NSG 100 Sherpath Test 2 Questions
With Correct Answers
Which functions are associated with the skin - ANSWER Transmits sensations of
pain
Regulates body temperature
Forms an effective barrier against environemental hazards
Assists with the elimination of toxins and wastes from the body
Which description regarding the subcutaneous skin layer is correct - ANSWER
Provides a cushioning effect
Which function will be compromised if the dermis is injured - ANSWER Blood
supply to the skin
Which substance provides the skin with color - ANSWER Melanin
Which response is a result of poor perfusion to the skin - ANSWER Reduced
production of fibroblasts
Which patient situation is an example of friction - ANSWER A patient's leg
rubbing against the side rail of a bed
Which statement about ultraviolet light is accurate - ANSWER Ultraviolet light A
(UVA) penetrates the dermis
Which change is associated with aging of the skin - ANSWER Reduced.
Insulation and cushioning, resulting in an increased risk for skin trauma and
heat loss
Which classifications are used to identify wounds - ANSWER Cause
Depth
Contamination level
Healing time
Which wound is classified as a closed wound - ANSWER Bruise
,Which statements are accurate about wound classifications based on the depth
of the wound - ANSWER Superficial and partial-thickness wounds tend to heal
quickly
Superficial wounds affect only the epidermis
Full-thickness wounds affect all layers of skin and the bone
Results in pain and redness - ANSWER Superficial burn
Results in extreme pain and blistering - ANSWER Partial thickness burn
Results in charred skin - ANSWER Full thickness burn
Extends into the subcutaneous tissue but not the fascia - ANSWER Stage 3
pressure injur
Intact, no blistered skin - ANSWER Stage 1 pressure injury
Full-thickness wound with Escher - ANSWER Unstageable pressure injury
Involves the epidermis and dermis - ANSWER Stage 2 pressure injury
Which information would the nurse share with a patient about wound healing by
tertiary intention - ANSWER The wound will be closed later when the infection
risk is reduced
Which term describes the last phase of wound healing - ANSWER Maturation
Which primary objective does the proliferative phase of wound healing achieve -
ANSWER Producing granulation tissue
Which complication allows visceral organs to be posed through an incision -
ANSWER Evisceration
Which definition of a fistula is correct - ANSWER Abnormal connection between
two internal organs
Which statement regarding the skin is accurate - ANSWER It is closely linked to
personal identity
Which cells join the epidermis and dermis and are arranged in a single layers -
ANSWER Basal cells
Healing is from the bottom and sides of the wound - ANSWER Secondary
intention
Edges are approximated - ANSWER Primary intention
, There is a delay between injury and closure - ANSWER Tertiary intention
Which characteristics of aging cause the skin to be fragile, loose, dry, and
transparent - ANSWER Loss of elastin
A decrease in the number of sweat glands
A smoothing of the layer of skin under the epidermis
Which response is likely when a patient who has a full-thickness wound receives
a steroid - ANSWER Healing time will slow
Which characteristic accurately describes the dermis - ANSWER Is an area for
sebaceous glands
Which effect on the wound would likely occur if a patient with pressure injuries
smoked - ANSWER Receives less oxygen
Which strategy would the nurse use to classify a burn - ANSWER According to
the skin layer damaged
Which features describe the subcutaneous layer of skin - ANSWER Provides
insulation to protect against both heat and cold
Cushions bony prominences and internal organs
Which nutrients would need to be increased in the diet of a patient with full-
thickness burns - ANSWER Zinc
Copper
Protein
Vitamin A
Vitamin C
Which classification would the nurse use for staging a pressure injury that has a
full-thickness wound and extends into the subcutaneous tissue, but not into the
fascia, muscle, or bone - ANSWER Stage 3
Which phase of wound healing is characterized by a patient who reports that the
bumpy and granular injured site "bleeds easily" - ANSWER Proliferative
Which type of opening occurs in a patient who has an enterocutaneous fistula -
ANSWER Between the skin and the intestine
Which complication would the nurse identify for the healthcare provider in a
patient whose surgical incision "popped" open and is draining fluid - ANSWER
Dehiscence
With Correct Answers
Which functions are associated with the skin - ANSWER Transmits sensations of
pain
Regulates body temperature
Forms an effective barrier against environemental hazards
Assists with the elimination of toxins and wastes from the body
Which description regarding the subcutaneous skin layer is correct - ANSWER
Provides a cushioning effect
Which function will be compromised if the dermis is injured - ANSWER Blood
supply to the skin
Which substance provides the skin with color - ANSWER Melanin
Which response is a result of poor perfusion to the skin - ANSWER Reduced
production of fibroblasts
Which patient situation is an example of friction - ANSWER A patient's leg
rubbing against the side rail of a bed
Which statement about ultraviolet light is accurate - ANSWER Ultraviolet light A
(UVA) penetrates the dermis
Which change is associated with aging of the skin - ANSWER Reduced.
Insulation and cushioning, resulting in an increased risk for skin trauma and
heat loss
Which classifications are used to identify wounds - ANSWER Cause
Depth
Contamination level
Healing time
Which wound is classified as a closed wound - ANSWER Bruise
,Which statements are accurate about wound classifications based on the depth
of the wound - ANSWER Superficial and partial-thickness wounds tend to heal
quickly
Superficial wounds affect only the epidermis
Full-thickness wounds affect all layers of skin and the bone
Results in pain and redness - ANSWER Superficial burn
Results in extreme pain and blistering - ANSWER Partial thickness burn
Results in charred skin - ANSWER Full thickness burn
Extends into the subcutaneous tissue but not the fascia - ANSWER Stage 3
pressure injur
Intact, no blistered skin - ANSWER Stage 1 pressure injury
Full-thickness wound with Escher - ANSWER Unstageable pressure injury
Involves the epidermis and dermis - ANSWER Stage 2 pressure injury
Which information would the nurse share with a patient about wound healing by
tertiary intention - ANSWER The wound will be closed later when the infection
risk is reduced
Which term describes the last phase of wound healing - ANSWER Maturation
Which primary objective does the proliferative phase of wound healing achieve -
ANSWER Producing granulation tissue
Which complication allows visceral organs to be posed through an incision -
ANSWER Evisceration
Which definition of a fistula is correct - ANSWER Abnormal connection between
two internal organs
Which statement regarding the skin is accurate - ANSWER It is closely linked to
personal identity
Which cells join the epidermis and dermis and are arranged in a single layers -
ANSWER Basal cells
Healing is from the bottom and sides of the wound - ANSWER Secondary
intention
Edges are approximated - ANSWER Primary intention
, There is a delay between injury and closure - ANSWER Tertiary intention
Which characteristics of aging cause the skin to be fragile, loose, dry, and
transparent - ANSWER Loss of elastin
A decrease in the number of sweat glands
A smoothing of the layer of skin under the epidermis
Which response is likely when a patient who has a full-thickness wound receives
a steroid - ANSWER Healing time will slow
Which characteristic accurately describes the dermis - ANSWER Is an area for
sebaceous glands
Which effect on the wound would likely occur if a patient with pressure injuries
smoked - ANSWER Receives less oxygen
Which strategy would the nurse use to classify a burn - ANSWER According to
the skin layer damaged
Which features describe the subcutaneous layer of skin - ANSWER Provides
insulation to protect against both heat and cold
Cushions bony prominences and internal organs
Which nutrients would need to be increased in the diet of a patient with full-
thickness burns - ANSWER Zinc
Copper
Protein
Vitamin A
Vitamin C
Which classification would the nurse use for staging a pressure injury that has a
full-thickness wound and extends into the subcutaneous tissue, but not into the
fascia, muscle, or bone - ANSWER Stage 3
Which phase of wound healing is characterized by a patient who reports that the
bumpy and granular injured site "bleeds easily" - ANSWER Proliferative
Which type of opening occurs in a patient who has an enterocutaneous fistula -
ANSWER Between the skin and the intestine
Which complication would the nurse identify for the healthcare provider in a
patient whose surgical incision "popped" open and is draining fluid - ANSWER
Dehiscence
