SNLE Musculoskeletal, Skin & Wound Care Practice Questions

1. What best describes a stage 1 pressure injury?

1. A. Intact skin with non-blanchable redness
2. B. Full-thickness loss with exposed bone
3. C. Full-thickness loss with visible fat
4. D. Partial-thickness skin loss with exposed dermis

2. A patient is started on allopurinol for chronic gout. What is the drug's main action?

1. A. It dissolves existing crystals within hours
2. B. It relieves acute pain like an opioid
3. C. It increases uric acid production
4. D. It reduces the production of uric acid

3. A patient has skeletal traction with pins. Which finding at the pin sites should be reported?

1. A. Purulent, foul-smelling drainage and increasing redness
2. B. Mild tenderness on the first day
3. C. Slight crusting around the pin
4. D. A small amount of clear serous fluid

4. An adult has burns to the entire front of the trunk and the whole of one leg. Using the rule of nines, what is the approximate total body surface area burned?

1. A. 27%
2. B. 18%
3. C. 36%
4. D. 45%

5. A patient coughs and says 'something gave way' in the abdominal incision; the nurse sees loops of bowel protruding. What should the nurse do first?

1. A. Sit the patient upright and encourage coughing
2. B. Push the bowel back into the abdomen
3. C. Cover the wound with sterile saline-moistened dressings and call the surgeon
4. D. Apply a dry gauze and tape tightly