1
PRESSURE INJURY PREVENTION & WOUND
STAGING NURSING EXAM 2026-28 LATEST VERSION
Exam Structure
• Total Questions: 100
• Question Type: Multiple Choice (A–D)
• Time Allowed: 2 hours
• Passing Score: 75%
• Focus Areas:
o Pressure injury (PI) risk assessment and prevention
o Wound staging (I–IV, unstageable, deep tissue injury)
o Dressing selection and wound care
o Complication recognition and nursing interventions
o Documentation and patient/family education
Exam Introduction
This exam evaluates the nurse’s competency in pressure injury prevention and wound staging. Questions are
based on evidence-based practice, including NPUAP/EPUAP guidelines, and simulate real-world clinical scenarios.
Instructions:
• Choose the single best answer.
• Assume hospital policy aligns with current best practices.
• Each question includes correct answer and rationale.
Question & Answer Format
• Question
• Answer Choices (A–D)
• Correct Answer
• Rationale: Explains why the correct answer is correct and others are less appropriate.
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1. The primary cause of pressure injuries is:
A. Infection
B. Prolonged pressure over bony prominences
C. Poor nutrition
D. Allergic reaction
Answer: B
Rationale: Pressure injuries result from sustained pressure over
bony areas, which impairs blood flow and tissue viability.
2. The Braden Scale is used to:
A. Diagnose infection
B. Stage wounds
C. Assess pressure injury risk
D. Evaluate pain
Answer: C
Rationale: The Braden Scale evaluates sensory perception,
moisture, activity, mobility, nutrition, and friction/shear to
predict risk.
3. A patient with limited mobility should be repositioned
every:
,3
A. 4 hours
B. 6 hours
C. 2 hours
D. 8 hours
Answer: C
Rationale: Repositioning every 2 hours relieves pressure and
prevents tissue ischemia.
4. Which area is at highest risk for pressure injury?
A. Forearm
B. Sacrum
C. Upper arm
D. Abdomen
Answer: B
Rationale: The sacrum is a bony prominence that bears weight
when supine, making it highly susceptible.
5. Stage I pressure injury is characterized by:
A. Full-thickness skin loss
B. Non-blanchable erythema
C. Deep tissue necrosis
D. Exposed bone
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Answer: B
Rationale: Stage I involves intact skin with persistent redness
that does not blanch with pressure.
6. Stage II pressure injury shows:
A. Partial-thickness loss of dermis
B. Exposed bone
C. Subcutaneous tissue visible
D. Full-thickness loss
Answer: A
Rationale: Stage II involves partial-thickness dermal loss
presenting as a shallow ulcer or blister.
7. Stage III pressure injury involves:
A. Superficial skin only
B. Full-thickness skin loss, subcutaneous tissue may be visible
C. Muscle exposure
D. Bone exposure
Answer: B
Rationale: Stage III is full-thickness skin loss, possibly exposing
subcutaneous tissue but not muscle, tendon, or bone.
PRESSURE INJURY PREVENTION & WOUND
STAGING NURSING EXAM 2026-28 LATEST VERSION
Exam Structure
• Total Questions: 100
• Question Type: Multiple Choice (A–D)
• Time Allowed: 2 hours
• Passing Score: 75%
• Focus Areas:
o Pressure injury (PI) risk assessment and prevention
o Wound staging (I–IV, unstageable, deep tissue injury)
o Dressing selection and wound care
o Complication recognition and nursing interventions
o Documentation and patient/family education
Exam Introduction
This exam evaluates the nurse’s competency in pressure injury prevention and wound staging. Questions are
based on evidence-based practice, including NPUAP/EPUAP guidelines, and simulate real-world clinical scenarios.
Instructions:
• Choose the single best answer.
• Assume hospital policy aligns with current best practices.
• Each question includes correct answer and rationale.
Question & Answer Format
• Question
• Answer Choices (A–D)
• Correct Answer
• Rationale: Explains why the correct answer is correct and others are less appropriate.
,2
1. The primary cause of pressure injuries is:
A. Infection
B. Prolonged pressure over bony prominences
C. Poor nutrition
D. Allergic reaction
Answer: B
Rationale: Pressure injuries result from sustained pressure over
bony areas, which impairs blood flow and tissue viability.
2. The Braden Scale is used to:
A. Diagnose infection
B. Stage wounds
C. Assess pressure injury risk
D. Evaluate pain
Answer: C
Rationale: The Braden Scale evaluates sensory perception,
moisture, activity, mobility, nutrition, and friction/shear to
predict risk.
3. A patient with limited mobility should be repositioned
every:
,3
A. 4 hours
B. 6 hours
C. 2 hours
D. 8 hours
Answer: C
Rationale: Repositioning every 2 hours relieves pressure and
prevents tissue ischemia.
4. Which area is at highest risk for pressure injury?
A. Forearm
B. Sacrum
C. Upper arm
D. Abdomen
Answer: B
Rationale: The sacrum is a bony prominence that bears weight
when supine, making it highly susceptible.
5. Stage I pressure injury is characterized by:
A. Full-thickness skin loss
B. Non-blanchable erythema
C. Deep tissue necrosis
D. Exposed bone
, 4
Answer: B
Rationale: Stage I involves intact skin with persistent redness
that does not blanch with pressure.
6. Stage II pressure injury shows:
A. Partial-thickness loss of dermis
B. Exposed bone
C. Subcutaneous tissue visible
D. Full-thickness loss
Answer: A
Rationale: Stage II involves partial-thickness dermal loss
presenting as a shallow ulcer or blister.
7. Stage III pressure injury involves:
A. Superficial skin only
B. Full-thickness skin loss, subcutaneous tissue may be visible
C. Muscle exposure
D. Bone exposure
Answer: B
Rationale: Stage III is full-thickness skin loss, possibly exposing
subcutaneous tissue but not muscle, tendon, or bone.
