Wound Care Certification Exam Wound Care Certification Pressure Injury Prevention 3

Question 1

A patient has a pressure injury over the ischial tuberosity. Which sitting position places LEAST pressure on this anatomical site?

Accepted Answer

Leaning forward with weight distributed to thighs

Answer

Sitting upright at 90 degrees with feet flat on floor

Answer

Reclining back 45 degrees in the wheelchair

Answer

Crossing legs to shift weight laterally

Question 2

Which laboratory finding is MOST strongly associated with impaired pressure injury healing?

Accepted Answer

Hemoglobin A1c of 9.8%

Answer

Serum sodium of 138 mEq/L

Answer

Total cholesterol of 210 mg/dL

Answer

Serum potassium of 3.8 mEq/L

Question 3

A patient develops a new pressure injury despite being on a pressure-redistribution mattress. What is the FIRST action the wound care nurse should take?

Accepted Answer

Reassess the patient's risk factors and current prevention protocol

Answer

Upgrade to the next level of support surface immediately

Answer

Notify the physician for antibiotic orders

Answer

Document the wound and continue the current plan

Question 4

Which heel offloading device is considered the GOLD STANDARD for preventing heel pressure injuries in immobile patients?

Accepted Answer

Foam heel elevator boot

Answer

Sheepskin heel pad

Answer

Donut-shaped foam ring

Answer

Pneumatic compression device

Question 5

Incontinence-associated dermatitis (IAD) differs from a Stage 2 pressure injury primarily because IAD:

Accepted Answer

Results from chemical irritation rather than pressure or shear

Answer

Only occurs over bony prominences

Answer

Always presents with a full-thickness skin loss

Answer

Is classified using the same NPUAP staging system

Question 6

A bariatric patient (350 kg) requires repositioning every 2 hours. Which resource is MOST essential to ensure safe repositioning AND pressure injury prevention?

Accepted Answer

Bariatric-rated friction-reducing repositioning aids and adequate staff

Answer

Additional nursing documentation forms

Answer

A standard hospital mattress with extra foam topper

Answer

More frequent vital sign monitoring

Question 7

What is the PRIMARY purpose of a structured skin inspection protocol performed every shift in a hospital setting?

Accepted Answer

To detect early signs of pressure injury before they progress

Answer

To fulfill regulatory documentation requirements only

Answer

To assess the effectiveness of topical wound treatments

Answer

To measure wound dimensions for billing purposes