FREE NPTE-PT Test Integumentary System and Wounds Questions and Answers

Question 1

A physical therapist is assessing a wound on a patient's sacrum.
The evaluation reveals full-thickness tissue loss, but the base of the wound is completely obscured by adherent yellow slough and a patch of black eschar.
According to the National Pressure Injury Advisory Panel (NPIAP) staging system, what is the correct stage for this pressure injury?

Accepted Answer

Unstageable

Answer

Stage 3

Answer

Stage 4

Answer

Deep Tissue Injury

Question 2

A patient presents with a shallow ulcer on the medial aspect of the lower leg, superior to the malleolus. The surrounding skin exhibits a brownish discoloration (hemosiderin staining) and significant pitting edema. The wound has irregular borders and is producing a moderate amount of serous drainage. These clinical findings are MOST consistent with which type of ulcer?

Accepted Answer

Venous insufficiency ulcer

Answer

Arterial insufficiency ulcer

Answer

Neuropathic ulcer

Answer

Pressure injury

Question 3

A physical therapist is selecting a dressing for a wound on a patient's heel that has a large amount of thick, purulent exudate and requires packing. Which of the following dressing categories would be the MOST appropriate primary dressing choice to manage this wound?

Accepted Answer

Calcium alginate rope

Answer

Hydrogel sheet

Answer

Transparent film

Answer

Hydrocolloid wafer

Question 4

A patient sustained a burn from spilling hot coffee on their forearm. The area is bright red, moist, and has several intact blisters. The patient reports significant pain, and the area blanches with pressure. Based on these findings, how should the physical therapist classify this burn?

Accepted Answer

Superficial partial-thickness burn

Answer

Superficial burn

Answer

Deep partial-thickness burn

Answer

Full-thickness burn

Question 5

A physical therapist is treating a patient with a wound in the proliferative phase of healing. Which of the following clinical findings is MOST characteristic of this specific phase?

Accepted Answer

Formation of granulation tissue and angiogenesis

Answer

Hemostasis and influx of neutrophils

Answer

Reorganization of collagen fibers and scar maturation

Answer

Vasoconstriction and platelet aggregation

Question 6

A physical therapist is managing care for an elderly patient with severe peripheral arterial disease. The patient has a dry, black, non-tender, and firmly adherent eschar covering the entire plantar surface of the heel without any signs of drainage or inflammation. Which of the following interventions is the MOST appropriate?

Accepted Answer

Protect the heel and leave the stable eschar intact.

Answer

Apply a hydrogel to soften the eschar for debridement.

Answer

Initiate sharp debridement to remove the necrotic tissue.

Answer

Use wet-to-dry dressings to facilitate mechanical debridement.