Emory Wound Exam 1 Questions And Answers
Practice Questions with Solutions Newest 2026 2027 |
Already Graded A+
The WCN is assessing a patient whose wounds were caused by external
factors. Which of the following is an example of this type of injury? (17)
A. Pressure Injury
B. Venous Leg Ulcer
C. Eczema
D. Malignant Wound
• ANSWER--- A -- Mechanical factors include friction, shear, pressure and
moisture
What is the best descriptor of tissue damage caused by shear strain? (17)
A. Superficial skin loss caused by separation of epidermal and dermal layers
B. Tissue compression caused by sustained pressure
C. Edema caused by impaired lymphatic function resulting from unrelieved
pressure
D. Subcutaneous tissue damaged by distortion of blood vessels
• ANSWER--- D -- Shear strain disrupts blood vessels from deeper structures
and causes deep tissue injury as occurs with pressure injuries
Which type of wounds develop at the muscle-bone interface? (17)
A. Friction wounds
B. Pressure injuries
C. Incontinence wounds
D. Wounds caused by intertriginous dermatitis
• ANSWER--- B -- Pressure injuries typically begin at the bone-muscle
interface, making them full thickness even when skin appears intact
What is the initial effect of sustained pressure on a body part? (17)
A. Tissue necrosis
B. Tissue loss
C. Tissue deformation
D. Tissue remodeling
, • ANSWER--- C -- Sustained pressure first causes tissue deformation, which,
if unrelieved, leads to ischemia and necrosis
What is the driving force for the collection of data regarding facility-acquired
pressure injuries? (17)
A. Patient satisfaction
B. Quality indicators
C. Infection control
D. Minimizing staff workload
• ANSWER--- B -- Benchmarking facility-acquired pressure injury rates
reflects quality of care and identifies opportunities to improve care
Which statement accurately describes an assumption wound care nurses can
use when differentiating pressure wounds from non-pressure wounds? (17)
A. Current evidence indicates that most pressure wounds develop at the
muscle-bone interface
B. Most pressure/shear wounds are partial-thickness wounds that exhibit evidence
of ischemic damage
C. Most non-pressure wounds present as superficial wounds with evidence of
friction and tissue ischemia
D. Diagnostic tools and imaging technology are readily available for use by
clinicians in all care settings
• ANSWER--- A -- Pressure injuries are usually full thickness because
damage begins at the muscle-bone interface and progresses outward
Which assessment parameter is of greatest value to differential assessment of
wounds? (17)
A. Indicators of pressure vs. indicators of maceration or friction
B. Wound size
C. Type of eschar involved
D. Indicators of infected vs. noninfected wounds
• ANSWER--- A -- Identifying the source of injury (pressure vs.
moisture/friction) is key to differential assessment
Which condition might the wound care nurse observe as an indicator of
pressure injury? (17)
A. Maceration of surrounding tissue
B. Excessive granulation tissue
,C. Edema
D. Nonblanchable erythema over a bony prominence
• ANSWER--- D -- Nonblanchable erythema is the earliest visible sign of
deep pressure injury
A patient has a Stage 2 pressure injury on the sacrum. Which tissue type will
be present?
A. Eschar
B. Slough
C. Intact or ruptured blister
D. Visible subcutaneous fat
• ANSWER--- C -- Stage 2 pressure injuries present as partial-thickness skin
loss with exposed dermis, often appearing as an intact or ruptured blister
What is the primary distinguishing feature between a Stage 2 and a Stage 3
pressure injury?
A. Presence of pain
B. Amount of exudate
C. Depth and exposure of subcutaneous fat
D. Wound size
• ANSWER--- C -- Stage 3 injuries extend through full thickness into
subcutaneous fat; Stage 2 is partial thickness without fat exposure
A deep tissue injury (DTI) is characterized by:
A. Full-thickness skin loss with bone exposure
B. A nonblanchable deep red, maroon, or purple discoloration over intact skin
C. A shallow open ulcer with red-pink wound bed
D. Escar covering the entire wound surface
• ANSWER--- B -- DTI presents as intact skin with discoloration indicating
underlying soft tissue damage from pressure/shear
Which of the following is an unstageable pressure injury?
A. A wound with 100% slough and eschar covering the entire base
B. A healing Stage 3 injury with granulation tissue
C. A suspected deep tissue injury that has not yet opened
D. A Stage 2 blister that has ruptured
, • ANSWER--- A -- Unstageable injuries are those in which the base is fully
obscured by slough or eschar, preventing staging
What is the most common location for medical device-related pressure
injuries?
A. Occiput
B. Sacrum
C. Heels
D. Bridge of the nose, ears, and under tubing
• ANSWER--- D -- Medical devices (tubing, masks, oxygen cannulas) often
cause pressure on the nose, ears, cheeks, and other contact points
Which factor most increases a patient’s risk for pressure injury development?
A. Advanced age with immobility and incontinence
B. Hypertension controlled with medication
C. A diet high in protein
D. Occasional use of a wheelchair
• ANSWER--- A -- Immobility, advanced age, and moisture from
incontinence are major risk factors
The Braden Scale assesses risk for pressure injuries in which six categories?
A. Age, weight, activity, mobility, nutrition, friction/shear
B. Sensory perception, moisture, activity, mobility, nutrition, friction/shear
C. Continence, cognition, skin turgor, pressure points, age, comorbidities
D. Temperature, humidity, pressure intensity, duration, position, support surface
• ANSWER--- B -- The Braden Scale measures sensory perception, moisture,
activity, mobility, nutrition, and friction/shear
A patient scores an 11 on the Braden Scale. This indicates:
A. No risk
B. Mild risk
C. Moderate risk
D. High risk
• ANSWER--- D -- Scores ≤12 indicate high risk for pressure injury
development
Which intervention is most effective in reducing pressure injury risk for a
bedridden patient?
Practice Questions with Solutions Newest 2026 2027 |
Already Graded A+
The WCN is assessing a patient whose wounds were caused by external
factors. Which of the following is an example of this type of injury? (17)
A. Pressure Injury
B. Venous Leg Ulcer
C. Eczema
D. Malignant Wound
• ANSWER--- A -- Mechanical factors include friction, shear, pressure and
moisture
What is the best descriptor of tissue damage caused by shear strain? (17)
A. Superficial skin loss caused by separation of epidermal and dermal layers
B. Tissue compression caused by sustained pressure
C. Edema caused by impaired lymphatic function resulting from unrelieved
pressure
D. Subcutaneous tissue damaged by distortion of blood vessels
• ANSWER--- D -- Shear strain disrupts blood vessels from deeper structures
and causes deep tissue injury as occurs with pressure injuries
Which type of wounds develop at the muscle-bone interface? (17)
A. Friction wounds
B. Pressure injuries
C. Incontinence wounds
D. Wounds caused by intertriginous dermatitis
• ANSWER--- B -- Pressure injuries typically begin at the bone-muscle
interface, making them full thickness even when skin appears intact
What is the initial effect of sustained pressure on a body part? (17)
A. Tissue necrosis
B. Tissue loss
C. Tissue deformation
D. Tissue remodeling
, • ANSWER--- C -- Sustained pressure first causes tissue deformation, which,
if unrelieved, leads to ischemia and necrosis
What is the driving force for the collection of data regarding facility-acquired
pressure injuries? (17)
A. Patient satisfaction
B. Quality indicators
C. Infection control
D. Minimizing staff workload
• ANSWER--- B -- Benchmarking facility-acquired pressure injury rates
reflects quality of care and identifies opportunities to improve care
Which statement accurately describes an assumption wound care nurses can
use when differentiating pressure wounds from non-pressure wounds? (17)
A. Current evidence indicates that most pressure wounds develop at the
muscle-bone interface
B. Most pressure/shear wounds are partial-thickness wounds that exhibit evidence
of ischemic damage
C. Most non-pressure wounds present as superficial wounds with evidence of
friction and tissue ischemia
D. Diagnostic tools and imaging technology are readily available for use by
clinicians in all care settings
• ANSWER--- A -- Pressure injuries are usually full thickness because
damage begins at the muscle-bone interface and progresses outward
Which assessment parameter is of greatest value to differential assessment of
wounds? (17)
A. Indicators of pressure vs. indicators of maceration or friction
B. Wound size
C. Type of eschar involved
D. Indicators of infected vs. noninfected wounds
• ANSWER--- A -- Identifying the source of injury (pressure vs.
moisture/friction) is key to differential assessment
Which condition might the wound care nurse observe as an indicator of
pressure injury? (17)
A. Maceration of surrounding tissue
B. Excessive granulation tissue
,C. Edema
D. Nonblanchable erythema over a bony prominence
• ANSWER--- D -- Nonblanchable erythema is the earliest visible sign of
deep pressure injury
A patient has a Stage 2 pressure injury on the sacrum. Which tissue type will
be present?
A. Eschar
B. Slough
C. Intact or ruptured blister
D. Visible subcutaneous fat
• ANSWER--- C -- Stage 2 pressure injuries present as partial-thickness skin
loss with exposed dermis, often appearing as an intact or ruptured blister
What is the primary distinguishing feature between a Stage 2 and a Stage 3
pressure injury?
A. Presence of pain
B. Amount of exudate
C. Depth and exposure of subcutaneous fat
D. Wound size
• ANSWER--- C -- Stage 3 injuries extend through full thickness into
subcutaneous fat; Stage 2 is partial thickness without fat exposure
A deep tissue injury (DTI) is characterized by:
A. Full-thickness skin loss with bone exposure
B. A nonblanchable deep red, maroon, or purple discoloration over intact skin
C. A shallow open ulcer with red-pink wound bed
D. Escar covering the entire wound surface
• ANSWER--- B -- DTI presents as intact skin with discoloration indicating
underlying soft tissue damage from pressure/shear
Which of the following is an unstageable pressure injury?
A. A wound with 100% slough and eschar covering the entire base
B. A healing Stage 3 injury with granulation tissue
C. A suspected deep tissue injury that has not yet opened
D. A Stage 2 blister that has ruptured
, • ANSWER--- A -- Unstageable injuries are those in which the base is fully
obscured by slough or eschar, preventing staging
What is the most common location for medical device-related pressure
injuries?
A. Occiput
B. Sacrum
C. Heels
D. Bridge of the nose, ears, and under tubing
• ANSWER--- D -- Medical devices (tubing, masks, oxygen cannulas) often
cause pressure on the nose, ears, cheeks, and other contact points
Which factor most increases a patient’s risk for pressure injury development?
A. Advanced age with immobility and incontinence
B. Hypertension controlled with medication
C. A diet high in protein
D. Occasional use of a wheelchair
• ANSWER--- A -- Immobility, advanced age, and moisture from
incontinence are major risk factors
The Braden Scale assesses risk for pressure injuries in which six categories?
A. Age, weight, activity, mobility, nutrition, friction/shear
B. Sensory perception, moisture, activity, mobility, nutrition, friction/shear
C. Continence, cognition, skin turgor, pressure points, age, comorbidities
D. Temperature, humidity, pressure intensity, duration, position, support surface
• ANSWER--- B -- The Braden Scale measures sensory perception, moisture,
activity, mobility, nutrition, and friction/shear
A patient scores an 11 on the Braden Scale. This indicates:
A. No risk
B. Mild risk
C. Moderate risk
D. High risk
• ANSWER--- D -- Scores ≤12 indicate high risk for pressure injury
development
Which intervention is most effective in reducing pressure injury risk for a
bedridden patient?
