MULTIDIMENSIONAL CARE 1 EXAM 3
WITH CORRECT ANSWERS 2025
Functions of the skin ( Correct answers ) protects from invasion of
pathogens thermoregulator
fluid and electrolyte
balance perception of
pain
provides comfort
Classifications of wound contamination ( Correct
answers ) clean clean-contaminated
contaminat
ed infected
Clean
wound
( Correct
answers )
minimal
inflammatio
n
Clean-contaminated wound ( Correct answers ) increased risk for
infection Contaminated wound ( Correct answers ) high-risk for
infections
Infected wound ( Correct answers ) bacteria count is >100K
Classifications of wound depth ( Correct answers )
superficial partial thickness
full-thickness
penetrating
Superficial wound ( Correct answers ) damage to
epidermis
Partial thickness wound ( Correct answers ) damage to epidermis and
some dermis Full-thickness wound ( Correct answers ) reaches the
subcutaneous and could pass Penetrating wound ( Correct answers )
involves internal organs
Phases of wound healing ( Correct answers )
hemostasis inflammatory phase
proliferative
,Inflammatory phase of wound healing ( Correct answers ) cleaning
Proliferative phase of wound healing ( Correct answers )
granulation Maturation phase of wound healing ( Correct
answers ) scar
Types of wound healing ( Correct answers )
regenerative/epithelial first intention
second intention
third intention
Regenerative/Epithelial healing ( Correct answers ) when only the epidermis
and part of the dermis are lost; no scar forms
First intention wound healing ( Correct answers ) wound edges can connect
Second intention wound healing ( Correct answers ) wound edges cannot
connect and need help to heal
Third intention wound healing ( Correct answers ) delayed healing that
later can be closed
Serous wound drainage ( Correct answers ) clear, watery, typical
clean wounds Sanguineous wound drainage ( Correct answers )
bloody
Serosanguineous wound drainage ( Correct answers ) bloody
and serous Purulent wound drainage ( Correct answers ) pus
Purosanguineous wound drainage ( Correct answers )
bloody pus Dehiscence ( Correct answers ) separation
Evisceration ( Correct answers ) total separation
Fistula ( Correct answers ) abnormal connection between
two cavities
Fungal infection culture ( Correct answers ) obtained by scraping scales
from skin lesions into a clean container
specimen may be treated with potassium hydroxide and examined
microscopically to
determine the presence of branched hyphae
Bacterial infection culture ( Correct answers ) specimen taken from the
drainage of the lesion and placed on a bacterial culture medium
, Viral infection culture ( Correct answers ) herpes lesion vesicle fluid is
obtained with a cotton swab and then placed on a tzanck smear
Punch biopsy ( Correct answers ) 2-6 cm plug of tissue is removed
Shave biopsy ( Correct answers ) removal of a raised lesion on the skin
surface
Excisional biopsy ( Correct answers ) obtained with a scalpel and have a
scar similar to a surgical wound
Skin biopsy after-care ( Correct answers ) keep dressing dry and intact for at
least
*eight* hours
clean site
daily
antibiotic cream may be prescribed to reduce risk of
infection report any redness of drainage
if sutures are used, they are usually removed after 7-
10 days
Wood's light exam ( Correct answers ) UV light used
to expose skin infections
Diascopy ( Correct answers ) painless technique used to eliminate
erythema to reveal the shape of a skin lesion
Pressure injuries ( Correct answers ) loss of tissue integrity caused by
compression of skin between a bony prominence and an external surface
pressure results in decreased tissue perfusion, hypoxemia, tissue ischemia
and cellular
death
Assessment to prevent a pressure injury ( Correct answers )
mobility status impaired sensation
impaired communication
friction and shear; keep bed at *30 degrees*
or below moisture leads to maceration
(softening)
impaired nutritional status especially protein
malnutrition
past-history of pressure injuries
Braden Risk Assessment Scale ( Correct answers ) sensory
perception moisture
activit
y
mobilit
y
nutriti
on
frictio
n and
shear
WITH CORRECT ANSWERS 2025
Functions of the skin ( Correct answers ) protects from invasion of
pathogens thermoregulator
fluid and electrolyte
balance perception of
pain
provides comfort
Classifications of wound contamination ( Correct
answers ) clean clean-contaminated
contaminat
ed infected
Clean
wound
( Correct
answers )
minimal
inflammatio
n
Clean-contaminated wound ( Correct answers ) increased risk for
infection Contaminated wound ( Correct answers ) high-risk for
infections
Infected wound ( Correct answers ) bacteria count is >100K
Classifications of wound depth ( Correct answers )
superficial partial thickness
full-thickness
penetrating
Superficial wound ( Correct answers ) damage to
epidermis
Partial thickness wound ( Correct answers ) damage to epidermis and
some dermis Full-thickness wound ( Correct answers ) reaches the
subcutaneous and could pass Penetrating wound ( Correct answers )
involves internal organs
Phases of wound healing ( Correct answers )
hemostasis inflammatory phase
proliferative
,Inflammatory phase of wound healing ( Correct answers ) cleaning
Proliferative phase of wound healing ( Correct answers )
granulation Maturation phase of wound healing ( Correct
answers ) scar
Types of wound healing ( Correct answers )
regenerative/epithelial first intention
second intention
third intention
Regenerative/Epithelial healing ( Correct answers ) when only the epidermis
and part of the dermis are lost; no scar forms
First intention wound healing ( Correct answers ) wound edges can connect
Second intention wound healing ( Correct answers ) wound edges cannot
connect and need help to heal
Third intention wound healing ( Correct answers ) delayed healing that
later can be closed
Serous wound drainage ( Correct answers ) clear, watery, typical
clean wounds Sanguineous wound drainage ( Correct answers )
bloody
Serosanguineous wound drainage ( Correct answers ) bloody
and serous Purulent wound drainage ( Correct answers ) pus
Purosanguineous wound drainage ( Correct answers )
bloody pus Dehiscence ( Correct answers ) separation
Evisceration ( Correct answers ) total separation
Fistula ( Correct answers ) abnormal connection between
two cavities
Fungal infection culture ( Correct answers ) obtained by scraping scales
from skin lesions into a clean container
specimen may be treated with potassium hydroxide and examined
microscopically to
determine the presence of branched hyphae
Bacterial infection culture ( Correct answers ) specimen taken from the
drainage of the lesion and placed on a bacterial culture medium
, Viral infection culture ( Correct answers ) herpes lesion vesicle fluid is
obtained with a cotton swab and then placed on a tzanck smear
Punch biopsy ( Correct answers ) 2-6 cm plug of tissue is removed
Shave biopsy ( Correct answers ) removal of a raised lesion on the skin
surface
Excisional biopsy ( Correct answers ) obtained with a scalpel and have a
scar similar to a surgical wound
Skin biopsy after-care ( Correct answers ) keep dressing dry and intact for at
least
*eight* hours
clean site
daily
antibiotic cream may be prescribed to reduce risk of
infection report any redness of drainage
if sutures are used, they are usually removed after 7-
10 days
Wood's light exam ( Correct answers ) UV light used
to expose skin infections
Diascopy ( Correct answers ) painless technique used to eliminate
erythema to reveal the shape of a skin lesion
Pressure injuries ( Correct answers ) loss of tissue integrity caused by
compression of skin between a bony prominence and an external surface
pressure results in decreased tissue perfusion, hypoxemia, tissue ischemia
and cellular
death
Assessment to prevent a pressure injury ( Correct answers )
mobility status impaired sensation
impaired communication
friction and shear; keep bed at *30 degrees*
or below moisture leads to maceration
(softening)
impaired nutritional status especially protein
malnutrition
past-history of pressure injuries
Braden Risk Assessment Scale ( Correct answers ) sensory
perception moisture
activit
y
mobilit
y
nutriti
on
frictio
n and
shear
