NPTE-PT FREE NPTE-PT Test Integumentary System and Wounds Questions and Answers 2 — Questions and Answers
Question 1: A patient presents with a wound that has a red, granular base with no necrotic tissue. What phase of wound healing does this represent?
- Inflammatory phase
- Proliferative phase (Correct answer)
- Hemostasis phase
- Remodeling phase
Correct answer: Proliferative phase
A red, granular wound base indicates active granulation tissue formation, which is characteristic of the proliferative phase of wound healing.
Question 2: Which Wagner classification grade describes a deep ulcer with abscess or osteomyelitis?
- Grade 1
- Grade 2
- Grade 3 (Correct answer)
- Grade 4
Correct answer: Grade 3
Wagner Grade 3 is characterized by a deep ulcer complicated by abscess formation, osteomyelitis, or joint sepsis.
Question 3: What is the MOST appropriate dressing for a wound with heavy exudate and a clean granulating base?
- Hydrogel sheet
- Alginate dressing (Correct answer)
- Transparent film
- Hydrocolloid dressing
Correct answer: Alginate dressing
Alginate dressings are highly absorbent and ideal for managing wounds with heavy exudate while maintaining a moist wound environment.
Question 4: A physical therapist measures a pressure injury that extends into the subcutaneous fat but does not expose bone, tendon, or muscle. What stage is this wound?
- Stage 1
- Stage 2
- Stage 3 (Correct answer)
- Stage 4
Correct answer: Stage 3
A Stage 3 pressure injury involves full-thickness skin loss with visible subcutaneous fat, but bone, tendon, and muscle are not exposed.
Question 5: Which type of debridement uses moisture-retentive dressings to facilitate the body's own enzymatic breakdown of necrotic tissue?
- Sharp debridement
- Mechanical debridement
- Autolytic debridement (Correct answer)
- Enzymatic debridement
Correct answer: Autolytic debridement
Autolytic debridement uses the body's own enzymes and moisture-retentive dressings to soften and liquefy necrotic tissue naturally.
Question 6: A patient with diabetes has an ankle-brachial index (ABI) of 0.6. What does this value indicate regarding wound healing potential?
- Normal arterial perfusion
- Mild arterial insufficiency
- Moderate to severe arterial insufficiency (Correct answer)
- Venous insufficiency
Correct answer: Moderate to severe arterial insufficiency
An ABI of 0.6 indicates moderate to severe peripheral arterial disease, which significantly impairs wound healing due to inadequate blood flow.
A patient presents with a wound that has a red, granular base with no necrotic tissue.
What phase of wound healing does this represent?