Skin Integrity and Wound Care Exam
Questions; with 100% Correct Answers
A low Braden score indicates - Answer a high risk for skin breakdown
What is debridement? - Answer the removal of nonviable necrotic tissue
How do you clean a wound - Answer From least contaminated to the surrounding skin
Stage 1 pressure ulcer - Answer Intact skin with nonblanchable redness
Stage II pressure ulcer - Answer partial-thickness skin loss involving epidermis, dermis,
or both
Stage III pressure ulcer - Answer Full-thickness tissue loss with visible fat
Stage IV pressure ulcer - Answer Full-thickness tissue loss with exposed bone, muscle, or
tendon
Describe partial-thickness wounds - Answer shallow in depth, moist and painful, and the
wound base generally appears red
Describe full-thickness wounds - Answer extends into the subcutaneous layer, and the
depth and tissue type will vary depending on body location
Primary intention wound - Answer wound that is closed, heals quickly by
epithelialization, with little scar
Questions; with 100% Correct Answers
A low Braden score indicates - Answer a high risk for skin breakdown
What is debridement? - Answer the removal of nonviable necrotic tissue
How do you clean a wound - Answer From least contaminated to the surrounding skin
Stage 1 pressure ulcer - Answer Intact skin with nonblanchable redness
Stage II pressure ulcer - Answer partial-thickness skin loss involving epidermis, dermis,
or both
Stage III pressure ulcer - Answer Full-thickness tissue loss with visible fat
Stage IV pressure ulcer - Answer Full-thickness tissue loss with exposed bone, muscle, or
tendon
Describe partial-thickness wounds - Answer shallow in depth, moist and painful, and the
wound base generally appears red
Describe full-thickness wounds - Answer extends into the subcutaneous layer, and the
depth and tissue type will vary depending on body location
Primary intention wound - Answer wound that is closed, heals quickly by
epithelialization, with little scar
