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Exam (elaborations)

Module 2 NDNQI Wounds Exam Questions With Correct Answers

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Module 2 NDNQI Wounds Exam Questions With Correct Answers Pressure Injury Classification - answerIf the deepest type of tissue is visible (or directly palpable), the pressure injury can be classified as Stage 1, 2, 3 or 4. If the deepest tissue is not visible, the pressure injury is classified ...

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  • September 17, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NDNQI Wounds
  • NDNQI Wounds
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Module 2 NDNQI Wounds Exam Questions
With Correct Answers


Pressure Injury Classification - answer✔If the deepest type of tissue is visible (or directly
palpable), the pressure injury can be classified as Stage 1, 2, 3 or 4.


If the deepest tissue is not visible, the pressure injury is classified as unstageable (i.e. deepest
tissue obscured by slough or eschar);


Deep Tissue Pressure Injury (DTPI) (i.e. deep red, maroon or purple discoloration); or Non-
Visible (a special NDNQI category for pressure injuries under non-removable dressings or
devices)
Pressure injuries on mucosal membranes are counted, but not staged

Wound/Skin Injury etiology - answer✔disease, moisture and trauma

Arterial Ulcers - answer✔A wound caused by impaired arterial blood flow to the lower leg and
foot esp. Toes, dorsum of the foot, lateral malleolus, distal lower leg
The impairment in blood flow results in tissue ischemia, necrosis, and loss.

Arterial Ulcer causes - answer✔Atherosclerosis
Arteriosclerosis
History of arterial insufficiency to lower extremities:
Peripheral Arterial Disease (PAD)
Lower Extremity Arterial Disease (LEAD)(1)


Risks:
Age
Smoking

, ©THEBRIGHTSTARS 2024/2025
Diabetes Mellitus
Hypertension
Dyslipidemia
Obesity
Family history of cardiovascular disease(2)

Arterial Ulcer Associated Skin Assessment - answer✔Cooler skin temperature
Thin, shiny skin
Decreased or absent skin hair
Decreased pulse strength in affected extremity
Skin pallor on foot elevation; dusky rubor on dependency
Dystrophic toenails
Low Ankle-Brachial Index (ABI)

Arterial Ulcer Characteristics - answer✔Round and regular in shape
Pale wound bed
Can be shallow in depth or relatively deep
Smooth wound edges
Gangrenous/necrotic tissue may cover the wound
Minimal drainage
Severe pain

Venous Ulcer - answer✔An open skin lesion of the leg or foot that occurs in an area affected by
venous hypertension.


Prolonged venous hypertension results in vein wall damage. This increases capillary
permeability and allows the extravasation of micromolecules and macromolecules into the
surrounding tissue. Damage to these tissues leads to venous ulcer development.

Venous Ulcer Location - answer✔Lower calf and ankle (the gaiter area)
Pretibial and medial supra-malleolar area of the ankle near perforator veins.

Lower Extremity Venous Disease Risks - answer✔Family history

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