This is Part 1 of the Wound Care Nursing 6th
Edition Comprehensive Test Bank by Baranoski &
Ayello)
PART 1 of 5: Foundations of Wound Care
(Questions 1–100)
TABLE OF CONTENTS — PART 1
Chapter 1: Anatomy and Physiology of the Skin — Questions 1–15
Chapter 2: Wound Healing Process — Questions 16–30
Chapter 3: Wound Assessment — Questions 31–45
Chapter 4: Wound Classification — Questions 46–60
Chapter 5: Documentation and Legal Aspects — Questions 61–75
Chapter 6: Infection Control — Questions 76–90
Chapter 7: Nutrition and Wound Healing — Questions 91–100
Chapter 1: Anatomy and Physiology of the Skin — Questions 1–15
Q1. A nurse is reviewing the anatomy of the skin. Which layer is the outermost layer?
A. Dermis
B. Hypodermis
C. Epidermis
D. Subcutaneous tissue
Correct Answer: C
Rationale: The epidermis is the outermost layer of the skin. The dermis (A) is the middle layer,
and the hypodermis (B) or subcutaneous tissue (D) is the deepest layer.
,Q2. A nurse is reviewing the functions of the skin. Which function is primarily associated with the
epidermis?
A. Providing structural support
B. Acting as a barrier to microorganisms
C. Storing fat
D. Regulating body temperature
Correct Answer: B
Rationale: The epidermis acts as a barrier to microorganisms, chemicals, and physical trauma.
Structural support (A) is mainly from the dermis, and fat storage (C) is from the hypodermis.
Q3. A nurse is reviewing the layers of the epidermis. Which layer is the deepest?
A. Stratum corneum
B. Stratum lucidum
C. Stratum granulosum
D. Stratum basale
Correct Answer: D
Rationale: The stratum basale is the deepest layer of the epidermis, where new skin cells are
produced. The stratum corneum (A) is the outermost layer.
Q4. A nurse is reviewing the dermis. Which structure is found in the dermis?
A. Melanocytes
B. Blood vessels
C. Keratinocytes
D. Langerhans cells
Correct Answer: B
Rationale: The dermis contains blood vessels, nerve endings, hair follicles, and glands.
Melanocytes (A) and keratinocytes (C) are primarily in the epidermis. Langerhans cells (D) are in the
epidermis.
,Q5. A nurse is reviewing the hypodermis. What is the primary function of the hypodermis?
A. Providing a barrier to infection
B. Producing vitamin D
C. Insulating and cushioning the body
D. Sensation
Correct Answer: C
Rationale: The hypodermis (subcutaneous tissue) insulates and cushions the body, stores fat,
and anchors the skin to underlying structures. Barrier function (A) is mainly epidermal.
Q6. A nurse is reviewing skin appendages. Which structure is responsible for producing sweat?
A. Sebaceous glands
B. Eccrine glands
C. Hair follicles
D. Nails
Correct Answer: B
Rationale: Eccrine glands produce sweat and are found throughout the body. Sebaceous glands
(A) produce sebum.
Q7. A nurse is reviewing the physiology of the skin. Which factor contributes to the skin's ability to
regulate body temperature?
A. Keratin production
B. Melanin production
C. Vasodilation and vasoconstriction of blood vessels
D. Sebum production
Correct Answer: C
Rationale: Vasodilation and vasoconstriction of dermal blood vessels help regulate body
temperature. Keratin (A) provides protection, and melanin (B) provides pigmentation.
, Q8. A nurse is reviewing the aging process of the skin. Which change is expected in older adults?
A. Increased collagen production
B. Thickening of the epidermis
C. Decreased blood flow to the dermis
D. Increased sebum production
Correct Answer: C
Rationale: Older adults experience decreased blood flow to the dermis, thinning of the
epidermis, and decreased collagen and sebum production.
Q9. A nurse is reviewing the skin's role in vitamin D synthesis. Which factor is necessary for vitamin D
synthesis in the skin?
A. Sunlight exposure
B. Adequate hydration
C. High-protein diet
D. Regular exercise
Correct Answer: A
Rationale: Sunlight exposure (UVB) is necessary for vitamin D synthesis in the skin.
Q10. A nurse is assessing a patient's skin. Which finding is a normal age-related change?
A. Increased skin turgor
B. Decreased skin elasticity
C. Increased subcutaneous fat
D. Increased sweat production
Correct Answer: B
Rationale: Decreased skin elasticity is a normal age-related change due to reduced collagen and
elastin. Increased turgor (A) and increased subcutaneous fat (C) are not typical.
Edition Comprehensive Test Bank by Baranoski &
Ayello)
PART 1 of 5: Foundations of Wound Care
(Questions 1–100)
TABLE OF CONTENTS — PART 1
Chapter 1: Anatomy and Physiology of the Skin — Questions 1–15
Chapter 2: Wound Healing Process — Questions 16–30
Chapter 3: Wound Assessment — Questions 31–45
Chapter 4: Wound Classification — Questions 46–60
Chapter 5: Documentation and Legal Aspects — Questions 61–75
Chapter 6: Infection Control — Questions 76–90
Chapter 7: Nutrition and Wound Healing — Questions 91–100
Chapter 1: Anatomy and Physiology of the Skin — Questions 1–15
Q1. A nurse is reviewing the anatomy of the skin. Which layer is the outermost layer?
A. Dermis
B. Hypodermis
C. Epidermis
D. Subcutaneous tissue
Correct Answer: C
Rationale: The epidermis is the outermost layer of the skin. The dermis (A) is the middle layer,
and the hypodermis (B) or subcutaneous tissue (D) is the deepest layer.
,Q2. A nurse is reviewing the functions of the skin. Which function is primarily associated with the
epidermis?
A. Providing structural support
B. Acting as a barrier to microorganisms
C. Storing fat
D. Regulating body temperature
Correct Answer: B
Rationale: The epidermis acts as a barrier to microorganisms, chemicals, and physical trauma.
Structural support (A) is mainly from the dermis, and fat storage (C) is from the hypodermis.
Q3. A nurse is reviewing the layers of the epidermis. Which layer is the deepest?
A. Stratum corneum
B. Stratum lucidum
C. Stratum granulosum
D. Stratum basale
Correct Answer: D
Rationale: The stratum basale is the deepest layer of the epidermis, where new skin cells are
produced. The stratum corneum (A) is the outermost layer.
Q4. A nurse is reviewing the dermis. Which structure is found in the dermis?
A. Melanocytes
B. Blood vessels
C. Keratinocytes
D. Langerhans cells
Correct Answer: B
Rationale: The dermis contains blood vessels, nerve endings, hair follicles, and glands.
Melanocytes (A) and keratinocytes (C) are primarily in the epidermis. Langerhans cells (D) are in the
epidermis.
,Q5. A nurse is reviewing the hypodermis. What is the primary function of the hypodermis?
A. Providing a barrier to infection
B. Producing vitamin D
C. Insulating and cushioning the body
D. Sensation
Correct Answer: C
Rationale: The hypodermis (subcutaneous tissue) insulates and cushions the body, stores fat,
and anchors the skin to underlying structures. Barrier function (A) is mainly epidermal.
Q6. A nurse is reviewing skin appendages. Which structure is responsible for producing sweat?
A. Sebaceous glands
B. Eccrine glands
C. Hair follicles
D. Nails
Correct Answer: B
Rationale: Eccrine glands produce sweat and are found throughout the body. Sebaceous glands
(A) produce sebum.
Q7. A nurse is reviewing the physiology of the skin. Which factor contributes to the skin's ability to
regulate body temperature?
A. Keratin production
B. Melanin production
C. Vasodilation and vasoconstriction of blood vessels
D. Sebum production
Correct Answer: C
Rationale: Vasodilation and vasoconstriction of dermal blood vessels help regulate body
temperature. Keratin (A) provides protection, and melanin (B) provides pigmentation.
, Q8. A nurse is reviewing the aging process of the skin. Which change is expected in older adults?
A. Increased collagen production
B. Thickening of the epidermis
C. Decreased blood flow to the dermis
D. Increased sebum production
Correct Answer: C
Rationale: Older adults experience decreased blood flow to the dermis, thinning of the
epidermis, and decreased collagen and sebum production.
Q9. A nurse is reviewing the skin's role in vitamin D synthesis. Which factor is necessary for vitamin D
synthesis in the skin?
A. Sunlight exposure
B. Adequate hydration
C. High-protein diet
D. Regular exercise
Correct Answer: A
Rationale: Sunlight exposure (UVB) is necessary for vitamin D synthesis in the skin.
Q10. A nurse is assessing a patient's skin. Which finding is a normal age-related change?
A. Increased skin turgor
B. Decreased skin elasticity
C. Increased subcutaneous fat
D. Increased sweat production
Correct Answer: B
Rationale: Decreased skin elasticity is a normal age-related change due to reduced collagen and
elastin. Increased turgor (A) and increased subcutaneous fat (C) are not typical.
