Modules 1-4 3632 Foundations
Questions and Accurate Answers 2026
Updated.
A wound - Answer Is a result of injury to the skin
A pressure ulcer is caused by - Answer Unrelieved pressure that results in ischemia and
damage to the underlying tissue
Suspected deep tissue injury - Answer Discolored but intact skin caused by damage to
underlying tissue
Stage I Pressure Ulcer - Answer Intact skin with an area of persistent, nonblanchable
redness, typically over
a bony prominence, which may feel warm or cool to touch. The tissue is swollen and
congested, with possible discomfort at the site. With darker skin tones, the ulcer may
appear blue or purple.
Stage II Pressure Ulcer - Answer Partial-thickness skin loss involving the epidermis and the
dermis. The ulcer
is visible and superficial and may appear as an abrasion, blister, or shallow cavity.
Edema persists, and the ulcer may become infected, possibly with pain and scant
drainage.
Stage III Pressure Ulcer - Answer Full-thickness tissue loss with damage to or necrosis of
subcutaneous tissue.
The ulcer may reach, but not extend thorough the fascia below. The ulcer appears as
a deep crater with or without undermining of adjacent tissue and without exposed
muscle or bone. Drainage and infection are common
Stage IV Pressure Ulcer - Answer Full-thickness tissue loss with destruction, tissue necrosis,
or damage to
muscle, bone, or supporting structures. There may be sinus tracts, deep pockets of
,infection, tunneling, undermining, eschar (black scab-like material), or slough (tan,
yellow, or green scab-like material).
Unstageable Pressure Ulcer - Answer Ulcers whose stages cannot be determined because
eschar or slough
obscures the wound.
Intact skin with an area of persistent, nonblanchable redness - Answer Stage I
may feel warm or cool to touch - Answer Stage I
The tissue is swollen and
congested - Answer Stage I
Possible discomfort at the site. - Answer Stage I
darker skin tones, may appear blue or purple - Answer stage I
Partial-thickness skin loss involving the epidermis and the dermis - Answer Stage II
is visible and superficial and may appear as an abrasion, blister, or shallow cavity - Answer
Stage II
Edema persists - Answer Stage II
possibly with pain and scant
drainage - Answer Stage II
Full-thickness tissue loss with damage to or necrosis of subcutaneous tissue - Answer Stage
III
may reach, but not extend thorough the fascia below - Answer Stage III
appears as
a deep crater with or without undermining of adjacent tissue and without exposed
muscle or bone - Answer Stage III
,Drainage and infection are common - Answer Stage III
Full-thickness tissue loss with destruction, tissue necrosis, or damage to
muscle, bone, or supporting structures - Answer Stage IV
be sinus tracts, deep pockets of
infection, tunneling, undermining, eschar, or slough. - Answer Stage IV
Eschar - Answer Black scab-like material
Slough - Answer Tan, yellow, or green scab like material.
The Stages of Wound Healing - Answer 1. Inflammatory stage
2. Proliferative stage
3. The maturation or remodeling stage.
The inflammatory stage - Answer occurs in the first 3 days after the initial trauma
Control bleeding with clot formation - Answer The inflammatory stage
Deliver oxygen, WBC, and nutrients to the area via the blood supply - Answer The
inflammatory stage
The proliferative stage - Answer lasts the next 3 to 24 days
Replacing lost tissue with connective or granulated tissue - Answer The proliferative stage
Contraction of the wound's edges - Answer The proliferative stage
Resurfacing of new epithelial cells - Answer The proliferative stage
Maturation or remodeling stage i - Answer strengthening of the collagen scar
and the restoration of a more normal appearance. It can take more than 1 year to
complete, depending on the extent of the original wound.
, Primary intention - Answer Little or no tissue loss
Edges are approximated, as
with a surgical incision
• Heals rapidly
• Low risk of infection
• Minimal or no scarring
Secondary intention - Answer • Loss of tissue
• Wound edges widely
separated, as with pressure
ulcers and stab wounds
• Increased risk of infection
• Scarring
Tertiary intention - Answer • Widely separated
• Deep
• Spontaneous opening of a
previously closed wound
• Risk of infection
• Extensive drainage and tissue
debris
• Closes later
• Long healing time
Little or no tissue loss - Answer Primary intention
Edges are approximated, as
with a surgical incision - Answer Primary intention
Heals rapidly - Answer Primary intention
Low risk of infection - Answer Primary intention