Mobility / LPN-RN Transition Course
Exam Questions and Answers
Rehab Team - Answer-collaborative aproach, patients are members of the team as well
as family, doctors, OT, PT, and social workers.
PULSES - Answer-Assessment of functional ability
p- physical condition
u- upper limb function
l- lower limb function
s- sensort
e- bladder control
s- supprt
risk factors for developing pressure ulcers - Answer-immobility, impaired sensory
perception, decreased tissue perfusion, decreased nutritional status, friction and shear,
increased moisture
assessment for the prevention of pressure ulcers - Answer-assessment of skin,
evaluate mobility, evaluate circulatory status and neurological status, evaluate nutrition,
broaden scale.
Intervention to prevent pressure ulcer formation - Answer-relieve pressure, position
patient reduction friction and shear, minimize moisture, improve mobility
stage 1 pressure ulcer - Answer-Non-blanchable erythema
*remove pressure, prevent moisture, promote proper nutrition*
Stage 2 pressure ulcer - Answer-Partial thickness
Partial thickness loss of dermis presenting as a shallow open ulcer with a red pink
wound bed, without slough
*clean with sterile saline poly dressing
stage 3 pressure ulcer - Answer-full thickness skin loss
Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon or muscle
are not exposed.
*debide, wet to damp dressing, possible surgical debridement
Stage 4 pressure ulcer - Answer-Full thickness tissue loss with exposed bone, tendon
or muscle. Slough or eschar may be present.
*surgical debridement maybe needed
Exam Questions and Answers
Rehab Team - Answer-collaborative aproach, patients are members of the team as well
as family, doctors, OT, PT, and social workers.
PULSES - Answer-Assessment of functional ability
p- physical condition
u- upper limb function
l- lower limb function
s- sensort
e- bladder control
s- supprt
risk factors for developing pressure ulcers - Answer-immobility, impaired sensory
perception, decreased tissue perfusion, decreased nutritional status, friction and shear,
increased moisture
assessment for the prevention of pressure ulcers - Answer-assessment of skin,
evaluate mobility, evaluate circulatory status and neurological status, evaluate nutrition,
broaden scale.
Intervention to prevent pressure ulcer formation - Answer-relieve pressure, position
patient reduction friction and shear, minimize moisture, improve mobility
stage 1 pressure ulcer - Answer-Non-blanchable erythema
*remove pressure, prevent moisture, promote proper nutrition*
Stage 2 pressure ulcer - Answer-Partial thickness
Partial thickness loss of dermis presenting as a shallow open ulcer with a red pink
wound bed, without slough
*clean with sterile saline poly dressing
stage 3 pressure ulcer - Answer-full thickness skin loss
Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon or muscle
are not exposed.
*debide, wet to damp dressing, possible surgical debridement
Stage 4 pressure ulcer - Answer-Full thickness tissue loss with exposed bone, tendon
or muscle. Slough or eschar may be present.
*surgical debridement maybe needed
