Wound Care Certification Pressure Injury Prevention Flashcards
7 cards from real Wound Care Certification Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Wound Care Certification Pressure Injury Prevention flashcards as text
Which characteristic of a pressure injury MOST strongly supports classifying it as 'unstageable' rather than Stage 3 or 4?
Answer: Wound base is obscured by slough or eschar preventing depth assessment
Unstageable pressure injuries cannot be staged because slough or eschar covers the wound base, preventing accurate depth assessment.
A patient's sacral wound is documented as having 'epibole.' What does this finding indicate and how does it affect healing?
Answer: Rolled or thickened wound edges that prevent epithelial migration and impair healing
Epibole refers to rolled, closed wound edges that prevent epithelial cells from migrating across the wound base, stalling healing.
Which pressure injury prevention strategy is specifically recommended by NPUAP/EPUAP for patients undergoing MRI scanning?
Answer: Using MRI-compatible padding on all bony prominences during the scan
MRI-compatible padding placed at all bony prominences during scanning helps prevent pressure injuries during prolonged immobile positioning in the scanner.
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?
Answer: Severely compromised arterial blood flow limiting healing capacity
An ABI of 0.45 indicates severe arterial insufficiency, which critically limits tissue perfusion and requires vascular evaluation before standard wound care.
In the context of pressure injury prevention, what does the term 'turning schedule' documentation PRIMARILY demonstrate?
Answer: That evidence-based repositioning interventions were consistently implemented
Turning schedule documentation provides a legal and clinical record that repositioning — a core prevention intervention — was consistently performed.
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?
Answer: Implement a comprehensive prevention bundle including risk assessment, skin inspection, pressure redistribution, and repositioning from admission
A history of pressure injury is a major risk factor; a full prevention bundle implemented from admission is the most appropriate proactive approach.
When assessing a dark-skinned patient for early pressure injury signs, which assessment technique is MOST reliable since erythema may not be visible?
Answer: Assessing for skin temperature changes, firmness, bogginess, and patient-reported pain or discomfort
In dark-skinned patients, palpating for temperature changes, firmness or bogginess, and asking about localized pain are the most reliable early detection methods.