be shiny or dry; can also present as a blister that is intact or open/ruptured;
wound bed is red pink color without slough or bruising
stage three pressure ulcer - ANSWERSfull thickness tissue loss with subcutaneous fat possibly visible;
bone, tendon or muscle are not exposed or directly palpable
2024/2025
Symptoms/signs of pediculosis capitis - ANSWERSWhite specs on hair, itching scalp
Parts of body most at risk for skin breakdown - ANSWERSWhere skin is stretched, compressed
Pressure points, tailbone, heels, elbows, ankle, hips, femur (bed sores)
Lab values indicative of infection - ANSWERS
Lab values indicative of nutritional deficits - ANSWERS-put patients at risk impaired tissue integrity
Recommended dietary nutrients for patients with wounds or pressure ulcers - ANSWERSProtein,
vitamins A C E, high calorie
Factors that predispose patients or increase the risk for compromised skin integrity - ANSWERS
Patient care measures to reduce the risk of skin breakdown - ANSWERS-keep clean/dry
-manage incontinence
-don't massage skin
-ph appropriate skin cleanser
Factors that can put patients at risk for impaired wound healing - ANSWERSAge, body type, nutritional
status, immunosuppression, disease
first intention wound healing - ANSWERSopen wounds are closed surgically with sutures or staples
, second intention wound healing - ANSWERSgranulation occurs in infected wounds or wounds w/ edges
not approximated; pack w/ moist sterile dressing & cover w/ dry sterile dressing
third intention wound healing - ANSWERShealing of a wound that has already formed granulation tissue
and undergone secondary closure
inflammatory wound healing phase 2 - ANSWERS-vasoconstriction
-clot formation
-hemostasis
-phagocytosis of microorganisms
Proliferation (wound healing) 3 - ANSWERSWound is rebuilt with new granulation tissue made up of
collagen and extracellular matrix.
Stages of wound healing - ANSWERShemostasis, inflammation, proliferation, contraction, remodeling
Hemostasis Phase 1 - ANSWERSBlood clotting begins within minutes of injury, platelets stick to injured
site, release chemical to promote further clotting and activation of fibrin, which forms mesh and "plugs"
opening.
contraction in wound healing 4 - ANSWERSStretching of dermis without cellular proliferation
stage one pressure ulcer - ANSWERSpersistent redness; skin is intact with visible, non blanchable redness
over a localized area, typically over bony prominence; changes in skin temperature, tissue consistency
and sensation (pain, itching)
Stage to pressure ulcer - ANSWERS- involves the dermis with partial thickness loss which presents as
shallow open ulcer that can be shiny or dry; can also present as a blister that is intact or open/ruptured;
wound bed is red pink color without slough or bruising
stage three pressure ulcer - ANSWERSfull thickness tissue loss with subcutaneous fat possibly visible;
bone, tendon or muscle are not exposed or directly palpable
