NCWO Skin and Wound Healing 2

Question 1

Moisture-associated skin damage (MASD) can be caused by all of the following EXCEPT:

Accepted Answer

Mechanical friction from turning

Answer

Wound exudate

Answer

Perspiration and sweat

Answer

Feces and urine

Question 2

The skin pH of a healthy adult is approximately:

Accepted Answer

4.5–5.5 (mildly acidic)

Answer

7.0–7.4 (neutral to slightly alkaline)

Answer

6.0–6.5 (near neutral)

Answer

3.0–4.0 (strongly acidic)

Question 3

Skin tears are classified by the Payne-Martin or ISTAP classification based on:

Accepted Answer

Presence or absence of a skin flap and its viability

Answer

Depth of tissue involvement from epidermis to bone

Answer

Location on the body and patient age

Answer

Bacterial colonization of the wound bed

Question 4

In a patient with suspected skin cancer on the lower extremity presenting as a non-healing wound, the WOC nurse should:

Accepted Answer

Refer for biopsy and dermatology or oncology evaluation

Answer

Initiate aggressive sharp debridement immediately

Answer

Apply zinc oxide barrier cream and reassess in 30 days

Answer

Increase the frequency of standard wound dressings only

Question 5

Which vitamin is essential for collagen cross-linking and deficiency of which directly impairs wound healing?

Accepted Answer

Vitamin C

Answer

Vitamin A

Answer

Vitamin B12

Answer

Vitamin D

Question 6

The role of zinc in wound healing is to:

Accepted Answer

Support collagen synthesis, immune function, and epithelialization

Answer

Provide direct energy substrate for fibroblast proliferation

Answer

Act as a primary antimicrobial against gram-negative bacteria

Answer

Replace protein loss through wound exudate directly