EXAM 2 TESTED QUESTIONS WITH
CORRECT ANSWERS
◉ Stage 2 pressure ulcer. Answer: Partial loss of dermis. Shallow open
ulcer, usually shiny, or dry. Red-pink wound bed without sloughing or
bruising.
◉ Stage 3 pressure ulcer. Answer: Full thickness tissue loss,
subcutaneous fat may be visible. Possible undermining and tunneling.
◉ Stage 4 pressure ulcer. Answer: Full thickness tissue loss with
exposed bone, tendon,or muscle. Slough or eschar may be present as
well as undermining and tunneling.
◉ Unstageable pressure ulcer. Answer: Full thickness tissue loss, wound
base covered by slough and eschar therefor dull depth cannot be
determined.
◉ Slough. Answer: Fibrous tissue in wound bed that can be yellow, tan,
gray, green, or brown.
◉ Nursing interventions to prevent pressure unlcers. Answer: Reposition
bed bound pt every two hours, instruct pt in wheelchair to shift their