Wound assessment and pressure injury
prevention
150 practice questions with answer rationales
COURSE Wound and pressure injuries
QUESTIONS 150
PREPARED August 2026
,Wound and pressure injuries
Exam Overview
This academic exam resource gives Nursing School a focused 150-question practice set for Wound
and pressure injuries. The material is written to support careful review, practical reasoning, and steady
preparation without promotional claims or repeated title wording. Questions use clear professional
language, credible answer choices, and concise rationales that help students understand why one
option is best. The document provides high-quality academic material for independent revision,
classroom reinforcement, and identifying knowledge gaps before assessments. Students should pair it
with course notes, textbooks, instructor guidance, and current academic standards for the strongest
preparation. Each item supports careful review, confident practice, and.
Question 1: Which finding best defines a pressure injury?
A. A burn caused by heat exposure
B. Localized damage to skin and/or underlying tissue from pressure or pressure with shear
C. A rash caused by allergic contact
D. A wound caused only by bacterial infection
Answer: B
Rationale: Pressure injuries result from sustained pressure, often combined with shear, over a bony
prominence or device.
Question 2: Which body area is most commonly at risk for a pressure injury in a supine
patient?
A. Occiput
B. Palm
C. Abdomen
D. Forearm
Answer: A
Rationale: The occiput is a common pressure point in patients lying on their backs.
Question 3: A stage 2 pressure injury is best described as:
A. Full-thickness skin loss with exposed bone
B. Intact skin with nonblanchable erythema
C. Partial-thickness skin loss with exposed dermis
D. Full-thickness tissue loss with slough covering the wound bed
Answer: C
Rationale: Stage 2 involves partial-thickness skin loss and exposed dermis; it is not intact skin or
full-thickness loss.
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,Wound and pressure injuries
Question 4: A stage 1 pressure injury presents as:
A. Nonblanchable erythema of intact skin
B. Visible adipose tissue
C. Exposed fascia
D. A blister with dermal loss
Answer: A
Rationale: Stage 1 is intact skin with nonblanchable redness over a pressure point.
Question 5: Which description best fits a deep tissue pressure injury?
A. Open wound with exposed tendon
B. Purple or maroon discolored intact skin or blood-filled blister
C. Shallow open ulcer with pink wound bed
D. Dry black eschar on the heel only
Answer: B
Rationale: Deep tissue pressure injury often appears as persistent deep discoloration or a blood-filled
blister.
Question 6: Which term refers to damage to skin or underlying tissue caused by prolonged
pressure, often over a bony prominence?
A. Venous stasis ulcer
B. Pressure injury
C. Skin tear
D. Arterial ulcer
Answer: B
Rationale: Pressure injury is the term for localized damage from pressure, often combined with shear,
over bony areas. Venous, arterial, and skin-tear wounds have different causes and typical locations, so
they do not fit this definition.
Question 7: Which bony prominence is most commonly at risk for pressure injury in a
patient who remains supine in bed?
A. Occiput
B. Malleolus
C. Greater trochanter
D. Scapula
Answer: A
Rationale: The occiput is a frequent pressure point when a person lies flat on the back for long
periods. The malleolus and greater trochanter are more associated with side-lying pressure, while the
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, Wound and pressure injuries
scapula is less commonly the primary site in the supine position.
Question 8: Which description matches a stage 2 pressure injury?
A. Nonblanchable erythema with intact skin
B. Full-thickness skin loss with exposed bone
C. Partial-thickness skin loss with exposed dermis
D. Purple discoloration caused by deep tissue damage
Answer: C
Rationale: Stage 2 pressure injury involves partial-thickness loss of skin, often with exposed dermis
or a blister. Nonblanchable erythema suggests stage 1, exposed bone indicates stage 4, and purple
discoloration is more consistent with deep tissue pressure injury.
Question 9: Which term describes softening and breakdown of skin from prolonged
exposure to moisture such as urine, stool, or wound drainage?
A. Eschar
B. Maceration
C. Induration
D. Epithelialization
Answer: B
Rationale: Maceration occurs when skin stays too wet and becomes pale, wrinkled, and fragile.
Eschar is dead tissue, which is a different finding and does not describe moisture-related skin
breakdown.
Question 10: Which term refers to dead tissue in a wound?
A. Granulation
B. Necrosis
C. Epithelialization
D. Contraction
Answer: B
Rationale: Necrosis means tissue death and is commonly seen as slough or eschar.
Question 11: A nurse is teaching a student about stages of pressure injury. Which
assessment finding is most consistent with full-thickness tissue loss?
A. Intact skin with nonblanchable redness over the sacrum
B. Partial-thickness open ulcer with a red, moist wound bed
C. Visible adipose tissue in the wound base with slough present
D. Purple discoloration over intact heel skin that is painful to touch
Page 3 of 42
prevention
150 practice questions with answer rationales
COURSE Wound and pressure injuries
QUESTIONS 150
PREPARED August 2026
,Wound and pressure injuries
Exam Overview
This academic exam resource gives Nursing School a focused 150-question practice set for Wound
and pressure injuries. The material is written to support careful review, practical reasoning, and steady
preparation without promotional claims or repeated title wording. Questions use clear professional
language, credible answer choices, and concise rationales that help students understand why one
option is best. The document provides high-quality academic material for independent revision,
classroom reinforcement, and identifying knowledge gaps before assessments. Students should pair it
with course notes, textbooks, instructor guidance, and current academic standards for the strongest
preparation. Each item supports careful review, confident practice, and.
Question 1: Which finding best defines a pressure injury?
A. A burn caused by heat exposure
B. Localized damage to skin and/or underlying tissue from pressure or pressure with shear
C. A rash caused by allergic contact
D. A wound caused only by bacterial infection
Answer: B
Rationale: Pressure injuries result from sustained pressure, often combined with shear, over a bony
prominence or device.
Question 2: Which body area is most commonly at risk for a pressure injury in a supine
patient?
A. Occiput
B. Palm
C. Abdomen
D. Forearm
Answer: A
Rationale: The occiput is a common pressure point in patients lying on their backs.
Question 3: A stage 2 pressure injury is best described as:
A. Full-thickness skin loss with exposed bone
B. Intact skin with nonblanchable erythema
C. Partial-thickness skin loss with exposed dermis
D. Full-thickness tissue loss with slough covering the wound bed
Answer: C
Rationale: Stage 2 involves partial-thickness skin loss and exposed dermis; it is not intact skin or
full-thickness loss.
Page 1 of 42
,Wound and pressure injuries
Question 4: A stage 1 pressure injury presents as:
A. Nonblanchable erythema of intact skin
B. Visible adipose tissue
C. Exposed fascia
D. A blister with dermal loss
Answer: A
Rationale: Stage 1 is intact skin with nonblanchable redness over a pressure point.
Question 5: Which description best fits a deep tissue pressure injury?
A. Open wound with exposed tendon
B. Purple or maroon discolored intact skin or blood-filled blister
C. Shallow open ulcer with pink wound bed
D. Dry black eschar on the heel only
Answer: B
Rationale: Deep tissue pressure injury often appears as persistent deep discoloration or a blood-filled
blister.
Question 6: Which term refers to damage to skin or underlying tissue caused by prolonged
pressure, often over a bony prominence?
A. Venous stasis ulcer
B. Pressure injury
C. Skin tear
D. Arterial ulcer
Answer: B
Rationale: Pressure injury is the term for localized damage from pressure, often combined with shear,
over bony areas. Venous, arterial, and skin-tear wounds have different causes and typical locations, so
they do not fit this definition.
Question 7: Which bony prominence is most commonly at risk for pressure injury in a
patient who remains supine in bed?
A. Occiput
B. Malleolus
C. Greater trochanter
D. Scapula
Answer: A
Rationale: The occiput is a frequent pressure point when a person lies flat on the back for long
periods. The malleolus and greater trochanter are more associated with side-lying pressure, while the
Page 2 of 42
, Wound and pressure injuries
scapula is less commonly the primary site in the supine position.
Question 8: Which description matches a stage 2 pressure injury?
A. Nonblanchable erythema with intact skin
B. Full-thickness skin loss with exposed bone
C. Partial-thickness skin loss with exposed dermis
D. Purple discoloration caused by deep tissue damage
Answer: C
Rationale: Stage 2 pressure injury involves partial-thickness loss of skin, often with exposed dermis
or a blister. Nonblanchable erythema suggests stage 1, exposed bone indicates stage 4, and purple
discoloration is more consistent with deep tissue pressure injury.
Question 9: Which term describes softening and breakdown of skin from prolonged
exposure to moisture such as urine, stool, or wound drainage?
A. Eschar
B. Maceration
C. Induration
D. Epithelialization
Answer: B
Rationale: Maceration occurs when skin stays too wet and becomes pale, wrinkled, and fragile.
Eschar is dead tissue, which is a different finding and does not describe moisture-related skin
breakdown.
Question 10: Which term refers to dead tissue in a wound?
A. Granulation
B. Necrosis
C. Epithelialization
D. Contraction
Answer: B
Rationale: Necrosis means tissue death and is commonly seen as slough or eschar.
Question 11: A nurse is teaching a student about stages of pressure injury. Which
assessment finding is most consistent with full-thickness tissue loss?
A. Intact skin with nonblanchable redness over the sacrum
B. Partial-thickness open ulcer with a red, moist wound bed
C. Visible adipose tissue in the wound base with slough present
D. Purple discoloration over intact heel skin that is painful to touch
Page 3 of 42
