EXAMPREP 2026 EXAM 2 SOLVED
QUESTIONS WITH FULL SOLUTION
◉ Stage II Pressure Injury. Answer: Partial thickness loss of skin,
presenting as a shallow open ulcer with a red-pink wound bed, without
slough.
◉ Stage III Pressure Injury. Answer: Full thickness tissue loss, where
subcutaneous fat may be visible, but bone, tendon, or muscle are not
exposed.
◉ Stage IV Pressure Injury. Answer: Full thickness tissue loss with
exposed bone, tendon, or muscle, and often includes undermining and
tunneling.
◉ What are interventions for patients at risk for pressure injuries?.
Answer: Interventions include regular repositioning of the patient, using
pressure-relieving devices (like specialized mattresses), maintaining skin
hygiene, ensuring adequate nutrition and hydration, and conducting
regular skin assessments.
◉ What should be done for patients with active pressure injuries?.
Answer: For patients with active pressure injuries, treatment includes
cleaning the wound, applying appropriate dressings, managing pain,
ensuring proper nutrition for healing, and possibly using advanced
therapies like negative pressure wound therapy.
,◉ What is the role of repositioning in preventing pressure injuries?.
Answer: Repositioning helps to relieve pressure on vulnerable areas of
the skin, reducing the risk of tissue ischemia and subsequent injury.
◉ What types of pressure-relieving devices are used?. Answer: Types of
pressure-relieving devices include foam mattresses, air-filled cushions,
and specialized beds that alternate pressure points.
◉ Why is nutrition important in preventing pressure injuries?. Answer:
Adequate nutrition is crucial as it supports skin integrity and healing
processes, helping to prevent the development of pressure injuries.
◉ Signs of an infected wound. Answer: Common signs include redness,
swelling, warmth, pain, pus or other drainage, and sometimes fever.
◉ Specimens (label). Answer: Specimens should be properly labeled
with the patient's name, date, time of collection, and type of specimen to
ensure accurate diagnosis and treatment.
◉ Orders expected for patients with infection. Answer: Orders may
include blood cultures, wound cultures, imaging studies, and
prescriptions for antibiotics or other treatments.
◉ Braden Scale. Answer: A tool used to assess a patient's risk of
developing pressure ulcers.
, ◉ Purpose of the Braden Scale. Answer: To identify individuals at risk
for pressure injuries to implement preventive measures.
◉ When to use the Braden Scale. Answer: Typically used upon patient
admission and periodically during hospitalization.
◉ Categories of the Braden Scale. Answer: Includes sensory perception,
moisture, activity, mobility, nutrition, and friction/shear.
◉ Sensory Perception. Answer: Assesses the patient's ability to respond
to pressure-related discomfort.
◉ Moisture Category. Answer: Evaluates the degree of moisture on the
skin, which can affect skin integrity.
◉ Activity Category. Answer: Measures the level of physical activity of
the patient.
◉ Mobility Category. Answer: Assesses the patient's ability to change
and control body position.
◉ Nutrition Category. Answer: Evaluates the patient's nutritional status
and its impact on skin health.
◉ Friction/Shear Category. Answer: Assesses the risk of skin damage
due to friction and shear forces.