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

Enzymatic debridement uses topical agents (e.g., collagenase) to selectively dissolve necrotic tissue and is appropriate when sharp debridement is contraindicated.

Question 2

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

Accepted Answer

Dermis

Answer

The dermis houses mechanoreceptors such as Meissner's corpuscles, as well as immune cells, blood vessels, and collagen fibers.

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

Venous insufficiency ulcers classically appear as shallow, irregular wounds around the medial malleolus with surrounding hemosiderin staining and edema.

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

A stage 2 pressure injury involves partial-thickness loss of the dermis, presenting as a shallow open ulcer or an intact or ruptured seroma-filled blister.

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

Hydrocolloid dressings maintain a moist environment, are self-adhesive, and are ideal for low-exudate wounds such as stage 2 pressure injuries.

NPTE-PT Test Practice Test

NPTE-PT Test Practice Test

NPTE-PT Integumentary System and Wounds 2