GNA GNA - Geriatric Nursing Assistant Skin Care and Pressure Injury Prevention

Question 1

Which bony prominence is at HIGHEST risk for a pressure injury in a resident who spends most of the day in bed?

Accepted Answer

Sacrum/coccyx

Answer

The sacrum and coccyx bear significant weight when a resident lies flat and are the most common sites for pressure injuries in bedridden patients.

Question 2

How often should a bedridden resident be repositioned to prevent pressure injuries?

Accepted Answer

Every 2 hours

Answer

Standard practice requires repositioning immobile residents at least every 2 hours to relieve pressure on bony prominences and restore blood flow.

Question 3

When inspecting a resident's skin, redness that does not turn white (blanch) when pressed indicates:

Accepted Answer

A stage 1 pressure injury

Answer

Non-blanchable redness is a hallmark sign of a Stage 1 pressure injury, indicating tissue damage from prolonged pressure.

Question 4

Which action by the GNA helps prevent skin breakdown during repositioning?

Accepted Answer

Using a lift sheet to move the resident

Answer

Using a lift or draw sheet reduces friction and shear forces on the skin, which are major contributors to pressure injuries.

Question 5

A resident has a reddened area on the heel that does not blanch. The GNA should:

Accepted Answer

Document findings and report to the nurse immediately

Answer

Non-blanchable redness indicates a Stage 1 pressure injury that must be reported to the nurse for assessment and care plan updates.

GNA - Geriatric Nursing Assistant Practice Test