EMORY WOUND EXAM 1 NEWEST
WITH QUESTIONS AND ANSWERS
2026/2027|100% CORRECT
R.H. was admitted to a long term acute care (LTAC) hospital.
Admission Diagnosis & Status: Chronic Obstructive Pulmonary Disease (COPD) with gram+ bacteremia.
Nine (9) days after admission, he developed respiratory failure; was intubated; placed on mechanical ventilation
and a Propofol infusion for sedation. Three days later his assessment reveals generalized edema, and 2 new stage 2
pressure injuries on the sacrum and right scapula. His Braden score is now 9 with a moisture subscale score of 2.
What is the best support surface for his needs?
A. CLP: 4" high density foam overlay
B. Alternating pressure (AP) surface
C. CLP with air fluidized feature
D. CLP with low air loss feature - ANSWER>D - Technically he has only one turning surface affected, but he is at high
risk for sacro-coccygeal skin breakdown due to the poor respiratory status--indicating the need for a higher level of
support. PEG placement and tube feedings will require head of bed elevation as well. Given the vent and paralytic
, medications, his ability to acknowledge/ participate in position changes is compromised. His risk for heel ulcer
development is high as well. Floating the heels off of all surfaces is a high priority for his care as well.
L.M. is a 51 year old male patient with COPD, CHF, Type II Diabetes (poorly controlled), diabetic neuropathy,
controlled atrial fib, and 50 year pack history.
He has bilateral foot ulcers which are being managed with Negative Pressure Wound Therapy (NPWT); heel
elevation boots are being used consistently.
L.M. has no other skin breakdown at this time. Braden score = 17. He is on a constant low pressure (CLP) pressure
redistributing foam hospital mattress.
What is your evaluation of this surface?
A. He should be placed on an alternating pressure surface.
B. He needs a surface with low air loss feature for his bed but not his chair.
C. He needs surfaces with a low air loss feature for his wheelchair and his bed.
D. He is on the appropriate pressure redistribution surface. - ANSWER>D
WITH QUESTIONS AND ANSWERS
2026/2027|100% CORRECT
R.H. was admitted to a long term acute care (LTAC) hospital.
Admission Diagnosis & Status: Chronic Obstructive Pulmonary Disease (COPD) with gram+ bacteremia.
Nine (9) days after admission, he developed respiratory failure; was intubated; placed on mechanical ventilation
and a Propofol infusion for sedation. Three days later his assessment reveals generalized edema, and 2 new stage 2
pressure injuries on the sacrum and right scapula. His Braden score is now 9 with a moisture subscale score of 2.
What is the best support surface for his needs?
A. CLP: 4" high density foam overlay
B. Alternating pressure (AP) surface
C. CLP with air fluidized feature
D. CLP with low air loss feature - ANSWER>D - Technically he has only one turning surface affected, but he is at high
risk for sacro-coccygeal skin breakdown due to the poor respiratory status--indicating the need for a higher level of
support. PEG placement and tube feedings will require head of bed elevation as well. Given the vent and paralytic
, medications, his ability to acknowledge/ participate in position changes is compromised. His risk for heel ulcer
development is high as well. Floating the heels off of all surfaces is a high priority for his care as well.
L.M. is a 51 year old male patient with COPD, CHF, Type II Diabetes (poorly controlled), diabetic neuropathy,
controlled atrial fib, and 50 year pack history.
He has bilateral foot ulcers which are being managed with Negative Pressure Wound Therapy (NPWT); heel
elevation boots are being used consistently.
L.M. has no other skin breakdown at this time. Braden score = 17. He is on a constant low pressure (CLP) pressure
redistributing foam hospital mattress.
What is your evaluation of this surface?
A. He should be placed on an alternating pressure surface.
B. He needs a surface with low air loss feature for his bed but not his chair.
C. He needs surfaces with a low air loss feature for his wheelchair and his bed.
D. He is on the appropriate pressure redistribution surface. - ANSWER>D
