ACTUAL COMPLETE REAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ | GUARANTEED SUCCESS!! NEWEST
EXAM | JUST RELEASED!!
What does the color a pressure wound tell you? - ANSWER
-Red healthy
regeneration
Yellow-presence of purulent drainage
or slough
Black- presence of necrotic
tissue
stage 1 pressure injury - ANSWER -Reddened area that does
not blanch with
pressure
Skin is
intact
Texture different than
surrounding tissue
stage 2 pressure injury - ANSWER -
Broken skin
Breakdown of dermis and
epidermis
, stage 3 pressure injury - ANSWER -full thickness loss, looks
like deep crater
extend to fascia, subtaneous tissue
damged/necrpticfat visable
undermining/tunneling may be present damage to
surrounding tissue
stage 4 pressure injury - ANSWER -Full-thickness skin and
tissue loss with exposed or directly palpable fascia, muscle,
tendon, ligament, cartilage or bone in the ulcer. Slough and/or
eschar may be visible.
skull and face expected findings - ANSWER -Normal size
(normocephalic)
No depressions, deformities, masses, or tenderness
Symmetrical facial features, expressions
Proportionate features (no acromegaly)
No involuntary movements
CN V test - ANSWER -trigeminal
Motor- clench their teeth while you palpate the masseter,
temporal muscle, and
temporomandibular
joint
Sensory- have client close their eyes while you touch their
face with a cotton