NPTE-PT Test Test Integumentary System and Wounds 1

Question 1

A patient with lower extremity wounds has an ankle-brachial index (ABI) of 0.45. Which clinical decision is MOST appropriate based on this finding?

Accepted Answer

Withhold compression therapy due to severe arterial insufficiency

Answer

Apply graduated compression therapy to manage edema

Answer

Initiate whirlpool hydrotherapy to promote circulation

Answer

Recommend elevation of the limb and elastic bandaging

Question 2

A burn wound presents with an intact or ruptured blister, a moist red surface, extreme pain, and blanching with direct pressure. Which burn depth classification BEST describes this injury?

Accepted Answer

Superficial partial-thickness (second-degree) burn

Answer

Superficial (first-degree) burn

Answer

Deep partial-thickness (second-degree) burn

Answer

Full-thickness (third-degree) burn

Question 3

Which method of wound debridement is considered LEAST selective and carries the highest risk of removing viable granulation tissue along with necrotic material?

Accepted Answer

Mechanical debridement with wet-to-dry gauze dressings

Answer

Autolytic debridement using a moisture-retentive dressing

Answer

Enzymatic debridement with collagenase ointment

Answer

Sharp debridement using sterile scissors and forceps

Question 4

A pressure injury is assessed and found to expose bone at the wound base. A bone biopsy is ordered to rule out osteomyelitis. According to the NPUAP/EPUAP classification system, what stage is this wound?

Accepted Answer

Stage IV

Answer

Stage II

Answer

Stage III

Answer

Unstageable

Question 5

During wound assessment, a physical therapist inserts a sterile cotton-tipped applicator at the wound margin and advances it 4 cm in a narrow, distinct channel before meeting tissue resistance. This finding is BEST documented as:

Accepted Answer

Tunneling

Answer

Undermining

Answer

Fistula formation

Answer

Wound dehiscence

Question 6

A patient presents with a shallow wound on the medial aspect of the lower leg with irregular edges, copious serous drainage, periwound edema, and brown hemosiderin staining of the surrounding skin. Which wound etiology is MOST consistent with this presentation?

Accepted Answer

Venous stasis ulcer

Answer

Arterial (ischemic) ulcer

Answer

Diabetic neuropathic ulcer

Answer

Pressure injury