WOUND EMORY EXAM ACTUAL QUESTIONS WITH
SOLUTIONS A+ 2025/2026
✔✔What is the best descriptor of tissue damage caused by sheer strain? (17)
A. Superficial skin loss caused by separation of epidermal and dermal layers
B. Tissue compression caused by sustained pressure
C. Edema caused by impaired lymphatic function resulting from unrelieved pressure
D. SQ tissue damaged by distortion of blood vessels - ✔✔D -- shear strain disrupts BVs
from deeper structures and causes DTI as occurs with PIs
✔✔Which type of wounds develop at the muscle-bone interface? (17)
A. Friction wounds
B. Pressure injuries
C. Incontinence wounds
D. Wounds caused by intertriginous dermatitis - ✔✔B -- shear strain disrupts BVs from
deeper structures and causes DTI as occurs with PIs
✔✔What is the initial effect of sustained pressure on a body part? (17)
A. Tissue necrosis
B. Tissue loss
C. Tissue deformation
D. Tissue remodeling - ✔✔C -- PIs are most likely to occur over bony prominences or
under medical devices where soft tissue breaks down more readily
✔✔What is the driving force for the collection of data regarding facility-acquired PIs?
(17)
A. Patient satisfaction
B. Quality indicators
C. Infection control
D. Minimizing staff workload - ✔✔B -- benchmarking of facility acquired PI rates reflects
quality of care and identifies opportunities to improve care
✔✔Which statement accurately describes an assumptions WCNs can use when
differentiating pressure wounds from non-pressure wounds? (17)
A. Current evidence indicates that most pressure wounds develop at the muscle-bone
interface
B. Most pressure/shear wounds are partial-thickness wounds that exhibit evidence of
ischemic damage
C. Most non-pressure wounds present as superficial wounds with evidence of friction
and tissue ischemia
, D. Diagnostic tools and imaging technology are readily available for use by clinicians in
all care settings - ✔✔A -- PIs are usually full thickness bc damage usually begins at
muscle-bone interface
✔✔Which assessment parameter is of greatest value to differential assessment of
wounds? (17)
A. Indicators of pressure vs indicators of maceration or friction
B. Wound size
C. Type of eschar involved
D. Indicators of infected vs noninfected wounds - ✔✔A -- what is the source of the
injury?
✔✔Which condition might the WCN observe as an indicator of pressure injury? (17)
A. Maceration of surrounding tissue
B. Excessive granulation tissue
C. Edema
D. Purple discoloration - ✔✔D -- d/t ischemia
✔✔A WCN documents a wound as being of mixed etiology. What is the nurse
describing? (17)
A. Patient history reveals exposure to only one mechanical stressor
B. The wound is limited to the superficial skin and tissue layers
C. Features of both superficial and deeper injury are manifested
D. Patient positioning affected the development of the wound - ✔✔C -- superficial skin
loss with evidence of deeper damage
✔✔What skin condition is associated with increased risk for pressure injury? (17)
A. Dry skin
B. Macerated skin
C. Hyperkeratotic skin
D. Skin manifesting a rash - ✔✔B -- maceration decreases resistance of skin to external
pressure sources
✔✔An incidence study addresses the percentage of patients who develop an ulcer after
admission. (L2)
True or False - ✔✔True
✔✔A prevalence study is more accurate than an incidence study in capturing the rate of
agency acquired skin breakdown. (L2)
SOLUTIONS A+ 2025/2026
✔✔What is the best descriptor of tissue damage caused by sheer strain? (17)
A. Superficial skin loss caused by separation of epidermal and dermal layers
B. Tissue compression caused by sustained pressure
C. Edema caused by impaired lymphatic function resulting from unrelieved pressure
D. SQ tissue damaged by distortion of blood vessels - ✔✔D -- shear strain disrupts BVs
from deeper structures and causes DTI as occurs with PIs
✔✔Which type of wounds develop at the muscle-bone interface? (17)
A. Friction wounds
B. Pressure injuries
C. Incontinence wounds
D. Wounds caused by intertriginous dermatitis - ✔✔B -- shear strain disrupts BVs from
deeper structures and causes DTI as occurs with PIs
✔✔What is the initial effect of sustained pressure on a body part? (17)
A. Tissue necrosis
B. Tissue loss
C. Tissue deformation
D. Tissue remodeling - ✔✔C -- PIs are most likely to occur over bony prominences or
under medical devices where soft tissue breaks down more readily
✔✔What is the driving force for the collection of data regarding facility-acquired PIs?
(17)
A. Patient satisfaction
B. Quality indicators
C. Infection control
D. Minimizing staff workload - ✔✔B -- benchmarking of facility acquired PI rates reflects
quality of care and identifies opportunities to improve care
✔✔Which statement accurately describes an assumptions WCNs can use when
differentiating pressure wounds from non-pressure wounds? (17)
A. Current evidence indicates that most pressure wounds develop at the muscle-bone
interface
B. Most pressure/shear wounds are partial-thickness wounds that exhibit evidence of
ischemic damage
C. Most non-pressure wounds present as superficial wounds with evidence of friction
and tissue ischemia
, D. Diagnostic tools and imaging technology are readily available for use by clinicians in
all care settings - ✔✔A -- PIs are usually full thickness bc damage usually begins at
muscle-bone interface
✔✔Which assessment parameter is of greatest value to differential assessment of
wounds? (17)
A. Indicators of pressure vs indicators of maceration or friction
B. Wound size
C. Type of eschar involved
D. Indicators of infected vs noninfected wounds - ✔✔A -- what is the source of the
injury?
✔✔Which condition might the WCN observe as an indicator of pressure injury? (17)
A. Maceration of surrounding tissue
B. Excessive granulation tissue
C. Edema
D. Purple discoloration - ✔✔D -- d/t ischemia
✔✔A WCN documents a wound as being of mixed etiology. What is the nurse
describing? (17)
A. Patient history reveals exposure to only one mechanical stressor
B. The wound is limited to the superficial skin and tissue layers
C. Features of both superficial and deeper injury are manifested
D. Patient positioning affected the development of the wound - ✔✔C -- superficial skin
loss with evidence of deeper damage
✔✔What skin condition is associated with increased risk for pressure injury? (17)
A. Dry skin
B. Macerated skin
C. Hyperkeratotic skin
D. Skin manifesting a rash - ✔✔B -- maceration decreases resistance of skin to external
pressure sources
✔✔An incidence study addresses the percentage of patients who develop an ulcer after
admission. (L2)
True or False - ✔✔True
✔✔A prevalence study is more accurate than an incidence study in capturing the rate of
agency acquired skin breakdown. (L2)
