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Free Practice Quiz Question List

2 Pressure Injury Staging Concepts Online Quiz Questions

Use this free practice quiz with 20 questions to review 2 Pressure Injury Staging Concepts, test your knowledge, and prepare for your next test or exam.

20 questions
01
Fill in the blank
1 point

Complete the statement: Pressure injury staging is based on the that can be seen or directly assessed, not wound size or how long it has been present.

02
Choose one
1 point

A pressure-related wound has partial-thickness skin loss and a moist, pink wound bed with exposed dermis. There is no visible fat, slough, or eschar. Which classification best fits?

  1. A

    Stage 1

  2. B

    Stage 2

  3. C

    Stage 3

  4. D

    Stage 4

03
Fill in the blank
1 point

Complete the statement: Stage 1 involves intact skin with a localized, persistent .

04
Written response
1 point

A pressure injury affects a mucosal membrane. What is its staging status? Enter a brief status phrase.

05
Choose one
1 point

A wound has full-thickness skin loss, but thick eschar covers the wound base and hides the extent of tissue loss. Which classification is appropriate?

  1. A

    Stage 2

  2. B

    Stage 3

  3. C

    Stage 4

  4. D

    Unstageable

06
Written response
1 point

Which color description may indicate deep tissue pressure injury when discoloration is persistent and non-blanchable? Enter one color description.

07
Choose one
1 point

After adhesive tape is removed, a patient has a skin tear. What is the best approach to classification and documentation?

  1. A

    Assign Stage 2 because the dermis may be exposed.

  2. B

    Assign Stage 3 because the skin is open.

  3. C

    Document the traumatic cause rather than staging it as a pressure injury.

  4. D

    Assign unstageable until the skin has healed.

08
Choose all
1 point

Which findings are compatible with a Stage 3 pressure injury? Select all that apply.

  1. A

    Full-thickness skin loss with visible adipose tissue

  2. B

    Exposed tendon

  3. C

    Slough or eschar may be present

  4. D

    Undermining or tunneling may occur

  5. E

    Exposed bone

  6. F

    No exposed fascia, muscle, tendon, ligament, cartilage, or bone

09
Choose all
1 point

Which statements describe appropriate pressure injury assessment and staging practice? Select all that apply.

  1. A

    Stage a device-related pressure injury according to the tissue damage.

  2. B

    Automatically stage every open or discolored area as a pressure injury.

  3. C

    Document mucosal membrane pressure injuries without assigning a stage.

  4. D

    Do not assume a pressure injury must pass through stages in sequence.

  5. E

    Assess the likely cause and the wound and surrounding skin before assigning a stage.

10
Choose one
1 point

A pressure injury beneath a medical device matches the device's shape. How should it be documented?

  1. A

    Do not stage it because a device caused it.

  2. B

    Stage it according to the visible or directly assessed tissue damage and note the device-related cause.

  3. C

    Classify it automatically as Stage 4.

  4. D

    Classify it automatically as a mucosal injury.

11
Open ended
1 point

A patient with incontinence has moist, irritated skin across the perineum and skin folds. Explain how to decide whether to assign a pressure injury stage and how to document the skin damage.

12
Choose one
1 point

Which finding is compatible with a Stage 2 pressure injury?

  1. A

    A blood-filled blister

  2. B

    An intact or ruptured serum-filled blister

  3. C

    Visible adipose tissue

  4. D

    Slough or eschar obscuring full-thickness tissue loss

13
Choose one
1 point

A pressure injury has full-thickness skin and tissue loss, and tendon is exposed. Which stage is most consistent with this finding?

  1. A

    Stage 1

  2. B

    Stage 2

  3. C

    Stage 3

  4. D

    Stage 4

14
True or false
1 point

A pressure injury of a mucosal membrane should be assigned a stage according to the tissue damage that can be seen.

  1. A

    True

  2. B

    False

15
Choose one
1 point

A pressure injury beneath a medical device has visible tissue damage consistent with Stage 2. How should it be documented?

  1. A

    Do not stage it because a device caused it.

  2. B

    Stage it according to the tissue damage and note the device-related cause.

  3. C

    Classify it as Stage 4 because it is beneath a device.

  4. D

    Document it as a mucosal injury.

16
Written response
1 point

A previously documented Stage 4 pressure injury is healing and now appears smaller. What stage should be documented?

17
Choose one
1 point

A patient with incontinence has moist, irritated skin across the perineum and skin folds. What is the best approach to classification?

  1. A

    Classify it as Stage 2 because the skin is irritated.

  2. B

    Assess the cause and distribution before considering pressure injury staging.

  3. C

    Classify it as Stage 3 because the skin is red.

  4. D

    Classify it as deep tissue pressure injury because the skin is moist.

18
Written response
1 point

When assessing a person with darker skin for a possible Stage 1 pressure injury, name one assessment clue besides a localized color change.

19
True or false
1 point

A pressure injury is first identified as Stage 3. This finding alone means it must previously have passed through Stage 1 and Stage 2. True or false?

  1. A

    True

  2. B

    False

20
True or false
1 point

A clinician finds stable eschar on a patient's heel and plans to soften it so the tissue beneath can be examined. This action follows the guidance for stable heel eschar. True or false?

  1. A

    True

  2. B

    False