CNA Wound Care and Skin Integrity 2 — Questions and Answers
Question 1: A resident has a Stage 2 pressure injury. Which description best matches this stage?
- Full-thickness skin loss exposing muscle
- Partial-thickness skin loss with a shallow open wound (Correct answer)
- Intact skin with non-blanchable redness
- Deep tissue destruction with eschar
Correct answer: Partial-thickness skin loss with a shallow open wound
Stage 2 pressure injuries involve partial-thickness skin loss presenting as a shallow open wound with a pink or red wound bed.
Question 2: When repositioning a resident to prevent pressure injuries, how often should a bedridden resident typically be turned?
- Every 4 hours
- Every 2 hours (Correct answer)
- Once per shift
- Every 30 minutes
Correct answer: Every 2 hours
Standard practice calls for repositioning bedridden residents at least every 2 hours to relieve pressure and promote circulation.
Question 3: A CNA notices yellow, stringy tissue in a wound. This is most likely:
- Granulation tissue
- Slough (Correct answer)
- Eschar
- Epithelial tissue
Correct answer: Slough
Slough is yellow, tan, or gray stringy necrotic tissue that must be removed for proper wound healing.
Question 4: Which action should a CNA take FIRST when a wound dressing becomes wet or soiled?
- Remove the dressing and leave the wound open to air
- Report it to the nurse and document the observation (Correct answer)
- Apply a new dressing using supplies in the room
- Cover the wet dressing with another layer of gauze
Correct answer: Report it to the nurse and document the observation
CNAs must report changes such as a soiled dressing to the nurse, as dressing changes require nursing assessment and orders.
Question 5: Which bony prominence is at the HIGHEST risk for pressure injury development in a resident who sits in a wheelchair for extended periods?
- Occiput
- Ischial tuberosities (Correct answer)
- Greater trochanter
- Medial malleolus
Correct answer: Ischial tuberosities
The ischial tuberosities bear the most weight when sitting and are the primary pressure points for wheelchair users.
Question 6: A resident's skin looks pale, shiny, and feels tight over the lower leg. This assessment finding most likely indicates:
- Early pressure injury formation
- Edema affecting skin integrity (Correct answer)
- Normal aging skin changes
- Contact dermatitis
Correct answer: Edema affecting skin integrity
Pale, shiny, tight skin over the lower leg is characteristic of edema, which stretches and compromises the skin barrier.
Question 7: When cleaning a wound, in which direction should the CNA wipe?
- From the outer edge toward the center
- In circular motions starting from the center
- From the cleanest area (center) outward (Correct answer)
- Back and forth across the wound
Correct answer: From the cleanest area (center) outward
Wounds are cleaned from the cleanest area (the wound center or top) outward to prevent introducing contaminants into the wound.
CNA Wound Care and Skin Integrity 2
A resident has a Stage 2 pressure injury.
Which description best matches this stage?