NDNQI Pressure Injury Training Module 4
Question /Answers
A 16-year-old female was admitted to the pediatric ICU with exacerbation of her cystic fibrosis. On
day 3, she was transferred to the medical pediatric unit. The pressure injury survey was conducted
on day 4 of the hospitalization and the survey team noted a Stage 2 pressure injury under the
oxygen tubing over the top of her left ear. Review of her hospital admission assessment record
revealed intact, very dry skin with poor turgor. The skin assessment documented on arrival to the
medical pediatric unit noted a Stage 1 pressure injury at this site. For the pressure injury survey, this
would be reported as: -
✔️A Hospital-Acquired Pressure Injury Only
A 56-year-old female was admitted to the neurosurgical ICU after a 10 hour neurosurgical
procedure. On day 2, she was transferred to the medical-surgical unit. The pressure injury survey
was conducted on day 6 of the hospitalization and survey team noted a localized area of deep
maroon colored intact skin (deep tissue pressure injury) over her right iliac crest. Review of her
preoperative admission assessment record revealed her skin was warm, dry, and intact. The skin
assessment documented on arrival to the medical-surgical unit noted the deep tissue pressure injury
at this site. For the pressure injury survey, this would be reported as: -
✔️A Hospital-Acquired Pressure Injury Only
A 68-year-old male was admitted to the ICU after a coronary artery bypass procedure. He was
unstable with several episodes of hypotension for 3 days and then began to improve and stabilize.
The pressure injury survey was conducted on day 6 of the hospitalization and the survey team noted
a Stage 2 pressure injury over his coccyx. Review of his hospital admission assessment record
revealed his skin was warm, dry, and intact. For the pressure injury survey, this would be reported
as: -
✔️A Hospital-Acquired and Unit-Acquired Pressure Injury
A 7-year-old female patient with spina bifida was admitted to the pediatric unit from home. The
pressure injury survey was conducted on day 8 of the hospitalization and the survey team noted a
Stage 3 pressure injury on the tibial plateau of her left lower leg. Her mother reports she got the
wound from her leg brace. Review of the hospital admission assessment record revealed her skin
was warm and dry with an eschar-covered wound at this site. For the pressure injury survey, this
would be reported as: -
✔️A Community-Acquired Pressure Injury
A 72-year-old male was admitted with pancreatitis to the surgical unit from home. His condition
worsened after 24 hours and he was transferred to the ICU. The pressure injury survey was
Question /Answers
A 16-year-old female was admitted to the pediatric ICU with exacerbation of her cystic fibrosis. On
day 3, she was transferred to the medical pediatric unit. The pressure injury survey was conducted
on day 4 of the hospitalization and the survey team noted a Stage 2 pressure injury under the
oxygen tubing over the top of her left ear. Review of her hospital admission assessment record
revealed intact, very dry skin with poor turgor. The skin assessment documented on arrival to the
medical pediatric unit noted a Stage 1 pressure injury at this site. For the pressure injury survey, this
would be reported as: -
✔️A Hospital-Acquired Pressure Injury Only
A 56-year-old female was admitted to the neurosurgical ICU after a 10 hour neurosurgical
procedure. On day 2, she was transferred to the medical-surgical unit. The pressure injury survey
was conducted on day 6 of the hospitalization and survey team noted a localized area of deep
maroon colored intact skin (deep tissue pressure injury) over her right iliac crest. Review of her
preoperative admission assessment record revealed her skin was warm, dry, and intact. The skin
assessment documented on arrival to the medical-surgical unit noted the deep tissue pressure injury
at this site. For the pressure injury survey, this would be reported as: -
✔️A Hospital-Acquired Pressure Injury Only
A 68-year-old male was admitted to the ICU after a coronary artery bypass procedure. He was
unstable with several episodes of hypotension for 3 days and then began to improve and stabilize.
The pressure injury survey was conducted on day 6 of the hospitalization and the survey team noted
a Stage 2 pressure injury over his coccyx. Review of his hospital admission assessment record
revealed his skin was warm, dry, and intact. For the pressure injury survey, this would be reported
as: -
✔️A Hospital-Acquired and Unit-Acquired Pressure Injury
A 7-year-old female patient with spina bifida was admitted to the pediatric unit from home. The
pressure injury survey was conducted on day 8 of the hospitalization and the survey team noted a
Stage 3 pressure injury on the tibial plateau of her left lower leg. Her mother reports she got the
wound from her leg brace. Review of the hospital admission assessment record revealed her skin
was warm and dry with an eschar-covered wound at this site. For the pressure injury survey, this
would be reported as: -
✔️A Community-Acquired Pressure Injury
A 72-year-old male was admitted with pancreatitis to the surgical unit from home. His condition
worsened after 24 hours and he was transferred to the ICU. The pressure injury survey was
