SEM580 EXAM STUDY GUIDE 2025/2026 QUESTIONS WITH
ANSWERS RATED A+
✔✔MARSI can be prevented with the proper technique of adhesive removal by: -
✔✔Removing the adhesive in the direction the hair grows
✔✔Nutritional interventions for wound repair, unless contraindicated, include: -
✔✔Protein needs of 1.25-1.5 g/kg/day.
✔✔What function does IRON primary play in skin or wound repair? - ✔✔Oxygen
transport.
✔✔What function does vitamin A play in maintaining skin and wound repair? -
✔✔Reduces steroid negative effects.
✔✔Which of the following statement is true regarding MARSI (medical adhesive related
skin injury) damage? - ✔✔Partial thickness skin injury due to friction or moisture
✔✔Which of the following statements is MOST appropriate in the application or removal
of an adhesive type of product? - ✔✔Push and pull method with removal.
✔✔International Skin Tear Advisory Panel (ISTAP) Type 2 skin tear is described as: -
✔✔viable epidermal flap with some degree of skin loss that cannot be repostioned to
cover the wound.
✔✔Treatment measures include which of the following for a Type 3 skin tear? -
✔✔Absorbent dressing with low adhesive and high MVTR i.e. silicone foam.
✔✔Which of the following statements is FALSE regarding MARSI (Medical Adhesive-
related Skin Injuries)? - ✔✔Adhesive products should be removed quickly at a 90-
degree angle to general a high peel force.
✔✔Which of the following statements is FALSE in effective skin preparation prior to
application of an adhesive product? - ✔✔Excessive hair should be shaved from the
area.
✔✔Which of the following statements is an ideal adhesive alternative for dressing
securement on a lower extremity? - ✔✔Tubular elastic dressing.
✔✔Medical adhesive products can produce allergic or contact dermatitis. Which of the
following statements BEST demonstrates a skin reaction from the medical adhesive -
✔✔Well-defined vesicles (small blisters) found upon removal of adhesive product.
, ✔✔Which of the following treatments would be most appropriate for the management of
a partial thickness wound with a fully approximated epidermal flap? - ✔✔Re-
approximate edges and apply a non-adherent dressing.
✔✔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? -
✔✔Patients at risk for skin breakdown should have at least a daily skin inspection.
✔✔When the skin around a wound develops a whitish appearance, it can be described
as: - ✔✔Macerated
✔✔A 32-year-old patient has several linear, hollowed-out, crusted lesions with the loss
of epidermis on his left lower leg. In his visit documentation, you describe these lesions
as a: - ✔✔Excoriation
✔✔You have a patient with a macular-papular redden rash to their lower leg. Which of
the following dermatologic terms describes this assessment? - ✔✔Flat and palpable
skin discolorations <1 cm
✔✔You are assessing a skin lesion to the upper arm that is elevated, serous fluid filled
beneath the epidermis that is 2X3 cm. The correct dermatologic term for this is which of
the following: - ✔✔Bulla
✔✔You have a patient with reticulated (lace-like) macules and papules that are dark
maroon to purple. Which of the following terms BEST describes this type of skin lesion:
- ✔✔Purpura
✔✔Mr. Smith has significant edema to his lower extremities. What is the preferred
method to measure his edematous legs to see if it is reduced over time? - ✔✔Use a
"point of reference" so the circumference is measured the same way each time
✔✔Upon a head-to-toe patient skin inspection, the nurse noted brown and reddish
staining on the lower extremities near the ankles as well as leg edema and tortuous
varicosities. The WOC nurse specialist provided the following term to describe this leg
lesion: - ✔✔Hemosiderosis
✔✔Which of the following describes the loss of epidermis due to a rupture of a vesicle
or bulla? - ✔✔Erosion
✔✔Which of the following is the primary purpose of a comprehensive patient
assessment across the scopes? - ✔✔Gather clues regarding the potential etiology of a
wound, ostomy, or continence issue
ANSWERS RATED A+
✔✔MARSI can be prevented with the proper technique of adhesive removal by: -
✔✔Removing the adhesive in the direction the hair grows
✔✔Nutritional interventions for wound repair, unless contraindicated, include: -
✔✔Protein needs of 1.25-1.5 g/kg/day.
✔✔What function does IRON primary play in skin or wound repair? - ✔✔Oxygen
transport.
✔✔What function does vitamin A play in maintaining skin and wound repair? -
✔✔Reduces steroid negative effects.
✔✔Which of the following statement is true regarding MARSI (medical adhesive related
skin injury) damage? - ✔✔Partial thickness skin injury due to friction or moisture
✔✔Which of the following statements is MOST appropriate in the application or removal
of an adhesive type of product? - ✔✔Push and pull method with removal.
✔✔International Skin Tear Advisory Panel (ISTAP) Type 2 skin tear is described as: -
✔✔viable epidermal flap with some degree of skin loss that cannot be repostioned to
cover the wound.
✔✔Treatment measures include which of the following for a Type 3 skin tear? -
✔✔Absorbent dressing with low adhesive and high MVTR i.e. silicone foam.
✔✔Which of the following statements is FALSE regarding MARSI (Medical Adhesive-
related Skin Injuries)? - ✔✔Adhesive products should be removed quickly at a 90-
degree angle to general a high peel force.
✔✔Which of the following statements is FALSE in effective skin preparation prior to
application of an adhesive product? - ✔✔Excessive hair should be shaved from the
area.
✔✔Which of the following statements is an ideal adhesive alternative for dressing
securement on a lower extremity? - ✔✔Tubular elastic dressing.
✔✔Medical adhesive products can produce allergic or contact dermatitis. Which of the
following statements BEST demonstrates a skin reaction from the medical adhesive -
✔✔Well-defined vesicles (small blisters) found upon removal of adhesive product.
, ✔✔Which of the following treatments would be most appropriate for the management of
a partial thickness wound with a fully approximated epidermal flap? - ✔✔Re-
approximate edges and apply a non-adherent dressing.
✔✔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? -
✔✔Patients at risk for skin breakdown should have at least a daily skin inspection.
✔✔When the skin around a wound develops a whitish appearance, it can be described
as: - ✔✔Macerated
✔✔A 32-year-old patient has several linear, hollowed-out, crusted lesions with the loss
of epidermis on his left lower leg. In his visit documentation, you describe these lesions
as a: - ✔✔Excoriation
✔✔You have a patient with a macular-papular redden rash to their lower leg. Which of
the following dermatologic terms describes this assessment? - ✔✔Flat and palpable
skin discolorations <1 cm
✔✔You are assessing a skin lesion to the upper arm that is elevated, serous fluid filled
beneath the epidermis that is 2X3 cm. The correct dermatologic term for this is which of
the following: - ✔✔Bulla
✔✔You have a patient with reticulated (lace-like) macules and papules that are dark
maroon to purple. Which of the following terms BEST describes this type of skin lesion:
- ✔✔Purpura
✔✔Mr. Smith has significant edema to his lower extremities. What is the preferred
method to measure his edematous legs to see if it is reduced over time? - ✔✔Use a
"point of reference" so the circumference is measured the same way each time
✔✔Upon a head-to-toe patient skin inspection, the nurse noted brown and reddish
staining on the lower extremities near the ankles as well as leg edema and tortuous
varicosities. The WOC nurse specialist provided the following term to describe this leg
lesion: - ✔✔Hemosiderosis
✔✔Which of the following describes the loss of epidermis due to a rupture of a vesicle
or bulla? - ✔✔Erosion
✔✔Which of the following is the primary purpose of a comprehensive patient
assessment across the scopes? - ✔✔Gather clues regarding the potential etiology of a
wound, ostomy, or continence issue
