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Pressure Injury Prevention and Treatment
Assessment, Wound Care, and Healing

You can take the test without obligation. To earn CE credit, you need to pass the test, complete an evaluation, and register/pay for your Certificate of Completion. Your Certificate will be delivered online immediately upon completing the course registration. (There is no charge for free courses and online certificate delivery.)

  • You must score 70% or better to pass this test.
  • Select one answer for each question.
  • Review your selections before submitting the test for grading.
Test Question

1. According to the NPIAP definition of pressure injuries, the tolerance of soft tissue for pressure and shear may be affected by several factors, including:

Test Question

2. Which statement most accurately reflects the impact of hospital-acquired pressure injuries (HAPI)?

Test Question

3. Which statement best describes the purpose of assessing a patient’s risk for developing a pressure injury?

Test Question

4. A patient with a diagnosis of a fractured hip is at a higher risk for which pressure injury?

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5. Skin tears occur more frequently in older adult patients due to a:

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6. Regardless of the healthcare setting, a patient’s risk of developing pressure injuries should be assessed:

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7. A male patient who is admitted with congestive heart failure reports that he spends all day at home in his recliner, even sleeping in it. Which area of the patient’s body is checked first for possible skin issues and pressure injury risk?

Test Question

8. Which patient risk factor is most likely to result in the development of a pressure injury?

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9. Keeping the patient’s head of the bed at or below 30 degrees prevents skin damage due to:

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10. In a patient whose skin status was assessed upon admission with the Braden scale, which scale should be used for subsequent skin assessments?

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11. After assessing a nonmobile patient who is sitting up in a wheelchair, the clinician determines that the wheelchair may place this patient at increased risk for pressure injuries based on which finding?

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12. The most important feature of a support surface is its ability to:

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13. In selecting a support surface for the bedridden patient, which is the clinician’s first consideration?

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14. Preventing incontinence-associated dermatitis is best accomplished by:

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15. Which intervention for urinary incontinence has been found helpful in preventing post-void dribbling?

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16. The patient is admitted to ICU on a ventilator with orders to keep the head of the bed at 45 degrees to prevent pneumonia. Which prophylactic intervention could help to prevent pressure injury formation at the sacrum?

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17. When determining the risk for pressure injury in pediatric patients with tracheostomies, the clinician is aware that:

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18. The clinician documents a pressure injury consisting of a fluid-filled blister and several ruptured blisters as:

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19. A pressure injury is classified as stage 4 when there is visible:

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20. The term “reverse staging” cannot be used to describe the process of pressure injury healing because:

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21. The clincian finds a blood-filled blister on the patient’s heel. Suspecting a deep tissue pressure injury, the clinician’s first action is to:

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22. Which is a correct statement regarding the use of water in pressure injury cleaning?

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23. Which sign or symptom may indicate a systemic infection associated with a pressure injury?

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24. So that a wound culture will reflect the actual bacterial status of the wound, the clinician should be careful to swab only:

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25. A contraindication to debridement of dry, stable eschar is:

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26. Which method of debridement is the quickest way to remove extensive necrotic tissue, undermining, and tunneling?

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27. Which is the best choice for a heavily draining pressure injury requiring a dressing that provides maximum absorption?

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28. When reviewing an order to apply a hydrogel to a wound bed and then fill the wound with a hydrofiber, the nurse questions the order because:

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29. A pressure injury has not decreased in size in two weeks, and the clinician suspects critical colonization. What change to the treatment plan does the clinician recommend?

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30. In a pressure injury that has been deemed suitable for autolytic debridement, which dressing is appropriate?

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31. How often are negative-pressure wound dressings usually changed?

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32. Which factor is likely responsible for improved wound healing after treatment is begun for a patient’s poor circulation?

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33. When documenting the location of undermining in a wound, which is the most accurate descriptor to use?

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34. During each dressing change procedure, the clinician documents the amount and consistency of wound drainage, the presence or absence of wound odor, and:

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35. The spouse of a patient with dementia and limited mobility reports a new area of redness over the “right hip bone” after the patient had been lying on his right side for an afternoon nap. What is the first step the clinician advises the patient to take?

Test Question

36. In a patient who developed a reportable pressure injury while hospitalized, which factor discovered during root cause analysis signaled that the pressure injury was avoidable?


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