NATIONAL ALLIANCE WCC
PRACTICE TEST
COMPLETE 110 QUESTIONS
Question 1: A bedridden patient has intact sacral skin with a localized area of
persistent nonblanchable erythema. How should this pressure injury be classi�ed?
Choices:
1) Stage 1 pressure injury 2) Stage 2 pressure injury 3) Deep tissue pressure injury 4) Unstageable pressure injury
Correct Answer: Stage 1 pressure injury
Explanation: Stage 1 pressure injury is intact skin with persistent nonblanchable erythema.Stage 2 requires partial-thickness skin loss, deep tissue pressure injury is characterized by persistent deep red, maroon, or purple discoloration or related �ndings, and unstageable injury has obscured full-thickness tissue loss.Page 1
Question 2: Which �nding is most consistent with a Stage 2 pressure injury?
Choices:
1) Partial-thickness skin loss with exposed dermis 2) Full-thickness skin loss with visible adipose tissue 3) Exposed tendon with undermining 4) Obscured tissue loss covered by eschar
Correct Answer: Partial-thickness skin loss with exposed dermis
Explanation: A Stage 2 pressure injury involves partial-thickness skin loss with exposed dermis.Adipose, granulation tissue, slough, eschar, and deeper structures are not exposed in a Stage 2 injury.Question 3: A heel wound has full-thickness tissue loss, but the base is completely covered by adherent slough and eschar so the depth cannot be determined. Which classi�cation is most appropriate?
Choices:
1) Stage 2 pressure injury 2) Unstageable pressure injury 3) Stage 3 pressure injury 4) Deep tissue pressure injury
Correct Answer: Unstageable pressure injury
Explanation: When slough or eschar obscures the extent of full-thickness skin and tissue loss, the pressure injury is unstageable until enough nonviable tissue is removed to reveal the true depth, unless stable heel or ischemic eschar should be left intact.Page 2
Question 4: A patient develops intact skin over the trochanter that is persistently maroon and painful after prolonged pressure. Which �nding best supports a deep tissue pressure injury?
Choices:
1) A shallow pink wound bed without slough 2) Visible subcutaneous fat with rolled edges 3) Dry black eschar with no surrounding change 4) Persistent deep red, maroon, or purple discoloration
Correct Answer: Persistent deep red, maroon, or purple discoloration
Explanation: Deep tissue pressure injury commonly presents as persistent nonblanchable deep red, maroon, or purple discoloration or a blood-�lled blister related to pressure and shear.
Question 5: Which assessment pattern most strongly suggests a venous leg ulcer?
Choices:
1) Ulcer on the lateral malleolus with a cool foot and absent pulses 2) Medial lower-leg ulcer with edema and hemosiderin staining 3) Plantar forefoot ulcer surrounded by callus and sensory loss 4) Sacral ulcer over a bony prominence in an immobile patient
Correct Answer: Medial lower-leg ulcer with edema and hemosiderin staining
Explanation: Venous ulcers commonly occur in the gaiter area, often near the medial malleolus, and are associated with edema, hemosiderin staining, and other signs of venous hypertension.Page 3