Test Bank on Wound Care Certification| Complete questions and correct answers| 100% Verified| Latest

Wound care certification Exam Bank| Test Bank on Wound Care Certification| Complete questions and correct answers| 100% Verified| Latest Which of the following 2019 EPUAP//NPIAP/PPPIA nutrition guidelines for treatment is correct? A. Offer 500 mg ascorbic acid daily to adults with a pressure injury. B. Offer 30 to 35 kcal/kg body weight daily for adults with a pressure injury .C. Offer 25 mg elemental zinc and 500 mg ascorbic acid twice daily. D. Offer 1.25 to 2.0 g protein/kg body weight for adults with a pressure injury. B. Offer 30 to 35 kcal/kg body weight daily for adults with a pressure injury While bathing a patient, you notice some flakes of skin on the washcloth. Which layer of the skin is this? A. Stratum granulosum B. Stratum spinosum C. Stratum lucidum D. Stratum corneum D. Stratum corneum-The cells of the stratum corneum can shed and look like flakes during routine cleaning activities such as bathing. Which one of the following is a normal function of the skin? A. Synthesis of vitamin K B. Elimination of carbon dioxide C. Regulation of glucose levels by the Langerhans cells D. Thermal regulation by skin blood flow dilation or constriction D. Thermal regulation by skin blood flow dilation or constriction-Upon stimulus from the hypothalamus, skin blood vessels will either vasoconstrict (heat needs to be conserved to elevate temperature) or vasodilate (heat needs to be eliminated to lower temperature) depending upon specific needs. Skin can synthesize vitamin D, not vitamin K. Carbon dioxide is eliminated via the lungs. Glucose levels are regulated by the islets of Langerhans in the pancreas, not the Langerhans cells in the skin. What is the role of keratinocytes in skin? A. Differentiation B. Cross-talk to fibroblasts C. Participating in BMZ D. Maintenance and repair of the barrier D. Maintenance and repair of the barrier-The entire biology of keratinocytes is dedicated to barrier formation and its maintenance. Which one of the following is NOT considered part of a routine skin assessment? A. Color B. Turgor C. Temperature D. Ankle-brachial index (ABI) D. Ankle-brachial index (ABI)-ABI is a test used for peripheral vascular disease; it does not tell you about skin assessment. Answers A, B, and C should all be part of a skin assessment. Which one of the following should be included in the care plan of a person with xerosis? A. Have the patient shower daily. B. Use a deodorant soap. C. Dry the skin completely with vigorous rubbing. D. Apply an emollient immediately after bathing. D. Apply an emollient immediately after bathing.- Emollient moisturizers are a cornerstone in the treatment of xerosis. Answer A is incorrect because daily cleaning of the skin by either showering or bathing is not recommended as it further dries the skin. Answer B is incorrect because a low-pH soap needs to be used as deodorant soaps have a high pH that makes the skin alkaline. Answer C is incorrect because rubbing can irritate dry skin. Which of the following best defines pruritus? A. Multiple blisters on the skin B. Traumatic open area on the skin C. Itchy skin D. Weepy skin C. Itchy skin-Pruritus is the medical term for itchy skin. In assessing a patient’s skin, you find a raised area larger than 1 cm that is filled with serous fluid. This should be correctly documented as a: A. papule. B. vesicle. C. pustule. D. bulla. D. bulla-Bulla. Answer A is incorrect because a papule is an elevated, palpable, firm, circumscribed lesion up to 1 cm. Answer B is incorrect. Although a vesicle is a fluid-filled blister, it is only up to 1 cm. Answer C is incorrect as although it is elevated and similar to a vesicle, it is filled with pus. Cells that can be found in the dermis are: Select one: A. Merkel cells. B. fibroblasts. C. Langerhans cells. D. melanocytes. B.fibroblasts The stratum corneum can be found in the: Select one: A. dermis. B. fascia. C. epidermis. D. adipose tissue C. epidermis. A full-thickness wound involves the following tissue layers: Select one: A. epidermis. B. dermis and subcutaneous tissue. C. subcutaneous tissue. D. epidermis, dermis, and subcutaneous tissue. D. epidermis, dermis, and subcutaneous tissue. A stage 2 pressure injury can also be described as a ________ lesion. Select one: A.Wagner grade 4 B.partial-thickness C.superficial thickness D.full-thickness B.partial-thickness A callus is caused by a build-up of cells within the stratum basale. Select one: A.True. B.False. B. False. Mast cells produce the following substance: Select one: A.collagen. B.keratin. C.histamine. D.sebum. C. histamine. Which of the following is true regarding hair follicles? Select one: A.They assist with infection control. B.They are located in the subcutaneous tissue. C.They are present everywhere except the palms and soles. D.They are composed of hard collagen. C. They are present everywhere except the palms and soles. When examining a patient's wound, you notice gray-black, dry, leathery-appearing, irregular fibrous tissue. What do you suspect this structure is? Select one: A.Healthy tendon. B.Healthy muscle. C.Nonviable joint capsule. D.Nonviable bone. C.Nonviable joint capsule. When examining a patient's wound, you notice regularly arranged red tissue. What do you suspect this structure is? Select one: A.Joint capsule. B.Bone. C.Tendon. D.Muscle. D. Muscle. The subcutaneous tissue consists of: Select one: A.keratin and adipose tissue. B.sudoriferous and sebaceous glands. C.adipose tissue and fascia. D.the epidermis and dermis. C.adipose tissue and fascia. Which of the following would be considered abnormal in the inflammatory phase of wound healing? A. Redness B. Bleeding C. Pain D. Swelling E. Heat B. Bleeding-Redness, pain, swelling, and heat are the four cardinal signs of the normal inflammatory response. However, the presence of bleeding is more indicative of local infection in a wound as granulation tissue should not bleed easily to light touch. Wound biofilm can be effectively treated by: A. debridement. B. cleansing. C. dressings to block new bacteria and kill existing bacteria. D. antibiotics. E. a combination of debridement, cleansing, and dressings. E. a combination of debridement, cleansing, and dressings.- Wound biofilms can be effectively treated by a combination of debridement and/or cleansing to remove the biofilms, followed by application of dressings that block new bacteria from reaching the wound and killing bacteria left in the wound bed. This concept for treatment of chronic wounds that likely have biofilm bacteria has been termed "biofilm-based wound care." Chronic wounds and comorbidities are associated with systemic inflammation, and evidence indicates that the clinician should assess for: A. sickness behaviors that may include pain, fatigue, depression, sleeping difficulties, and cognitive changes. B. symptom clusters that have been identified in individuals with chronic wounds. C. pain that commonly affects many individuals with chronic wounds and ability to care for their wound and perform self-care. D. all of the above. D. all of the above.- Symptoms frequently accompany individuals with chronic wounds. Many patients experience four or more concurrent symptoms, which frequently include pain, fatigue, anxiety, depression, and sleep disturbances. The cell responsible for building new granulation tissue is: Select one: A.keratinocyte. B.angioblast. C.mast cell. D.fibroblast. D.fibroblast. Cells involved in epithelialization are: Select one: A.melanocytes. B.keratinocytes. C.dermoblasts. D.Merkel cells. B. keratinocytes. Cells which can kill bacteria are: Select one: A.keratinocytes, platelets, and macrophages. B.platelets, polymorphonuclear macrophages, and Meissner's cells. C.macrophages, mast cells, and polymorphonuclear neutrophils. D.macrophages and polymorphonuclear neutrophils. D.macrophages and polymorphonuclear neutrophils. To assist with managing a wound that is hypogranular: Select one: A.apply silver nitrate to the hypogranular areas. B.use a more absorptive dressing. C.lightly fill the wound base with gauze to prevent premature epithelialization. D.apply silicone gel sheeting to the wound bed. C.lightly fill the wound base with gauze to prevent premature epithelialization. Chronic wounds contain: Select one: A.low levels of MMPs and high levels of TIMPs. B.high levels of MMPs and high levels of TIMPs. C.low levels of MMPs and low levels of TIMPs. D.high levels of MMPs and low levels of TIMPs. D.high levels of MMPs and low levels of TIMPs. Surgical wound dehiscence is most often due to: Select one: A.insufficient collagen tensile strength. B.contracture formation. C.infection. D.poor surgical technique. A.insufficient collagen tensile strength. A severely contaminated wound should be allowed to close by: Select one: A.stitches but not staples. B.primary wound closure. C.staples but not stitches. D.secondary wound closure. D.secondary wound closure. Which of the following statements regarding integrins is true? Select one: A.Integrins are cell surface receptors that allow cells to reversibly bind to the extracellular matrix to achieve cell migration. B.Integrins are a temporary lattice work of vascularized connective tissue that forms during the proliferative phase of wound healing. C.Integrins produce vascular endothelial growth factor to assist with angiogenesis. D.Integrins are specialized fibroblasts that assist with wound contraction. A.Integrins are cell surface receptors that allow cells to reversibly bind to the extracellular matrix to achieve cell migration. The maximum strength that a scar tissue can attain after the occurrence of remodeling is: Select one: A.50% of original tissue strength. B.80% of original tissue strength. C.100% of original tissue strength. D.150% of original tissue strength. B.80% of original tissue strength. The maturation and remodeling phase of wound healing typically lasts for: Select one: