Management of Integumentary Disorders: Quizzes and Practice Tests

Question 1

Which of the following is the primary objective of wound care?

Accepted Answer

To prevent infection and promote healing

Answer

To reduce pain and discomfort

Answer

To improve wound appearance

Answer

To facilitate surgical intervention

Question 2

Which type of wound involves damage to the epidermis and dermis, but not the subcutaneous tissue?

Accepted Answer

Partial-thickness wound

Answer

Superficial wound

Answer

Full-thickness wound

Answer

Necrotic wound

Question 3

Which of the following dressings is most suitable for a wound with minimal drainage?

Accepted Answer

Transparent film dressing

Answer

Gauze dressing

Answer

Hydrocolloid dressing

Answer

Alginate dressing

Question 4

Which surgical intervention involves the removal of necrotic tissue from a wound?

Accepted Answer

Debridement

Answer

Excision

Answer

Grafting

Answer

Reconstruction

Question 5

Which of the following medications is commonly used to treat gram-negative bacterial infections in wounds?

Accepted Answer

Ciprofloxacin

Answer

Penicillin

Answer

Vancomycin

Answer

Metronidazole

Question 6

Which device is used to measure the depth of a wound?

Accepted Answer

Wound probe

Answer

Scalpel

Answer

Ruler

Answer

Doppler ultrasound

Question 7

What is the primary mechanism responsible for the development of psoriasis?

Accepted Answer

Accelerated proliferation and impaired differentiation of keratinocytes

Answer

Reduced sebum production

Answer

Bacterial infection

Answer

Abnormal immune response to ultraviolet radiation

Question 8

Which topical agent is most frequently utilized as a first-line treatment for mild to moderate acne vulgaris?

Accepted Answer

Benzoyl peroxide

Answer

Tretinoin (Retin-A)

Answer

Salicylic acid

Answer

Azelaic acid

Question 9

For severe burn injuries, which surgical procedure is commonly employed to restore skin coverage?

Accepted Answer

Skin grafting

Answer

Debridement

Answer

Amputation

Answer

Cryosurgery

Question 10

In the management of pressure ulcers, which intervention is considered the cornerstone of the treatment plan?

Accepted Answer

Redistribution of pressure

Answer

Administration of antibiotics

Answer

Surgical debridement

Answer

Aggressive pain management

Question 11

For the treatment of fungal skin infections, which class of medications is typically prescribed?

Accepted Answer

Antifungals

Answer

Antibiotics

Answer

Antivirals

Answer

Corticosteroids

Question 12

Which step is not part of the meticulous surgical debridement process?

Accepted Answer

Facilitation of optimal wound healing

Answer

Removal of necrotic tissue

Answer

Precise use of sharp surgical instruments

Answer

Application of appropriate dressings

Question 13

Which of the following is the primary indication for topical antibiotics in skin infections?

Accepted Answer

Mild infections involving the epidermis

Answer

Infections involving hair follicles

Answer

Infections that require systemic antibiotics

Answer

Infections caused by gram-negative bacteria

Question 14

Which of the following wound types is likely to require surgical debridement?

Accepted Answer

Necrotic wound with dead or damaged tissue

Answer

Superficial wound with minimal tissue damage

Answer

Abrasion involving only the outermost layer of skin

Answer

Contusion with bruising but no open wound

Question 15

A patient with a wound infection is being assessed by the nurse. Which of the following assessment findings would strongly suggest the need for systemic antibiotics?

Accepted Answer

Fever and chills, indicating a systemic response to infection

Answer

Redness and swelling confined to the immediate area around the wound

Answer

Purulent drainage coming from the wound

Answer

Pain and tenderness at the wound site

Question 16

Which of the following is NOT an indication for surgical debridement of a wound?

Accepted Answer

Optimally healing wounds

Answer

Necrotic tissue obstructing wound healing

Answer

Unresponsive infection despite antibiotics

Answer

Foreign bodies obstructing wound closure

Question 17

What is the most common type of pressure ulcer?

Accepted Answer

Stage I

Answer

Stage II

Answer

Stage III

Answer

Stage IV

Question 18

Which medication is commonly used to treat bacterial skin infections?

Accepted Answer

Clindamycin

Answer

Hydrocortisone

Answer

Tretinoin

Answer

Salicylic acid

Question 19

Which wound dressing is most suitable for a wound with excessive drainage?

Accepted Answer

Foam dressing

Answer

Hydrocolloid dressing

Answer

Transparent film dressing

Answer

Saline gauze dressing

Question 20

When assessing a wound, which finding does NOT indicate infection?

Accepted Answer

Absence of fluid

Answer

Erythema

Answer

Edema

Answer

Pain

Question 21

Which medication is commonly used to treat eczema?

Accepted Answer

Prednisone

Answer

Humira

Answer

Adalimumab

Answer

Remicade

Question 22

What is a primary symptom of eczema?

Accepted Answer

Itching

Answer

Fever

Answer

Chills

Answer

Nausea

Question 23

A patient has a superficial burn covering less than 15% of their body. What is the most appropriate initial intervention?

Accepted Answer

Apply a sterile dressing, monitor for infection, and provide pain relief.

Answer

Administer intravenous fluids and monitor fluid status.

Answer

Prescribe antibiotics to prevent infection.

Answer

Refer the patient to a burn center immediately.

Question 24

Which integumentary disorder is characterized by excessive skin cell production, leading to thick, scaly patches?

Accepted Answer

Psoriasis

Answer

Acne

Answer

Eczema

Answer

Skin cancer

Question 25

What type of medication is commonly used to treat bacterial skin infections?

Accepted Answer

Antibiotics

Answer

Nonsteroidal anti-inflammatory drugs (NSAIDs)

Answer

Antihistamines

Answer

Diuretics

Question 26

For a patient presenting with blistering and intense pain due to a deep partial-thickness burn, which medication provides optimal pain management?

Accepted Answer

Morphine

Answer

Aspirin

Answer

Ibuprofen

Answer

Acetaminophen

Question 27

For a wound with minimal drainage and a dry appearance, which type of wound dressing is most appropriate?

Accepted Answer

Transparent film dressing

Answer

Foam dressing

Answer

Hydrocolloid dressing

Question 28

In the treatment of cellulitis, which antibiotic is considered the first-line choice?

Accepted Answer

Penicillinase-resistant penicillins (e.g., dicloxacillin)

Answer

Erythromycin

Answer

Cephalexin

Question 29

Which factor significantly increases the likelihood of developing a surgical site infection?

Accepted Answer

Prolonged duration of surgery

Answer

Young age

Answer

Healthy weight

Answer

Use of antibiotic prophylaxis

Question 30

For a patient with a second-degree sunburn exhibiting blistering and redness, which intervention is most beneficial?

Accepted Answer

Application of cool compresses and administration of pain relievers

Answer

Antibiotic use

Answer

Oral fluid replacement

Answer

Antihistamine administration

Question 31

Which characteristic exudate and odor suggest an infected wound?

Accepted Answer

Yellow-green exudate with a foul odor

Answer

Purulent exudate

Answer

Serosanguineous exudate

Answer

Clear exudate

Question 32

Which assessment finding indicates a high risk of infection in a patient with a pressure ulcer?

Accepted Answer

Presence of tunneling

Answer

Redness surrounding the ulcer

Answer

Firm granulation tissue

Answer

Semi-transparent exudate

Question 33

Which topical agent is commonly used to treat fungal infections of the skin?

Accepted Answer

Azole antifungals (e.g., clotrimazole)

Answer

Penicillin

Answer

Erythromycin

Answer

Vancomycin

Question 34

For a patient with a stage III pressure ulcer, which intervention is most effective in promoting healing?

Accepted Answer

Apply a moist dressing to the wound.

Answer

Massage the area around the wound.

Answer

Expose the wound to air.

Answer

Apply pressure to the wound.

Question 35

Which of the following is a key principle of wound management?

Accepted Answer

Maintain a moist wound environment

Answer

Delay debridement

Answer

Debride the wound daily

Answer

Apply topical antibiotics aggressively

Question 36

What is the primary indication for systemic antibiotic therapy in managing cellulitis?

Accepted Answer

To eradicate the invading bacteria

Answer

To prevent scarring

Answer

To promote wound healing

Answer

To reduce pain and inflammation

Question 37

Which intervention is essential in the treatment of pressure ulcers?

Accepted Answer

Effectively relieve pressure on the affected area

Answer

Debride the wound frequently

Answer

Suture the wound together

Answer

Apply topical antibiotics

Question 38

What is the primary cause of most skin cancers?

Accepted Answer

Exposure to ultraviolet radiation

Answer

Smoking

Answer

Chronic skin irritation

Answer

Viral infection

Question 39

What is the initial nursing priority for a patient with a blistering skin disorder?

Accepted Answer

Protect the blisters from rupturing

Answer

Debride the affected area

Answer

Apply topical steroids

Question 40

Which of the following is a characteristic of atopic dermatitis?

Accepted Answer

Chronic, intensely itchy, and inflamed skin

Answer

Deep, painful skin ulcers

Answer

Scaly, dry skin with minimal itching

Answer

Contagious lesions with pus

Question 41

What is the recommended treatment for managing impetigo?

Accepted Answer

Topical and/or oral antibiotics

Answer

Antiviral medications

Answer

Phototherapy

Answer

Immunosuppressants

Question 42

Which characteristic increases the risk of developing skin cancer?

Accepted Answer

Fair skin and light-colored eyes

Answer

Diabetes

Answer

Obesity

Answer

Dark skin and dark-colored eyes

Question 43

Which topical antibiotic is specifically indicated for the treatment of impetigo?

Accepted Answer

Mupirocin

Answer

Erythromycin (for gram-positive organisms)

Answer

Vancomycin (for MRSA)

Answer

Clindamycin (for severe infections)

Question 44

What is the primary objective of surgical wound debridement?

Accepted Answer

Removal of necrotic and nonviable tissue

Answer

Promotion of wound healing

Answer

Disinfection of the wound bed

Answer

Relief of pain and inflammation

Question 45

Which wound dressing type is most appropriate for managing a full-thickness pressure ulcer (Stage III)?

Accepted Answer

Hydrocolloid dressing

Answer

Transparent film dressing (for superficial wounds)

Answer

Gauze dressing (for superficial wounds)

Question 46

Which incision type is associated with the highest risk of postoperative wound infection?

Accepted Answer

Open incision

Answer

Closed incision

Answer

Subcutaneous incision

Answer

Laparoscopic incision

Question 47

Which skin manifestation is commonly associated with fungal infections?

Accepted Answer

Ring-shaped (annular), itchy rash

Answer

Raised, scaly plaques (psoriasis)

Answer

Vesicles and crusting (impetigo)

Answer

Swelling and erythema (cellulitis)

Question 48

What is the primary etiologic agent responsible for causing cellulitis?

Accepted Answer

Bacterial infection

Answer

Fungal infection (e.g., dermatophytes)

Answer

Viral infection (e.g., herpes simplex)

Answer

Autoimmune disorder (e.g., lupus)

Question 49

Which measure is most effective in preventing the spread of scabies in a household setting?

Accepted Answer

Treatment of all household contacts with permethrin cream

Answer

Topical application of lindane (contraindicated due to neurotoxicity)

Answer

Thorough environmental disinfection

Answer

Isolation of the infected individual

Question 50

A client with a pressure ulcer develops a fever and chills. Which of the following is the most likely complication?

Accepted Answer

Cellulitis

Answer

Dehiscence

Answer

Osteomyelitis

Answer

Skin necrosis

Question 51

Which of the following is a contraindication for topical antibiotics in burn management?

Accepted Answer

Full-thickness burns

Answer

Superficial burns

Answer

Partial-thickness burns

Answer

Second-degree burns

Question 52

Which of the following is the recommended dressing for a clean, dry surgical wound?

Accepted Answer

Sterile gauze pad

Answer

Alginate dressing

Answer

Wet-to-dry dressing

Answer

Hydrocolloid dressing

Question 53

Which of the following factors can contribute to the development of bedsores?

Accepted Answer

Immobility

Answer

Frequent repositioning

Answer

Good skin hygiene

Answer

Proper nutrition

Question 54

Which of the following nursing assessments is essential in monitoring wound healing?

Accepted Answer

Assessment of wound size, color, and drainage

Answer

Assessment of the client's mood

Answer

Assessment of the client's diet

Answer

Assessment of pain level only