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Integumentary Theory Review

Total questions: 40

Worksheet time: 28mins

Name
Class
Date
1.

Stage this pressure injury

a)

Stage 2

b)

Stage 3

c)

Stage 4

d)

Unstageable

2.

What is the most ideal treatment plan for this type of wound to aid in wound healing?

a)

Negative Pressure Wound Therapy (NPWT)

b)

Debridement

c)

Leave it exposed

d)

Hydrocolloid dressing

3.

Stage this pressure injury

a)

Stage 1

b)

Stage 2

c)

Stage 3

d)

This is not Pressure Injury!

4.

What stage is this pressure injury?

a)

Stage II

b)

Stage III

c)

Unstageable

d)

Deep tissue injury (DTI)

5.

What stage is this pressure ulcer?

a)

Unstageable

b)

Stage IV

c)

Deep tissue injury (DTI)

d)

Stage III

6.

What stage is this pressure ulcer?

a)

Stage I

b)

Stage II

c)

Stage III

d)

Stage IV

7.

What stage is this pressure ulcer?

a)

Stage III

b)

Stage IV

c)

Unstageable

d)

Stage I

8.

Which of the following is not an appropriate nursing intervention for pressure ulcer treatment?

a)

Reposition patient Q 2 hrs

b)

Use a special mattress to reduce pressure

c)

Encourage ambulation

d)

Strict bedrest

9.

A postoperative patient arrives at an ambulatory care center and states, "I am not feeling well." upon assessment, the nurse notes an elevated temperature. An indication that the wound is infected would be.

a)

There is no odor

b)

The wound is approximated

c)

The wound is draining purulent exudate

d)

The are two stitches missing

10.

Which body system forms a protective barrier between the external environment and the internal organs, keeping germs out and keeping hydration/water in?

a)

Integumentary System

b)

Muscular System

c)

Skeletal System

d)

Circulatory System

11.

To maintain a stable internal environment (inside the body); balance/equilibrium

a)

Homeostasis

b)

Transportation

c)

Melanin

d)

Voluntary

12.

The outer layer of skin, the epidermis, is a layer of tissue that covers and acts as a protective barrier. If this layer of skin was burned, the biggest risk would be:

a)

Dry Skin

b)

Acne/Pimples

c)

Infections in uncovered tissue

d)

Muscle cramping

13.

Skin, made of several different tissues, is the largest organ of the human body.

a)

organ

b)

cell

c)

tissue

d)

organism

14.

The body eliminates waste such as salt through which of the following? This process makes the skin part of two systems: the integumentary system and the excretory system.

a)

Sensory receptors

b)

Nails

c)

Sweat glands

d)

Hair

15.

Which structures in the integumentary system are made of nervous tissue, are part of the nervous system, and provide your sense of touch?

a)

Sensory Receptors

b)

Nails

c)

Hair

d)

Sweat glands

16.

Match the following

a)

Thickest layer of skin. Glands located here.

1.

Dermis

b)

Top layer of skin. Made mostly of dead cells.

2.

Epidermis

c)

The lowest layer of skin. Fat deposits stored here.

3.

Hypodermis

d)

Function is cooling the skin.

Could happen because of fever or exercise

4.

Sweat

e)

Main function of the integumentary system

5.

Protection

17.

Reorder the following: Top most layer of skin to deepest layer of skin.

a)

Epidermis

b)

Dermis

c)

Hypodermis

1)
2)
3)
18.

What are the three main organs of the integumentary system?

(Select three answers)

a)

Skin

b)

Hair

c)

Nails

d)

Stomach

19.

What is the name of the body system that includes skin, hair, nails, blood vessels, sensory receptors, and glands?

a)

Integumentary System

b)

Solar System

c)

Respiratory System

d)

Digestive System

20.

Position of lying on stomach

a)

lateral

b)

supine

c)

prone

d)

Fowler's position

21.

Position of lying on side

a)

Trendelenberg

b)

lateral

c)

supine

d)

prone

22.

Position of lying on back

a)

reverse-Trendelenberg

b)

prone

c)

lateral

d)

supine

23.

You move on the count of "3" to

a)

save time

b)

distract the person from the move

c)

move the person smoothly

d)

move the person slowly

24.

Patients are repositioned at least every

a)
1 hour
b)
3 hours
c)
4 hours
d)
2 hours
25.

Which prevents the hip from turning outward?

a)

a cane

b)

a foot-board

c)

a trochanter roll

d)

leg brace

26.

A doctor has ordered restraints for Mr. Smith. Which of the following is true?

a)

Mr. Smith will be at lower risk for developing Respiratory problems.

b)

Mr. Smith will be at greater risk of developing decubitus ulcers.

c)

Mr. Smith will become hungry and thirsty.

d)

Mr. Smith's need for range of motion will be decreased.

27.

Why is proper positioning important for patients in a healthcare setting?

a)

Proper positioning is only important for aesthetic reasons

b)

Patients should be allowed to choose their own positioning

c)

Proper positioning has no impact on patient health

d)

Proper positioning helps prevent pressure ulcers, promotes circulation, and ensures patient comfort and safety.

28.

Explain the importance of turning patients regularly and the potential complications of immobility.

a)

Turning patients regularly helps prevent complications of immobility and promotes overall health.

b)

Complications of immobility are not serious

c)

Patients should not be turned regularly as it can cause more harm

d)

Turning patients regularly has no impact on their health

29.

What are the best practices for positioning and turning patients to prevent pressure ulcers?

a)

Using hard and uncomfortable surfaces for the patient

b)

Leaving the patient in one position for long periods of time

c)

Regularly repositioning the patient, using support surfaces, and maintaining skin integrity

d)

Neglecting to check the patient's skin for any changes

30.

The main purpose of positioning and turning is to _____.

a)
  1. avoid low blood pressure

b)
  1. provide daily exercise

c)
  1. decrease pressure on body parts

d)
  1. create stimulation

31.

Which of the following helps to prevent decubitus ulcers when positioning a patient?

a)
  1. changing any wet or creased dressings and bandages

b)
  1. keeping pressure points dry and clean

c)
  1. making sure bed linens are smooth and free from crumbs

d)
  1. All are correct.

32.

What should you NOT do if you find a new area of skin breakdown on your patient?

a)

Document the finding

b)

Rub the area

c)

Remove sources of moisture

d)

Consult the facility's wound care nurse

33.

Which of these are methods to prevent skin breakdown? (select all that apply)

a)

Turn your patient every 2 hours

b)

Use lift equipment to prevent shearing/friction injuries

c)

Assess skin every 8 hours or per the facility's protocol

d)

Provide adequate nutrition

34.

Which of the following is NOT a risk for a pressure injury?

a)

Age

b)

Gender

c)

Moisture

d)

Poor nutrition

35.

What is the most concerning sign of a mole that may indicate skin cancer?

a)

A mole that is symmetrical

b)

A mole that is irregularly shaped and has changed in size

c)

A mole that is small and round

d)

A mole that is light in color

36.

What is a key sign of early pressure injury in the sacral area?

a)

Dry skin

b)

Erythema

c)

Bruising

d)

Swelling

37.

What is a characteristic of a Stage 1 pressure injury?

a)

Non-blanchable erythema of intact skin over a bony prominence

b)

Full-thickness skin loss exposing subcutaneous fat

c)

Partial-thickness loss of the epidermis and dermis

d)

Presence of a blister or shallow open ulcer

38.

Which stage of pressure ulcer involves full-thickness skin loss that exposes subcutaneous tissue?

a)

Stage 1

b)

Stage 2

c)

Stage 3

d)

Stage 4

39.

A person runs into the corner of a table and has a superficial discoloration of the skin that is bluish in color. The person has a ______________.

a)

hemotoma

b)

contusion

c)

edema

d)

pyrexia

40.

During an evaluation the doctor notes a localized warm spot on the patients forearm. Which might be a potential cause?

a)

inflammation

b)

decreased circulation

c)

cyanosis

d)

ecchymosis