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 low Braden score (≤12), incontinence, advanced age, and immobility combine to place this patient at very high risk.

Question 2

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

Accepted Answer

Healthy granulation tissue

Answer

Bright red, moist, beefy-appearing granular tissue is healthy granulation tissue, indicating the wound is progressing toward healing.

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

Wound irrigation should deliver 8–15 psi using normal saline with an appropriate syringe-and-angiocath combination to cleanse without damaging tissue.

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

Maintaining a moist wound environment is essential for promoting granulation and epithelialization in deep wounds like stage 4 injuries.

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

Diabetic neuropathic ulcers typically occur on pressure points of the plantar foot and are painless due to sensory neuropathy.

LPN - Licensed Practical Nurse Practice Test

LPN - Licensed Practical Nurse Practice Test

LPN Wound Care and Pressure Injury Staging 4