RELIAS PRESSURE INJURY PREVENTION
FOR DIRECT CARE STAFF EXAM
QUESTION AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A INSTANT DOWNLOAD PDF
1. What is a pressure injury?
A. A bruise caused by trauma
B. A skin tear from friction
C. Localized damage to the skin and underlying tissue caused by
pressure or pressure with shear
D. An allergic skin reaction
Pressure injuries result from prolonged pressure or pressure
combined with shear, usually over bony prominences.
2. Which area is most at risk for pressure injuries in a bedbound patient?
A. Abdomen
B. Sacrum
C. Forehead
D. Hands
The sacrum is a common bony prominence exposed to pressure in
bedbound individuals.
3. Which factor increases the risk of pressure injury development?
A. Frequent repositioning
B. Adequate nutrition
, C. Immobility
D. Intact skin
Immobility prevents pressure relief, increasing tissue damage risk.
4. What stage is characterized by non-blanchable redness of intact skin?
A. Stage 2
B. Stage 1
C. Stage 3
D. Stage 4
Stage 1 pressure injuries present as non-blanchable erythema with
intact skin.
5. Which action is most effective in preventing pressure injuries?
A. Applying lotion daily
B. Repositioning regularly
C. Using powder
D. Massage over bony areas
Regular repositioning relieves pressure and restores blood flow.
6. How often should a high-risk patient be repositioned in bed?
A. Every 4 hours
B. Every 2 hours
C. Once per shift
D. Once daily
Repositioning at least every 2 hours is a standard prevention
strategy.
7. Which device helps reduce heel pressure?
A. Bed rails
B. Draw sheets
C. Heel protectors
D. Pillows under knees only
Heel protectors offload pressure from the heels.
, 8. Shear occurs when:
A. Skin is exposed to moisture
B. Skin moves in one direction and bone moves in another
C. Pressure is relieved
D. Skin is dry
Shear damages deeper tissues when skin and bone move in opposite
directions.
9. Which patient is at greatest risk for pressure injuries?
A. Independent ambulatory patient
B. Immobile patient with poor nutrition
C. Young adult with minor injury
D. Patient with intact sensation
Immobility combined with malnutrition significantly increases risk.
10. Moisture-related skin breakdown is commonly caused by:
A. Low humidity
B. Incontinence
C. Aging
D. Oxygen therapy
Incontinence exposes skin to moisture, weakening skin integrity.
11. What is the purpose of a pressure-relieving mattress?
A. Improve sleep comfort only
B. Replace repositioning
C. Reduce pressure on vulnerable areas
D. Keep patient warm
Special mattresses distribute weight and reduce pressure points.
12. Which nutrient is most important for skin integrity?
A. Carbohydrates
B. Fats
C. Protein
FOR DIRECT CARE STAFF EXAM
QUESTION AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A INSTANT DOWNLOAD PDF
1. What is a pressure injury?
A. A bruise caused by trauma
B. A skin tear from friction
C. Localized damage to the skin and underlying tissue caused by
pressure or pressure with shear
D. An allergic skin reaction
Pressure injuries result from prolonged pressure or pressure
combined with shear, usually over bony prominences.
2. Which area is most at risk for pressure injuries in a bedbound patient?
A. Abdomen
B. Sacrum
C. Forehead
D. Hands
The sacrum is a common bony prominence exposed to pressure in
bedbound individuals.
3. Which factor increases the risk of pressure injury development?
A. Frequent repositioning
B. Adequate nutrition
, C. Immobility
D. Intact skin
Immobility prevents pressure relief, increasing tissue damage risk.
4. What stage is characterized by non-blanchable redness of intact skin?
A. Stage 2
B. Stage 1
C. Stage 3
D. Stage 4
Stage 1 pressure injuries present as non-blanchable erythema with
intact skin.
5. Which action is most effective in preventing pressure injuries?
A. Applying lotion daily
B. Repositioning regularly
C. Using powder
D. Massage over bony areas
Regular repositioning relieves pressure and restores blood flow.
6. How often should a high-risk patient be repositioned in bed?
A. Every 4 hours
B. Every 2 hours
C. Once per shift
D. Once daily
Repositioning at least every 2 hours is a standard prevention
strategy.
7. Which device helps reduce heel pressure?
A. Bed rails
B. Draw sheets
C. Heel protectors
D. Pillows under knees only
Heel protectors offload pressure from the heels.
, 8. Shear occurs when:
A. Skin is exposed to moisture
B. Skin moves in one direction and bone moves in another
C. Pressure is relieved
D. Skin is dry
Shear damages deeper tissues when skin and bone move in opposite
directions.
9. Which patient is at greatest risk for pressure injuries?
A. Independent ambulatory patient
B. Immobile patient with poor nutrition
C. Young adult with minor injury
D. Patient with intact sensation
Immobility combined with malnutrition significantly increases risk.
10. Moisture-related skin breakdown is commonly caused by:
A. Low humidity
B. Incontinence
C. Aging
D. Oxygen therapy
Incontinence exposes skin to moisture, weakening skin integrity.
11. What is the purpose of a pressure-relieving mattress?
A. Improve sleep comfort only
B. Replace repositioning
C. Reduce pressure on vulnerable areas
D. Keep patient warm
Special mattresses distribute weight and reduce pressure points.
12. Which nutrient is most important for skin integrity?
A. Carbohydrates
B. Fats
C. Protein
