Wound and Ostomy quiz set with correct
answers
Which cells located in the dermis produce collagen (dermal building blocks) and elastin
(tensile strength)?
Select one:
a. Leukotrienes.
b. Mast cells.
c. Macrophages.
d. Fibroblasts. - Correct Answers -d. Fibroblasts.
Fibroblasts' main function is to make connective tissue and the extracellular matrix,
specifically the production of collagen (dermal building blocks) and elastin (tensile
strength) and fibronectin, which binds extracellular matrix proteins.
A patient has an acute full-thickness wound due to trauma. What order of healing would
occur with this wound?
Select one:
a. Inflammatory, hemostatis, granulation tissue formation, re-epithelialization.
b. Re-epithelialization, granulation tissue formation, hemostasis, remodeling.
c. Hemostatis, resurfacing, scar formation, remodeling.
d. Hemostatis, inflammation, proliferation or regeneration, maturation or remodeling
phases. - Correct Answers -d. Hemostatis, inflammation, proliferation or regeneration,
maturation or remodeling phases.
The deeper the tissue layers affected, the greater number of wound healing
mechanisms required. Full thickness wounds will experience all four phases of wound
healing: hemostasis, inflammation, proliferation where granulation tissue is formed, re-
epithelialization, and finally the maturational or remodeling phase.
Which statement accurately describes the characteristic and implication of necrotic
tissue in a wound bed?
Select one:
a. Necrosis of muscle tissue typically results in the formation of stringy, yellow slough.
,b. Consistency refers to the cohesiveness of the debris; typically more advanced
necrosis is thin and wet.
c. Color varies as necrosis worsens, from white/gray nonviable tissue, to yellow slough,
and finally to black eschar.
d. A soft mushy leather eschar is not attached to the base and edges of wound and is
sometimes mistaken as a scab. - Correct Answers -c. Color varies as necrosis worsens,
from white/gray nonviable tissue, to yellow slough, and finally to black eschar.
The level and type of tissue death influence the clinical appearance of necrotic tissue.
Color varies as necrosis worsens, from white/gray nonviable tissue to yellow slough,
and finally to firm leathery hard black eschar.
You have a patient in acute care who has multiple risk factors for skin breakdown.
Which of the following statements are true regarding frequency of skin assessments?
Select one:
a. A head to toe skin assessments should be done only upon initial admission.
b. Patients at risk for skin break down should have at least a daily skin inspection.
c. Skin inspection should be performed twice an eight-hour shift for those at risk.
d. Skin inspections should only be done daily if the patient has a wound. - Correct
Answers -b. Patients at risk for skin break down should have at least a daily skin
inspection.
At least a daily skin inspection is recommended for patients at risk for skin integrity
issues. Frequency of reassessment is dependent upon many variables i.e. care setting,
co-morbidities, immunosuppression, tissue tolerance, continence status, nutrition,
mobility etc. thus frequency of assessment may change over time.
What is the primary reason for taking the time to perform a comprehensive assessment
to identify protein energy malnutrition as opposed to ordering a simple blood draw to
formulate a diagnosis?
Select one:
a. Blood tests do not provide a 'stand-alone' assessment.
b. None, blood test for malnutrition are completely reliable.
c. There are no blood tests available.
d. There is a high incidence of false-positive results with blood tests. - Correct Answers
-a. Blood tests do not provide a 'stand-alone' assessment.
It is critical to realize that there is no laboratory test that can provide a "stand-alone"
assessment of an individual's nutritional status.
You are performing a wound assessment on a patient with a plantar foot ulceration.
Wound assessment reveals a full thickness ulcer, with scant amount of serosanguinous
drainage. You note that the wound base is pale pink and there is a tunnel at 3 o'clock.
The wound measurements are unchanged in the last 2 week's wound assessments.
,The patient denies pain with palpation but you note mild periwound erythema. What
would be your BEST response in the developing the plan of care for this patient?
Select one:
a. Apply an antimicrobial hydrofiber rope into the tunnel.
b. Apply topical antibiotic ointment with a gauze strip wicked into the tunnel.
c. Apply a silver hydrogel impregnated gauze strip wicked into the tunnel.
d. Call primary care provider for oral antibiotics. - Correct Answers -c. Apply a silver
hydrogel impregnated gauze strip wicked into the tunnel.
Goal for this ulcer is to maintain the moist wound environment and add a topical
antimicrobial agent. No progress in this wound in the last 2 weeks plus mild periwound
erythema may be a sign of critical colonization; minimal drainage thus a silver hydrogel
to donate moisture to wound with a wick to accommodate the tunnel is the BEST topical
therapy as the primary dressing.
Which of the following wounds will heal with scar formation?
Select one:
a. Full thickness wound.
b. Partial thickness wound.
c. Classification 2 skin tear.
d. Stage II pressure ulcer. - Correct Answers -a. Full thickness wound.
Scar tissue formation only occurs when there is full thickness skin loss (remember full
thickness is damage through the epidermis and dermis and into the subcutaneous or
lower layers/structures). Class 2 skin tears and stage 2 pressure ulcers are partial
thickness.
When the skin around a wound develops a whitish appearance, it can be described as:
Select one:
a. Desiccated.
b. Excoriated.
c. Indurated.
d. Macerated. - Correct Answers -d. Macerated.
As you setup a skin care program, you identify the elderly to be at risk for skin tears due
to the effects of aging on:
Select one:
a. Tissue oxygenation.
b. Rete ridges.
c. Growth factors.
d. Tissue macrophages. - Correct Answers -b. Rete ridges.
, With aging, the dermal-epidermal junction (specifically the rete ridges and dermal
papillae) flatten and it is this flattening of the rete ridges that places the elderly at risk for
skin tears. Aging itself has no effect on macrophages, growth factors or tissue
oxygenation that would lead to skin tear.
As wound healing progresses, collagen deposition and remodeling occur and has which
of the following effects?
Select one:
a. Reduced cytokine production.
b. Increased tensile strength.
c. Restored innervation.
d. Increased monocyte activity. - Correct Answers -b. Increased tensile strength.
The collagen (Type 3) that was first produced has very little strength. During the
remodeling phase, more resilient collagen (Type 1) is being made and the weaker
collagen is broken down (hence the term remodeling). Collagen provides tensile
strength to the skin so that it won't rupture under pressure.
Which of the following cells plays a central role in initiating the wound repair process?
Select one:
a. Endothelial cells.
b. Fibroblasts.
c. Platelets.
d. Langerhan's cells. - Correct Answers -c. Platelets.
The clotting process (hemostasis phase), includes the rupturing of platelets, that
triggers the entire wound healing cascade of events. When the platelets rupture, growth
factors and cytokines are released.
Which of the following dressings would be most appropriate for a patient with a full-
thickness pressure ulcer with significant undermining and a dry wound bed?
Select one:
a. Wet-to-dry gauze.
b. Hydrogel impregnated gauze.
c. Hydrocolloid wafer.
d. Alginate. - Correct Answers -b. Hydrogel impregnated gauze.
The goal for this ulcer is to donate moisture, fill the dead space, and the dressing be
retrievable. the hydrogel impregnated gauze is appropriate because it will fill the dead
space, be retrievable and provide moisture.
answers
Which cells located in the dermis produce collagen (dermal building blocks) and elastin
(tensile strength)?
Select one:
a. Leukotrienes.
b. Mast cells.
c. Macrophages.
d. Fibroblasts. - Correct Answers -d. Fibroblasts.
Fibroblasts' main function is to make connective tissue and the extracellular matrix,
specifically the production of collagen (dermal building blocks) and elastin (tensile
strength) and fibronectin, which binds extracellular matrix proteins.
A patient has an acute full-thickness wound due to trauma. What order of healing would
occur with this wound?
Select one:
a. Inflammatory, hemostatis, granulation tissue formation, re-epithelialization.
b. Re-epithelialization, granulation tissue formation, hemostasis, remodeling.
c. Hemostatis, resurfacing, scar formation, remodeling.
d. Hemostatis, inflammation, proliferation or regeneration, maturation or remodeling
phases. - Correct Answers -d. Hemostatis, inflammation, proliferation or regeneration,
maturation or remodeling phases.
The deeper the tissue layers affected, the greater number of wound healing
mechanisms required. Full thickness wounds will experience all four phases of wound
healing: hemostasis, inflammation, proliferation where granulation tissue is formed, re-
epithelialization, and finally the maturational or remodeling phase.
Which statement accurately describes the characteristic and implication of necrotic
tissue in a wound bed?
Select one:
a. Necrosis of muscle tissue typically results in the formation of stringy, yellow slough.
,b. Consistency refers to the cohesiveness of the debris; typically more advanced
necrosis is thin and wet.
c. Color varies as necrosis worsens, from white/gray nonviable tissue, to yellow slough,
and finally to black eschar.
d. A soft mushy leather eschar is not attached to the base and edges of wound and is
sometimes mistaken as a scab. - Correct Answers -c. Color varies as necrosis worsens,
from white/gray nonviable tissue, to yellow slough, and finally to black eschar.
The level and type of tissue death influence the clinical appearance of necrotic tissue.
Color varies as necrosis worsens, from white/gray nonviable tissue to yellow slough,
and finally to firm leathery hard black eschar.
You have a patient in acute care who has multiple risk factors for skin breakdown.
Which of the following statements are true regarding frequency of skin assessments?
Select one:
a. A head to toe skin assessments should be done only upon initial admission.
b. Patients at risk for skin break down should have at least a daily skin inspection.
c. Skin inspection should be performed twice an eight-hour shift for those at risk.
d. Skin inspections should only be done daily if the patient has a wound. - Correct
Answers -b. Patients at risk for skin break down should have at least a daily skin
inspection.
At least a daily skin inspection is recommended for patients at risk for skin integrity
issues. Frequency of reassessment is dependent upon many variables i.e. care setting,
co-morbidities, immunosuppression, tissue tolerance, continence status, nutrition,
mobility etc. thus frequency of assessment may change over time.
What is the primary reason for taking the time to perform a comprehensive assessment
to identify protein energy malnutrition as opposed to ordering a simple blood draw to
formulate a diagnosis?
Select one:
a. Blood tests do not provide a 'stand-alone' assessment.
b. None, blood test for malnutrition are completely reliable.
c. There are no blood tests available.
d. There is a high incidence of false-positive results with blood tests. - Correct Answers
-a. Blood tests do not provide a 'stand-alone' assessment.
It is critical to realize that there is no laboratory test that can provide a "stand-alone"
assessment of an individual's nutritional status.
You are performing a wound assessment on a patient with a plantar foot ulceration.
Wound assessment reveals a full thickness ulcer, with scant amount of serosanguinous
drainage. You note that the wound base is pale pink and there is a tunnel at 3 o'clock.
The wound measurements are unchanged in the last 2 week's wound assessments.
,The patient denies pain with palpation but you note mild periwound erythema. What
would be your BEST response in the developing the plan of care for this patient?
Select one:
a. Apply an antimicrobial hydrofiber rope into the tunnel.
b. Apply topical antibiotic ointment with a gauze strip wicked into the tunnel.
c. Apply a silver hydrogel impregnated gauze strip wicked into the tunnel.
d. Call primary care provider for oral antibiotics. - Correct Answers -c. Apply a silver
hydrogel impregnated gauze strip wicked into the tunnel.
Goal for this ulcer is to maintain the moist wound environment and add a topical
antimicrobial agent. No progress in this wound in the last 2 weeks plus mild periwound
erythema may be a sign of critical colonization; minimal drainage thus a silver hydrogel
to donate moisture to wound with a wick to accommodate the tunnel is the BEST topical
therapy as the primary dressing.
Which of the following wounds will heal with scar formation?
Select one:
a. Full thickness wound.
b. Partial thickness wound.
c. Classification 2 skin tear.
d. Stage II pressure ulcer. - Correct Answers -a. Full thickness wound.
Scar tissue formation only occurs when there is full thickness skin loss (remember full
thickness is damage through the epidermis and dermis and into the subcutaneous or
lower layers/structures). Class 2 skin tears and stage 2 pressure ulcers are partial
thickness.
When the skin around a wound develops a whitish appearance, it can be described as:
Select one:
a. Desiccated.
b. Excoriated.
c. Indurated.
d. Macerated. - Correct Answers -d. Macerated.
As you setup a skin care program, you identify the elderly to be at risk for skin tears due
to the effects of aging on:
Select one:
a. Tissue oxygenation.
b. Rete ridges.
c. Growth factors.
d. Tissue macrophages. - Correct Answers -b. Rete ridges.
, With aging, the dermal-epidermal junction (specifically the rete ridges and dermal
papillae) flatten and it is this flattening of the rete ridges that places the elderly at risk for
skin tears. Aging itself has no effect on macrophages, growth factors or tissue
oxygenation that would lead to skin tear.
As wound healing progresses, collagen deposition and remodeling occur and has which
of the following effects?
Select one:
a. Reduced cytokine production.
b. Increased tensile strength.
c. Restored innervation.
d. Increased monocyte activity. - Correct Answers -b. Increased tensile strength.
The collagen (Type 3) that was first produced has very little strength. During the
remodeling phase, more resilient collagen (Type 1) is being made and the weaker
collagen is broken down (hence the term remodeling). Collagen provides tensile
strength to the skin so that it won't rupture under pressure.
Which of the following cells plays a central role in initiating the wound repair process?
Select one:
a. Endothelial cells.
b. Fibroblasts.
c. Platelets.
d. Langerhan's cells. - Correct Answers -c. Platelets.
The clotting process (hemostasis phase), includes the rupturing of platelets, that
triggers the entire wound healing cascade of events. When the platelets rupture, growth
factors and cytokines are released.
Which of the following dressings would be most appropriate for a patient with a full-
thickness pressure ulcer with significant undermining and a dry wound bed?
Select one:
a. Wet-to-dry gauze.
b. Hydrogel impregnated gauze.
c. Hydrocolloid wafer.
d. Alginate. - Correct Answers -b. Hydrogel impregnated gauze.
The goal for this ulcer is to donate moisture, fill the dead space, and the dressing be
retrievable. the hydrogel impregnated gauze is appropriate because it will fill the dead
space, be retrievable and provide moisture.
