wound certification exam Question And
Answers 2025
what are 6 risk factor components of Braden Scale for pressure
ulcer? - correct answers ✅✅sensory perception, moisture,
mobility, activity, nutrition, and shear/friction
What is the name of the organization that developed the pressure
ulcer staging? - correct answers ✅✅NPUAP (national pressure
ulcer advisory panel)
pathological effect of excessive pressure on soft tissue can be
attributed by 3 factors? what are they? - correct answers
✅✅tissue tolerance, duration of pressure, and intensity of
pressure
what are the extrinsic factors that impact pressure ulcers? -
correct answers ✅✅increase in moisture, friction and shearing
how does friction play a role in shearing which eventually leads to
pressure ulcer? - correct answers ✅✅friction alone causes only
superfical abrasion, but with gravity it plays a synergistic effect
leading to shearing. When gravity pushes down on the body and
resistance (friction) between the patient and surface is exerted,
shearing occurs. because skin does not freely move, primary
effect of shearing occurs at the deeper fascial level.
what are the intrisinc factors of pressur ulcers? - correct answers
✅✅nutritional debilitation, advanced age, low BP, stress,
smoking, elevated body temperature
,wound certification exam Question And
Answers 2025
Aging skin undergoes what elements affecting risk for pressure
ulcer? - correct answers ✅✅dermoepidermal junction flattens,
less nutrient exchange occurs, less resistance to shearing,
changes in sensory perception, loss of dermal thickness,
increased vascular fragility; ability of soft tisuse to distribute
mechanical load w/out comprosing blood flow is impaired
What does nonblanching erythema indicate in the skin r/t PU? -
correct answers ✅✅when pressure is applied to the erythematic
area skin becomes white (blanched), but once relieved, erythema
returns -indicating blood flow; however in nonblanching erythema,
skin does not blanche-indicating impaired blood flow-suggesting
tissue destructon
why does sitting in a chair pose more of a risk in skin break down
than lying? - correct answers ✅✅deep tissue injury or PU is likely
to occur sooner sitting down because tissue offloading over boney
prominences is higher
Describe what you will see in deep tissue injury? - correct answers
✅✅purple or maroon localized area of discolored intact skin
skinor blood filled blister; may be preceded by painful, firm,
mushy, or boggy; skin may be warmer to cooler in adjacent
tissue. In dark skin, thin blister or eschar over a dark wound bed
may bee seen
Describe stage I pressure ulcer? - correct answers ✅✅Intact skin
with nonblanchable redness of localized area. Will not see
blanching in dark skin, but changes in skin tissue consistency
,wound certification exam Question And
Answers 2025
(firm vs boggy when palpated), sensation (pain), and warmer or
cooler temperature may differ from surrounding area
Describe stage II pressure ulcer? - correct answers ✅✅partial-
thickness wound where epidermis and tip of dermis is lost with
red-pink wound bed w/out slough. may also present as intact or
open/ruptured serum -filled blister
Describe stage III pressure ulcer? - correct answers ✅✅full-
thickness wound where both epidermis and dermis is lost and
subcutaneous tissue may be visible, but deeper structures such
as muscle, bone, and tendon are not exposed; slough my be
present but it doesn't obscure depth and tunneling and
undermining may be present
Describe stage IV pressure ulcer? - correct answers ✅✅full-
thickness wound with exposed bone,tendon, and muscle; slough
or eschar may be seen in some parts of the wound bed. you will
often see tunneling and undermining. Osteomyelitis may be dxed
at this stage, since bone is palpable
Describe unstageble ulcers? - correct answers ✅✅full-thickness
wound where base of the ulcer is covered by slough and/or
eschar, obscuring depth
When should eschars not be removed? - correct answers
✅✅when it's stable with dry, adherent, and intact w/out
, wound certification exam Question And
Answers 2025
erythema on the heel; this serves as the body's natural cover and
should not be removed.
Therapeutic function of pressure distribution is accomplised by
what 2 factors? - correct answers ✅✅immersion and
envelopement
Define immersion? - correct answers ✅✅depth of penetration or
skining into surgace allowing pressure to be spread out over
surrounding area rather than directly over boney prominence
Define envelopement? - correct answers ✅✅is the ability of
support surface to conform to irregularities without causing
substantial increase in pressure
what is bottoming out? - correct answers ✅✅this occurs when
depth of penetration or sinking is excessive, allowing increased
pressure to concentrate over boney prominences
what factors contribute to bottoming out? - correct answers
✅✅weight, disproportion of weight and size such as amputation,
tendency to keep HOB >30 degrees, inappropriate support
surface settings
When should you consider reactive support surface with features
and components such as low air loss, alternating pressure,
viscous or air fluids? - correct answers ✅✅for patients who
Answers 2025
what are 6 risk factor components of Braden Scale for pressure
ulcer? - correct answers ✅✅sensory perception, moisture,
mobility, activity, nutrition, and shear/friction
What is the name of the organization that developed the pressure
ulcer staging? - correct answers ✅✅NPUAP (national pressure
ulcer advisory panel)
pathological effect of excessive pressure on soft tissue can be
attributed by 3 factors? what are they? - correct answers
✅✅tissue tolerance, duration of pressure, and intensity of
pressure
what are the extrinsic factors that impact pressure ulcers? -
correct answers ✅✅increase in moisture, friction and shearing
how does friction play a role in shearing which eventually leads to
pressure ulcer? - correct answers ✅✅friction alone causes only
superfical abrasion, but with gravity it plays a synergistic effect
leading to shearing. When gravity pushes down on the body and
resistance (friction) between the patient and surface is exerted,
shearing occurs. because skin does not freely move, primary
effect of shearing occurs at the deeper fascial level.
what are the intrisinc factors of pressur ulcers? - correct answers
✅✅nutritional debilitation, advanced age, low BP, stress,
smoking, elevated body temperature
,wound certification exam Question And
Answers 2025
Aging skin undergoes what elements affecting risk for pressure
ulcer? - correct answers ✅✅dermoepidermal junction flattens,
less nutrient exchange occurs, less resistance to shearing,
changes in sensory perception, loss of dermal thickness,
increased vascular fragility; ability of soft tisuse to distribute
mechanical load w/out comprosing blood flow is impaired
What does nonblanching erythema indicate in the skin r/t PU? -
correct answers ✅✅when pressure is applied to the erythematic
area skin becomes white (blanched), but once relieved, erythema
returns -indicating blood flow; however in nonblanching erythema,
skin does not blanche-indicating impaired blood flow-suggesting
tissue destructon
why does sitting in a chair pose more of a risk in skin break down
than lying? - correct answers ✅✅deep tissue injury or PU is likely
to occur sooner sitting down because tissue offloading over boney
prominences is higher
Describe what you will see in deep tissue injury? - correct answers
✅✅purple or maroon localized area of discolored intact skin
skinor blood filled blister; may be preceded by painful, firm,
mushy, or boggy; skin may be warmer to cooler in adjacent
tissue. In dark skin, thin blister or eschar over a dark wound bed
may bee seen
Describe stage I pressure ulcer? - correct answers ✅✅Intact skin
with nonblanchable redness of localized area. Will not see
blanching in dark skin, but changes in skin tissue consistency
,wound certification exam Question And
Answers 2025
(firm vs boggy when palpated), sensation (pain), and warmer or
cooler temperature may differ from surrounding area
Describe stage II pressure ulcer? - correct answers ✅✅partial-
thickness wound where epidermis and tip of dermis is lost with
red-pink wound bed w/out slough. may also present as intact or
open/ruptured serum -filled blister
Describe stage III pressure ulcer? - correct answers ✅✅full-
thickness wound where both epidermis and dermis is lost and
subcutaneous tissue may be visible, but deeper structures such
as muscle, bone, and tendon are not exposed; slough my be
present but it doesn't obscure depth and tunneling and
undermining may be present
Describe stage IV pressure ulcer? - correct answers ✅✅full-
thickness wound with exposed bone,tendon, and muscle; slough
or eschar may be seen in some parts of the wound bed. you will
often see tunneling and undermining. Osteomyelitis may be dxed
at this stage, since bone is palpable
Describe unstageble ulcers? - correct answers ✅✅full-thickness
wound where base of the ulcer is covered by slough and/or
eschar, obscuring depth
When should eschars not be removed? - correct answers
✅✅when it's stable with dry, adherent, and intact w/out
, wound certification exam Question And
Answers 2025
erythema on the heel; this serves as the body's natural cover and
should not be removed.
Therapeutic function of pressure distribution is accomplised by
what 2 factors? - correct answers ✅✅immersion and
envelopement
Define immersion? - correct answers ✅✅depth of penetration or
skining into surgace allowing pressure to be spread out over
surrounding area rather than directly over boney prominence
Define envelopement? - correct answers ✅✅is the ability of
support surface to conform to irregularities without causing
substantial increase in pressure
what is bottoming out? - correct answers ✅✅this occurs when
depth of penetration or sinking is excessive, allowing increased
pressure to concentrate over boney prominences
what factors contribute to bottoming out? - correct answers
✅✅weight, disproportion of weight and size such as amputation,
tendency to keep HOB >30 degrees, inappropriate support
surface settings
When should you consider reactive support surface with features
and components such as low air loss, alternating pressure,
viscous or air fluids? - correct answers ✅✅for patients who
