NEW REVIEW FOR NPTE INTEGUMENTARY, WOUND CARE, &
OTHER SYSTEMS COMPLETE 2022 SOLUTION
Changes in the level of which hormone are MOST likely to contribute to development of
chondromalacia patella in a pregnant woman?
a. Calcitonin
b. Progesterone
c. Relaxin
d. Insulin - CORRECT ANSWER c (Chondromalacia is a roughening of the cartilage
behind the kneecap, and relaxin causes an increase in tendon and ligament laxity,
exacerbating any friction between the patella and the femur)
One day after lumbar laminectomy surgery, a patient refuses to wear a
thoracolumbosacral orthosis because of a painful and itching rash that extends in a
narrow path from the central low back along the iliac crest to the right lateral trunk.
Which of the following conditions is MOST likely present?
a. Herpes zoster
b. Infected surgical incision
c. Contact dermatitis
d. Allergic response to medication - CORRECT ANSWER a (Herpes zoster [shingles] is
a painful, blistering skin rash caused by the varicella-zoster virus. The first symptom is
usually one-sided pain, tingling, or burning followed by development of a rash that
usually involves a narrow area from the spine around to the front of the chest or
abdomen. A typical location for occurrence of shingles rash is the T11-T12 dermatome
along the iliac crest. The location of the rash, postsurgical onset, and symptoms of pain
all suggest herpes zoster.)
Which of the following dressings is MOST appropriate to use with an infected wound
that also requires hemostasis?
a. Foam
b. Alginate
,c. Transparent film
d. Hydrocolloid - CORRECT ANSWER b (An alginate dressing is best to use in this
case because this type of dressing provides both hemostasis and is appropriate for use
over an infected wound)
(1: A foam dressing is absorptive but also creates an occlusive environment for moist
wound healing. In the case of infection, a less occlusive dressing would be a better
choice.
3: A transparent film is not the best dressing to use in this case because it does not
provide hemostasis or infection control. Films are more appropriate for friction reduction.
4: A hydrocolloid dressing is not the best dressing to use with an infected wound that
also requires hemostasis because it is the most occlusive dressing type. An alginate
dressing is better for hemostasis.)
A patient who exhibits heat intolerance, tachycardia, fatigue, and weight loss is MOST
likely to have an elevated level of which of the following hormones?
a. Adrenocorticotropic hormone
b. Thyroid-stimulating hormone
c. Insulin
d. Epinephrine - CORRECT ANSWER b (A hyperactive thyroid will elevate the body's
metabolism, causing an elevated heart rate, fatigue, weight loss, heat intolerance, and
muscle atrophy, among other symptoms)
(1: An increase in the secretion of adrenocorticotropic hormone causes Cushing
disease, associated with hypertension, mental changes, weight gain, and increased hair
growth, not the symptoms listed
3: An increase in insulin will cause a decrease in blood glucose levels, resulting in a
hypoglycemic reaction, which includes pallor, increased perspiration, tachycardia,
,weakness, shakiness, and blurred vision. Fatigue and weight loss are not symptoms of
hyperglycemia.
4: levation of epinephrine can cause an increase in blood pressure, tachycardia, and
hyperglycemia. It causes an increase in the sympathetic response ["fight or flight"]. Heat
intolerance, fatigue, and weight loss are not consequences of an increase in
epinephrine.)
Which of the following exercise guidelines is MOST appropriate for a patient who has
diabetes?
a. Exercise during peak insulin times.
b. Exercise at the same time each day.
c. Avoid exercise if the blood glucose level is less than 150 mg/dL (8.3 mmol/L).
d. Avoid exercise if the blood glucose level is greater than 200 mg/dL (11.1 mmol/L). -
CORRECT ANSWER b (Patients who have diabetes should exercise regularly and
consistently)
(Blood glucose levels: below 100 mg/dL and above 250 mg/dL are the cautionary
ranges for exercise)
When examining a patient's pressure injury, a physical therapist notes that in the area of
the wound, the patient has complete loss of skin and intact underlying fascia. The
therapist should recognize this as a:
a. Stage 1 wound.
b. Stage 2 wound.
c. Stage 3 wound.
d. Stage 4 wound. - CORRECT ANSWER c (Stage 3 pressure injuries are
characterized by full-thickness skin loss involving damage to or necrosis of
subcutaneous tissue that may extend down to but not through underlying fascia [deep
crater with or without undermining]).
, Pain associated with urinary calculi MOST often occurs because of blockage of which of
the following structures?
a. Ureter
b. Urethra
c. Bladder
d. Kidney - CORRECT ANSWER a (Pain from urinary calculi results from the ureter
contracting in the attempt to dislodge the calculi.)
A 43-year-old male patient reports the recent appearance of silver and scaly-appearing
plaques on the scalp, elbows, and knees. If left unaddressed, which of the following
complications is MOST likely to develop?
a. Bluish digits with cold exposure
b. Dermal reaction to sun exposure
c. Erosive arthritis in the DIP joints of the hands
d. Erosive arthritis in the hip joints - CORRECT ANSWER c (The stem describes a
patient who recently developed psoriasis, a systemic disease hallmarked by silver
scaled papules and plaques in the scalp, elbows, knees, back, and buttocks. It is a
systemic disease that can result in erosive arthritis, particularly in the DIP joints of the
hands.)
A patient has a granular ulcer that is non-draining. Which of the following types of
dressing would be MOST appropriate for the patient?
a. Foam
b. Collagen
c. Calcium alginate
d. Hydrogel - CORRECT ANSWER d (Hydrogel dressings provide hydration to dry
wound beds and are appropriate for a granular wound that is not draining)
OTHER SYSTEMS COMPLETE 2022 SOLUTION
Changes in the level of which hormone are MOST likely to contribute to development of
chondromalacia patella in a pregnant woman?
a. Calcitonin
b. Progesterone
c. Relaxin
d. Insulin - CORRECT ANSWER c (Chondromalacia is a roughening of the cartilage
behind the kneecap, and relaxin causes an increase in tendon and ligament laxity,
exacerbating any friction between the patella and the femur)
One day after lumbar laminectomy surgery, a patient refuses to wear a
thoracolumbosacral orthosis because of a painful and itching rash that extends in a
narrow path from the central low back along the iliac crest to the right lateral trunk.
Which of the following conditions is MOST likely present?
a. Herpes zoster
b. Infected surgical incision
c. Contact dermatitis
d. Allergic response to medication - CORRECT ANSWER a (Herpes zoster [shingles] is
a painful, blistering skin rash caused by the varicella-zoster virus. The first symptom is
usually one-sided pain, tingling, or burning followed by development of a rash that
usually involves a narrow area from the spine around to the front of the chest or
abdomen. A typical location for occurrence of shingles rash is the T11-T12 dermatome
along the iliac crest. The location of the rash, postsurgical onset, and symptoms of pain
all suggest herpes zoster.)
Which of the following dressings is MOST appropriate to use with an infected wound
that also requires hemostasis?
a. Foam
b. Alginate
,c. Transparent film
d. Hydrocolloid - CORRECT ANSWER b (An alginate dressing is best to use in this
case because this type of dressing provides both hemostasis and is appropriate for use
over an infected wound)
(1: A foam dressing is absorptive but also creates an occlusive environment for moist
wound healing. In the case of infection, a less occlusive dressing would be a better
choice.
3: A transparent film is not the best dressing to use in this case because it does not
provide hemostasis or infection control. Films are more appropriate for friction reduction.
4: A hydrocolloid dressing is not the best dressing to use with an infected wound that
also requires hemostasis because it is the most occlusive dressing type. An alginate
dressing is better for hemostasis.)
A patient who exhibits heat intolerance, tachycardia, fatigue, and weight loss is MOST
likely to have an elevated level of which of the following hormones?
a. Adrenocorticotropic hormone
b. Thyroid-stimulating hormone
c. Insulin
d. Epinephrine - CORRECT ANSWER b (A hyperactive thyroid will elevate the body's
metabolism, causing an elevated heart rate, fatigue, weight loss, heat intolerance, and
muscle atrophy, among other symptoms)
(1: An increase in the secretion of adrenocorticotropic hormone causes Cushing
disease, associated with hypertension, mental changes, weight gain, and increased hair
growth, not the symptoms listed
3: An increase in insulin will cause a decrease in blood glucose levels, resulting in a
hypoglycemic reaction, which includes pallor, increased perspiration, tachycardia,
,weakness, shakiness, and blurred vision. Fatigue and weight loss are not symptoms of
hyperglycemia.
4: levation of epinephrine can cause an increase in blood pressure, tachycardia, and
hyperglycemia. It causes an increase in the sympathetic response ["fight or flight"]. Heat
intolerance, fatigue, and weight loss are not consequences of an increase in
epinephrine.)
Which of the following exercise guidelines is MOST appropriate for a patient who has
diabetes?
a. Exercise during peak insulin times.
b. Exercise at the same time each day.
c. Avoid exercise if the blood glucose level is less than 150 mg/dL (8.3 mmol/L).
d. Avoid exercise if the blood glucose level is greater than 200 mg/dL (11.1 mmol/L). -
CORRECT ANSWER b (Patients who have diabetes should exercise regularly and
consistently)
(Blood glucose levels: below 100 mg/dL and above 250 mg/dL are the cautionary
ranges for exercise)
When examining a patient's pressure injury, a physical therapist notes that in the area of
the wound, the patient has complete loss of skin and intact underlying fascia. The
therapist should recognize this as a:
a. Stage 1 wound.
b. Stage 2 wound.
c. Stage 3 wound.
d. Stage 4 wound. - CORRECT ANSWER c (Stage 3 pressure injuries are
characterized by full-thickness skin loss involving damage to or necrosis of
subcutaneous tissue that may extend down to but not through underlying fascia [deep
crater with or without undermining]).
, Pain associated with urinary calculi MOST often occurs because of blockage of which of
the following structures?
a. Ureter
b. Urethra
c. Bladder
d. Kidney - CORRECT ANSWER a (Pain from urinary calculi results from the ureter
contracting in the attempt to dislodge the calculi.)
A 43-year-old male patient reports the recent appearance of silver and scaly-appearing
plaques on the scalp, elbows, and knees. If left unaddressed, which of the following
complications is MOST likely to develop?
a. Bluish digits with cold exposure
b. Dermal reaction to sun exposure
c. Erosive arthritis in the DIP joints of the hands
d. Erosive arthritis in the hip joints - CORRECT ANSWER c (The stem describes a
patient who recently developed psoriasis, a systemic disease hallmarked by silver
scaled papules and plaques in the scalp, elbows, knees, back, and buttocks. It is a
systemic disease that can result in erosive arthritis, particularly in the DIP joints of the
hands.)
A patient has a granular ulcer that is non-draining. Which of the following types of
dressing would be MOST appropriate for the patient?
a. Foam
b. Collagen
c. Calcium alginate
d. Hydrogel - CORRECT ANSWER d (Hydrogel dressings provide hydration to dry
wound beds and are appropriate for a granular wound that is not draining)
