FPCC- Skin Integrity and Wound Care Exam Questions and Answers Graded A+
approximated wound edges - Answers (also called borders, or margins) are well connected without
gaps.
Blanching - Answers Redness of skin turns white when pressed
Clinical Manifestations - Answers the presenting signs and symptoms of the disease
Co-morbidity - Answers the simultaneous presence of two chronic diseases or conditions in a patient
Debridement - Answers The removal of foreign matter or dead tissue from a wound
Deep tissue injury - Answers Pressure ulcers characterized by a purple or maroon localized area,
discolored intact or non-intact skin or blood filled blister. Tissue is painful, firm, mushy, or boggy area
that is warmer than adjacent tissue. Difficult to detect in dark skin.
Injury results from intense or prolonged pressure and shear forces at the bone-muscle interface
Dehiscence - Answers Separation of one or more layers of a wound approximately 3-11 days after injury
of surgery. Often occurs with activity and is seen in obese individuals due to the increased pressure.
Cover it up with a sterile dressing, and notify the surgeon
Dermis - Answers Lies below the epidermis and above the subcutaneous tissue that is supplied with
blood vessels. Provides strength and elasticity to the skin.
EX: sebaceous glands, nail follices, etc.
Edema - Answers Swelling of tissue from the accumulation of fluid
Epibole - Answers closed or rolled wound edges
Epidermis - Answers outermost layer of skin
Epithelialization - Answers stage of wound healing in which epithelial cells form across the surface of a
wound; tissue color ranges from the color of "ground glass" to pink
Erythema - Answers Swelling; redness of the skin due to capillary dilation
Eschar - Answers Dead tissue that is a result of an unstageable pressure injury.
Etiology - Answers the study of the causes of diseases
Evisceration - Answers wound separation with protrusion of organs. Occurs six to eight days post-
operation.
, Immediately cover with sterile towels and sterile saline *DON'T USE A BINDER*
Notify surgeon and monitor for hemorrage
Exudate - Answers *DRAINAGE* fluid, such as pus, that leaks out of an infected wound
Fistula - Answers abnormal passageway between two body cavities or a cavity and the skin. Result of
infection or debris left in the wound.
Granulation tissue - Answers the tissue that forms during the healing of a wound
Hematoma - Answers A red-blue collection of blood under the skin. Forms when bleeding cannot escape
to the surface.
Hemorrhage - Answers Profuse or rapid blood loss
Hemostasis - Answers to stop or control bleeding
Induration - Answers Raised and possibly swollen
Ischemia - Answers reduced blood flow
Laceration - Answers The skin or mucous membranes are torn open, resulting in a wound with jagged
margins
Maceration - Answers excessive moisture pooling on skin for periods of time, which causes a softening
of the skin. Appears wrinkled, pruned, may flake and peel
Necrotic - Answers containing dead tissue
Pressure injury - Answers Wounds caused by intense or prolonged pressure.
Purulent - Answers yellow wound drainage, contains pus
Reactive hyperemia - Answers redness of the skin resulting from dilation of the superficial capillaries
sanguineous exudate - Answers bloody drainage that indicates damage to the capillaries. *deep wounds
or wounds in highly vascular areas*
Serosanguineous Drainage - Answers mixture of serum *straw color fluid* and red blood cells *new
wounds*
Factors that affect the client's ability to maintain or regain skin integrity. - Answers Age, impaired
mobility, nutrition and hydration, diminished sensation or cognition, impaired circulation, medications,
moisture on skin, fever, contamination or infection and lifestyle.
Classifying wounds - Answers Integrity of the skin
Length of healing time
approximated wound edges - Answers (also called borders, or margins) are well connected without
gaps.
Blanching - Answers Redness of skin turns white when pressed
Clinical Manifestations - Answers the presenting signs and symptoms of the disease
Co-morbidity - Answers the simultaneous presence of two chronic diseases or conditions in a patient
Debridement - Answers The removal of foreign matter or dead tissue from a wound
Deep tissue injury - Answers Pressure ulcers characterized by a purple or maroon localized area,
discolored intact or non-intact skin or blood filled blister. Tissue is painful, firm, mushy, or boggy area
that is warmer than adjacent tissue. Difficult to detect in dark skin.
Injury results from intense or prolonged pressure and shear forces at the bone-muscle interface
Dehiscence - Answers Separation of one or more layers of a wound approximately 3-11 days after injury
of surgery. Often occurs with activity and is seen in obese individuals due to the increased pressure.
Cover it up with a sterile dressing, and notify the surgeon
Dermis - Answers Lies below the epidermis and above the subcutaneous tissue that is supplied with
blood vessels. Provides strength and elasticity to the skin.
EX: sebaceous glands, nail follices, etc.
Edema - Answers Swelling of tissue from the accumulation of fluid
Epibole - Answers closed or rolled wound edges
Epidermis - Answers outermost layer of skin
Epithelialization - Answers stage of wound healing in which epithelial cells form across the surface of a
wound; tissue color ranges from the color of "ground glass" to pink
Erythema - Answers Swelling; redness of the skin due to capillary dilation
Eschar - Answers Dead tissue that is a result of an unstageable pressure injury.
Etiology - Answers the study of the causes of diseases
Evisceration - Answers wound separation with protrusion of organs. Occurs six to eight days post-
operation.
, Immediately cover with sterile towels and sterile saline *DON'T USE A BINDER*
Notify surgeon and monitor for hemorrage
Exudate - Answers *DRAINAGE* fluid, such as pus, that leaks out of an infected wound
Fistula - Answers abnormal passageway between two body cavities or a cavity and the skin. Result of
infection or debris left in the wound.
Granulation tissue - Answers the tissue that forms during the healing of a wound
Hematoma - Answers A red-blue collection of blood under the skin. Forms when bleeding cannot escape
to the surface.
Hemorrhage - Answers Profuse or rapid blood loss
Hemostasis - Answers to stop or control bleeding
Induration - Answers Raised and possibly swollen
Ischemia - Answers reduced blood flow
Laceration - Answers The skin or mucous membranes are torn open, resulting in a wound with jagged
margins
Maceration - Answers excessive moisture pooling on skin for periods of time, which causes a softening
of the skin. Appears wrinkled, pruned, may flake and peel
Necrotic - Answers containing dead tissue
Pressure injury - Answers Wounds caused by intense or prolonged pressure.
Purulent - Answers yellow wound drainage, contains pus
Reactive hyperemia - Answers redness of the skin resulting from dilation of the superficial capillaries
sanguineous exudate - Answers bloody drainage that indicates damage to the capillaries. *deep wounds
or wounds in highly vascular areas*
Serosanguineous Drainage - Answers mixture of serum *straw color fluid* and red blood cells *new
wounds*
Factors that affect the client's ability to maintain or regain skin integrity. - Answers Age, impaired
mobility, nutrition and hydration, diminished sensation or cognition, impaired circulation, medications,
moisture on skin, fever, contamination or infection and lifestyle.
Classifying wounds - Answers Integrity of the skin
Length of healing time
