PEAT Integumentary Conditions and Wound Care 3

Question 1

Which test is the standard clinical assessment for peripheral arterial perfusion of the lower extremity?

Accepted Answer

Ankle-Brachial Index (ABI)

Answer

Homans' sign test

Answer

Tinel's sign at the ankle

Answer

McMurray's meniscal test

Question 2

Which elements are ESSENTIAL components of a thorough wound assessment?

Accepted Answer

Wound location, dimensions, depth, tissue type, and exudate characteristics

Answer

Patient's dietary history and family income

Answer

Patient's previous exercise tolerance and aerobic capacity

Answer

Insurance coverage and prior authorization status

Question 3

Yellow-green purulent wound drainage most likely indicates:

Accepted Answer

Wound infection with bacterial involvement

Answer

Normal serous drainage consistent with healing

Answer

Adequate wound hydration under an occlusive dressing

Answer

Venous bleeding into the wound bed

Question 4

Which factor MOST significantly impairs wound healing in patients with poorly controlled diabetes mellitus?

Accepted Answer

Elevated HbA1c causing neuropathy, vascular disease, and immune impairment

Answer

Reduced caloric intake leading to protein deficiency

Answer

Increased physical activity causing repetitive stress

Answer

Intact immune function with enhanced cytokine activity

Question 5

A pressure injury is covered with thick, dark eschar that prevents visualization of the wound base. How should this wound be staged?

Accepted Answer

Unstageable

Answer

Stage I

Answer

Stage II

Answer

Stage IV

Question 6

Which intervention is the MOST important principle in managing a neuropathic diabetic plantar foot ulcer?

Accepted Answer

Total contact casting to offload plantar pressure

Answer

Maintaining a completely dry wound environment

Answer

Aggressive sharp debridement performed weekly at home

Answer

Applying compression bandaging to reduce swelling

Question 7

Which phase of wound healing involves collagen fiber cross-linking, remodeling, and increased wound tensile strength?

Accepted Answer

Maturation/remodeling phase

Answer

Inflammatory phase

Answer

Proliferative phase

Answer

Hemostasis phase