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

The Braden Scale evaluates six factors (sensory perception, moisture, activity, mobility, nutrition, and friction/shear) to calculate a patient's risk of developing pressure injuries.

Question 2

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

Accepted Answer

A patient who is paralyzed, incontinent, and malnourished

Answer

Combined immobility, incontinence (moisture), and malnutrition (poor tissue repair) dramatically increase pressure injury risk by impairing circulation, skin barrier function, and healing capacity.

Question 3

A Stage 1 pressure injury presents as:

Accepted Answer

Non-blanchable erythema (redness) of intact skin

Answer

Stage 1 is defined as localized intact skin with non-blanchable redness, which does not turn white when pressed, indicating early tissue damage.

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

Pressure-redistribution surfaces (such as foam, gel, or air mattresses) spread body weight over a larger area, reducing peak pressure at bony prominences to prevent tissue ischemia.

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

Accurate wound documentation requires objective descriptions of location, approximate size, wound bed appearance, drainage characteristics, and periwound skin condition to track healing progress over time.

(HAC) Healthcare Aide Certification Practice Test

(HAC) Healthcare Aide Certification Practice Test

HAC Wound Care & Skin Integrity 3