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NPTE · NPTE

NPTE Integumentary and Lymphatic

Wound classification, skin integrity, and lymphedema management concepts tested on the NPTE integumentary domain.

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What characterizes a Stage 1 pressure injury?
Intact skin with non-blanchable redness over a bony prominence.
What characterizes a Stage 2 pressure injury?
Partial-thickness skin loss with an exposed pink or red wound bed, or an intact or ruptured blister.
What characterizes a Stage 3 pressure injury?
Full-thickness skin loss with visible fat, but bone, tendon, and muscle are not exposed.
What characterizes a Stage 4 pressure injury?
Full-thickness skin and tissue loss with exposed bone, tendon, or muscle.
What defines an unstageable pressure injury?
Full-thickness skin and tissue loss where the wound bed is covered by slough or eschar, so the true depth cannot be determined.
What defines a deep tissue pressure injury (DTPI)?
Intact or non-intact skin with a persistent, non-blanchable deep red, maroon, or purple area from damage to underlying soft tissue.
What is the Braden Scale used to assess?
A patient's risk for developing a pressure injury.
What are the six subscales of the Braden Scale?
Sensory perception, moisture, activity, mobility, nutrition, and friction/shear.
On the Braden Scale, a ____ total score indicates a higher risk for pressure injury development.
lower
What are the four phases of wound healing, in order?
Hemostasis, inflammation, proliferation, remodeling.
When does the hemostasis phase of wound healing begin?
Immediately after injury, within minutes.
What are the cardinal signs of the inflammatory phase of wound healing?
Redness, heat, swelling, and pain.
What type of tissue is the hallmark of the proliferative phase of wound healing?
Granulation tissue.
How long can the remodeling (maturation) phase of wound healing last?
Up to one to two years.
What is healing by primary intention?
Wound edges are surgically closed and approximated, such as with sutures or staples.

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