Integumentary System – NPTE Prep Quiz (Physical Therapy Study Guide, Practice
Questions & Answers)
A PT reviews the surgical report of a patient that sustained extensive burns in a fire. The report
indicates that at the time of primary excision, cadaver skin was used to close the wound. This
type of graft is termed:
A. allograft
B. autograft
C. heterograft
D. xenograft - correct answer ✔✔Answer Key:A
Feedback:an allograft refers to a graft or tissue between two genetically dissimilar individuals of
the same species.
A PT applies a bandage to secure a dressing on the forearm. Which of the following would
indicate that the bandage was applied too loosely?
A. the distal segment appears to be pale
B. edema develops in the distal segment
C. the bandage changes position with active movement.
D. the patient complains of pain in the segment distal to the bandage. - correct answer
✔✔Answer Key:C
Feedback:A bandage can be used for a variety of reasons including securing a dressing, creating
a barrier between the dressing and the environment or pressure to control swelling.
A patient with a grade III diabetic ulcer is being treated with a calcium alginate wound dressing.
This type of dressing can be expected to:
A. absorb exudates and allow rapid moisture evaporation.
, B. facilitate autolytic debridement and absorb exudates.
C. provide semirigid support for the limb while maintaining a sterile field.
D. restrict bacteria from the wound while supporting the tissues. - correct answer ✔✔Answer
Key:B
Feedback:Moisture-retentive occlusive wound dressings such as calcium alginate are
recommended for use on exudating wounds (grade III ulcers). They maintain a moist
environment and do NOT allow rapid evaporation, absorb exudate, provide autolytic
debridement, reduce pain at the wound site, and promote faster healing (reepithelialization). A
disadvantage is that they are very permeable to bacteria, urine, and so forth. Semirigid
dressings such as Unna's boot provide limb support.
A 64 year old female patient is admitted to the hospital with a stage III decubitus ulcer over her
right ischial tuberosity. The patient's past medical history includes severe COPD. The MOST
appropriate position for the patient is:
A. supine with pillows under the knees.
B. prone with pillows under the knees.
C. left sidelying with pillows between the knees.
D. right sidelying with pillows between the knees. - correct answer ✔✔Answer Key:C
Feedback:Left sidelying is an appropriate position to avoid placing stress on the ulcer over the
right ischial tuberosity and does not compromise respiration. Lying in prone can make
respiration difficult for a patient with a history of severe COPD. Positioning in right sidelying or
supine would place too much pressure on the ulcer.
A patient 72 hours post stroke is referred to PT. As part of the patient care program, the PT
makes positioning recommendations to the nursing staff. How often should turning occur?
A. every 30 minutes
B. every two hours
C. every four hours
Questions & Answers)
A PT reviews the surgical report of a patient that sustained extensive burns in a fire. The report
indicates that at the time of primary excision, cadaver skin was used to close the wound. This
type of graft is termed:
A. allograft
B. autograft
C. heterograft
D. xenograft - correct answer ✔✔Answer Key:A
Feedback:an allograft refers to a graft or tissue between two genetically dissimilar individuals of
the same species.
A PT applies a bandage to secure a dressing on the forearm. Which of the following would
indicate that the bandage was applied too loosely?
A. the distal segment appears to be pale
B. edema develops in the distal segment
C. the bandage changes position with active movement.
D. the patient complains of pain in the segment distal to the bandage. - correct answer
✔✔Answer Key:C
Feedback:A bandage can be used for a variety of reasons including securing a dressing, creating
a barrier between the dressing and the environment or pressure to control swelling.
A patient with a grade III diabetic ulcer is being treated with a calcium alginate wound dressing.
This type of dressing can be expected to:
A. absorb exudates and allow rapid moisture evaporation.
, B. facilitate autolytic debridement and absorb exudates.
C. provide semirigid support for the limb while maintaining a sterile field.
D. restrict bacteria from the wound while supporting the tissues. - correct answer ✔✔Answer
Key:B
Feedback:Moisture-retentive occlusive wound dressings such as calcium alginate are
recommended for use on exudating wounds (grade III ulcers). They maintain a moist
environment and do NOT allow rapid evaporation, absorb exudate, provide autolytic
debridement, reduce pain at the wound site, and promote faster healing (reepithelialization). A
disadvantage is that they are very permeable to bacteria, urine, and so forth. Semirigid
dressings such as Unna's boot provide limb support.
A 64 year old female patient is admitted to the hospital with a stage III decubitus ulcer over her
right ischial tuberosity. The patient's past medical history includes severe COPD. The MOST
appropriate position for the patient is:
A. supine with pillows under the knees.
B. prone with pillows under the knees.
C. left sidelying with pillows between the knees.
D. right sidelying with pillows between the knees. - correct answer ✔✔Answer Key:C
Feedback:Left sidelying is an appropriate position to avoid placing stress on the ulcer over the
right ischial tuberosity and does not compromise respiration. Lying in prone can make
respiration difficult for a patient with a history of severe COPD. Positioning in right sidelying or
supine would place too much pressure on the ulcer.
A patient 72 hours post stroke is referred to PT. As part of the patient care program, the PT
makes positioning recommendations to the nursing staff. How often should turning occur?
A. every 30 minutes
B. every two hours
C. every four hours
