SEM580 EVALUATION EXAMS 2025/2026 QUESTIONS
WITH ANSWERS RATED A+
✔✔Vitamin A - ✔✔Long term steroid use can be counteracted with...
✔✔MASD - ✔✔inflammation and erosion of the skin caused by prolonged exposure to
moisture
✔✔ITD - ✔✔Often presents as mirrored erythema on both sides of the fold with an
opening at the base
✔✔PMASD - ✔✔Inflammation and dunudation of the peristomal skin associated with
effluent exposure
✔✔PMASD - ✔✔Increased risk for skin breakdown due to pH extremes and/or high
enzymatic content
✔✔Chronic wounds - ✔✔Exudate contains higher levels of inflammatory cytokines and
proteolytic enzymes
✔✔Serous/bloody drainage - ✔✔Wound drainage that increases risk for periwound
maceration
✔✔Purulent/cloudy drainage - ✔✔Wound drainage with increased risk for breakdown
due to bacterial toxins and MMPs
✔✔IAD - ✔✔Inflammatory response to the injury of the water-protein-lipid matrix of the
skin caused by prolonged exposure to incontinence
✔✔6 Roles of the WOC nurse - ✔✔Clinican, consultant, educator, administrator,
researcher, mentor/preceptor
✔✔4 main risk-factors for skin and soft-tissue injury - ✔✔Moisture, friction, shear,
pressure
✔✔Friction - ✔✔Resistance encountered when the body surface is moved in contact
with another surface (ex. abrasions, rug burns)
✔✔Shear - ✔✔Stress (amount of force on the body surface) + strain (amount of
distortion of the underlying tissue) (ex. tears, DTIs)
✔✔Skin tears - ✔✔Superficial damage to the epidermal layer from shearing is likely to
cause...
, ✔✔DTIs - ✔✔Deep damage to the dermal or hypodermal layers from shearing is likely
to cause...
✔✔Reperfusion injury - ✔✔Return of blood to ischemic tissues causes oxygen derived
free radicals, further damaging tissues
✔✔Skin stripping - ✔✔Detatchment of epidermal cells with the removal of an adhesive
product
✔✔Tension blisters - ✔✔Shear force due to distension of the skin beneath an adhesive
that does not stretch with the skin; commonly seen with post-op dressing removal
✔✔Maceration - ✔✔Softening or dissolution of tissue after lengthy exposure to
moisture; presents as pale discoloration and wrinkling of the skin
✔✔Partial thickness wounds - ✔✔Separation of the epidermis from the dermis
✔✔Full thickness wounds - ✔✔Separation of the epidermis and dermis from underlying
structures
✔✔Type 1 skin tear - ✔✔No tissue loss
Linear or flap which can be repositioned to cover the wound bed
✔✔Type 2 skin tear - ✔✔Partial tissue loss
Flap cannot be repositioned to completely cover the wound bed
✔✔Type 3 skin tear - ✔✔Total tissue loss
Flap is absent and entire wound bed is exposed
✔✔Iron - ✔✔Supports hemoglobin formation, perfusion, cell generation
✔✔Zinc - ✔✔Supports collagen formation
✔✔Copper - ✔✔Essential for the cross-linking of collagen
Supports RBC formation
✔✔Vitamin C - ✔✔Supports iron absorption, fibroblast function, and capillary wall
integrity
✔✔B complex vitamins - ✔✔Cofactor with enzymes
Involved in energy production
✔✔Vitamin A - ✔✔Supports cellular integrity, skin elasticity, angiogenesis
WITH ANSWERS RATED A+
✔✔Vitamin A - ✔✔Long term steroid use can be counteracted with...
✔✔MASD - ✔✔inflammation and erosion of the skin caused by prolonged exposure to
moisture
✔✔ITD - ✔✔Often presents as mirrored erythema on both sides of the fold with an
opening at the base
✔✔PMASD - ✔✔Inflammation and dunudation of the peristomal skin associated with
effluent exposure
✔✔PMASD - ✔✔Increased risk for skin breakdown due to pH extremes and/or high
enzymatic content
✔✔Chronic wounds - ✔✔Exudate contains higher levels of inflammatory cytokines and
proteolytic enzymes
✔✔Serous/bloody drainage - ✔✔Wound drainage that increases risk for periwound
maceration
✔✔Purulent/cloudy drainage - ✔✔Wound drainage with increased risk for breakdown
due to bacterial toxins and MMPs
✔✔IAD - ✔✔Inflammatory response to the injury of the water-protein-lipid matrix of the
skin caused by prolonged exposure to incontinence
✔✔6 Roles of the WOC nurse - ✔✔Clinican, consultant, educator, administrator,
researcher, mentor/preceptor
✔✔4 main risk-factors for skin and soft-tissue injury - ✔✔Moisture, friction, shear,
pressure
✔✔Friction - ✔✔Resistance encountered when the body surface is moved in contact
with another surface (ex. abrasions, rug burns)
✔✔Shear - ✔✔Stress (amount of force on the body surface) + strain (amount of
distortion of the underlying tissue) (ex. tears, DTIs)
✔✔Skin tears - ✔✔Superficial damage to the epidermal layer from shearing is likely to
cause...
, ✔✔DTIs - ✔✔Deep damage to the dermal or hypodermal layers from shearing is likely
to cause...
✔✔Reperfusion injury - ✔✔Return of blood to ischemic tissues causes oxygen derived
free radicals, further damaging tissues
✔✔Skin stripping - ✔✔Detatchment of epidermal cells with the removal of an adhesive
product
✔✔Tension blisters - ✔✔Shear force due to distension of the skin beneath an adhesive
that does not stretch with the skin; commonly seen with post-op dressing removal
✔✔Maceration - ✔✔Softening or dissolution of tissue after lengthy exposure to
moisture; presents as pale discoloration and wrinkling of the skin
✔✔Partial thickness wounds - ✔✔Separation of the epidermis from the dermis
✔✔Full thickness wounds - ✔✔Separation of the epidermis and dermis from underlying
structures
✔✔Type 1 skin tear - ✔✔No tissue loss
Linear or flap which can be repositioned to cover the wound bed
✔✔Type 2 skin tear - ✔✔Partial tissue loss
Flap cannot be repositioned to completely cover the wound bed
✔✔Type 3 skin tear - ✔✔Total tissue loss
Flap is absent and entire wound bed is exposed
✔✔Iron - ✔✔Supports hemoglobin formation, perfusion, cell generation
✔✔Zinc - ✔✔Supports collagen formation
✔✔Copper - ✔✔Essential for the cross-linking of collagen
Supports RBC formation
✔✔Vitamin C - ✔✔Supports iron absorption, fibroblast function, and capillary wall
integrity
✔✔B complex vitamins - ✔✔Cofactor with enzymes
Involved in energy production
✔✔Vitamin A - ✔✔Supports cellular integrity, skin elasticity, angiogenesis
