LPN Wound Care and Pressure Injury Staging 5

Question 1

An LPN is caring for a patient with a venous leg ulcer. Which characteristic BEST distinguishes it from an arterial ulcer?

Accepted Answer

Located on the medial gaiter area with moderate-to-heavy exudate

Answer

Located on the lateral malleolus with minimal exudate and dry wound bed

Answer

Painful at rest, with a pale wound bed and absent pedal pulses

Answer

Deep, punched-out appearance with necrotic base and black eschar

Question 2

Which intervention BEST prevents friction injuries during patient repositioning?

Accepted Answer

Using a lift sheet or slide board to move the patient

Answer

Pulling the patient across the bed sheet by grasping the gown

Answer

Placing a wet cloth under the patient to reduce resistance

Answer

Having the patient assist by pushing with their elbows

Question 3

A patient's wound culture grows Pseudomonas aeruginosa. Which wound characteristic is MOST associated with this organism?

Accepted Answer

Blue-green exudate with a fruity odor

Answer

White, cottage-cheese-like exudate

Answer

Thick, brown, malodorous drainage

Answer

Thin, serous, yellow-tinged drainage

Question 4

Which action should the LPN take FIRST upon discovering a patient lying on a pressure injury site?

Accepted Answer

Reposition the patient to offload pressure from the wound

Answer

Document the wound and continue routine care

Answer

Apply a wet-to-dry dressing to the wound immediately

Answer

Increase the patient's fluid intake

Question 5

A Braden Scale score of 16 indicates which level of pressure injury risk?

Accepted Answer

Mild risk

Answer

No risk

Answer

Moderate risk

Answer

High risk

Question 6

When teaching a patient with a new colostomy about peristomal skin care, which instruction is MOST important for preventing skin breakdown?

Accepted Answer

Cut the pouch opening to fit within 1/8 inch of the stoma base

Answer

Clean the skin with alcohol wipes before applying the pouch

Answer

Ensure the pouch opening is cut 1 inch larger than the stoma

Answer

Change the pouch system every 24 hours regardless of leakage

Question 7

Which finding indicates that a wound is NOT progressing toward healing and requires reassessment of the care plan?

Accepted Answer

Increase in wound size or depth after 2 weeks of treatment

Answer

Decrease in wound size over 2 weeks

Answer

Increase in granulation tissue visible in the wound bed

Answer

Wound exudate changing from purulent to serous