LPN Wound Care and Pressure Injury Staging 4

Question 1

Which of the following patients has the HIGHEST risk for developing a pressure injury?

Accepted Answer

A 75-year-old incontinent patient on bedrest with a Braden score of 12

Answer

A 30-year-old ambulatory patient with a minor laceration

Answer

A 55-year-old diabetic patient who walks independently

Answer

A 45-year-old patient post-appendectomy, mobile day 1

Question 2

A patient's wound shows bright red, moist, granular tissue filling the wound bed. This indicates:

Accepted Answer

Healthy granulation tissue

Answer

Infected wound tissue

Answer

Necrotic tissue requiring debridement

Answer

Wound dehiscence

Question 3

Which action by an LPN demonstrates correct technique when irrigating a wound?

Accepted Answer

Irrigating with normal saline using a 19-gauge angiocath at 8–15 psi

Answer

Using a bulb syringe with high pressure to dislodge debris

Answer

Using hydrogen peroxide to kill bacteria in the wound

Answer

Packing the wound tightly with dry gauze after irrigation

Question 4

A stage 4 pressure injury exposes bone and tendon. Which dressing characteristic is MOST important for this wound?

Accepted Answer

Maintaining a moist wound environment

Answer

Providing complete occlusion to prevent any gas exchange

Answer

Using a dry dressing to absorb maximum exudate

Answer

Applying silver-containing dressings regardless of infection signs

Question 5

A patient with diabetes has a neuropathic foot ulcer. Which assessment finding is MOST characteristic of diabetic neuropathic ulcers?

Accepted Answer

Occurs over pressure points on the plantar surface with minimal pain

Answer

Occurs on the lateral malleolus with severe pain

Answer

Located on the gaiter area with surrounding hemosiderin staining

Answer

Located on the fingertips with ragged wound edges

Question 6

When using the clock method to document wound tunneling, 12 o'clock corresponds to which direction?

Accepted Answer

Toward the patient's head

Answer

The patient's left side

Answer

Toward the patient's feet

Answer

The patient's right side

Question 7

Which finding in a healing surgical wound should the LPN report to the charge nurse IMMEDIATELY?

Accepted Answer

Separation of wound edges with visible subcutaneous tissue

Answer

Mild serous drainage on postoperative day 2

Answer

Wound edges well approximated with no redness

Answer

Slight swelling around the incision on day 1