Wound Certification Exam Questions and
Answers () | 100% Correct
Verified Answers
Graded A+
what are 6 risk factor components of Braden Scale for pressure ulcer? CORRECT
RESPONSE sensoryperception, moisture, mobility, activity, nutrition, and shear/friction
What is the name of the organization that developed the pressure ulcer staging?
CORRECT RESPONSENPUAP (national pressure ulcer advisory panel)
pathological effect of excessive pressure on soft tissue can be attributed by 3 factors?
what are they? CORRECT RESPONSE tissue tolerance, duration of pressure, and
intensity of pressure
what are the extrinsic factors that impact pressure ulcers? CORRECT RESPONSE
increase in moisture,friction and shearing
how does friction play a role in shearing which eventually leads to pressure ulcer?
CORRECT RESPONSE friction alone causes only superfical abrasion, but with gravity
it plays a synergisticeffect leading to shearing. When gravity pushes down on the body
and resistance (friction) between the client 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 RESPONSE nutritional
debilitation, advancedage, low BP, stress, smoking, elevated body temperature
Aging skin undergoes what elements affecting risk for pressure ulcer? CORRECT
RESPONSE 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 flowis impaired
What does nonblanching erythema indicate in the skin r/t PU? CORRECT
RESPONSE when pressure isapplied to the erythematic area skin becomes white
(blanched), but once relieved, erythema returns -indicating blood flow; however in
nonblanching erythema, skin doesnot 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 RESPONSE 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 RESPONSE purple or
maroon localized areaof 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 RESPONSE Intact skin with
nonblanchable redness of localized area. Will not see blanching in dark skin, but
changes in skin tissue consistency (firm vs boggy when palpated), sensation (pain), and
warmer or cooler temperature may differ from surrounding area
Describe stage II pressure ulcer? CORRECT RESPONSE partial-thickness wound
where epidermis and tip of dermis is lost with red-pink wound bed w/out slough. may
also present as intact oropen/ruptured serum -filled blister
Describe stage III pressure ulcer? CORRECT RESPONSE full-thickness wound where
both epidermis anddermis 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 obscuredepth and tunneling and undermining may be present
Describe stage IV pressure ulcer? CORRECT RESPONSE full-thickness wound with
exposed bone,tendon, and muscle; slough or eschar may be seen in some parts of
the woundbed. you will often see tunneling and undermining. Osteomyelitis may be
dxed at thisstage, since bone is palpable
Describe unstageble ulcers? CORRECT RESPONSE full-thickness wound where base
of the ulcer iscovered by slough and/or eschar, obscuring depth
When should eschars not be removed? CORRECT RESPONSE when it's stable with
dry, adherent, andintact w/out 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 RESPONSEimmersion and envelopement
Define immersion? CORRECT RESPONSE depth of penetration or skining into
surgace allowing pressureto be spread out over surrounding area rather than directly
over boney prominence
Define envelopement? CORRECT RESPONSE is the ability of support surface to
conform to irregularities without causing substantial increase in pressure
what is bottoming out? CORRECT RESPONSE this occurs when depth of penetration
or sinking isexcessive, allowing increased pressure to concentrate over boney
prominences
what factors contribute to bottoming out? CORRECT RESPONSE weight, disproportion
of weight and size such as amputation, tendency to keep HOB >30 degrees, inappropriate
support surfacesettings
Answers () | 100% Correct
Verified Answers
Graded A+
what are 6 risk factor components of Braden Scale for pressure ulcer? CORRECT
RESPONSE sensoryperception, moisture, mobility, activity, nutrition, and shear/friction
What is the name of the organization that developed the pressure ulcer staging?
CORRECT RESPONSENPUAP (national pressure ulcer advisory panel)
pathological effect of excessive pressure on soft tissue can be attributed by 3 factors?
what are they? CORRECT RESPONSE tissue tolerance, duration of pressure, and
intensity of pressure
what are the extrinsic factors that impact pressure ulcers? CORRECT RESPONSE
increase in moisture,friction and shearing
how does friction play a role in shearing which eventually leads to pressure ulcer?
CORRECT RESPONSE friction alone causes only superfical abrasion, but with gravity
it plays a synergisticeffect leading to shearing. When gravity pushes down on the body
and resistance (friction) between the client 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 RESPONSE nutritional
debilitation, advancedage, low BP, stress, smoking, elevated body temperature
Aging skin undergoes what elements affecting risk for pressure ulcer? CORRECT
RESPONSE 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 flowis impaired
What does nonblanching erythema indicate in the skin r/t PU? CORRECT
RESPONSE when pressure isapplied to the erythematic area skin becomes white
(blanched), but once relieved, erythema returns -indicating blood flow; however in
nonblanching erythema, skin doesnot 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 RESPONSE 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 RESPONSE purple or
maroon localized areaof 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 RESPONSE Intact skin with
nonblanchable redness of localized area. Will not see blanching in dark skin, but
changes in skin tissue consistency (firm vs boggy when palpated), sensation (pain), and
warmer or cooler temperature may differ from surrounding area
Describe stage II pressure ulcer? CORRECT RESPONSE partial-thickness wound
where epidermis and tip of dermis is lost with red-pink wound bed w/out slough. may
also present as intact oropen/ruptured serum -filled blister
Describe stage III pressure ulcer? CORRECT RESPONSE full-thickness wound where
both epidermis anddermis 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 obscuredepth and tunneling and undermining may be present
Describe stage IV pressure ulcer? CORRECT RESPONSE full-thickness wound with
exposed bone,tendon, and muscle; slough or eschar may be seen in some parts of
the woundbed. you will often see tunneling and undermining. Osteomyelitis may be
dxed at thisstage, since bone is palpable
Describe unstageble ulcers? CORRECT RESPONSE full-thickness wound where base
of the ulcer iscovered by slough and/or eschar, obscuring depth
When should eschars not be removed? CORRECT RESPONSE when it's stable with
dry, adherent, andintact w/out 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 RESPONSEimmersion and envelopement
Define immersion? CORRECT RESPONSE depth of penetration or skining into
surgace allowing pressureto be spread out over surrounding area rather than directly
over boney prominence
Define envelopement? CORRECT RESPONSE is the ability of support surface to
conform to irregularities without causing substantial increase in pressure
what is bottoming out? CORRECT RESPONSE this occurs when depth of penetration
or sinking isexcessive, allowing increased pressure to concentrate over boney
prominences
what factors contribute to bottoming out? CORRECT RESPONSE weight, disproportion
of weight and size such as amputation, tendency to keep HOB >30 degrees, inappropriate
support surfacesettings
