SEM580 EXAMS SET 2025/2026 QUESTIONS WITH
ANSWERS RATED A+
✔✔understanding the physiology of skin when it is injured by MASD is important. skin
that is occluded by an absorptive type of product (i.e. adult brief) results in what altered
skin barrier effect?
a. decrease in TEWL and skin pH
b. increase in TEWL and skin pH
c. less perspiration
d. reduced friction - ✔✔b. increase in TEWL and skin pH
✔✔intertriginous dermatitis (ITD) is differentiated from incontinence associated skin
damage (IAD) in that:
a. IAD only occurs in skin folds
b. IAD may be complicated by bacterial or fungal infection
c. ITD only occurs between the buttocks
d. the source of moisture and location are different - ✔✔d. the source of moisture and
location are different
✔✔select the statement that is most true regarding IAD (incontinence associated
dermatitis) management
a. skin barrier pastes should be removed entirely following fecal incontinent episodes
b. petroleum based products may reduce the absorbency of disposable undergarments.
c. humectants are an important ingredient in incontinence skin care products
d. soap and water should be used for incontinence skin care management. - ✔✔b.
petroleum based products may reduce the absorbency off disposable undergarments.
✔✔which statement about incontinence related skin damage is true?
a. exposure to a mixture of urine and feces is more irritating than feces alone.
b. the area of skin damaged by incontinent episodes is characterized by pinpoint
satellite lesions along the periphery.
c. containment garments alone are the most effective way to protect the skin from liquid
stool
d. urine with an acidic pH is more damaging to the skin than urine with an alkaline pH. -
✔✔a. exposure to a mixture of urine and feces is more irritating than feces alone.
they interact with each other making them more irritating that one of them alone.
✔✔intertriginous dermatitis (ITD) is defined as inflammation and erosion that occurs
because of:
a. dry skin areas between kin surfaces (i.e. fingers or toes)
b. friction and moisture between skin folds.
c. chemical injury to the skin
d. occlusion used with skin barriers - ✔✔b. friction and moisture between skin folds
, ✔✔You are called to the neonatal intensive care unit regarding appropriate products to
use on the skin of neonates. which of the following products would be considered safe
to use on the neonate's skin?
a. triple antibiotic ointment
b. silicone
c. adhesive removers
d. balsam of peru - ✔✔b. silicone
✔✔which of the following statements is true regarding MARSI (medical adhesive related
skin injury) damage?
a. partial or full thickness skin injury due to mechanical force of pressure
b. partial thickness skin injury due to friction or moisture
c. MARSIs are not usually preventable
d. shave all hair prior to the application of an adhesive product - ✔✔b. partial thickness
skin injury due to friction or moisture
✔✔medical adhesive products can produce allergic or contact dermatitis. which of the
following statements best demonstrates a skin reaction from the medical adhesive:
a. Erythema with macules lesions.
b. pustules with a hair piercing the center after shaving.
c. well defined vesicles (small blisters) found upon removal of adhesive product
d. wheal (raised edema of skin) anywhere on the body. - ✔✔c. well defined vesicles
(small blisters) found upon removal of adhesive product.
✔✔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.
ANSWERS RATED A+
✔✔understanding the physiology of skin when it is injured by MASD is important. skin
that is occluded by an absorptive type of product (i.e. adult brief) results in what altered
skin barrier effect?
a. decrease in TEWL and skin pH
b. increase in TEWL and skin pH
c. less perspiration
d. reduced friction - ✔✔b. increase in TEWL and skin pH
✔✔intertriginous dermatitis (ITD) is differentiated from incontinence associated skin
damage (IAD) in that:
a. IAD only occurs in skin folds
b. IAD may be complicated by bacterial or fungal infection
c. ITD only occurs between the buttocks
d. the source of moisture and location are different - ✔✔d. the source of moisture and
location are different
✔✔select the statement that is most true regarding IAD (incontinence associated
dermatitis) management
a. skin barrier pastes should be removed entirely following fecal incontinent episodes
b. petroleum based products may reduce the absorbency of disposable undergarments.
c. humectants are an important ingredient in incontinence skin care products
d. soap and water should be used for incontinence skin care management. - ✔✔b.
petroleum based products may reduce the absorbency off disposable undergarments.
✔✔which statement about incontinence related skin damage is true?
a. exposure to a mixture of urine and feces is more irritating than feces alone.
b. the area of skin damaged by incontinent episodes is characterized by pinpoint
satellite lesions along the periphery.
c. containment garments alone are the most effective way to protect the skin from liquid
stool
d. urine with an acidic pH is more damaging to the skin than urine with an alkaline pH. -
✔✔a. exposure to a mixture of urine and feces is more irritating than feces alone.
they interact with each other making them more irritating that one of them alone.
✔✔intertriginous dermatitis (ITD) is defined as inflammation and erosion that occurs
because of:
a. dry skin areas between kin surfaces (i.e. fingers or toes)
b. friction and moisture between skin folds.
c. chemical injury to the skin
d. occlusion used with skin barriers - ✔✔b. friction and moisture between skin folds
, ✔✔You are called to the neonatal intensive care unit regarding appropriate products to
use on the skin of neonates. which of the following products would be considered safe
to use on the neonate's skin?
a. triple antibiotic ointment
b. silicone
c. adhesive removers
d. balsam of peru - ✔✔b. silicone
✔✔which of the following statements is true regarding MARSI (medical adhesive related
skin injury) damage?
a. partial or full thickness skin injury due to mechanical force of pressure
b. partial thickness skin injury due to friction or moisture
c. MARSIs are not usually preventable
d. shave all hair prior to the application of an adhesive product - ✔✔b. partial thickness
skin injury due to friction or moisture
✔✔medical adhesive products can produce allergic or contact dermatitis. which of the
following statements best demonstrates a skin reaction from the medical adhesive:
a. Erythema with macules lesions.
b. pustules with a hair piercing the center after shaving.
c. well defined vesicles (small blisters) found upon removal of adhesive product
d. wheal (raised edema of skin) anywhere on the body. - ✔✔c. well defined vesicles
(small blisters) found upon removal of adhesive product.
✔✔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.
