FREE LPN Wound Care and Pressure Injury Staging Questions and Answers

Question 1

An LPN is assessing a client's pressure injury over the sacrum.
The wound bed shows full-thickness tissue loss with visible subcutaneous fat, but bone, tendon, and muscle are not exposed.
How should the LPN stage this injury?

Accepted Answer

Stage 3

Answer

Stage 1

Answer

Stage 2

Answer

Stage 4

Question 2

A client has an area of intact skin on the heel that is red and does not blanch when pressed. The LPN would document this finding as which stage of pressure injury?

Accepted Answer

Stage 1

Answer

Stage 2

Answer

Deep Tissue Injury

Answer

Unstageable

Question 3

An LPN is preparing to irrigate a client's surgical wound. Which technique demonstrates proper procedure?

Accepted Answer

Directing the flow of solution from the top to the bottom of the wound.

Answer

Using a high-pressure stream to dislodge debris.

Answer

Instilling the solution from the outer edge toward the center.

Answer

Warming the irrigation solution in the microwave.

Question 4

A pressure injury on a client's coccyx is completely covered by hard, dry, black eschar. How should this wound be staged?

Accepted Answer

Unstageable

Answer

Stage 2

Answer

Stage 3

Answer

Stage 4

Question 5

An LPN is contributing to the plan of care for an immobile client at high risk for developing pressure injuries. What is a priority nursing intervention?

Accepted Answer

Repositioning the client at least every 2 hours.

Answer

Massaging reddened bony prominences.

Answer

Applying cornstarch to keep the skin dry.

Answer

Keeping the head of the bed elevated at 90 degrees.

Question 6

An LPN assesses a pressure injury that presents as a shallow open ulcer with a red-pink wound bed, without slough. It also looks like an intact, serum-filled blister. This describes which stage?

Accepted Answer

Stage 2

Answer

Stage 1

Answer

Stage 3

Answer

Deep Tissue Injury

Question 7

An LPN is caring for a client with a suspected deep tissue injury (DTI) over the left trochanter. What clinical finding is consistent with this diagnosis?

Accepted Answer

A purple, localized area of discolored intact skin.

Answer

A shallow crater with a pink wound bed.

Answer

Intact skin with non-blanchable redness.

Answer

Full-thickness tissue loss with exposed bone.

An LPN is assessing a client's pressure injury over the sacrum.The wound bed shows full-thickness tissue loss with visible subcutaneous fat, but bone, tendon, and muscle are not exposed.How should the LPN stage this injury?

An LPN is assessing a client's pressure injury over the sacrum.
The wound bed shows full-thickness tissue loss with visible subcutaneous fat, but bone, tendon, and muscle are not exposed.
How should the LPN stage this injury?