NDNIQI Pressure Injury Training Case
Study Scenarios 2024/2025 Exam
Questions and Corresponding Answers
with Surety of 100% Pass Mark
An 81 Y/O female was admitted to the oncology unit with metastatic cancer
for pain control. On day 4 of hospitalization, she suffered circulatory
complications and she was transferred to the step down unit. The pressure
injury survey was conducted on day 5 of hospitalization and her family
verbally consented to have her included in the pressure injury survey. The
survey team found a large Stage 1 area of nonblanchable redness over her
right ischial tuberosity.
Review of her hospital admission assessment record revealed her skin was
warm, dry, and intact. The skin assessment documented on arrival to the
step down unit noted a small Stage 1 pressure injury at this site.
For the pressure injury survey, this would be reported as:
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
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STATEMENT. ALL RIGHTS RESERVED
,a. Community Acquired Pressure Injury
b. Hospital Acquired Pressure Injury Only
c. Hospital Acquired and Unit Acquired Pressure Injury - 🧠ANSWER
✔✔Hospital Acquired Pressure Injury Only
Reasoning:
No pressure injury was identified at this site on the admission assessment
record. Therefore, the pressure injury developed after the patient was
admitted to the hospital and it is a hospital acquired pressure injury.
Review of the patient's record on transfer to the step down unit revealed
the presence of a Stage 1 pressure injury at this site. Therefore, the
pressure injury was present upon arrival to the unit and it is not a unit
acquired pressure injury even though the area was larger since arrival to
the unit.
An 88 Y/O male was admitted with urosepsis to the step down unit from a
local long term care facility. On day 3 he was transferred to the medical-
surgical unit. The pressure injury survey was conducted on day 4 of
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
2
STATEMENT. ALL RIGHTS RESERVED
, hospitalization and the survey team saw an unstageable pressure injury on
the back of his head.
Review of the hospital admission assessment record revealed his skin was
very warm and dry with a pressure injury documented at this site. The skin
assessment documented on arrival to the medical-surgical unit also noted a
pressure injury at this site.
For the pressure injury survey, this would be reported as:
a. Community Acquired Pressure Injury
b. Hospital Acquired Pressure Injury Only
c. Hospital Acquired and Unit Acquired Pressure Injury - 🧠ANSWER
✔✔Community Acquired Pressure Injury
Reasoning:
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED
Study Scenarios 2024/2025 Exam
Questions and Corresponding Answers
with Surety of 100% Pass Mark
An 81 Y/O female was admitted to the oncology unit with metastatic cancer
for pain control. On day 4 of hospitalization, she suffered circulatory
complications and she was transferred to the step down unit. The pressure
injury survey was conducted on day 5 of hospitalization and her family
verbally consented to have her included in the pressure injury survey. The
survey team found a large Stage 1 area of nonblanchable redness over her
right ischial tuberosity.
Review of her hospital admission assessment record revealed her skin was
warm, dry, and intact. The skin assessment documented on arrival to the
step down unit noted a small Stage 1 pressure injury at this site.
For the pressure injury survey, this would be reported as:
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
1
STATEMENT. ALL RIGHTS RESERVED
,a. Community Acquired Pressure Injury
b. Hospital Acquired Pressure Injury Only
c. Hospital Acquired and Unit Acquired Pressure Injury - 🧠ANSWER
✔✔Hospital Acquired Pressure Injury Only
Reasoning:
No pressure injury was identified at this site on the admission assessment
record. Therefore, the pressure injury developed after the patient was
admitted to the hospital and it is a hospital acquired pressure injury.
Review of the patient's record on transfer to the step down unit revealed
the presence of a Stage 1 pressure injury at this site. Therefore, the
pressure injury was present upon arrival to the unit and it is not a unit
acquired pressure injury even though the area was larger since arrival to
the unit.
An 88 Y/O male was admitted with urosepsis to the step down unit from a
local long term care facility. On day 3 he was transferred to the medical-
surgical unit. The pressure injury survey was conducted on day 4 of
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
2
STATEMENT. ALL RIGHTS RESERVED
, hospitalization and the survey team saw an unstageable pressure injury on
the back of his head.
Review of the hospital admission assessment record revealed his skin was
very warm and dry with a pressure injury documented at this site. The skin
assessment documented on arrival to the medical-surgical unit also noted a
pressure injury at this site.
For the pressure injury survey, this would be reported as:
a. Community Acquired Pressure Injury
b. Hospital Acquired Pressure Injury Only
c. Hospital Acquired and Unit Acquired Pressure Injury - 🧠ANSWER
✔✔Community Acquired Pressure Injury
Reasoning:
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED
