Answers with Complete solution | New Update 2026/2027
1. Describe the significance of identifying a Stage 1 pressure injury in wound care
management.
Stage 1 injuries require immediate surgical intervention.
Stage 1 injuries are always accompanied by drainage.
A Stage 1 pressure injury is not significant and can be ignored.
Identifying a Stage 1 pressure injury is crucial as it indicates early tissue
damage that can be treated to prevent progression.
2. Which description best summarizes the etiology of pressure injuries?
Pressure injuries occur due to poor care and are usually preventable, especially
in the home setting.
Dryness of the skin results in the development of pressure injuries for an
immobile client.
Unrelieved pressure on the skin causes decreased blood and lymph flow that
leads to pressure injury development.
Pressure injuries occur from skin tears that do not heal properly.
3. Drainage from a wound that is watery and clear is:
, purulent sanguineous
serosanguineous
serous
4. Describe the rationale behind the recommendation to reposition residents every 2
hours to prevent pressure injuries.
Repositioning is unnecessary if the resident is comfortable.
Repositioning should be done only when the resident requests it.
Repositioning every 2 hours helps to alleviate pressure on vulnerable areas,
reducing the risk of skin breakdown and pressure injuries.
Repositioning every 2 hours is only necessary for bedridden patients.
5. What is serous drainage?
Colored drainage Purulent
drainage
Bloody drainage
Watery drainage
6. If a patient has a wound with heavy drainage, how should you adjust your cleaning
technique?
You should only clean the edges of the wound to prevent further irritation.
You should clean from the cleanest area to the dirtiest to avoid contamination.
You should clean in a straight line from the top to the bottom of the wound.
, You should still clean in a circular motion from the outside in, but may need to
use more cleaning solution and change your dressing more frequently.
7. What is one method to prevent pressure ulcers in residents?
Encourage the resident to move every 2 hours
Apply tight bandages
Keep the resident in the same position all night
Increase sugar intake
8. Why is it important for a CNA to avoid applying a new sterile dressing during wound
care?
CNA's are trained to apply dressings without supervision.
Applying dressings is a task that can be delegated to any staff member.
Applying a new sterile dressing is outside the CNA's scope of practice.
CNA's must always apply dressings to ensure proper healing.
9. If a CNA notices a resident's wound has increased drainage, what should they do
instead of applying a new sterile dressing?
Apply a new sterile dressing immediately.
Observe and report the changes to the nurse.
Ignore the changes as they are not significant.
Change the dressing without notifying anyone.
10. To prevent pressure ulcers, residents must be turned and repositioned: