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Comprehensive Exam Bank on Nursing Skin Integrity and Wound Care: Pressure Injury
Prevention, Healing Interventions, and Patient Comfort
Table of Contents
Part 1: Skin Integrity and Wound Care - Fundamentals...................................................................3
Part 2: Pressure Injury Classification, Risk Assessment, and Early Intervention.............................8
Part 3: Advanced Wound Healing Principles and Dressing Selection............................................13
Part 4: Infection Control, Pain Management, and Specialized Wound Interventions...................18
Topic 5: Wound Healing Process, Nutrition, and Systemic Influences Questions 81–100............23
Topic 6: Wound Healing Across the Lifespan: Pediatric to Geriatric Considerations (Questions
101–120)........................................................................................................................................31
Topic 7: Advanced Wound Therapies and Clinical Decision-Making (Q101–Q120)......................38
Topic 8: Debridement, Infection Management, and Wound Environment Optimization
(Questions 141–160)......................................................................................................................46
Topic 9: Specialized Wound Care Interventions and Technological Advances Questions 161–180
.......................................................................................................................................................53
Topic 10: Advanced Clinical Judgment in Wound Complications and Multidisciplinary
Wound Management (Q181–Q200)............................................................................................61
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Part 1: Skin Integrity and Wound Care - Fundamentals
1. Which of the following is the most effective strategy to prevent pressure injuries in
immobile patients?
a) Frequent repositioning every 2 hours
b) Daily skin assessments
c) Applying heavy layers of cream
d) Using cotton bedding
Correct Answer: a) Frequent repositioning every 2 hours
Rationale: Repositioning immobile patients every 2 hours helps to relieve pressure,
thereby preventing the development of pressure injuries.
2. What is the primary characteristic of a stage 2 pressure injury?
a) Full-thickness skin loss with exposed bone
b) Partial-thickness loss of dermis
c) Necrotic tissue covering the wound
d) A deep, crater-like wound
Correct Answer: b) Partial-thickness loss of dermis
Rationale: Stage 2 pressure injuries involve partial-thickness loss of dermis, typically
presenting as a shallow open ulcer with a red-pink wound bed.
3. Which factor is most commonly associated with increased risk of pressure injuries in
older adults?
a) Dehydration
b) Hypothermia
c) Excessive mobility
d) Adequate nutrition
Correct Answer: a) Dehydration
Rationale: Dehydration can lead to dry, fragile skin, which increases the risk of skin
breakdown and pressure injury formation.
4. What is the primary goal of wound care for a stage 3 pressure injury?
a) Promote healing by closing the wound quickly
b) Prevent further infection and complications
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c) Remove all necrotic tissue immediately
d) Increase pressure on the wound to stimulate blood flow
Correct Answer: b) Prevent further infection and complications
Rationale: For a stage 3 pressure injury, the priority is to manage infection risks and
ensure the wound is kept clean and moist to promote healing.
5. Which of the following is NOT a recommended intervention for managing a dry, non-
healing wound?
a) Hydration of the wound bed with moist dressings
b) Debridement to remove necrotic tissue
c) Application of a dry dressing
d) Control of infection with topical antibiotics
Correct Answer: c) Application of a dry dressing
Rationale: A dry dressing can worsen dryness and impede healing. Moist dressings are
preferred to maintain a hydrated environment for wound healing.
6. What is a major risk factor for the development of pressure injuries in patients with
diabetes?
a) Decreased skin temperature
b) Poor circulation and neuropathy
c) Increased skin thickness
d) Enhanced healing ability
Correct Answer: b) Poor circulation and neuropathy
Rationale: Diabetes can cause poor circulation and neuropathy, reducing sensation and
the ability to detect pressure, leading to an increased risk of pressure injuries.
7. Which type of wound dressing is most appropriate for a heavily exudating wound?
a) Transparent film dressing
b) Hydrocolloid dressing
c) Foam dressing
d) Dry gauze dressing
Correct Answer: c) Foam dressing
Rationale: Foam dressings absorb exudate effectively while maintaining a moist
environment that supports wound healing.
8. A patient presents with a red, non-blanching area over the sacrum. What is the most
appropriate action to prevent further skin breakdown?
a) Apply a thick layer of petroleum jelly to the area
b) Reposition the patient every hour
Comprehensive Exam Bank on Nursing Skin Integrity and Wound Care: Pressure Injury
Prevention, Healing Interventions, and Patient Comfort
Table of Contents
Part 1: Skin Integrity and Wound Care - Fundamentals...................................................................3
Part 2: Pressure Injury Classification, Risk Assessment, and Early Intervention.............................8
Part 3: Advanced Wound Healing Principles and Dressing Selection............................................13
Part 4: Infection Control, Pain Management, and Specialized Wound Interventions...................18
Topic 5: Wound Healing Process, Nutrition, and Systemic Influences Questions 81–100............23
Topic 6: Wound Healing Across the Lifespan: Pediatric to Geriatric Considerations (Questions
101–120)........................................................................................................................................31
Topic 7: Advanced Wound Therapies and Clinical Decision-Making (Q101–Q120)......................38
Topic 8: Debridement, Infection Management, and Wound Environment Optimization
(Questions 141–160)......................................................................................................................46
Topic 9: Specialized Wound Care Interventions and Technological Advances Questions 161–180
.......................................................................................................................................................53
Topic 10: Advanced Clinical Judgment in Wound Complications and Multidisciplinary
Wound Management (Q181–Q200)............................................................................................61
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Part 1: Skin Integrity and Wound Care - Fundamentals
1. Which of the following is the most effective strategy to prevent pressure injuries in
immobile patients?
a) Frequent repositioning every 2 hours
b) Daily skin assessments
c) Applying heavy layers of cream
d) Using cotton bedding
Correct Answer: a) Frequent repositioning every 2 hours
Rationale: Repositioning immobile patients every 2 hours helps to relieve pressure,
thereby preventing the development of pressure injuries.
2. What is the primary characteristic of a stage 2 pressure injury?
a) Full-thickness skin loss with exposed bone
b) Partial-thickness loss of dermis
c) Necrotic tissue covering the wound
d) A deep, crater-like wound
Correct Answer: b) Partial-thickness loss of dermis
Rationale: Stage 2 pressure injuries involve partial-thickness loss of dermis, typically
presenting as a shallow open ulcer with a red-pink wound bed.
3. Which factor is most commonly associated with increased risk of pressure injuries in
older adults?
a) Dehydration
b) Hypothermia
c) Excessive mobility
d) Adequate nutrition
Correct Answer: a) Dehydration
Rationale: Dehydration can lead to dry, fragile skin, which increases the risk of skin
breakdown and pressure injury formation.
4. What is the primary goal of wound care for a stage 3 pressure injury?
a) Promote healing by closing the wound quickly
b) Prevent further infection and complications
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c) Remove all necrotic tissue immediately
d) Increase pressure on the wound to stimulate blood flow
Correct Answer: b) Prevent further infection and complications
Rationale: For a stage 3 pressure injury, the priority is to manage infection risks and
ensure the wound is kept clean and moist to promote healing.
5. Which of the following is NOT a recommended intervention for managing a dry, non-
healing wound?
a) Hydration of the wound bed with moist dressings
b) Debridement to remove necrotic tissue
c) Application of a dry dressing
d) Control of infection with topical antibiotics
Correct Answer: c) Application of a dry dressing
Rationale: A dry dressing can worsen dryness and impede healing. Moist dressings are
preferred to maintain a hydrated environment for wound healing.
6. What is a major risk factor for the development of pressure injuries in patients with
diabetes?
a) Decreased skin temperature
b) Poor circulation and neuropathy
c) Increased skin thickness
d) Enhanced healing ability
Correct Answer: b) Poor circulation and neuropathy
Rationale: Diabetes can cause poor circulation and neuropathy, reducing sensation and
the ability to detect pressure, leading to an increased risk of pressure injuries.
7. Which type of wound dressing is most appropriate for a heavily exudating wound?
a) Transparent film dressing
b) Hydrocolloid dressing
c) Foam dressing
d) Dry gauze dressing
Correct Answer: c) Foam dressing
Rationale: Foam dressings absorb exudate effectively while maintaining a moist
environment that supports wound healing.
8. A patient presents with a red, non-blanching area over the sacrum. What is the most
appropriate action to prevent further skin breakdown?
a) Apply a thick layer of petroleum jelly to the area
b) Reposition the patient every hour
