NUR 216 Exam 2 Review (Chapters 8–12) –
Integumentary Assessment, Wound Care, Pressure
Ulcers, Skin Disorders & Braden Scale | 2025
Updated Nursing Study Guide with 100% Correct
Answers.
What is the focus of Module #4 in NUR 216?
Integumentary Assessment.
What should be assessed in a patient's health history regarding skin care?
Daily routine of care for skin, hair, nails, mobility level, hygiene, incontinence status, diet,
hydration, smoking habits, sun exposure, medical conditions, and presence of wounds or
lesions.
What is the recommended SPF for sunblock to prevent skin damage?
Greater than 30 and water resistant.
How long does it take for skin to absorb sunscreen?
15 minutes.
What are the risks associated with tanning?
Increased risk for skin cancer and drying of the skin due to ultraviolet radiation exposure.
What lifestyle factors contribute to skin integrity and wound healing?
Regular exercise, a nutritious diet, and avoiding smoking.
What complications can arise from body piercings and tattoos?
Infection, scarring, local inflammation, allergic reactions to ink, and systemic infections like
hepatitis C.
What are common bacterial infections associated with body piercings?
Staphylococcus and Pseudomonas strains.
What is a pressure injury and what causes it?
,A pressure injury is caused by pressure, shear, and friction, resulting in tissue ischemia and
injury.
What are the signs of wound infection?
Localized swelling, redness, heat, pain, fever, foul-smelling or purulent drainage, and change in
drainage color.
What is required for advanced assessment of wounds?
Measurement of the wound (Width x Length x Depth), staging, characteristics of the wound
bed, and monitoring for changes.
What is the purpose of the PUSH Tool?
To evaluate the progress of pressure injury.
What does the Norton scale assess?
Risk of pressure ulcer based on physical condition, mental state, activity level, mobility, and
incontinence level.
What does the Braden screening tool assess?
Risk of pressure ulcer.
What can smoking do to skin health?
Compromises oxygen supply to tissues, making skin more prone to breakdown and delaying
wound healing.
What is the effect of infrequent cleansing on skin health?
Contributes to excessive oiliness, clogged sebaceous glands, and inadequate removal of
microbes.
What are the potential consequences of oral piercings?
Gingivitis, damage to teeth and gums, choking, difficulty eating, changes in speech, and
prolonged bleeding.
What is the importance of patient education regarding tattoos and piercings?
Patients should be informed about the procedure, aftercare, and the need to find reputable
artists/piercers.
What is the relationship between diet and skin integrity?
A nutritious diet provides essential nutrients needed to maintain skin integrity.
, What can prolonged pressure on bony prominences lead to?
Serious tissue damage and pressure injuries.
What is the role of regular exercise in skin health?
Improves circulation, which is necessary for skin integrity and wound healing.
What should be monitored in patients with wounds?
Changes in size (evolving) or deterioration to ensure correct treatment.
What is the significance of sunblock reapplication?
Sunblock should be reapplied after being in the water to maintain protection.
What indicators are used in the assessment of pressure ulcers?
Indicators include sensory perception, moisture, activity, mobility, nutrition, friction, and shear.
What does a lower score indicate in pressure ulcer screening tools?
A lower score indicates a higher risk of pressure ulcer development.
What are the characteristics of Stage I pressure ulcers?
Localized skin is intact with discoloration present; redness may be hard to detect in dark skin.
Describe Stage II pressure ulcers.
An eroded layer of the first skin layer with a pink wound bed; it is a shallow wound resembling a
blister.
What is involved in Stage III pressure ulcers?
Compromise of the first epidermis, dermis, subcutaneous, and muscle tissue; dead or necrotic
tissues may be present.
What defines Stage IV pressure ulcers?
All layers of skin down to muscle, bones, and tendons are compromised; dead or necrotic
tissues may be present, along with rolled edges and tunneling.
What is an unstageable wound?
A wound where the base is obscured by slough or eschar, making it impossible to determine the
stage.
What is a deep tissue injury?
Integumentary Assessment, Wound Care, Pressure
Ulcers, Skin Disorders & Braden Scale | 2025
Updated Nursing Study Guide with 100% Correct
Answers.
What is the focus of Module #4 in NUR 216?
Integumentary Assessment.
What should be assessed in a patient's health history regarding skin care?
Daily routine of care for skin, hair, nails, mobility level, hygiene, incontinence status, diet,
hydration, smoking habits, sun exposure, medical conditions, and presence of wounds or
lesions.
What is the recommended SPF for sunblock to prevent skin damage?
Greater than 30 and water resistant.
How long does it take for skin to absorb sunscreen?
15 minutes.
What are the risks associated with tanning?
Increased risk for skin cancer and drying of the skin due to ultraviolet radiation exposure.
What lifestyle factors contribute to skin integrity and wound healing?
Regular exercise, a nutritious diet, and avoiding smoking.
What complications can arise from body piercings and tattoos?
Infection, scarring, local inflammation, allergic reactions to ink, and systemic infections like
hepatitis C.
What are common bacterial infections associated with body piercings?
Staphylococcus and Pseudomonas strains.
What is a pressure injury and what causes it?
,A pressure injury is caused by pressure, shear, and friction, resulting in tissue ischemia and
injury.
What are the signs of wound infection?
Localized swelling, redness, heat, pain, fever, foul-smelling or purulent drainage, and change in
drainage color.
What is required for advanced assessment of wounds?
Measurement of the wound (Width x Length x Depth), staging, characteristics of the wound
bed, and monitoring for changes.
What is the purpose of the PUSH Tool?
To evaluate the progress of pressure injury.
What does the Norton scale assess?
Risk of pressure ulcer based on physical condition, mental state, activity level, mobility, and
incontinence level.
What does the Braden screening tool assess?
Risk of pressure ulcer.
What can smoking do to skin health?
Compromises oxygen supply to tissues, making skin more prone to breakdown and delaying
wound healing.
What is the effect of infrequent cleansing on skin health?
Contributes to excessive oiliness, clogged sebaceous glands, and inadequate removal of
microbes.
What are the potential consequences of oral piercings?
Gingivitis, damage to teeth and gums, choking, difficulty eating, changes in speech, and
prolonged bleeding.
What is the importance of patient education regarding tattoos and piercings?
Patients should be informed about the procedure, aftercare, and the need to find reputable
artists/piercers.
What is the relationship between diet and skin integrity?
A nutritious diet provides essential nutrients needed to maintain skin integrity.
, What can prolonged pressure on bony prominences lead to?
Serious tissue damage and pressure injuries.
What is the role of regular exercise in skin health?
Improves circulation, which is necessary for skin integrity and wound healing.
What should be monitored in patients with wounds?
Changes in size (evolving) or deterioration to ensure correct treatment.
What is the significance of sunblock reapplication?
Sunblock should be reapplied after being in the water to maintain protection.
What indicators are used in the assessment of pressure ulcers?
Indicators include sensory perception, moisture, activity, mobility, nutrition, friction, and shear.
What does a lower score indicate in pressure ulcer screening tools?
A lower score indicates a higher risk of pressure ulcer development.
What are the characteristics of Stage I pressure ulcers?
Localized skin is intact with discoloration present; redness may be hard to detect in dark skin.
Describe Stage II pressure ulcers.
An eroded layer of the first skin layer with a pink wound bed; it is a shallow wound resembling a
blister.
What is involved in Stage III pressure ulcers?
Compromise of the first epidermis, dermis, subcutaneous, and muscle tissue; dead or necrotic
tissues may be present.
What defines Stage IV pressure ulcers?
All layers of skin down to muscle, bones, and tendons are compromised; dead or necrotic
tissues may be present, along with rolled edges and tunneling.
What is an unstageable wound?
A wound where the base is obscured by slough or eschar, making it impossible to determine the
stage.
What is a deep tissue injury?
