MODULE 2 NDNQI WOUNDS EXAM
QUESTIONS AND ANSWERS GRADED A+
2025/2026
Pressure Injury Classification - ANS If the deepest type of tissue is visible (or directly
palpable), the pressure injury can be classified as Stage 1, 2, 3 or 4.
If the deepest tissue is not visible, the pressure injury is classified as unstageable (i.e. deepest
tissue obscured by slough or eschar);
Deep Tissue Pressure Injury (DTPI) (i.e. deep red, maroon or purple discoloration); or Non-
Visible (a special NDNQI category for pressure injuries under non-removable dressings or
devices)
Pressure injuries on mucosal membranes are counted, but not staged
Wound/Skin Injury etiology - ANS disease, moisture and trauma
Arterial Ulcers - ANS A wound caused by impaired arterial blood flow to the lower leg and
foot esp. Toes, dorsum of the foot, lateral malleolus, distal lower leg
The impairment in blood flow results in tissue ischemia, necrosis, and loss.
Arterial Ulcer causes - ANS Atherosclerosis
Arteriosclerosis
History of arterial insufficiency to lower extremities:
1 @COPYRIGHT 2026 ALLRIGHTS RESERVED.
, Peripheral Arterial Disease (PAD)
Lower Extremity Arterial Disease (LEAD)(1)
Risks:
Age
Smoking
Diabetes Mellitus
Hypertension
Dyslipidemia
Obesity
Family history of cardiovascular disease(2)
Arterial Ulcer Associated Skin Assessment - ANS Cooler skin temperature
Thin, shiny skin
Decreased or absent skin hair
Decreased pulse strength in affected extremity
Skin pallor on foot elevation; dusky rubor on dependency
Dystrophic toenails
Low Ankle-Brachial Index (ABI)
Arterial Ulcer Characteristics - ANS Round and regular in shape
Pale wound bed
Can be shallow in depth or relatively deep
Smooth wound edges
Gangrenous/necrotic tissue may cover the wound
Minimal drainage
Severe pain
2 @COPYRIGHT 2026 ALLRIGHTS RESERVED.
QUESTIONS AND ANSWERS GRADED A+
2025/2026
Pressure Injury Classification - ANS If the deepest type of tissue is visible (or directly
palpable), the pressure injury can be classified as Stage 1, 2, 3 or 4.
If the deepest tissue is not visible, the pressure injury is classified as unstageable (i.e. deepest
tissue obscured by slough or eschar);
Deep Tissue Pressure Injury (DTPI) (i.e. deep red, maroon or purple discoloration); or Non-
Visible (a special NDNQI category for pressure injuries under non-removable dressings or
devices)
Pressure injuries on mucosal membranes are counted, but not staged
Wound/Skin Injury etiology - ANS disease, moisture and trauma
Arterial Ulcers - ANS A wound caused by impaired arterial blood flow to the lower leg and
foot esp. Toes, dorsum of the foot, lateral malleolus, distal lower leg
The impairment in blood flow results in tissue ischemia, necrosis, and loss.
Arterial Ulcer causes - ANS Atherosclerosis
Arteriosclerosis
History of arterial insufficiency to lower extremities:
1 @COPYRIGHT 2026 ALLRIGHTS RESERVED.
, Peripheral Arterial Disease (PAD)
Lower Extremity Arterial Disease (LEAD)(1)
Risks:
Age
Smoking
Diabetes Mellitus
Hypertension
Dyslipidemia
Obesity
Family history of cardiovascular disease(2)
Arterial Ulcer Associated Skin Assessment - ANS Cooler skin temperature
Thin, shiny skin
Decreased or absent skin hair
Decreased pulse strength in affected extremity
Skin pallor on foot elevation; dusky rubor on dependency
Dystrophic toenails
Low Ankle-Brachial Index (ABI)
Arterial Ulcer Characteristics - ANS Round and regular in shape
Pale wound bed
Can be shallow in depth or relatively deep
Smooth wound edges
Gangrenous/necrotic tissue may cover the wound
Minimal drainage
Severe pain
2 @COPYRIGHT 2026 ALLRIGHTS RESERVED.
