Pressure Ulcer Quiz

What is the early warning sign of a pressure ulcer?

• Non-blanchable erythema

• Blanching erythema

• Full thickness skin loss

• Partial thickness skin loss

What characterizes Grade 1 pressure ulcers?

• Full thickness tissue loss

• Non-blanchable redness

• Partial thickness skin loss

• Exposed bone or tendon

Which grade of pressure ulcer involves partial thickness skin loss?

• Grade 1

• Grade 2

• Grade 3

• Grade 4

What is visible in Grade 3 pressure ulcers?

• Subcutaneous fat

• Bone

• Muscle

• Tendon

What is a characteristic of Grade 4 pressure ulcers?

• Intact skin

• Exposed or palpable bone, tendon, or muscle

• Non-blanchable redness

• Shallow open ulcer

What does a suspected deep tissue injury look like?

• Red/pink wound bed

• Purple or maroon area

• Exposed bone

• Intact skin with redness

What is the status of the epidermis in a suspected deep tissue injury?

• Exposed

• Intact

• Blistered

• Necrotic

What is the characteristic of an ungradable pressure ulcer?

• Full thickness skin loss with visible bone

• Depth obscured by slough or necrotic tissue

• Non-blanchable redness

• Partial thickness skin loss

Where do mucosal pressure ulcers occur?

• On bony prominences

• On the skin

• In mucous membranes

• In muscle tissue

What is not visible in Grade 3 pressure ulcers?

• Subcutaneous fat

• Tendon or muscle

• Slough

• Epidermis