CONCEPTS FINAL EXAM 2026-2027 VERIFIED
300 QUESTIONS AND ANSWERS GRADED A+
What's tertiary intention of wound healing?
wound healing is delayed and occurs when the wound that has previously open is
now closed
process usually associated with large infected and contaminated wounds
ex) infections
during tissue assessment, what should be assessed with health history?
past and current conditions
family hx
allergies
current and recent meds
hx of skin diseases
changes in skin condition/color
new rashes/lesions
excessive bruising
,loss of hair or excessive hair growth
wounds slow to heal
what should be inspected with tissue?
color and condition of skin
lesions
skinfolds
areas of frequent moisture (perineum)
areas of pressure (body prominences)
condition of skin under medical or assistive devices
what should be palpated with tissue assessment?
skin temperature, texture
pinch skin for turgor
check edema
what is blanchable?
Pressing the cappilaries to check and see if they go from white back to red
,how should you assess wounds and pressure injuries?
acute vs chronic
location
size (length, width, depth)
presence of undermining
staging (if pressure ulcer)
color
signs of infection
condition of surrounding skin
presence of wound drains
presence of exudate and color
stage one pressure ulcer
intact skin with nonblanchable redness
stage two pressure ulcer
partial thickness skin loss involving epidermis, dermis, or both
shallow wounds
, stage three pressure ulcer
full-thickness tissue loss with subcutaneous tissue involved
stage four pressure ulcer
full-thickness tissue loss with exposed bone, muscle, or tendon
unstageable pressure ulcer
full-thickness tissue loss with depth completely obscured due to slough or eschar
can't tell the depth
suspected deep tissue injury
intact or non intact skin with localized, nonblanchable maroon, deep red or purple
discoloration or blood-filler blister
squishy, sponge-like
what's a braden scale?
predicts pressure ulcer risk
higher the number, lower the risk