Pressure injury- Davis ACTUAL
UPDATED QUESTIONS AND CORRECT
ANSWERS
Which value would the nurse monitor to determine if an infection associated with a stage 4
pressure injury has occurred?
Intracapillary pressure
C-peptide
C-reactive protein
Braden scale - CORRECT ANSWERS✅✅C-reactive protein (↑ with infection +
inflammation)
Which Braden scale score would indicate the patient is at mild risk of developing a pressure
injury?
22
16
8
11 - CORRECT ANSWERS✅✅16 (Mild risk - 15 to 18
Moderate risk - 13 to 14
High risk - 10 to 12
Very high risk - 9 or below)
Which stage of a pressure injury shows a partial loss in thickness of the dermis?
Stage 1
Stage 2
Stage 3
Stage 4 - CORRECT ANSWERS✅✅Stage 2 (partial loss of thickness of dermis, shallow
open ulder w/ red-pink wound bed)
, The home care nurse assesses a stage 1 pressure injury on an older adult patient who has
limited mobility from a stroke. Which information should the nurse include when educating
the patient's spouse on ways to prevent skin breakdown? Select all that apply.
Provide high-protein shakes twice a day.
Provide lots of water throughout the day.
Change positions at least every 2 hours.
Keep the head of the bed at 45° or higher.
Use pillows to pad all bony prominences. - CORRECT ANSWERS✅✅Provide high-protein
shakes twice a day.
Provide lots of water throughout the day.
Change positions at least every 2 hours.
Use pillows to pad all bony prominences.
(HOB at or less than 30 degrees to prevent shearing)
Which comorbid disease would be managed to optimize successful wound healing in a
patient diagnosed with a pressure injury?
Pneumonia
Congestive heart failure
Bacterial meningitis
Fibromyalgia - CORRECT ANSWERS✅✅Congestive heart failure
The nurse is caring for a patient on bedrest who has a pressure injury to the coccyx and a
Braden score of 9. Which action should the nurse take?
Maintain a prone position.
Provide bedding with additional cushioning.
Position the head of the bed less than 30 °.
UPDATED QUESTIONS AND CORRECT
ANSWERS
Which value would the nurse monitor to determine if an infection associated with a stage 4
pressure injury has occurred?
Intracapillary pressure
C-peptide
C-reactive protein
Braden scale - CORRECT ANSWERS✅✅C-reactive protein (↑ with infection +
inflammation)
Which Braden scale score would indicate the patient is at mild risk of developing a pressure
injury?
22
16
8
11 - CORRECT ANSWERS✅✅16 (Mild risk - 15 to 18
Moderate risk - 13 to 14
High risk - 10 to 12
Very high risk - 9 or below)
Which stage of a pressure injury shows a partial loss in thickness of the dermis?
Stage 1
Stage 2
Stage 3
Stage 4 - CORRECT ANSWERS✅✅Stage 2 (partial loss of thickness of dermis, shallow
open ulder w/ red-pink wound bed)
, The home care nurse assesses a stage 1 pressure injury on an older adult patient who has
limited mobility from a stroke. Which information should the nurse include when educating
the patient's spouse on ways to prevent skin breakdown? Select all that apply.
Provide high-protein shakes twice a day.
Provide lots of water throughout the day.
Change positions at least every 2 hours.
Keep the head of the bed at 45° or higher.
Use pillows to pad all bony prominences. - CORRECT ANSWERS✅✅Provide high-protein
shakes twice a day.
Provide lots of water throughout the day.
Change positions at least every 2 hours.
Use pillows to pad all bony prominences.
(HOB at or less than 30 degrees to prevent shearing)
Which comorbid disease would be managed to optimize successful wound healing in a
patient diagnosed with a pressure injury?
Pneumonia
Congestive heart failure
Bacterial meningitis
Fibromyalgia - CORRECT ANSWERS✅✅Congestive heart failure
The nurse is caring for a patient on bedrest who has a pressure injury to the coccyx and a
Braden score of 9. Which action should the nurse take?
Maintain a prone position.
Provide bedding with additional cushioning.
Position the head of the bed less than 30 °.
