Wound Care Certification Exam Wound Care Certification Pressure Injury Prevention 5

Question 1

Which characteristic of a pressure injury MOST strongly supports classifying it as 'unstageable' rather than Stage 3 or 4?

Accepted Answer

Wound base is obscured by slough or eschar preventing depth assessment

Answer

Presence of serosanguineous exudate

Answer

Surrounding skin shows periwound erythema

Answer

The wound has a tunneling tract extending 2 cm

Question 2

A patient's sacral wound is documented as having 'epibole.' What does this finding indicate and how does it affect healing?

Accepted Answer

Rolled or thickened wound edges that prevent epithelial migration and impair healing

Answer

New epithelial tissue migrating across the wound bed, indicating healing is progressing normally

Answer

Presence of biofilm on the wound surface requiring antimicrobial dressings

Answer

Granulation tissue overgrowth above the wound surface level

Question 3

Which pressure injury prevention strategy is specifically recommended by NPUAP/EPUAP for patients undergoing MRI scanning?

Accepted Answer

Using MRI-compatible padding on all bony prominences during the scan

Answer

Applying a high-density foam overlay inside the MRI scanner bore

Answer

Repositioning the patient every 15 minutes throughout the scan

Answer

Applying a moisture barrier cream before placing the patient on the MRI table

Question 4

A patient with peripheral arterial disease (ABI 0.45) has a suspected pressure injury on the lateral ankle. What assessment finding would MOST influence the wound care approach?

Accepted Answer

Severely compromised arterial blood flow limiting healing capacity

Answer

Wound size greater than 4 cm²

Answer

Presence of moderate yellow slough in the wound bed

Answer

Patient BMI below 20 kg/m²

Question 5

In the context of pressure injury prevention, what does the term 'turning schedule' documentation PRIMARILY demonstrate?

Accepted Answer

That evidence-based repositioning interventions were consistently implemented

Answer

That the wound has been measured accurately at each shift

Answer

That the patient refused care during the documented period

Answer

That wound dressings were changed according to protocol

Question 6

Which intervention is MOST appropriate to prevent a new pressure injury in a patient who developed a Stage 2 sacral pressure injury during a previous hospitalization?

Accepted Answer

Implement a comprehensive prevention bundle including risk assessment, skin inspection, pressure redistribution, and repositioning from admission

Answer

Maintain the patient in the same position that was most comfortable during the prior stay

Answer

Wait until signs of early skin breakdown appear before initiating preventive measures

Answer

Apply prophylactic wound dressings only after a pressure injury is confirmed

Question 7

When assessing a dark-skinned patient for early pressure injury signs, which assessment technique is MOST reliable since erythema may not be visible?

Accepted Answer

Assessing for skin temperature changes, firmness, bogginess, and patient-reported pain or discomfort

Answer

Relying solely on Braden Scale scores to determine risk

Answer

Checking oxygen saturation over the bony prominence with a pulse oximeter

Answer

Comparing skin color only under fluorescent lighting