SEM580 EXAMINATION TEST 2025/2026 QUESTIONS WITH
ANSWERS RATED A+
✔✔90 year old female in a nursing home has a wound with a fully approximated skin
flap on her left forearm. identify the type of skin damage present:
a. stage 2 pressure injury
b. skin tear, type 1
c. skin tear, type 2
d. skin tear, type 3 - ✔✔b. skin tear, type 1
✔✔which of the following treatments would be most appropriate for the management of
a wound with a fully approximated skin flap?
a. re-approximate edges and apply a non adherent dressing
b. apply transparent film dressing
c. apply hydrocolloid dressing
d. utilize antibiotic ointment with gauze and kerlix (gauze bandage wrap) roll - ✔✔a.
reapproximate edges and apply a non adherent dressing.
✔✔which of the following statements is true in effective skin preparation prior to
application of an adhesive product?
a. prep the skin with an adhesion promoter such as tincture of benzoin
b. standard skin preparation should include skin cleansing, dry and application of liquid
skin barrier film
c. excessive hair is removed with a clipper or scissors rather than shaved.
d. defat the skin prior to application of adhesives with an acetone or alcohol. - ✔✔c.
excessive hair is removed with a clipper or scissors rather than shaved.
✔✔educate the patient and nursing staff to properly remove adhesives by:
a. quickly removing the adhesive at a 90 degree angle to generate a high peel force.
b. always using an adhesive remover.
c. removing adhesives at a 30 degree angle while supporting the skin.
d. use the push-pull technique and support the skin - ✔✔d. use the push-pull technique
and support the skin
✔✔in the lower extremity, the skin may be very friable, necessitating an adhesive
alternative for dressing securement. select the ideal alternative.
a. tubular elastic dressing
b. open weave gauze wrap
c. ace wraps
d. fabric tape - ✔✔a. tubular elastic dressing
✔✔an important aspect of the WOC nurse's role is knowledge and implementation of
risk reduction strategies. select the best example of a risk reduction strategy.
a. have the new WOC nurse make round and discuss care plans for the patients on the
unit.
, b. focus on prevention and early detection of potential complications.
c. identify strategies to increase staff and patient satisfaction
d. implement all WOC cares for the patients so that you can assure quality. - ✔✔b.
focus on prevention and early detection of potential complications.
✔✔you have identified that an ostomy outpatient clinic is necessary to follow patients
after they leave the hospital. what type of customer will be targeted as you develop your
plan?
a. influencers: regulatory bodies and insurance companies.
b. end users: ostomy patients and their families
c. decision makers- administrators
d. influencers and end users - ✔✔c. decision makers- administrators
✔✔Why is it important to clearly delineate your products and services to the health care
team and care setting administration?
a. administrators, nurses and providers can utilize a full range of your services.
b. marketing efforts in the care system can identify a broad range of patient services it
provides. regulatory bodies can recognize the proper use of your services.
c.
d. - ✔✔a. administrators, nurses and providers can utilize a full range of your services.
✔✔which of the following is the primary purpose of a comprehensive patient
assessment across the scopes?
a. gather clues regarding the potential etiology of a wound, ostomy, or continence issue
b. identify support systems to assist the patient at discharge
c. documentation of events to report to risk management
d. documentation to support referral to a dietician - ✔✔a. gather clues regarding the
potential etiology of a wound, ostomy, or continence issue
✔✔as you obtain your past medical history, your patient with metastatic colon cancer
divulges he is having problems with keeping his skin from getting sore between his
buttocks. which of the following may contribute to his skin problem?
a. history of radiation
b. use of skin care products with pH 7.0
c. use of a colostomy pouch
d. good blood sugar control - ✔✔a. history of radiation
✔✔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?
a. a head to toe assessment should be done only upon initial admission
b. patients at risk for skin breakdown 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. - ✔✔b. patients
at risk for skin breakdown should have at least a daily skin inspection.
ANSWERS RATED A+
✔✔90 year old female in a nursing home has a wound with a fully approximated skin
flap on her left forearm. identify the type of skin damage present:
a. stage 2 pressure injury
b. skin tear, type 1
c. skin tear, type 2
d. skin tear, type 3 - ✔✔b. skin tear, type 1
✔✔which of the following treatments would be most appropriate for the management of
a wound with a fully approximated skin flap?
a. re-approximate edges and apply a non adherent dressing
b. apply transparent film dressing
c. apply hydrocolloid dressing
d. utilize antibiotic ointment with gauze and kerlix (gauze bandage wrap) roll - ✔✔a.
reapproximate edges and apply a non adherent dressing.
✔✔which of the following statements is true in effective skin preparation prior to
application of an adhesive product?
a. prep the skin with an adhesion promoter such as tincture of benzoin
b. standard skin preparation should include skin cleansing, dry and application of liquid
skin barrier film
c. excessive hair is removed with a clipper or scissors rather than shaved.
d. defat the skin prior to application of adhesives with an acetone or alcohol. - ✔✔c.
excessive hair is removed with a clipper or scissors rather than shaved.
✔✔educate the patient and nursing staff to properly remove adhesives by:
a. quickly removing the adhesive at a 90 degree angle to generate a high peel force.
b. always using an adhesive remover.
c. removing adhesives at a 30 degree angle while supporting the skin.
d. use the push-pull technique and support the skin - ✔✔d. use the push-pull technique
and support the skin
✔✔in the lower extremity, the skin may be very friable, necessitating an adhesive
alternative for dressing securement. select the ideal alternative.
a. tubular elastic dressing
b. open weave gauze wrap
c. ace wraps
d. fabric tape - ✔✔a. tubular elastic dressing
✔✔an important aspect of the WOC nurse's role is knowledge and implementation of
risk reduction strategies. select the best example of a risk reduction strategy.
a. have the new WOC nurse make round and discuss care plans for the patients on the
unit.
, b. focus on prevention and early detection of potential complications.
c. identify strategies to increase staff and patient satisfaction
d. implement all WOC cares for the patients so that you can assure quality. - ✔✔b.
focus on prevention and early detection of potential complications.
✔✔you have identified that an ostomy outpatient clinic is necessary to follow patients
after they leave the hospital. what type of customer will be targeted as you develop your
plan?
a. influencers: regulatory bodies and insurance companies.
b. end users: ostomy patients and their families
c. decision makers- administrators
d. influencers and end users - ✔✔c. decision makers- administrators
✔✔Why is it important to clearly delineate your products and services to the health care
team and care setting administration?
a. administrators, nurses and providers can utilize a full range of your services.
b. marketing efforts in the care system can identify a broad range of patient services it
provides. regulatory bodies can recognize the proper use of your services.
c.
d. - ✔✔a. administrators, nurses and providers can utilize a full range of your services.
✔✔which of the following is the primary purpose of a comprehensive patient
assessment across the scopes?
a. gather clues regarding the potential etiology of a wound, ostomy, or continence issue
b. identify support systems to assist the patient at discharge
c. documentation of events to report to risk management
d. documentation to support referral to a dietician - ✔✔a. gather clues regarding the
potential etiology of a wound, ostomy, or continence issue
✔✔as you obtain your past medical history, your patient with metastatic colon cancer
divulges he is having problems with keeping his skin from getting sore between his
buttocks. which of the following may contribute to his skin problem?
a. history of radiation
b. use of skin care products with pH 7.0
c. use of a colostomy pouch
d. good blood sugar control - ✔✔a. history of radiation
✔✔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?
a. a head to toe assessment should be done only upon initial admission
b. patients at risk for skin breakdown 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. - ✔✔b. patients
at risk for skin breakdown should have at least a daily skin inspection.
