COS-C 2 Exam with all Correct & 100% Verified Answers |
Latest Version |Already Graded A+
The patient is taking his pain medication around the clock. reports he not completely pain-free
and rates his neck pain as a 2 on a scale of 0-10. He reports his neck pain does not limit or affect
anything he wants to do. He is able to take care of himself, fix things around the house and he
can sleep well at night. His wife says that he is a different and pleasant person on this new
medication schedule. ✔Correct Answer-1- Patient has pain that does not interfere with
activity or movement
a patient has an unstageable pressure ulcer due to black stable eschar at 50C and during the
episode it peels off and leaves an area of newly epithelialized tissue, how should this be staged
at Discharge on M1311? ✔Correct Answer-Once the ful thickness pressure ulcer is completely
covered with new epithelial tissue, the wound is considered healed and no Ionger reportable as
pressure ulcor en the OASIS.
M1306, M1311, M1322 M1324. How are mucosal membrane pressure ulcers reported in the
OASIS data set? ✔Correct Answer-OASIS data set inteuumentary itcms only include wounds
and lesions to the integumentary system and do not include mucosal membrane wounds or
lesions. Pressure ulcers occurring to mucosal membranes would be reported in the
comprehensive assessment and clinical documentation but not in any of the following OASIS
items M1306, M1311, M1322, or M1324.
Can pressure injuries be assessed any point during the 5-day window to collect OASIS
assessment info? ✔Correct Answer-No. Pressure ulcers must be assessed on Day 1.
at the SOC visit, the assessing clinician observes an open ulcer over a bony prominence, with
history of pressure and visible bone, can the clinician report this as Stage 4 pressure ulcer, even
if not able to get confirmation of the diagnosis from the physician prior to completing the
assessment? ✔Correct Answer-A pressure ulcer/injury may be reported on OASIS based on
visualization of the wourd, patient assessment and interview, review of relevant related
historical documentation and clinical judgment re: etiolcgy. Allhough the assessing clinician can
report the observed ulcer/injury on the OASIS integumentary status items without physician
confirmation, collaboration with the physician is required in order to apply an ICD10 code
M1306. We are seeking direction regarding serum filled blisters that are caused by shoes
rubbing against the foot. Some of our clinicians consider these "trauma wounds" and others
consider them "stage pressure ulcers", Please advise. ✔Correct Answer-the cause of wound is
solely friction force which leads to visihle skin impairment, such as the serum filled blister cited
in the sconario, it would NOT be categorized as pressure ulcer. The 2009 International NPUAP-
FPUAP Pressure Ulcer Prevention and Treatment Clinical Practice Cuideline eliminated reference
to friction as a primary factor in pressure development.
, M1306-M1324. If a Stage 3 pressure ulcer is closed with a muscle flap, what is recorded? What
if the muscle flap begins to break down due to pressure? ✔Correct Answer-A94. If pressure
ulcer is closed with muscle flap Idefined as full thickness skin and subcutancous tissue partially
attached to the body by a narrow strip of tissue so that it retains its blood supply), the new
tissue completely replaces the pressure ulcer. In this scenario, the pressure ulcer "goes away"
and replaced by a surgical wound. If the muscle flap healed complelely, but then began to break
down due pressure, it would be considered a new pressure ulcer. If the flap had never healed
completely, would be considered a non-healing surgical wound.
M1306-M1322. On SoC, the RN assesses a scar from closed pressure ulcer. Upon further
interview and assessment, the patient's family states that the patient had a pressure ulcer but
they are not able give the RN any staging information. How would this pressure ulcer be
documented M1311, Current Number of Unhealed Pressure Ulcers/Injuries Stage? ✔Correct
Answer-If the assessing clinician becomes awere that observable scar is the resuit healed
pressure ulcer, do not report as a pressure ulcer on the OASIS.
239 M1306. the patient had a pressure ulcer and the post-op surgical report states it was
surgically excised and closed without placement of muscle flap, do we still have a Stage 4
pressure ulcer- the original etiology or did this become surgical incision? ✔Correct Answer-Il
all the lissue damaged by pressure is reoved surgically, 2.g amputation er surgi cal excision,
there is no lerger a pressure ulcer, it becomes a sLrgical wound until healed.
M1306-M1324. If single pressure ulcer partially granulated to the surface, leaving the ulcer
open in more than one area, how many pressure ulcers are present? ✔Correct Answer-Only
one pressure ulcer is present.
M1306-M1324. Can a previously observable Stage 4 pressure ulcer that is now covered with
slough or eschar be categorized as Stage 4? ✔Correct Answer-Nc. crcer lo stace :he pressure
ulcer as Stage 4, bone, muscle, tendciI, cr joint capsule IStage structuresl must visible or directly
palpable.
M1306-M1324. We are recertifying a patient who had a Stage 2 pressure ulcer at SOC that now
closed and only red. We understand not to "back-stage" but when a Stage 2 pressure injury
closes and is only red, is it now considered a Stage 1 pressure injury? Or is it considered healed
and gone in which we would no longer score it on OASIS? ✔Correct Answer-1.1. s acurate to
say t'het back-stagirg of pressure ulcers is never appropr ate. When Slage ulcer re-epithelializes,
it is considered "healed" and rc loncer reparted ir the OASIS data set. If you are describiry a
patient whe now as non-blanchable redness at the same 5te wrere the Stage 2 JRr healed, tnen
this would now be considered a THw Stage 1 aressure injury, as has been causSed by new
pressure at the same sile and is rot reversing the staging cf a healed Stage 2 ulcer.
M1311 - Current number if unhealed pressure ulcers - DTI ✔Correct Answer-unstagable
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The patient is taking his pain medication around the clock. reports he not completely pain-free
and rates his neck pain as a 2 on a scale of 0-10. He reports his neck pain does not limit or affect
anything he wants to do. He is able to take care of himself, fix things around the house and he
can sleep well at night. His wife says that he is a different and pleasant person on this new
medication schedule. ✔Correct Answer-1- Patient has pain that does not interfere with
activity or movement
a patient has an unstageable pressure ulcer due to black stable eschar at 50C and during the
episode it peels off and leaves an area of newly epithelialized tissue, how should this be staged
at Discharge on M1311? ✔Correct Answer-Once the ful thickness pressure ulcer is completely
covered with new epithelial tissue, the wound is considered healed and no Ionger reportable as
pressure ulcor en the OASIS.
M1306, M1311, M1322 M1324. How are mucosal membrane pressure ulcers reported in the
OASIS data set? ✔Correct Answer-OASIS data set inteuumentary itcms only include wounds
and lesions to the integumentary system and do not include mucosal membrane wounds or
lesions. Pressure ulcers occurring to mucosal membranes would be reported in the
comprehensive assessment and clinical documentation but not in any of the following OASIS
items M1306, M1311, M1322, or M1324.
Can pressure injuries be assessed any point during the 5-day window to collect OASIS
assessment info? ✔Correct Answer-No. Pressure ulcers must be assessed on Day 1.
at the SOC visit, the assessing clinician observes an open ulcer over a bony prominence, with
history of pressure and visible bone, can the clinician report this as Stage 4 pressure ulcer, even
if not able to get confirmation of the diagnosis from the physician prior to completing the
assessment? ✔Correct Answer-A pressure ulcer/injury may be reported on OASIS based on
visualization of the wourd, patient assessment and interview, review of relevant related
historical documentation and clinical judgment re: etiolcgy. Allhough the assessing clinician can
report the observed ulcer/injury on the OASIS integumentary status items without physician
confirmation, collaboration with the physician is required in order to apply an ICD10 code
M1306. We are seeking direction regarding serum filled blisters that are caused by shoes
rubbing against the foot. Some of our clinicians consider these "trauma wounds" and others
consider them "stage pressure ulcers", Please advise. ✔Correct Answer-the cause of wound is
solely friction force which leads to visihle skin impairment, such as the serum filled blister cited
in the sconario, it would NOT be categorized as pressure ulcer. The 2009 International NPUAP-
FPUAP Pressure Ulcer Prevention and Treatment Clinical Practice Cuideline eliminated reference
to friction as a primary factor in pressure development.
, M1306-M1324. If a Stage 3 pressure ulcer is closed with a muscle flap, what is recorded? What
if the muscle flap begins to break down due to pressure? ✔Correct Answer-A94. If pressure
ulcer is closed with muscle flap Idefined as full thickness skin and subcutancous tissue partially
attached to the body by a narrow strip of tissue so that it retains its blood supply), the new
tissue completely replaces the pressure ulcer. In this scenario, the pressure ulcer "goes away"
and replaced by a surgical wound. If the muscle flap healed complelely, but then began to break
down due pressure, it would be considered a new pressure ulcer. If the flap had never healed
completely, would be considered a non-healing surgical wound.
M1306-M1322. On SoC, the RN assesses a scar from closed pressure ulcer. Upon further
interview and assessment, the patient's family states that the patient had a pressure ulcer but
they are not able give the RN any staging information. How would this pressure ulcer be
documented M1311, Current Number of Unhealed Pressure Ulcers/Injuries Stage? ✔Correct
Answer-If the assessing clinician becomes awere that observable scar is the resuit healed
pressure ulcer, do not report as a pressure ulcer on the OASIS.
239 M1306. the patient had a pressure ulcer and the post-op surgical report states it was
surgically excised and closed without placement of muscle flap, do we still have a Stage 4
pressure ulcer- the original etiology or did this become surgical incision? ✔Correct Answer-Il
all the lissue damaged by pressure is reoved surgically, 2.g amputation er surgi cal excision,
there is no lerger a pressure ulcer, it becomes a sLrgical wound until healed.
M1306-M1324. If single pressure ulcer partially granulated to the surface, leaving the ulcer
open in more than one area, how many pressure ulcers are present? ✔Correct Answer-Only
one pressure ulcer is present.
M1306-M1324. Can a previously observable Stage 4 pressure ulcer that is now covered with
slough or eschar be categorized as Stage 4? ✔Correct Answer-Nc. crcer lo stace :he pressure
ulcer as Stage 4, bone, muscle, tendciI, cr joint capsule IStage structuresl must visible or directly
palpable.
M1306-M1324. We are recertifying a patient who had a Stage 2 pressure ulcer at SOC that now
closed and only red. We understand not to "back-stage" but when a Stage 2 pressure injury
closes and is only red, is it now considered a Stage 1 pressure injury? Or is it considered healed
and gone in which we would no longer score it on OASIS? ✔Correct Answer-1.1. s acurate to
say t'het back-stagirg of pressure ulcers is never appropr ate. When Slage ulcer re-epithelializes,
it is considered "healed" and rc loncer reparted ir the OASIS data set. If you are describiry a
patient whe now as non-blanchable redness at the same 5te wrere the Stage 2 JRr healed, tnen
this would now be considered a THw Stage 1 aressure injury, as has been causSed by new
pressure at the same sile and is rot reversing the staging cf a healed Stage 2 ulcer.
M1311 - Current number if unhealed pressure ulcers - DTI ✔Correct Answer-unstagable
