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NDNQI Pressure Injuries Modules 3 & 4 (2025/2026) | 70 Verified Exam Questions & Answers | HAPI, Risk Scales, Support Surfaces, Repositioning, Nutrition & Prevention

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This advanced document includes 70 verified and well-explained exam questions and answers from Modules 3 & 4 of the NDNQI Pressure Injuries course, updated for the 2025/2026 academic year. It is a comprehensive guide designed to help nursing students and healthcare professionals master the principles of pressure injury prevention, assessment, and management in clinical settings, especially concerning hospital-acquired conditions. Key topics and learning areas covered: Hospital-Acquired Pressure Injuries (HAPI): Classification, detection, and CMS reimbursement implications Etiology & Identification: Differentiating between community-acquired, hospital-acquired, and unit-acquired injuries Medical Device-Related (MDR) Pressure Injuries: Causes, risk reduction strategies, and classification Pressure Injury Risk Assessment Tools: Braden Scale, Norton Scale, Braden Q, Glamogram, NSRAS—age-specific application and scoring Prevention Programs & Interventions: Daily skin assessments, pressure redistribution techniques, and patient repositioning protocols Support Surfaces: Air, gel, foam technologies for beds, chairs, and transport, including neonatal and bariatric considerations Repositioning Techniques: Frequency, body positioning, and adjustments for surgery, radiology, and high-risk patients Nutritional Support Strategies: Macronutrient and micronutrient requirements for prevention and healing Moisture Management: Managing incontinence, maintaining skin integrity, and supporting the skin’s barrier function This document is an essential study resource for: Registered Nurse (RN) licensure candidates Bachelor of Science in Nursing (BSN) students Master of Science in Nursing (MSN) and Advanced Practice Registered Nurses (APRN) Wound Care Certification students Clinical educators, hospital staff, and nursing faculty involved in quality care, infection prevention, and skin integrity programs Whether preparing for exams, competency reviews, or clinical practice, this guide delivers high-yield content backed by current NDNQI standards and NPUAP staging systems. It ensures a clear understanding of real-world protocols, data documentation, and evidence-based nursing interventions related to pressure injury outcomes. Keywords: NDNQI pressure injuries, HAPI exam prep, Braden Scale, Norton Scale, Braden Q, pressure injury risk tools, medical device pressure injury, hospital-acquired ulcers, unit-acquired pressure injury, neonatal skin assessment, bariatric pressure care, support surfaces, wound prevention nursing, pressure redistribution, patient repositioning, nutritional support for wounds, skin moisture management, CMS pressure injury policy, RN wound care, BSN nursing study, MSN clinical assessment, wound documentation, pressure injury staging

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NDNQI Pressure Injury
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NDNQI Pressure Injury

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Module 3 & 4 NDNQI Pressure Injury
2025/2026 Exam Questions and Verified
Answers | Already Graded A+



Hospital Acquired Pressure Injuries (HAPI) - 🧠 ANSWER ✔✔hospital-

acquired pressure injuries (HAPI) allows organizations to assess the quality

of their prevention care, evaluate quality improvement initiatives, and

examine institutional structures and processes that may influence their

occurrence. The measurement can be accomplished during a survey to

identify pressure injury presence and origin


Head Team Leader - 🧠 ANSWER ✔✔Be the hospital expert in skin and

pressure injury risk assessment

Be able to accurately stage pressure injuries using the NPUAP pressure

injury staging system

,Be able to differentiate pressure injuries from other wound types and skin

injuries

For NDNQI, the Head Team Leader must be familiar with NDNQI®

Guidelines for Data Collection and Submission on Pressure Injuries located

on the member website


Adult Patient Pressure Injury Risk Assessment tools - 🧠 ANSWER ✔✔The

Braden Scale, and the Norton Scale, have been validated for adult use in

research studies. These are the two scales most commonly used in the

United States

Pediatric/Neonate Pressure Injury Risk Assessment tools - 🧠 ANSWER

✔✔The Braden Q was tested in PICU patients age 21 days to 8 years


The Glamogram Scale was tested in pediatric patients age 1 day to 18

years

The Neonatal Skin Risk Assessment Scale (NSRAS) was tested in

Neonatal Intensive Care Unit patients age 26-40 weeks gestation


Pressure Injury Risk Assessment Scores - 🧠 ANSWER ✔✔Braden Scale

scores range from 6 to 23

Norton Scale scores range from 5 to 20

, Braden Q scores range from 7 to 28

NSRAS scores range from 6 to 24




For the Braden Scale, a score of 18 or less indicates that the patient is at

risk for pressure injuries

For the Norton Scale, a score of 15-16 or less indicates the patient is at risk

for pressure injuries

For the Braden Q, a score of 16 or less indicates the patient is at risk for

pressure injuries

For the NSRAS, a score of 13 or higher indicates the neonate is at risk for

skin injury


Risk for Pressure Injury - 🧠 ANSWER ✔✔Skin Status


Existing pressure injuries

History of pressure injuries

General skin status




Decreased perfusion and oxygenation


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