Integumentary

Question 1

Anticipated deformity - burn to anterior neck

Answer 1

Flexion, possible lateral flexion

Question 2

Anticipated deformity - burn to anterior chest and axilla

Answer 2

Shoulder adduction, extension, IR

Question 3

Anticipated deformity - burn to elbow

Answer 3

Flexion, pronation

Question 4

Anticipated deformity - burn to hand and wrist

Answer 4

MCP extension
IP flexion
Thumb flexion and adduction
Wrist flexion

Question 5

Anticipated deformity - burn to hip

Answer 5

Flexion, adduction

Question 6

Anticipated deformity - burn to knee

Answer 6

Flexion

Question 7

Anticipated deformity - burn to ankle

Answer 7

Plantar flexion

Question 8

Desensitization training

Answer 8

5-10 min
3-4 times daily
Start with slightly irritating stimulus, progress to more noxious

Question 9

Rules of nines - value for head and neck

Answer 9

9%

Question 10

Rules of nines - value for anterior trunk

Answer 10

18%

Question 11

Rules of nines - value for posterior trunk

Answer 11

18%

Question 12

Rules of nines - value for bilateral anterior arm, forearm, hand

Answer 12

9%

Question 13

Rules of nines - value for bilateral posterior arm, forearm, hand

Answer 13

9%

Question 14

Rules of nines - value for bilateral anterior leg and foot

Answer 14

18%

Question 15

Rules of nines - value for bilateral posterior leg and foot

Answer 15

18%

Question 16

Rules of nines - value for genitals

Answer 16

1%

Question 17

Zone of injury - coagulation

Answer 17

Most severe region of injury

Irreversible damage

Question 18

Zone of injury - stasis

Answer 18

Less severe injury
Reversible damage
Surrounds zone of coagulation

Question 19

Zone of injury - hyperemia

Answer 19

Surrounds zone of stasis

Inflammation, but recovers fully without tx

Question 20

Healing by primary intention

Answer 20

Closure by healthcare professional

Acute wounds with minimal tissue loss

Question 21

Healing by secondary intention

Answer 21

Close on own without superficial closure
Wounds with significant tissue loss, necrosis, irregular/nonviable wound margins, infection or debris contamination
Often associated with other disease processes

Question 22

Healing by tertiary intention

Answer 22

Closed by primary intention after risk factors for complications (edema, debris, infection risk, etc.) alleviated

Question 23

Wagner Ulcer Grade Classification Scale - 0

Answer 23

No open lesion

May possess pre-ulcerative lesions, healed ulcers, bony deformity

Question 24

Wagner Ulcer Grade Classification Scale - 1

Answer 24

Superficial, no subcu involvement

Question 25

Wagner Ulcer Grade Classification Scale - 2

Answer 25

Deep ulcer thru subcu

Potentially exposed bone, tendon, ligament

Question 26

Wagner Ulcer Grade Classification Scale - 3

Answer 26

Deep ulcer with osteitis, abscess, osteomyelitis

Question 27

Wagner Ulcer Grade Classification Scale - 4

Answer 27

Gangrene of digit

Question 28

Wagner Ulcer Grade Classification Scale - 5

Answer 28

Gangrene of foot requiring disarticulation

Question 29

NPUAP Pressure Ulcer Stages - 1

Answer 29

Non-blanchable erythema

Intact skin with non-blanchable redness of a localized area usually over a bony prominence

Question 30

NPUAP Pressure Ulcer Stages - 2

Answer 30

Partial thickness
Partial thickness loss of dermis presenting as a shallow open ulcer with a red pink wound bed, without slough. May also present as an intact or open/ruptured serum-filled or sero-sanginous filled blister

Question 31

NPUAP Pressure Ulcer Stages - 3

Answer 31

Full thickness skin loss
Subcutaneous fat may be visible but bone, tendon or muscle are not exposed. Slough may be present but does not obscure the depth of tissue loss.
May include undermining and tunneling.

Question 32

NPUAP Pressure Ulcer Stages - Unclassifiable

Answer 32

Full thickness tissue loss in which actual depth of the ulcer is completely obscured by slough and/or eschar in the wound bed

Question 33

NPUAP Pressure Ulcer Stages - 4

Answer 33

Full thickness tissue loss with exposed bone, tendon or muscle.
Slough or eschar may be present.
Often includes undermining and tunneling.

Question 34

Correct order of donning equipment prior to dressing change to maintain sterility

Answer 34

1. perform hand washing.
2. don a mask.
3. don a sterile gown.
4. don sterile gloves.

Question 35

Excessive keloid formation

Answer 35

Scar firm or inflexible, highly raised, and outside the wound borders.

Question 36

Hypertrophic scarring

Answer 36

Imbalance between collagen synthesis and lysis.
Common in severe burns.
Complications: contracture, adhesions, hypersensitivity, functional limitation, poor cosmesis

Question 37

Induration

Answer 37

Due to local edema in the tissue, causing firmness of the skin