NUFT - 204: (Exam 2) Skin Integrity &
Wound Care UPDATED ACTUAL Exam
Questions and CORRECT Answers
epidermis - CORRECT ANSWER - top layer of skin
dermis - CORRECT ANSWER - inner layer of skin + collagen
dermal-epidermal junction - CORRECT ANSWER - separates dermis and epidermis
names for pressure ulcers - CORRECT ANSWER - pressure sore, decubitus ulcer, or bed
sore
tissue ischemia - CORRECT ANSWER - death of skin bc lack of blood flow
blanching - CORRECT ANSWER - skin goes pale when pressed then goes back to pink
when released (think nails)
risk factors for pressure ulcer development - CORRECT ANSWER - Impaired sensory
perception
Impaired mobility
Alteration in LOC
Shear
Friction
Moisture
friction - CORRECT ANSWER - *superficial / visible injury*
= the mechanical force exerted when skin is dragged across a coarse surface (such as bed linens)
, shear - CORRECT ANSWER - *internal injury*
= affected by the amount of pressure exerted, the coefficient of friction between the materials
contacting each other, and the extent to which the body makes contact with the support surface
classification of pressure ulcers - CORRECT ANSWER - Stage I
Stage II
Stage III
StageIV
Unstageable
stage I pressure ulcer - CORRECT ANSWER - intact skin with nonblanchable redness
stage II pressure ulcer - CORRECT ANSWER - *partial thickness skin loss* involving
epidermis, dermis, or both (can be a scab, bloody, or blister)
stage III pressure ulcer - CORRECT ANSWER - full thickness tissue loss with *visible
fat*
stage IV pressure ulcer - CORRECT ANSWER - full-thickness tissue loss with *exposed
bone, tendon, or muscle*
necrosis - CORRECT ANSWER - tissue death
slough - CORRECT ANSWER - to shed dead tissue
eschar - CORRECT ANSWER - scab or crust from trauma
dehiscence - CORRECT ANSWER - the splitting or bursting open of a wound.
Wound Care UPDATED ACTUAL Exam
Questions and CORRECT Answers
epidermis - CORRECT ANSWER - top layer of skin
dermis - CORRECT ANSWER - inner layer of skin + collagen
dermal-epidermal junction - CORRECT ANSWER - separates dermis and epidermis
names for pressure ulcers - CORRECT ANSWER - pressure sore, decubitus ulcer, or bed
sore
tissue ischemia - CORRECT ANSWER - death of skin bc lack of blood flow
blanching - CORRECT ANSWER - skin goes pale when pressed then goes back to pink
when released (think nails)
risk factors for pressure ulcer development - CORRECT ANSWER - Impaired sensory
perception
Impaired mobility
Alteration in LOC
Shear
Friction
Moisture
friction - CORRECT ANSWER - *superficial / visible injury*
= the mechanical force exerted when skin is dragged across a coarse surface (such as bed linens)
, shear - CORRECT ANSWER - *internal injury*
= affected by the amount of pressure exerted, the coefficient of friction between the materials
contacting each other, and the extent to which the body makes contact with the support surface
classification of pressure ulcers - CORRECT ANSWER - Stage I
Stage II
Stage III
StageIV
Unstageable
stage I pressure ulcer - CORRECT ANSWER - intact skin with nonblanchable redness
stage II pressure ulcer - CORRECT ANSWER - *partial thickness skin loss* involving
epidermis, dermis, or both (can be a scab, bloody, or blister)
stage III pressure ulcer - CORRECT ANSWER - full thickness tissue loss with *visible
fat*
stage IV pressure ulcer - CORRECT ANSWER - full-thickness tissue loss with *exposed
bone, tendon, or muscle*
necrosis - CORRECT ANSWER - tissue death
slough - CORRECT ANSWER - to shed dead tissue
eschar - CORRECT ANSWER - scab or crust from trauma
dehiscence - CORRECT ANSWER - the splitting or bursting open of a wound.
