ANSWERS|LATEST
The cell responsible for building new granulation tissue - ANSWER fibroblast
Cells involved in epithelialization - ANSWER keratinocytes
Cells which can kill bacteria - ANSWER macrophages and polymorphonuclear
neutrophils
To assist with managing a wound that is hypogranular: - ANSWER lightly fill the wound
base with gauze to prevent premature epithelialization
Chronic wounds contain - ANSWER high levels of MMPs and low levels of TIMPs
Surgical wound dehiscence is most often due to: - ANSWER insufficient collagen
tensile strength
A severely contaminated wound should be allowed to close by: - ANSWER secondary
wound closure
cell surface receptors that allow cells to reversibly bind to the extracellular matrix to achieve
cell migration - ANSWER Integrins
1
,The maximum strength that a scar tissue can attain after the occurrence of remodeling is: -
ANSWER 80%
The maturation and remodeling phase of wound healing typically lasts for: -
ANSWER six months to two years.
Cells that can be found in the dermis are: - ANSWER fibroblasts
The stratum corneum can be found in the: - ANSWER epidermis
A full-thickness wound involves the following tissue layers: - ANSWER epidermis,
dermis, and subcutaneous tissue
A stage 2 pressure injury can also be described as a ________ lesion. -
ANSWER partial-thickness
A callus is caused by a build-up of cells within the stratum basale. - ANSWER False
Mast cells produce the following substance: - ANSWER histamine
When examining a patient's wound, you notice gray-black, dry, leathery-appearing, irregular
fibrous tissue. What do you suspect this structure is? - ANSWER Nonviable joint
capsule
When examining a patient's wound, you notice regularly arranged red tissue. What do you
suspect this structure is? - ANSWER Muscle
The subcutaneous tissue consists of: - ANSWER adipose tissue and fascia
2
,Partial-thickness wounds heal ___ than full-thickness wounds - ANSWER faster
Wounds should heal faster if both the patient and the patient's wound are kept ___. -
ANSWER warm
Surgical wounds heal ___ than traumatic wounds - ANSWER faster
Change in wound surface area can be used to predict wound healing. - ANSWER True
Covering a wound with a dressing facilitates wound healing because a dry wound progresses
through the phases of inflammation more ___ than a moist wound. - ANSWER slowly
Serial debridement facilitates wound healing by removing ___ to healing -
ANSWER barriers
Wound debridement is vital to wound healing and should be completed despite a patient's
pain complaint. - ANSWER False
Wet-to-dry dressings impair wound healing by traumatizing healthy ___ tissue -
ANSWER granulation
Antiseptics should routinely be used as: - ANSWER surgical scrubs
occurs when the tissue under the wound edges becomes eroded -
ANSWER Undermining
Necrotic tissue that is yellow or tan in color and stringy or mucinous in consistency is called:
- ANSWER slough
3
, Which of the following types of wound drainage would be considered normal? Drainage that
is ___ in consistency and pale ___ in color. - ANSWER thin, yellow
Periwound erythema can be a sign of ___ and a normal sign of ___. -
ANSWER infection, inflammation
When assessing for periwound edema, your thumb leaves an impression about 2-4 mm in
depth that rebounds in less than 15 seconds. How would you describe your results? -
ANSWER 2+ pitting edema
2mm slight pitting
Disappears QUICKLY
No visible distortion - ANSWER +1 pitting edema
Deep pitting, indentation remains for a short time (<1 min). - ANSWER +3 pitting
edema
Very deep pitting, indentation lasts beyond a few seconds (2-3 min). Swelling is excessive,
skin may appear blistered, oozing of fluid may occur. - ANSWER +4 pitting edema
When palpating your patient's tibialis posterior artery pulse, you feel it is normal. What
grade would you assign it? - ANSWER +2
Normal capillary refill is: - ANSWER 3 seconds
Wound-related goals should be: - ANSWER specific, time dependent, and measurable
A pressure injury should be classified using: - ANSWER the staging system and/or
extent of tissue involved
4
The cell responsible for building new granulation tissue - ANSWER fibroblast
Cells involved in epithelialization - ANSWER keratinocytes
Cells which can kill bacteria - ANSWER macrophages and polymorphonuclear
neutrophils
To assist with managing a wound that is hypogranular: - ANSWER lightly fill the wound
base with gauze to prevent premature epithelialization
Chronic wounds contain - ANSWER high levels of MMPs and low levels of TIMPs
Surgical wound dehiscence is most often due to: - ANSWER insufficient collagen
tensile strength
A severely contaminated wound should be allowed to close by: - ANSWER secondary
wound closure
cell surface receptors that allow cells to reversibly bind to the extracellular matrix to achieve
cell migration - ANSWER Integrins
1
,The maximum strength that a scar tissue can attain after the occurrence of remodeling is: -
ANSWER 80%
The maturation and remodeling phase of wound healing typically lasts for: -
ANSWER six months to two years.
Cells that can be found in the dermis are: - ANSWER fibroblasts
The stratum corneum can be found in the: - ANSWER epidermis
A full-thickness wound involves the following tissue layers: - ANSWER epidermis,
dermis, and subcutaneous tissue
A stage 2 pressure injury can also be described as a ________ lesion. -
ANSWER partial-thickness
A callus is caused by a build-up of cells within the stratum basale. - ANSWER False
Mast cells produce the following substance: - ANSWER histamine
When examining a patient's wound, you notice gray-black, dry, leathery-appearing, irregular
fibrous tissue. What do you suspect this structure is? - ANSWER Nonviable joint
capsule
When examining a patient's wound, you notice regularly arranged red tissue. What do you
suspect this structure is? - ANSWER Muscle
The subcutaneous tissue consists of: - ANSWER adipose tissue and fascia
2
,Partial-thickness wounds heal ___ than full-thickness wounds - ANSWER faster
Wounds should heal faster if both the patient and the patient's wound are kept ___. -
ANSWER warm
Surgical wounds heal ___ than traumatic wounds - ANSWER faster
Change in wound surface area can be used to predict wound healing. - ANSWER True
Covering a wound with a dressing facilitates wound healing because a dry wound progresses
through the phases of inflammation more ___ than a moist wound. - ANSWER slowly
Serial debridement facilitates wound healing by removing ___ to healing -
ANSWER barriers
Wound debridement is vital to wound healing and should be completed despite a patient's
pain complaint. - ANSWER False
Wet-to-dry dressings impair wound healing by traumatizing healthy ___ tissue -
ANSWER granulation
Antiseptics should routinely be used as: - ANSWER surgical scrubs
occurs when the tissue under the wound edges becomes eroded -
ANSWER Undermining
Necrotic tissue that is yellow or tan in color and stringy or mucinous in consistency is called:
- ANSWER slough
3
, Which of the following types of wound drainage would be considered normal? Drainage that
is ___ in consistency and pale ___ in color. - ANSWER thin, yellow
Periwound erythema can be a sign of ___ and a normal sign of ___. -
ANSWER infection, inflammation
When assessing for periwound edema, your thumb leaves an impression about 2-4 mm in
depth that rebounds in less than 15 seconds. How would you describe your results? -
ANSWER 2+ pitting edema
2mm slight pitting
Disappears QUICKLY
No visible distortion - ANSWER +1 pitting edema
Deep pitting, indentation remains for a short time (<1 min). - ANSWER +3 pitting
edema
Very deep pitting, indentation lasts beyond a few seconds (2-3 min). Swelling is excessive,
skin may appear blistered, oozing of fluid may occur. - ANSWER +4 pitting edema
When palpating your patient's tibialis posterior artery pulse, you feel it is normal. What
grade would you assign it? - ANSWER +2
Normal capillary refill is: - ANSWER 3 seconds
Wound-related goals should be: - ANSWER specific, time dependent, and measurable
A pressure injury should be classified using: - ANSWER the staging system and/or
extent of tissue involved
4
