NPTE-PT Integumentary System and Wounds 3

Question 1

A PT assesses a wound and notes tunneling at the 3 o'clock position extending 2 cm. How should this finding be documented according to standard wound assessment convention?

Accepted Answer

Tunneling is present at 3 o'clock, 2 cm deep, measured with the patient supine, head = 12 o'clock

Answer

Standard wound documentation uses a clock-face orientation with the patient's head at 12 o'clock, and tunneling depth is recorded in centimeters.

Question 2

Which skin change is an early sign of deep tissue pressure injury (DTI)?

Accepted Answer

Purple or maroon intact skin that may be painful or boggy

Answer

Deep tissue pressure injury presents as an area of persistent purple or maroon discoloration of intact skin, indicating underlying soft tissue damage.

Question 3

A patient receiving radiation therapy develops radiodermatitis with moist desquamation. Which intervention is contraindicated?

Accepted Answer

Wet-to-dry gauze dressings

Answer

Wet-to-dry dressings are contraindicated in moist desquamation because removal causes trauma and further tissue damage to already fragile irradiated skin.

Question 4

Which ABCDE criterion for melanoma assessment refers to a lesion having two or more distinct colors?

Accepted Answer

Color

Answer

The 'C' in the ABCDE melanoma screening criteria stands for Color variation, which includes multiple shades of brown, black, red, or white within a single lesion.

Question 5

A wound swab culture returns positive for Pseudomonas aeruginosa. Which clinical sign is most associated with this organism?

Accepted Answer

Blue-green exudate with a fruity odor

Answer

Pseudomonas aeruginosa characteristically produces blue-green (pyocyanin) pigmented exudate with a fruity or grape-like odor.

NPTE-PT Test Practice Test

NPTE-PT Test Practice Test

NPTE-PT Integumentary System and Wounds 3