Submitted by:

Sohaíl shoukat and kainat ashfaq

Submitted To:
Dr. Samra aslam
Topic:
Pressure ulcer
Roll#:
53415

1. The most common areas where pressure ulcers occur are the
a) hands and neck.
b) coccyx and neck.
c) sacrum and coccyx.
d) back of the head and hands.

2. The most important factor in the development of pressure ulcers is

a) age
b) friction.
c) poor nutrition.
d) unrelieved pressure.

3. Pressure injuries are classified into how many stages?

a) 3
b) 4
c) 5
d) 6

4. In which of the following pressure injury stages is the skin still intact?
a) Stage 1
b) Stage 2
c) Stage 4
d) Unstageable
5. In which of the following pressure injury stages is there full-thickness skin
and tissue loss and the base of the ulcer is covered by slough, obscuring
the wound bed?
a) Stage 1
b) Stage 3
c) Stage 4
d) Unstageable

6. In patients with normal immune response, the inflammatory phase of

pressure ulcer healing occurs
a) in the first 0 to 3 days.
b) 3 to 12 days after the ulcer develops.
c) 14 to 30 days after the ulcer develops.
d) for up to 1 year after the ulcer develops.

7. Which of the following is the most sensitive marker to assess patient's

nutritional status?
a) Albumin
b) Transferrin
c) Prealbumin
d) Total protein

8. Which of the following is NOT a primary objective for the management of

pressure ulcers?
a) Pressure reduction
b) Managing a moist wound environment
c) Increasing the frequency of dressing changes
d) Minimizing or eliminating friction and shear forces

9. In poorly nourished patients, optimal healing of pressure ulcers requires a

protein intake of
a) 0.25–0.5 g/kg/day.
b) 1.25–1.5 g/kg/day.
c) 12.5–15 g/kg/day.
d) 25–50 g/kg/day

10. Debridement is contraindicated if

a) no eschar develops on the heels.
b) undermining or tunneling is present.
c) necrotic tissue is present in the wound.
d) there is inadequate blood supply to support wound healing.

11. For patients in long-term care or home care, the Agency for Healthcare
Research and Quality recommends what method(s) of debridement?
a) Surgical
b) Maggot therapy
c) Autolytic and enzymatic
d) Debridement is not recommended.

12. Direct contact electrical stimulation therapy should be considered for the
management of
a) unstageable ulcers.
b) deep tissue injuries.
c) recalcitrant stage 1 ulcers.
d) stage 3 and stage 4 ulcers

13. Which of the following is a thermal effect of therapeutic ultrasound that

may be beneficial for patients with pressure ulcers?
a) Increased collagen elasticity
b) Speeds up inflammatory process
c) Increased release of growth factors
d) Increased muscle and joint stiffness

14. The Pressure Ulcer Scale for Healing (PUSH) tool assesses what three
domains of the pressure ulcer to determine wound progression?
a) Size, odor, and color
b) Comorbidities, pain, and tissue in wound bed
c) Size, exudate amount, and tissue in wound bed
d) Wound location, signs of infection, and exudates

15. Which of the following factors may lead to a determination of neglect?

a) Poor documentation
b) Inadequate nutrition
c) Inadequate prevention
d) All of the above
16. Methods Used To Prevent
a) Pressure Ulcers:
b) Keep skin clean and dry
c) Reposition Patients at least every two hours
d) Clean urine and feces
e) All of the above

17. addition of blister-like lesions; skin may be broken occurs in which stage
of pressure ulcers:
a) Stage 1
b) Stage 2
c) Stage 3
d) Unstageable