Chapter 32: Skin Integrity & Wound Healing

1. Which layer of the skin contains the stratum corneum and stratum germinativum?

A. Dermis
B. Epidermis
C. Subcutaneous tissue
D. Basement membrane

2. Which skin layer contains connective tissue, blood vessels, and nerves?

A. Dermis
B. Epidermis
C. Subcutaneous tissue
D. Stratum corneum

3. Older adult skin is characterized by:

A. More elastic and hydrated skin
B. Less elastic, drier, reduced collagen
C. Increased oil production
D. Stronger epidermal barrier

4. Which factor contributes to skin breakdown related to immobility?

A. Increased collagen
B. Shearing, friction, and pressure
C. Thickened dermis
D. Reduced melanin

5. Which nutrient is most important for collagen formation?

A. Vitamin D
B. Vitamin C, zinc, copper
C. Calcium
D. Vitamin K

6. Poor skin turgor related to dehydration is caused by:

A. Collagen breakdown
B. Fluid loss
C. Skin infections
D. Increased melanin

7. Diminished sensation increases risk for skin breakdown because:

A. Patients feel pain more intensely
B. Patients may not notice pressure or injury
C. Circulation improves
D. Skin elasticity increases

8. Impaired circulation affects wound healing by:

A. Improving oxygen delivery
B. Enhancing tissue metabolism
C. Reducing tissue metabolism
D. Increasing hydration

9. Which medication side effect can impair skin integrity?

A. Rashes and itching
B. Increased strength
C. Improved sensation
D. Stronger collagen

10. Prolonged moisture on the skin leads to:

A. Maceration
B. Necrosis
C. Dehydration
D. Induration

11. Fever increases risk for impaired skin integrity because it:

A. Decreases metabolic rate
B. Increases metabolic rate and depletes moisture
C. Improves circulation
D. Strengthens the dermis

12. Which lifestyle factor negatively affects skin integrity?

A. Balanced diet
B. Tattoos and piercings
C. Daily exercise
D. Limited sun exposure

13. A wound with tissue loss that heals from the inside outward is classified as:

A. Primary intention
B. Secondary intention
C. Regeneration
D. Closed wound

14. Which wound healing process involves delayed closure after granulation tissue forms?

A. Primary intention
B. Secondary intention
C. Tertiary intention
D. Regeneration

15. Which phase of wound healing includes clotting and inflammation?

A. Proliferative
B. Inflammatory
C. Maturation
D. Remodeling

16. In which phase of wound healing does collagen and granulation tissue form?

A. Inflammatory
B. Proliferative
C. Maturation
D. Regeneration

17. Which type of wound drainage is straw-colored?

A. Sanguineous
B. Serous
C. Purulent
D. Purosanguineous

18. Which type of exudate contains both blood and pus?

A. Serosanguineous
B. Purulent
C. Purosanguineous
D. Sanguineous

19. Which complication of wound healing is defined as wound edges separating?

A. Hemorrhage
B. Evisceration
C. Dehiscence
D. Fistula

20. Which complication of wound healing occurs when internal organs protrude through the wound?

A. Dehiscence
B. Hemorrhage
C. Fistula
D. Evisceration

21. The Braden scale evaluates which factors?

A. Circulation, hydration, oxygenation
B. Sensory perception, moisture, activity, mobility, nutrition, friction/shear
C. Age, gender, ethnicity, nutrition
D. Pain, mobility, oxygenation, sensation

22. A Braden scale score of 15 indicates:

A. High risk for pressure injury
B. No risk
C. Low risk
D. Moderate risk

23. Which scale assesses physical condition, mental state, mobility, and incontinence?

A. Braden scale
B. Norton scale
C. PUSH tool
D. Glasgow scale

24. Which lab test helps identify wound infection?

A. Blood glucose
B. Wound culture
C. Liver enzymes
D. Coagulation studies

25. Which wound debridement uses maggots to remove dead tissue?

A. Sharp
B. Autolysis
C. Biotherapy
D. Enzymatic

26. Which wound therapy applies suction to promote healing?

A. Hydrogel
B. Negative pressure wound therapy
C. Hydrocolloid dressing
D. Transparent film

27. Which dressing type provides a moist environment and is often used for partial-thickness wounds?

A. Gauze
B. Hydrocolloid
C. Bandage wrap
D. Binder

28. Which condition results from unrelieved pressure leading to ischemia?

A. Pressure injury
B. Evisceration
C. Fistula
D. Maceration

29. Which intrinsic factor increases risk for pressure injury?

A. Friction
B. Immobility
C. Shearing
D. Moisture

30. Which extrinsic factor increases risk for pressure injury?

A. Aging
B. Fever
C. Friction
D. Edema

31. Pressure injuries are staged primarily by:

A. Age of the patient
B. Depth and tissue involvement
C. Type of drainage
D. Amount of pain

32. Which stages of pressure injury involve tissue necrosis?

A. Stages 1 and 2
B. Stages 3 and 4
C. Stage 1 only
D. All stages

33. Which tool is used to monitor pressure injury healing over time?

A. Braden scale
B. Norton scale
C. PUSH tool
D. SOAP notes

34. Which prevention measure reduces pressure injury risk?

A. Limiting fluid intake
B. Meticulous skin care and moisture control
C. Avoiding repositioning
D. Using restrictive restraints

35. An elderly patient who has lost weight, has impaired sensation, and is incontinent is at high risk for:

A. Improved wound healing
B. Pressure injury development
C. Stronger circulation
D. Increased collagen