Integumentary Med Surg Exam UPDATED
ACTUAL Exam Questions and CORRECT
Answers
What are the three structures of the skin - CORRECT ANSWER - Epidermis-layer of
squamous epithelial cells
Dermis-dense irregular connective tissue composed of collagen, blood/lymph vessels, nerves,
sweat glands & hair roots
Subcutaneous fatty tissue- connective & fatty tissue
Keratin - CORRECT ANSWER - is found in the epidermis and is a tough fibrous protein
produced by keratinocytes
Melanin - CORRECT ANSWER - is found in the epidermis and is the pigment that gives
the skin its color made by melanocytes
Sebum - CORRECT ANSWER - is found in the dermis and is an oily substance secreted
by the sebaceous glands that lubricates the skin and keeps it soft and protects the skin from
bacteria
Sweat glands - CORRECT ANSWER - are in the dermis. There are two types:
eccrine- found over most of the body and help regulate body heat through perspiration
apocrine- found in the axillae, anal, scrotum produce BO
What are the four functions of the skin - CORRECT ANSWER - Protection-
Temperature regulation
sensory perception
fluid electrolyte balance
, What is the purpose of hair - CORRECT ANSWER - protects the scalp from ultraviolet
rays and cushions a blow to the head
sensation should be - CORRECT ANSWER - able to distinguish between hot/cold, sharp
and dull
Patch testing - CORRECT ANSWER - determines clients allergies to certain substances
including environmental agents
Norm: no erythematous skin
Primary intention of would healing - CORRECT ANSWER - minimal tissue loss and
edges that are well approximated such as a surgical incision
Secondary intention of wound healing - CORRECT ANSWER - extensive tissue loss and
wounds in which the edges can not be approximated such as a puncture wound
Tertiary intention of wound healing - CORRECT ANSWER - when primary closure is
undesirable such as ruptured bowels or sepsis
Serous Exudate - CORRECT ANSWER - watery in appearance with low protein level
purulent exudate - CORRECT ANSWER - pus, thicker and may vary in color!! THIS IS
NEVER NORMAL
hemorrhagic/sanguineous exudate - CORRECT ANSWER - bright red
serosanguineous - CORRECT ANSWER - clear with some blood tinge
What are the multiple factors that affect wound healing - CORRECT ANSWER - age,
oxygenation, smoking, drug therapy, obesity, diseases
ACTUAL Exam Questions and CORRECT
Answers
What are the three structures of the skin - CORRECT ANSWER - Epidermis-layer of
squamous epithelial cells
Dermis-dense irregular connective tissue composed of collagen, blood/lymph vessels, nerves,
sweat glands & hair roots
Subcutaneous fatty tissue- connective & fatty tissue
Keratin - CORRECT ANSWER - is found in the epidermis and is a tough fibrous protein
produced by keratinocytes
Melanin - CORRECT ANSWER - is found in the epidermis and is the pigment that gives
the skin its color made by melanocytes
Sebum - CORRECT ANSWER - is found in the dermis and is an oily substance secreted
by the sebaceous glands that lubricates the skin and keeps it soft and protects the skin from
bacteria
Sweat glands - CORRECT ANSWER - are in the dermis. There are two types:
eccrine- found over most of the body and help regulate body heat through perspiration
apocrine- found in the axillae, anal, scrotum produce BO
What are the four functions of the skin - CORRECT ANSWER - Protection-
Temperature regulation
sensory perception
fluid electrolyte balance
, What is the purpose of hair - CORRECT ANSWER - protects the scalp from ultraviolet
rays and cushions a blow to the head
sensation should be - CORRECT ANSWER - able to distinguish between hot/cold, sharp
and dull
Patch testing - CORRECT ANSWER - determines clients allergies to certain substances
including environmental agents
Norm: no erythematous skin
Primary intention of would healing - CORRECT ANSWER - minimal tissue loss and
edges that are well approximated such as a surgical incision
Secondary intention of wound healing - CORRECT ANSWER - extensive tissue loss and
wounds in which the edges can not be approximated such as a puncture wound
Tertiary intention of wound healing - CORRECT ANSWER - when primary closure is
undesirable such as ruptured bowels or sepsis
Serous Exudate - CORRECT ANSWER - watery in appearance with low protein level
purulent exudate - CORRECT ANSWER - pus, thicker and may vary in color!! THIS IS
NEVER NORMAL
hemorrhagic/sanguineous exudate - CORRECT ANSWER - bright red
serosanguineous - CORRECT ANSWER - clear with some blood tinge
What are the multiple factors that affect wound healing - CORRECT ANSWER - age,
oxygenation, smoking, drug therapy, obesity, diseases
