NR 224 Quiz 2 UPDATED ACTUAL Questions and CORRECT Answers

NR 224 Quiz 2 UPDATED ACTUAL
Questions and CORRECT Answers
What is a stage 1 Pressure ulcer called? - CORRECT ANSWER - - Non-blanchable
erythema


What are the characteristics of a stage 1 pressure ulcer? - CORRECT ANSWER - - intact
skin
- non-blanchable redness


What are some characteristics of stage 1 pressure ulcers in dark pigmented skin? - CORRECT
ANSWER - - areas of skin my not have visible blanching
- color may differ from surrounding areas


What is a stage II pressure ulcer called? - CORRECT ANSWER - - partial-thickness skin
loss


What layer of the skin are exposed with stage II pressure ulcers? - CORRECT ANSWER -
- dermis is exposed


What layer of the skin is lost in a stage II pressure ulcer? - CORRECT ANSWER --
epidermis


What are some characteristics of a stage II pressure ulcer? - CORRECT ANSWER --
Shallow wound
- open wound
- wound looks red/ pink
- no slough presented

, What other aspects may a stage II pressure ulcer look like? - CORRECT ANSWER --
intact wound
- ruptured serum-filled blister


What does the wound bed look like with a stage II pressure ulcer - CORRECT ANSWER -
- Resembles a crater


What is a stage III pressure ulcer called? - CORRECT ANSWER - - Full-thickness skin
loss


What two aspects may be noted as visible in a stage III pressure ulcer? - CORRECT
ANSWER - - Sloughing
- Eschar


What does the wound bed look like in stage III pressure ulcer? - CORRECT ANSWER --
deep wound bed


What are some characteristics of a stage III pressure ulcer? - CORRECT ANSWER --
Exposure of the subcutaneous fat
- slough
- eschar
- tunneling
- undermining


What aspects of the wound bed can be noted with a stage III pressure ulcer? - CORRECT
ANSWER - - tunneling may be noted with a stage III P.U.
- Undermining may be noted w/ a stage III P.U.


What is a stage IV pressure ulcer called? - CORRECT ANSWER - - full-thickness and
tissue loss