Wound Care and Pressure Injury Staging Flashcards
7 cards from real LPN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Wound Care and Pressure Injury Staging flashcards as text
Which of the following patients has the HIGHEST risk for developing a pressure injury?
Answer: A 75-year-old incontinent patient on bedrest with a Braden score of 12
A low Braden score (≤12), incontinence, advanced age, and immobility combine to place this patient at very high risk.
A patient's wound shows bright red, moist, granular tissue filling the wound bed. This indicates:
Answer: Healthy granulation tissue
Bright red, moist, beefy-appearing granular tissue is healthy granulation tissue, indicating the wound is progressing toward healing.
Which action by an LPN demonstrates correct technique when irrigating a wound?
Answer: Irrigating with normal saline using a 19-gauge angiocath at 8–15 psi
Wound irrigation should deliver 8–15 psi using normal saline with an appropriate syringe-and-angiocath combination to cleanse without damaging tissue.
A stage 4 pressure injury exposes bone and tendon. Which dressing characteristic is MOST important for this wound?
Answer: Maintaining a moist wound environment
Maintaining a moist wound environment is essential for promoting granulation and epithelialization in deep wounds like stage 4 injuries.
A patient with diabetes has a neuropathic foot ulcer. Which assessment finding is MOST characteristic of diabetic neuropathic ulcers?
Answer: Occurs over pressure points on the plantar surface with minimal pain
Diabetic neuropathic ulcers typically occur on pressure points of the plantar foot and are painless due to sensory neuropathy.
When using the clock method to document wound tunneling, 12 o'clock corresponds to which direction?
Answer: Toward the patient's head
In wound clock documentation, 12 o'clock is always oriented toward the patient's head regardless of wound location.
Which finding in a healing surgical wound should the LPN report to the charge nurse IMMEDIATELY?
Answer: Separation of wound edges with visible subcutaneous tissue
Wound dehiscence — separation of wound edges exposing underlying tissue — is an emergency requiring immediate notification and intervention.