NCWO Wound Assessment 2

Question 1

A Stage 3 pressure injury is defined as:

Accepted Answer

Full-thickness skin loss without exposed fascia, bone, tendon, or muscle

Answer

A Stage 3 pressure injury involves full-thickness skin loss where subcutaneous fat may be visible but fascia, bone, tendon, and muscle are not exposed.

Question 2

The Braden Scale assesses pressure injury risk using which subscales?

Accepted Answer

Sensory perception, moisture, activity, mobility, nutrition, friction/shear

Answer

The Braden Scale contains six subscales: sensory perception, moisture, activity, mobility, nutrition, and friction/shear, with lower scores indicating higher risk.

Question 3

An unstageable pressure injury is characterized by:

Accepted Answer

Full-thickness tissue loss covered by slough or eschar obscuring depth

Answer

An unstageable pressure injury cannot be staged because the wound bed is obscured by slough or non-removable eschar, preventing depth assessment.

Question 4

Which wound assessment tool uses the acronym TIME to guide debridement decisions?

Accepted Answer

Tissue, Infection/Inflammation, Moisture, Edge

Answer

The TIME framework stands for Tissue (non-viable), Infection/Inflammation, Moisture imbalance, and Edge (non-advancing), guiding wound bed preparation.

Question 5

A deep tissue pressure injury (DTPI) typically presents as:

Accepted Answer

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

Answer

DTPI appears as persistent non-blanchable discoloration (deep red, maroon, or purple) with intact or non-intact skin resulting from pressure or shear at the tissue-bone interface.

NCWO - National Certified Wound Ostomy Practice Test

NCWO - National Certified Wound Ostomy Practice Test

NCWO Wound Assessment 2