NPTE-PT Integumentary System and Wounds 4

Question 1

A PT is treating a patient with a full-thickness burn to the anterior trunk and both anterior lower extremities. Using the Rule of Nines, what percentage of total body surface area (TBSA) is burned?

Accepted Answer

36%

Answer

The anterior trunk = 18% and each anterior lower extremity = 9% (×2 = 18%), totaling 36% TBSA using the Rule of Nines.

Question 2

Which type of scar results from excessive collagen deposition that extends beyond the original wound boundaries?

Accepted Answer

Keloid scar

Answer

Keloid scars grow beyond the original wound margins into surrounding healthy tissue, unlike hypertrophic scars which remain within wound boundaries.

Question 3

A patient presents with a wound that has edges that are raised, rolled under (epibole), and not advancing across the wound bed. This indicates:

Accepted Answer

Chronic wound with rolled edges requiring intervention

Answer

Epibole (rolled wound edges) indicates a stalled chronic wound where epithelial cells have rolled under the edge and must be disrupted to allow healing.

Question 4

Which is the primary indication for negative pressure wound therapy (NPWT/VAC)?

Accepted Answer

Large, complex wound with significant exudate requiring granulation tissue formation

Answer

NPWT is indicated for complex, high-exudate wounds to promote granulation tissue formation, reduce edema, and manage wound fluid.

Question 5

A second-degree partial-thickness burn is characterized by which finding?

Accepted Answer

Blistering, moist, and extremely painful wound

Answer

Partial-thickness (second-degree) burns involve the epidermis and superficial dermis, presenting as blistered, moist, and intensely painful wounds.

NPTE-PT Test Practice Test

NPTE-PT Test Practice Test

NPTE-PT Integumentary System and Wounds 4