Pressure Injury (PI) Quiz

According to the National Pressure Injury Advisory Panel (NPIAP), where does a Pressure Injury (PI) usually occur?

• On the face

• On a bony prominence

• On the hands

• On the feet

Which of the following individuals is at increased risk for pressure injuries?

• Individuals who can walk independently

• Individuals under the age of 65

• Non-ambulatory individuals

• Individuals with a high thirst instinct

Which stage of pressure injury is characterized by non-blanchable erythema of intact skin?

• Stage 1

• Stage 2

• Stage 3

• Stage 4

In which stage of pressure injury is the skin broken but there is no depth to the wound, and partial-thickness loss of skin with exposed dermis is observed?

• Stage 1

• Stage 2

• Stage 3

• Stage 4

At which stage of pressure injury is full-thickness skin and tissue loss with exposed or directly palpable fascia, muscle, tendon, ligament, cartilage, or bone in the wound observed?

• Stage 1

• Stage 2

• Stage 3

• Stage 4

Which stage of pressure injury involves severe tissue loss where the wound may appear as an empty hole, and the extent of tissue damage cannot be confirmed because it is obscured by slough or eschar?

• Stage 1

• Stage 2

• Stage 3

• Unstageable

In which stage of pressure injury is full-thickness loss of skin, in which adipose (fat) is visible in the wound and granulation tissue and epibole (rolled wound edges) are often present?

• Stage 1

• Stage 2

• Stage 3

• Stage 4

How often should standard repositioning protocols call for repositioning?

• Every hour

• Every two hours

• Every three hours

• Every four hours

What is a commonly used tools for predicting PI risk mentioned in the document?

• The Braden Scale

• The BMI and the Blood Pressure Monitor

• The Glucose Meter and the Heart Rate Monitor

• The MRI and the CT Scan

The staff nurse reviews the nursing documentation in a client’s chart and notes that the wound care nurse has documented that the client has a stage 2 pressure injury in the sacral area. Which finding would the nurse expect to note on assessment of the client’s sacral area?

• Intact skin

• Full-thickness skin loss

• Exposed bone, tendon, or muscle

• Partial-thickness skin loss with exposed dermi