Skin Integrity and Wound Care Test Bank
Questions And Correct Answers (Verified
Answers) Plus Rationales 2025/2026 Q&A
| Instant Download Pdf
1. Which of the following patients is at greatest risk for developing
a pressure injury?
A. A 25-year-old post-op appendectomy patient
B. A 70-year-old patient with limited mobility and diabetes
C. A 30-year-old patient with a sprained ankle
D. A 50-year-old patient who is ambulatory
Answer: B. A 70-year-old patient with limited mobility and diabetes
Older age, impaired mobility, and diabetes increase the risk of
pressure injuries due to decreased skin elasticity, circulation, and
wound healing capacity.
2. What is the most appropriate method to prevent a stage I
pressure injury in a bedridden patient?
A. Apply antibiotic ointment
B. Reposition every 2 hours
C. Use adhesive tape on the skin
D. Encourage high-protein diet only
Answer: B. Reposition every 2 hours
Frequent repositioning relieves pressure and reduces the risk of skin
breakdown.
3. Which of the following is a characteristic of a stage II pressure
injury?
,A. Full-thickness tissue loss
B. Partial-thickness skin loss with exposed dermis
C. Unstageable necrotic tissue
D. Non-blanchable erythema only
Answer: B. Partial-thickness skin loss with exposed dermis
Stage II pressure injuries involve the epidermis and may extend into
the dermis but do not expose underlying structures.
4. Which type of dressing is most appropriate for a heavily
exudating wound?
A. Hydrocolloid
B. Transparent film
C. Alginate
D. Gauze
Answer: C. Alginate
Alginate dressings absorb large amounts of exudate and maintain a
moist wound environment.
5. A patient has a stage III pressure ulcer with tunneling. Which
intervention is most important?
A. Use dry sterile gauze
B. Measure depth and width of wound regularly
C. Apply ointment only
D. Avoid cleaning the wound
Answer: B. Measure depth and width of wound regularly
Accurate assessment guides treatment, monitors healing, and
documents progress, especially in complex wounds.
6. What is the primary purpose of a wound dressing?
,A. Reduce cost of care
B. Promote healing and prevent infection
C. Cover the wound for cosmetic reasons only
D. Keep patient comfortable only
Answer: B. Promote healing and prevent infection
Dressings protect the wound, maintain moisture, and reduce
infection risk.
7. Which stage of pressure injury is characterized by full-thickness
tissue loss with exposed bone, tendon, or muscle?
A. Stage I
B. Stage II
C. Stage III
D. Stage IV
Answer: D. Stage IV
Stage IV pressure injuries involve extensive tissue damage with
exposed structures and are at highest risk for infection.
8. What is the most common site for pressure injuries in bedridden
patients?
A. Elbows
B. Sacrum and heels
C. Face
D. Abdomen
Answer: B. Sacrum and heels
These areas are under constant pressure when patients are immobile,
leading to tissue ischemia.
9. Which factor delays wound healing?
, A. Adequate protein intake
B. Infection
C. Proper oxygenation
D. Hydration
Answer: B. Infection
Infection triggers inflammation and tissue breakdown, slowing
healing.
10. Which lab value indicates impaired wound healing?
A. Normal hemoglobin
B. Low albumin
C. Normal WBC
D. Normal glucose
Answer: B. Low albumin
Albumin reflects nutritional status; low levels indicate poor protein
reserves needed for healing.
11. What is a priority nursing action for a patient with a new stage I
pressure injury?
A. Apply topical antibiotics
B. Relieve pressure and monitor skin
C. Debride immediately
D. Leave it uncovered
Answer: B. Relieve pressure and monitor skin
Reducing pressure prevents progression; early intervention is crucial.
12. A wound with yellow slough is typically:
Questions And Correct Answers (Verified
Answers) Plus Rationales 2025/2026 Q&A
| Instant Download Pdf
1. Which of the following patients is at greatest risk for developing
a pressure injury?
A. A 25-year-old post-op appendectomy patient
B. A 70-year-old patient with limited mobility and diabetes
C. A 30-year-old patient with a sprained ankle
D. A 50-year-old patient who is ambulatory
Answer: B. A 70-year-old patient with limited mobility and diabetes
Older age, impaired mobility, and diabetes increase the risk of
pressure injuries due to decreased skin elasticity, circulation, and
wound healing capacity.
2. What is the most appropriate method to prevent a stage I
pressure injury in a bedridden patient?
A. Apply antibiotic ointment
B. Reposition every 2 hours
C. Use adhesive tape on the skin
D. Encourage high-protein diet only
Answer: B. Reposition every 2 hours
Frequent repositioning relieves pressure and reduces the risk of skin
breakdown.
3. Which of the following is a characteristic of a stage II pressure
injury?
,A. Full-thickness tissue loss
B. Partial-thickness skin loss with exposed dermis
C. Unstageable necrotic tissue
D. Non-blanchable erythema only
Answer: B. Partial-thickness skin loss with exposed dermis
Stage II pressure injuries involve the epidermis and may extend into
the dermis but do not expose underlying structures.
4. Which type of dressing is most appropriate for a heavily
exudating wound?
A. Hydrocolloid
B. Transparent film
C. Alginate
D. Gauze
Answer: C. Alginate
Alginate dressings absorb large amounts of exudate and maintain a
moist wound environment.
5. A patient has a stage III pressure ulcer with tunneling. Which
intervention is most important?
A. Use dry sterile gauze
B. Measure depth and width of wound regularly
C. Apply ointment only
D. Avoid cleaning the wound
Answer: B. Measure depth and width of wound regularly
Accurate assessment guides treatment, monitors healing, and
documents progress, especially in complex wounds.
6. What is the primary purpose of a wound dressing?
,A. Reduce cost of care
B. Promote healing and prevent infection
C. Cover the wound for cosmetic reasons only
D. Keep patient comfortable only
Answer: B. Promote healing and prevent infection
Dressings protect the wound, maintain moisture, and reduce
infection risk.
7. Which stage of pressure injury is characterized by full-thickness
tissue loss with exposed bone, tendon, or muscle?
A. Stage I
B. Stage II
C. Stage III
D. Stage IV
Answer: D. Stage IV
Stage IV pressure injuries involve extensive tissue damage with
exposed structures and are at highest risk for infection.
8. What is the most common site for pressure injuries in bedridden
patients?
A. Elbows
B. Sacrum and heels
C. Face
D. Abdomen
Answer: B. Sacrum and heels
These areas are under constant pressure when patients are immobile,
leading to tissue ischemia.
9. Which factor delays wound healing?
, A. Adequate protein intake
B. Infection
C. Proper oxygenation
D. Hydration
Answer: B. Infection
Infection triggers inflammation and tissue breakdown, slowing
healing.
10. Which lab value indicates impaired wound healing?
A. Normal hemoglobin
B. Low albumin
C. Normal WBC
D. Normal glucose
Answer: B. Low albumin
Albumin reflects nutritional status; low levels indicate poor protein
reserves needed for healing.
11. What is a priority nursing action for a patient with a new stage I
pressure injury?
A. Apply topical antibiotics
B. Relieve pressure and monitor skin
C. Debride immediately
D. Leave it uncovered
Answer: B. Relieve pressure and monitor skin
Reducing pressure prevents progression; early intervention is crucial.
12. A wound with yellow slough is typically:
