CNA Skin Care and Pressure Injury Prevention 2

Question 1

A pressure injury presents as intact skin with non-blanchable localized redness over a bony prominence. How is it classified?

Accepted Answer

Stage 1

Answer

Stage 1 is defined by intact skin with non-blanchable redness, representing the earliest sign of pressure damage without open skin.

Question 2

Which resident is at the HIGHEST combined risk for developing a pressure injury?

Accepted Answer

A bedridden resident with poor nutrition and incontinence

Answer

Immobility, poor nutrition, and incontinence are three of the strongest independent risk factors that together create very high pressure injury risk.

Question 3

During bathing, which observation should a CNA prioritize reporting to the nurse?

Accepted Answer

Redness, open areas, or bruising over bony prominences

Answer

Redness, open areas, or bruising over bony prominences are early warning signs of pressure injury that require prompt nursing assessment.

Question 4

What is the FIRST action a CNA should take after noticing a new reddened area on a resident's sacrum?

Accepted Answer

Report the finding to the nurse immediately and document it

Answer

Any new skin change must be reported to the nurse immediately because early intervention is critical to preventing a Stage 1 finding from progressing.

Question 5

Shear injury to the skin occurs when:

Accepted Answer

The skin moves in one direction while the underlying tissues move in the opposite direction

Answer

Shear stress damages blood vessels and deep tissues when the skin surface and the tissue beneath it slide in opposite directions, as when a resident slides down in bed.

CNA Practice Test

CNA Practice Test

CNA Skin Care and Pressure Injury Prevention 2