NPTE-PT Integumentary System and Wounds 2

Question 1

A patient has a wound with 100% yellow slough covering the wound bed. Which debridement method is most appropriate when the patient has poor circulation and cannot tolerate sharp debridement?

Accepted Answer

Enzymatic debridement

Answer

Sharp/surgical debridement

Answer

Wet-to-dry dressing

Answer

UV-C therapy

Question 2

Which layer of the skin contains the Meissner's corpuscles and is responsible for most immune defense?

Accepted Answer

Dermis

Answer

Stratum corneum

Answer

Stratum granulosum

Answer

Hypodermis

Question 3

A PT is treating a patient with a venous insufficiency ulcer. Which characteristic finding is most consistent with this diagnosis?

Accepted Answer

Shallow ulcer with irregular edges around the medial malleolus

Answer

Pale, punched-out ulcer on the heel

Answer

Deep ulcer with undermining over a bony prominence

Answer

Dry, gangrenous tissue on the toes

Question 4

A patient presents with a stage 2 pressure injury. What is the correct description of this injury?

Accepted Answer

Partial-thickness skin loss with a shallow open wound

Answer

Intact skin with non-blanchable erythema

Answer

Full-thickness skin loss with visible subcutaneous fat

Answer

Full-thickness tissue loss with exposed bone or tendon

Question 5

Which dressing type provides a moist wound environment, is self-adhesive, and is most appropriate for a clean stage 2 pressure injury with minimal exudate?

Accepted Answer

Hydrocolloid dressing

Answer

Alginate dressing

Answer

Wet-to-dry gauze

Answer

Calcium alginate rope

Question 6

A patient with diabetes has neuropathy and presents with a plantar forefoot ulcer. The wound is surrounded by callus and has no signs of infection. What is the first priority in management?

Accepted Answer

Debridement of the surrounding callus and offloading

Answer

Hyperbaric oxygen therapy

Answer

Wet-to-dry dressings twice daily

Answer

Topical antibiotic ointment application

Question 7

When assessing a wound using the RYB (Red-Yellow-Black) classification, which color indicates the presence of infection or fibrinous slough requiring cleaning?

Accepted Answer

Yellow

Answer

Red

Answer

Black

Answer

Pink