#1
Which of the following is NOT a characteristic of a Stage 1 pressure injury?
Partial-thickness loss of skin with exposed dermis
ExplanationStage 1 pressure injury involves intact or non-intact skin with localized area of persistent non-blanchable erythema.
#2
What is the primary cause of pressure injuries?
Pressure
ExplanationPressure is the primary cause leading to tissue damage and subsequent pressure injuries.
#3
Which of the following is a common site for pressure injuries?
Elbows
ExplanationElbows are commonly affected by pressure injuries due to prolonged pressure and friction.
#4
What is the recommended frequency for turning and repositioning patients at risk of pressure injuries?
Every 4 hours
ExplanationRepositioning every 4 hours helps distribute pressure evenly and prevent tissue damage.
#5
Which of the following is a risk factor for developing pressure injuries?
Incontinence
ExplanationIncontinence increases the risk of pressure injuries due to prolonged exposure of skin to moisture.
#6
What is the term for the damage to the skin and underlying tissue resulting from prolonged pressure?
Pressure ulcer
ExplanationPressure ulcer refers to tissue damage resulting from prolonged pressure, compromising blood flow.
#7
Which of the following factors does NOT contribute to the development of pressure injuries?
Regular repositioning
ExplanationRegular repositioning helps prevent pressure injuries by reducing prolonged pressure on specific areas.
#8
Which stage of pressure injury involves full-thickness skin loss with exposed bone, tendon, or muscle?
Stage 4
ExplanationStage 4 pressure injury involves extensive tissue damage, extending down to bone, tendon, or muscle.
#9
Which term describes a pressure injury that extends into the subcutaneous tissue?
Deep tissue pressure injury
ExplanationDeep tissue pressure injury involves damage extending beyond the skin layers into subcutaneous tissue.
#10
What is the first step in managing a suspected pressure injury?
Assess the patient
ExplanationAssessment of the patient's condition is crucial for proper management of suspected pressure injuries.
#11
Which of the following is a common complication of pressure injuries?
Cellulitis
ExplanationCellulitis, a bacterial skin infection, is a common complication of pressure injuries.
#12
What is the main objective of pressure injury treatment?
To promote wound healing
ExplanationThe primary goal of pressure injury treatment is to facilitate wound healing and prevent complications.
#13
In the Braden Scale for Predicting Pressure Sore Risk, what is the lowest possible score?
5
ExplanationThe lowest possible score on the Braden Scale indicates a higher risk of pressure injury development.
#14
Which of the following pressure injury stages involves intact or non-intact skin with localized area of persistent non-blanchable erythema?
Stage 1
ExplanationStage 1 pressure injury involves intact or non-intact skin with localized area of persistent non-blanchable erythema.
#15
Which classification system is commonly used to describe pressure injuries?
National Pressure Ulcer Advisory Panel (NPUAP) staging system
ExplanationNPUAP staging system is widely used to classify pressure injuries based on their severity.
#16
Which of the following factors should be considered when assessing the risk of pressure injuries?
All of the above
ExplanationAll mentioned factors, including mobility, nutrition, and skin integrity, contribute to assessing pressure injury risk.
#17
Which of the following is NOT a recommended intervention for managing pressure injuries?
Application of dry dressings
ExplanationMoist wound healing is recommended; thus, application of dry dressings is not advised for managing pressure injuries.