LPN Wound Care and Pressure Injury Staging 2

Question 1

A patient has a pressure injury with full-thickness tissue loss, visible slough covering the wound bed, and undermining present. Which stage is this?

Accepted Answer

Unstageable

Answer

Stage 2

Answer

Stage 3

Answer

Stage 4

Question 2

Which dressing type is BEST suited for a heavily exudating wound to maintain a moist environment without causing maceration?

Accepted Answer

Alginate

Answer

Hydrocolloid

Answer

Transparent film

Answer

Dry gauze

Question 3

A patient is repositioned every 2 hours, but a stage 1 pressure injury develops over the sacrum. What is the MOST appropriate next intervention?

Accepted Answer

Apply a pressure-redistributing foam dressing

Answer

Massage the reddened area vigorously

Answer

Increase repositioning to every 30 minutes

Answer

Apply a wet-to-dry dressing

Question 4

When documenting wound measurements, the LPN records length as 4 cm, width as 3 cm, and depth as 1.5 cm. Which measurement technique is standard?

Accepted Answer

Length = head to toe axis; width = side to side

Answer

Length = shortest dimension; width = longest dimension

Answer

Length = wound circumference; width = wound area

Answer

Length = side to side; width = head to toe axis

Question 5

A resident in a long-term care facility has a deep tissue pressure injury (DTPI). Which description BEST matches this classification?

Accepted Answer

Intact or non-intact skin with localized area of persistent non-blanchable deep red, maroon, or purple discoloration

Answer

Partial-thickness loss of skin with exposed dermis

Answer

Full-thickness skin and tissue loss with visible fascia

Answer

Non-blanchable erythema of intact skin

Question 6

Which intervention is CONTRAINDICATED when caring for a stage 1 pressure injury?

Accepted Answer

Massaging the erythematous area

Answer

Applying a transparent film dressing

Answer

Increasing turning frequency

Answer

Keeping the skin clean and dry

Question 7

An LPN is assessing a wound with yellow, stringy tissue firmly adherent to the wound bed. This tissue is BEST described as:

Accepted Answer

Slough

Answer

Granulation tissue

Answer

Eschar

Answer

Epithelial tissue