Pressure Injury Quiz: Can You Stage It Right?

1. A pressure injury confined to the epidermis with intact skin and nonblanchable erythema is classified as which stage?

Stage 1

Stage 2

Stage 3

Stage 4

2. Which factor most significantly increases a patient's risk for developing pressure injuries?

Immobility and reduced sensation

High protein intake

Frequent repositioning

Well-hydrated skin

3. A Stage 2 pressure injury presents with partial-thickness skin loss. Which tissue layers are involved?

Epidermis only

Epidermis and dermis

Full thickness through subcutaneous tissue

Muscle and bone exposure

4. What does the Braden Scale primarily assess in pressure injury risk evaluation?

Nutritional status and albumin levels

Sensory perception, moisture, activity, mobility, nutrition, and friction

Wound depth and drainage characteristics

Antibiotic susceptibility patterns

5. A Stage 3 pressure injury differs from Stage 2 primarily in which way?

Nonblanchable erythema only

Full-thickness skin loss with subcutaneous tissue exposure

Muscle and bone involvement

Presence of slough or eschar

6. Which anatomical area is most commonly affected by pressure injuries in bedridden patients?

Sacrum and heels

Elbows and knees

Shoulders and hips

Forearms and shins

7. What is the primary goal of turning and repositioning protocols for pressure injury prevention?

Reduce continuous pressure on vulnerable tissues

Improve patient comfort only

Increase circulation throughout the body

Prevent contractures and stiffness

8. A pressure injury with visible muscle and bone exposure is classified as which stage?

Stage 2

Stage 3

Stage 4

Unstageable

9. Which nutritional element is most critical for pressure injury healing?

Carbohydrates and fats

Protein and vitamin C

Sodium and potassium

Iron and calcium only

10. An 'Unstageable' pressure injury is one in which the wound base is obscured by which substance?

Purulent drainage

Slough or eschar

Granulation tissue

Serous fluid

11. A patient with a Braden Scale score of 16 is considered to have which risk level for pressure injuries?

No risk

At risk

High risk

Very high risk

12. Which intervention is most effective in preventing moisture-related pressure injuries?

Frequent bathing with hot water

Keeping skin clean and dry with barrier creams

Applying plastic-based dressings continuously

Limiting fluid intake

13. Deep tissue pressure injury (DTPI) is characterized by which clinical presentation?

Nonblanchable purple or maroon localized area over bony prominence

Visible subcutaneous tissue

Complete eschar coverage

Purulent drainage and odor

14. Which patient population requires the most aggressive pressure injury prevention strategies?

Ambulatory elderly with diabetes

Critically ill, immobile patients with multiple comorbidities

Post-operative patients recovering well

Patients with minor mobility limitations

15. What is the recommended repositioning interval for high-risk patients to prevent pressure injuries?

Every 4 hours

Every 2 hours or more frequently

Once daily

Only when patient requests it