Wound Care Certification Exam Wound Care Certification Pressure Injury Prevention 4

Question 1

A patient in the operating room is undergoing a 6-hour spinal surgery in the prone position. Which intraoperative intervention BEST reduces pressure injury risk?

Accepted Answer

Using a pressure-redistributing OR overlay and padding all bony prominences

Answer

Applying a thick blanket under the patient

Answer

Repositioning the patient every 30 minutes during surgery

Answer

Applying moisture barrier cream to all skin surfaces preoperatively

Question 2

Which statement BEST describes the concept of 'microclimate' as it relates to pressure injury prevention?

Accepted Answer

The temperature and moisture level at the skin-support surface interface

Answer

The temperature and humidity of the room where the patient is cared for

Answer

The patient's core body temperature during fever episodes

Answer

The humidity inside wound dressings applied to existing wounds

Question 3

A nurse is completing a Braden Scale assessment. The patient can perceive pressure-related discomfort throughout the body but is confined to bed. What Braden subscale scores would reflect this scenario?

Accepted Answer

Sensory Perception = 4, Activity = 2

Answer

Sensory Perception = 1, Activity = 4

Answer

Sensory Perception = 4, Activity = 4

Answer

Sensory Perception = 2, Activity = 2

Question 4

Which patient population has the HIGHEST risk for medical device-related pressure injuries (MDRPIs)?

Accepted Answer

Critically ill patients with multiple monitoring and therapeutic devices

Answer

Ambulatory outpatient adults on oral medications only

Answer

Pediatric patients admitted for elective tonsillectomy

Answer

Patients receiving routine post-surgical care for appendectomy

Question 5

An alert patient with spinal cord injury at C6 asks about self-pressure relief strategies in a manual wheelchair. Which technique is MOST effective for sacral pressure relief?

Accepted Answer

Forward trunk lean for 60 seconds every 15–30 minutes

Answer

Lateral trunk lean alternating sides every hour

Answer

Standing pivot transfer every 2 hours

Answer

Pushing up off armrests to lift the body every 30 minutes

Question 6

What is the recommended frequency of repositioning for a high-risk patient on a standard hospital foam mattress who cannot reposition independently?

Accepted Answer

Every 2 hours

Answer

Every 4 hours

Answer

Every 6 hours

Answer

Only when the patient requests repositioning

Question 7

A patient with a sacral pressure injury is being discharged home with a family caregiver. Which element is MOST critical to include in the caregiver education plan?

Accepted Answer

Hands-on demonstration of repositioning technique, skin inspection, and when to call for help

Answer

The history of how the wound developed in the hospital

Answer

A list of all wound care products available at local pharmacies

Answer

Instructions to keep the wound covered with an occlusive dressing at all times