SEM580 Final Exam review question
with answer
aWhich of the following statements accurately reflects the origins of the WOC
nursing specialty?
A) the first education programs were 8 weeks long and required the learner be in
residence during that period.
B) the 1st WOC nurse specialized in wound care
C) the first education programs had no precepted clinical practicum
D) the origin of the specialty began with a patient who had a stoma. - -D) the origin
of the specialty began with a patient who had a stoma.
-Margaret is a graduate of a WOCN accredited nursing education program. Having
just completed the full scope of practice. Prior to sitting for her certification exam/s,
she can:
a. debride wounds in her facility
b. use the title, WOC nurse
c. recommend and prescribe antifungal agents.
d. use the credential, WOCN. - -b. use the title, WOC nurse
-An essential component of a WOC nursing practice is:
a. establishing an outcomes program to measure results of care.
b. implements, coordinates, and evaluates specialty care.
c. establishing a clinic for outpatient follow up
d. billing for services provided. - -b. implements, coordinates, and evaluates
specialty care.
-Evidence based practice: the highest level of evidence comes from which of the
following sources?
a. case studies
b. prospective studies
c. expert opinions
d. randomized clinical trials - -d. randomized clinical trials
-Which of the following statements about clinical practice guidelines is true?
a. these are basically recommendations for care of a specific condition based on
expert opinion and case studies
b. the literature from which the clinical guidelines are derived should be reviewed
prior to incorporating the guidelines into patient care.
c. to avoid the appearance of self interest, the national government authors all
clinical practice guidelines.
d. clinical guidelines are derived from the current literature and summarize state of
the art care for specific healthcare issues. - -d. clinical guidelines are derived from
the current literature and summarize state of the art for specific healthcare issues.
-What are the major layers of the skin?
a. hypodermis and muscle
b. epidermis and dermis
, c. keratinocytes and fibroblasts
d. macrophages and platelets - -b. epidermis and dermis
-What is the benefit in the skin maintaining an acid mantle
a. promotes skin hydration
b. increases TEWL (trans epidermal water loss)
c. retards growth of skin pathogens
d. promotes skin elasticity - -c. retards growth of skin pathogens
-How does age alter the skin's epidermal turnover or process of differentiation?
a. prolongs the rate of cell turnover (>28 days)
b. reduces the rate of cell turnover (<28 days)
c. doesn't affect the rate of cell turnover
d. accelerates turnover to 5 days or less - -a. prolongs the rate of cell turnover (>28
days)
-Structures of the dermis include:
a. collagen, melanocytes, keratinocytes, and sweat glands
b. fat, vasculature, hair follicles, and melanocytes
c. connective tissue, fat, keratinocytes, and elastin proteins
d. collagen, elastin proteins, hair follicles, sweat glands. - -d. collagen, elastin
proteins, hair follicles, sweat glands
-Which cells located in the dermis produce collagen (dermal building blocks) and
elastin (tensile strength)?
a. leukotrienes
b. fibroblasts
c. macrophages
d. mast cells - -b. fibroblasts
-which layer of soft tissue is most vulnerable to pressure over a bony prominence?
a. hypodermis
b. subcutaneous
c. dermis
d. muscle - -d. muscle (inside out damage)
-what is the definition of MASD?
a. skin damage caused by prolonged exposure to various sources of moisture.
b. skin damage that is due to stripping action while cleansing the skin with soap and
water
c. skin damage due to radiation dermatitis.
d. skin damage due to infiltration of medication. - -a. skin damage caused by
prolonged exposure to various sources of moisture.
-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
with answer
aWhich of the following statements accurately reflects the origins of the WOC
nursing specialty?
A) the first education programs were 8 weeks long and required the learner be in
residence during that period.
B) the 1st WOC nurse specialized in wound care
C) the first education programs had no precepted clinical practicum
D) the origin of the specialty began with a patient who had a stoma. - -D) the origin
of the specialty began with a patient who had a stoma.
-Margaret is a graduate of a WOCN accredited nursing education program. Having
just completed the full scope of practice. Prior to sitting for her certification exam/s,
she can:
a. debride wounds in her facility
b. use the title, WOC nurse
c. recommend and prescribe antifungal agents.
d. use the credential, WOCN. - -b. use the title, WOC nurse
-An essential component of a WOC nursing practice is:
a. establishing an outcomes program to measure results of care.
b. implements, coordinates, and evaluates specialty care.
c. establishing a clinic for outpatient follow up
d. billing for services provided. - -b. implements, coordinates, and evaluates
specialty care.
-Evidence based practice: the highest level of evidence comes from which of the
following sources?
a. case studies
b. prospective studies
c. expert opinions
d. randomized clinical trials - -d. randomized clinical trials
-Which of the following statements about clinical practice guidelines is true?
a. these are basically recommendations for care of a specific condition based on
expert opinion and case studies
b. the literature from which the clinical guidelines are derived should be reviewed
prior to incorporating the guidelines into patient care.
c. to avoid the appearance of self interest, the national government authors all
clinical practice guidelines.
d. clinical guidelines are derived from the current literature and summarize state of
the art care for specific healthcare issues. - -d. clinical guidelines are derived from
the current literature and summarize state of the art for specific healthcare issues.
-What are the major layers of the skin?
a. hypodermis and muscle
b. epidermis and dermis
, c. keratinocytes and fibroblasts
d. macrophages and platelets - -b. epidermis and dermis
-What is the benefit in the skin maintaining an acid mantle
a. promotes skin hydration
b. increases TEWL (trans epidermal water loss)
c. retards growth of skin pathogens
d. promotes skin elasticity - -c. retards growth of skin pathogens
-How does age alter the skin's epidermal turnover or process of differentiation?
a. prolongs the rate of cell turnover (>28 days)
b. reduces the rate of cell turnover (<28 days)
c. doesn't affect the rate of cell turnover
d. accelerates turnover to 5 days or less - -a. prolongs the rate of cell turnover (>28
days)
-Structures of the dermis include:
a. collagen, melanocytes, keratinocytes, and sweat glands
b. fat, vasculature, hair follicles, and melanocytes
c. connective tissue, fat, keratinocytes, and elastin proteins
d. collagen, elastin proteins, hair follicles, sweat glands. - -d. collagen, elastin
proteins, hair follicles, sweat glands
-Which cells located in the dermis produce collagen (dermal building blocks) and
elastin (tensile strength)?
a. leukotrienes
b. fibroblasts
c. macrophages
d. mast cells - -b. fibroblasts
-which layer of soft tissue is most vulnerable to pressure over a bony prominence?
a. hypodermis
b. subcutaneous
c. dermis
d. muscle - -d. muscle (inside out damage)
-what is the definition of MASD?
a. skin damage caused by prolonged exposure to various sources of moisture.
b. skin damage that is due to stripping action while cleansing the skin with soap and
water
c. skin damage due to radiation dermatitis.
d. skin damage due to infiltration of medication. - -a. skin damage caused by
prolonged exposure to various sources of moisture.
-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
