NDNQI Pressure Injury Training Module 4 All Possible Questions and Answers 2025

A 78-year-old female was admitted with heart failure to the ICU from home. By day 3 of hospitalization, she had improved and was transferred to the medical cardiac unit. The pressure injury survey was conducted on day 4 of the hospitalization and the survey team noted a Stage 1 area of persistent, non-blanchable redness on her right heel. Review of her hospital admission assessment record revealed that she had 4+ lower right leg edema and brown discoloration of the lower calf and ankle skin. A 2 cm x 4 cm wound with serous drainage over her medial lower leg midpoint between her calf and ankle was also documented. The skin assessment documented on arrival to the medical cardiac unit noted a Stage 1 pressure injury on the right heel, in addition to the wound, edema, and brown discoloration on her right lower leg as noted on the admission assessment. For the pressure injury survey, this would be reported as: - ️️A Hospital-Acquired Pressure Injury Only A 16-year-old female was admitted to the pediatric ICU with exacerbation of her cystic fibrosis. On day 3, she was transferred to the medical pediatric unit. The pressure injury survey was conducted on day 4 of the hospitalization and the survey team noted a Stage 2 pressure injury under the oxygen tubing over the top of her left ear. Review of her hospital admission assessment record revealed intact, very dry skin with poor turgor. The skin assessment documented on arrival to the medical pediatric unit noted a Stage 1 pressure injury at this site. For the pressure injury survey, this would be reported as: - ️️A Hospital-Acquired Pressure Injury Only A 56-year-old female was admitted to the neurosurgical ICU after a 10 hour neurosurgical procedure. On day 2, she was transferred to the medical-surgical unit. The pressure injury survey was conducted on day 6 of the hospitalization and survey team noted a localized area of deep maroon colored intact skin (deep tissue pressure injury) over her right iliac crest. Review of her preoperative admission assessment record revealed her skin was warm, dry, and intact. The skin assessment documented on arrival to the medical-surgical unit noted the deep tissue pressure injury at this site. For the pressure injury survey, this would be reported as: - ️️A Hospital-Acquired Pressure Injury Only A 68-year-old male was admitted to the ICU after a coronary artery bypass procedure. He was unstable with several episodes of hypotension for 3 days and then began to improve and stabilize. The pressure injury survey was conducted on day 6 of the hospitalization and the survey team noted a Stage 2 pressure injury over his coccyx. Review of his hospital admission assessment record revealed his skin was warm, dry,and intact. For the pressure injury survey, this would be reported as: - ️️A HospitalAcquired and Unit-Acquired Pressure Injury A 7-year-old female patient with spina bifida was admitted to the pediatric unit from home. The pressure injury survey was conducted on day 8 of the hospitalization and the survey team noted a Stage 3 pressure injury on the tibial plateau of her left lower leg. Her mother reports she got the wound from her leg brace. Review of the hospital admission assessment record revealed her skin was warm and dry with an escharcovered wound at this site. For the pressure injury survey, this would be reported as: - ️️A Community-Acquired Pressure Injury A 72-year-old male was admitted with pancreatitis to the surgical unit from home. His condition worsened after 24 hours and he was transferred to the ICU. The pressure injury survey was conducted on day 3 of the hospitalization and the survey team noted a Stage 2 pressure injury over the sacrum. Review of his hospital admission assessment record revealed his skin was warm and dry with abrasions over both forearms. The skin assessment documented on transfer to the ICU indicated a Stage 1 non-blanchable area of redness on the sacrum. For the pressure injury survey, this would be reported as - ️️A Hospital-Acquired Pressure Injury Only A male infant was born at 29 weeks gestation and admitted to the neonatal ICU for care. He required a week of respiratory therapy with CPAP. The pressure injury survey was conducted on day 15 of life and the survey team found a Stage 3 pressure injury over his right cheekbone. Review of his hospital admission assessment record revealed his skin was warm, dry, and intact. For the pressure injury survey, this would be reported as: - ️️A Hospital-Acquired Pressure Injury Only