SEM580 FINAL
EXAM REVIEW # 1
QUESTIONS AND
ANSWERS
Which of the following statements accurately reflects the origins of the WOC nursing
specialty?
A) the first education programs were 8 weeks long and required the learner be in
residence during that period.
B) the 1st WOC nurse specialized in wound care
C) the first education programs had no precepted clinical practicum
D) the origin of the specialty began with a patient who had a stoma. - Answers- D) the
origin of the specialty began with a patient who had a stoma.
Evidence based practice: the highest level of evidence comes from which of the
following sources?
A. Case studies
B. Prospective studies
C. Expert opinions
D. Randomized clinical trials - Answers- d. Randomized clinical trials
Which of the following statements about clinical practice guidelines is true?
A. These are basically recommendations for care of a specific condition based on
expert opinion and case studies
B. The literature from which the clinical guidelines are derived should be reviewed prior
to incorporating the guidelines into patient care.
C. To avoid the appearance of self interest, the national government authors all clinical
practice guidelines.
D. Clinical guidelines are derived from the current literature and summarize state of the
art care for specific healthcare issues. - Answers- d. Clinical guidelines are derived
from the current literature and summarize state of the art for specific healthcare issues.
, What are the major layers of the skin?
A. Hypodermis and muscle
B. Epidermis and dermis
C. Keratinocytes and fibroblasts
D. Macrophages and platelets - Answers- b. Epidermis and dermis
What is the benefit in the skin maintaining an acid mantle
A. Promotes skin hydration
B. Increases TEWL (trans epidermal water loss)
C. Retards growth of skin pathogens
D. Promotes skin elasticity - Answers- c. Retards growth of skin pathogens
How does age alter the skin's epidermal turnover or process of differentiation?
A. Prolongs the rate of cell turnover (>28 days)
B. Reduces the rate of cell turnover (<28 days)
C. Doesn't affect the rate of cell turnover
D. Accelerates turnover to 5 days or less - Answers- a. Prolongs the rate of cell
turnover (>28 days)
Intertriginous dermatitis (ITD) is differentiated from incontinence associated skin
damage (IAD) in that:
A. IAD only occurs in skin folds
B. IAD may be complicated by bacterial or fungal infection
C. ITD only occurs between the buttocks
D. The source of moisture and location are different - Answers- d. The source of
moisture and location are different
Select the statement that is most true regarding IAD (incontinence associated
dermatitis) management
A. Skin barrier pastes should be removed entirely following fecal incontinent episodes
B. Petroleum based products may reduce the absorbency of disposable undergarments.
C. Humectants are an important ingredient in incontinence skin care products
D. Soap and water should be used for incontinence skin care management. - Answers-
b. Petroleum based products may reduce the absorbency off disposable
undergarments.
Which statement about incontinence related skin damage is true?
A. Exposure to a mixture of urine and feces is more irritating than feces alone.
B. The area of skin damaged by incontinent episodes is characterized by pinpoint
satellite lesions along the periphery.
C. Containment garments alone are the most effective way to protect the skin from
liquid stool
D. Urine with an acidic ph is more damaging to the skin than urine with an alkaline ph. -
Answers- a. Exposure to a mixture of urine and feces is more irritating than feces alone.
EXAM REVIEW # 1
QUESTIONS AND
ANSWERS
Which of the following statements accurately reflects the origins of the WOC nursing
specialty?
A) the first education programs were 8 weeks long and required the learner be in
residence during that period.
B) the 1st WOC nurse specialized in wound care
C) the first education programs had no precepted clinical practicum
D) the origin of the specialty began with a patient who had a stoma. - Answers- D) the
origin of the specialty began with a patient who had a stoma.
Evidence based practice: the highest level of evidence comes from which of the
following sources?
A. Case studies
B. Prospective studies
C. Expert opinions
D. Randomized clinical trials - Answers- d. Randomized clinical trials
Which of the following statements about clinical practice guidelines is true?
A. These are basically recommendations for care of a specific condition based on
expert opinion and case studies
B. The literature from which the clinical guidelines are derived should be reviewed prior
to incorporating the guidelines into patient care.
C. To avoid the appearance of self interest, the national government authors all clinical
practice guidelines.
D. Clinical guidelines are derived from the current literature and summarize state of the
art care for specific healthcare issues. - Answers- d. Clinical guidelines are derived
from the current literature and summarize state of the art for specific healthcare issues.
, What are the major layers of the skin?
A. Hypodermis and muscle
B. Epidermis and dermis
C. Keratinocytes and fibroblasts
D. Macrophages and platelets - Answers- b. Epidermis and dermis
What is the benefit in the skin maintaining an acid mantle
A. Promotes skin hydration
B. Increases TEWL (trans epidermal water loss)
C. Retards growth of skin pathogens
D. Promotes skin elasticity - Answers- c. Retards growth of skin pathogens
How does age alter the skin's epidermal turnover or process of differentiation?
A. Prolongs the rate of cell turnover (>28 days)
B. Reduces the rate of cell turnover (<28 days)
C. Doesn't affect the rate of cell turnover
D. Accelerates turnover to 5 days or less - Answers- a. Prolongs the rate of cell
turnover (>28 days)
Intertriginous dermatitis (ITD) is differentiated from incontinence associated skin
damage (IAD) in that:
A. IAD only occurs in skin folds
B. IAD may be complicated by bacterial or fungal infection
C. ITD only occurs between the buttocks
D. The source of moisture and location are different - Answers- d. The source of
moisture and location are different
Select the statement that is most true regarding IAD (incontinence associated
dermatitis) management
A. Skin barrier pastes should be removed entirely following fecal incontinent episodes
B. Petroleum based products may reduce the absorbency of disposable undergarments.
C. Humectants are an important ingredient in incontinence skin care products
D. Soap and water should be used for incontinence skin care management. - Answers-
b. Petroleum based products may reduce the absorbency off disposable
undergarments.
Which statement about incontinence related skin damage is true?
A. Exposure to a mixture of urine and feces is more irritating than feces alone.
B. The area of skin damaged by incontinent episodes is characterized by pinpoint
satellite lesions along the periphery.
C. Containment garments alone are the most effective way to protect the skin from
liquid stool
D. Urine with an acidic ph is more damaging to the skin than urine with an alkaline ph. -
Answers- a. Exposure to a mixture of urine and feces is more irritating than feces alone.
