HAC Wound Care & Skin Integrity 3

Question 1

The Braden Scale is a clinical tool used to assess a patient's:

Accepted Answer

Risk of developing pressure injuries

Answer

Level of pain at a wound site

Answer

Nutritional status and appetite

Answer

Ability to perform activities of daily living

Question 2

Which patient is at the HIGHEST risk for developing pressure injuries?

Accepted Answer

A patient who is paralyzed, incontinent, and malnourished

Answer

An ambulatory patient who walks independently three times per day

Answer

A patient recovering from a minor knee surgery with limited mobility for two days

Answer

A patient who uses a wheelchair but can shift their weight independently

Question 3

A Stage 1 pressure injury presents as:

Accepted Answer

Non-blanchable erythema (redness) of intact skin

Answer

An open ulcer with a red or pink wound bed

Answer

A deep crater with visible subcutaneous fat

Answer

A black, dry, eschar-covered wound

Question 4

What is the purpose of using a pressure-redistribution mattress or cushion for at-risk patients?

Accepted Answer

To redistribute body weight and reduce pressure on bony prominences

Answer

To make the patient more comfortable so they sleep longer

Answer

To keep the patient warmer during the night

Answer

To prevent the patient from falling out of bed

Question 5

How should a healthcare aide accurately document wound observations?

Accepted Answer

Describe wound location, size, wound bed color, drainage type and amount, and surrounding skin condition objectively

Answer

Use general terms like 'wound looks okay' or 'wound is healing'

Answer

Only document if the wound appears infected

Answer

Ask the patient to describe their wound and record their words exactly

Question 6

What action should a healthcare aide take if a patient's wound dressing becomes heavily saturated with drainage before the next scheduled change?

Accepted Answer

Report to the supervising nurse so the dressing can be changed and the drainage amount assessed

Answer

Add extra gauze on top of the saturated dressing and wait for the next scheduled change

Answer

Remove the dressing and leave the wound open to air

Answer

Apply tape over the dressing to prevent leakage

Question 7

Which intervention is most effective for preventing skin breakdown in a patient who is incontinent of urine and/or stool?

Accepted Answer

Promptly cleaning the skin after each incontinence episode and applying a moisture barrier cream

Answer

Applying thick lotion to the entire body once daily

Answer

Keeping the patient in an absorbent brief and changing it every 8 hours

Answer

Restricting the patient's fluid intake to reduce urination