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NUR 205 EXAM 2 QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS
Largest Organ of the body - ANSWER The Skin
Two layers of the skin - ANSWER Epidermis and Dermis
Epidermis - ANSWER top layer of skin
Stratum Corneum - ANSWER Outermost layer of the epidermis,
which consists of flattened, keratinized cells
Define Pressure Ulcers - ANSWER Described as impaired skin
integrity related to unrelieved, prolonged pressure, usually over
a boney prominence
Pressure Ulcer Risk Factors - ANSWER -decreased mobility
-decreased sensory perception
-fecal or urinary incontinence
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-poor nutrition
Individuals at risk for pressure ulcers - ANSWER -older adults
that have experienced a trauma
-those with spinal cord injuries
-those who have sustained a fractured hip
-those in long-term homes or community care, the acutely ill
-individuals with diabetes
-patients in critical care settings (ICU)
Dermis - ANSWER inner layer of skin, provides tensile strength,
mechanical support, and protection for the underlying muscles,
bones, and organs
Tissue Ischemia - ANSWER Pressure applied over a capillary
exceeds the normal capillary pressure, and the vessel is
occluded for a prolonged period of time.
dermal-epidermal junction - ANSWER separates dermis and
epidermis
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3 pressure related factors that contribute to pressure ulcer
development - ANSWER -pressure intensity
-pressure duration
-tissue tolerance
Non-blanchable hyperemia - ANSWER redness that persists
after palpation and indicates tissue damage
Stage 1 Pressure Ulcer - ANSWER -intact skin with
nonblanchable redness
-warm to touch, edema, can be a hardened area
Stage 2 Pressure Ulcer - ANSWER -partial thickness skin loss
-shallow but open
-no slough or drainage
-red/pink wound bed
Stage 3 Pressure ulcer - ANSWER -full thickness tissue loss with
visible underlying fat
-NO bone, muscle or tendon is visible
NUR 205 EXAM 2 QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS
Largest Organ of the body - ANSWER The Skin
Two layers of the skin - ANSWER Epidermis and Dermis
Epidermis - ANSWER top layer of skin
Stratum Corneum - ANSWER Outermost layer of the epidermis,
which consists of flattened, keratinized cells
Define Pressure Ulcers - ANSWER Described as impaired skin
integrity related to unrelieved, prolonged pressure, usually over
a boney prominence
Pressure Ulcer Risk Factors - ANSWER -decreased mobility
-decreased sensory perception
-fecal or urinary incontinence
,2|Page
-poor nutrition
Individuals at risk for pressure ulcers - ANSWER -older adults
that have experienced a trauma
-those with spinal cord injuries
-those who have sustained a fractured hip
-those in long-term homes or community care, the acutely ill
-individuals with diabetes
-patients in critical care settings (ICU)
Dermis - ANSWER inner layer of skin, provides tensile strength,
mechanical support, and protection for the underlying muscles,
bones, and organs
Tissue Ischemia - ANSWER Pressure applied over a capillary
exceeds the normal capillary pressure, and the vessel is
occluded for a prolonged period of time.
dermal-epidermal junction - ANSWER separates dermis and
epidermis
, 3|Page
3 pressure related factors that contribute to pressure ulcer
development - ANSWER -pressure intensity
-pressure duration
-tissue tolerance
Non-blanchable hyperemia - ANSWER redness that persists
after palpation and indicates tissue damage
Stage 1 Pressure Ulcer - ANSWER -intact skin with
nonblanchable redness
-warm to touch, edema, can be a hardened area
Stage 2 Pressure Ulcer - ANSWER -partial thickness skin loss
-shallow but open
-no slough or drainage
-red/pink wound bed
Stage 3 Pressure ulcer - ANSWER -full thickness tissue loss with
visible underlying fat
-NO bone, muscle or tendon is visible
