PCA Exam Test Study Guide Questions and
Answers
What are some risk factors of skin breakdown?
Limited physical ability, age, lack of hydration, poor nutrition, etc.
What is the name of the assessment scale used to help determine if a patient is at a greater risk of
developing pressure ulcers?
Braden Scale
_________ is a localized injury to the skin and/or the underlying tissue. It is a result of presence over a
bony prominence.
Pressure injury
What is the main governing body that determines what a PCA does?
State Nursing Practice Act
What are the 5 rights of delegation?
Right task
Right person
Right direction of communication
Right circumstance
Right supervision
____________ is defined as being responsible for one's own actions of others who perform delegated
tasks.
Accountability
_____________ is defined as the duty or obligation to perform some act or function.
Responsibility
______________ is defined as the skills, care and judgement required by the health care team
member under similar conditions.
Standard of care
What stage of pressure ulcer is this?
Reddened area not returning to normal color after pressure is relieved. Feels hot and/or painful. Skin
is intact.
Stage 1
__________ is defined as unlawful restraint or restriction of a person's freedom of movement.
False Imprisonment
___________ is defined as the intentional mistreatement or harm of another person.
Abuse
, ___________ is defined as negligence by a professional person.
Malpractice
____________ is defined as an intentional wrong in which a person fails to act in a responsible and
Negligence
What stage of pressure ulcer is this?
Skin has broken down
Stage 2
What stage of pressure ulcer is this?
Skin is broken down to the subcutaneous fatty layer
Stage 3
What stage of pressure ulcer is this?
Skin is broken down to the muscle and bone.
Stage 4
____________ is a communicable/contagious disease is caused by pathogens that spread easily.
Infection
What is the best way to prevent infection?
Wash hands with soap and water
If a patient has C.diff what is the best way to wash your hands?
Soap and water
___________ is an infection acquired during a stay at a health care facility.
Noscomial Infection
What are ways we can prevent skin breakdown?
Support surfaces
Initiate turning
Proper nutrition
Encourage ambulation
Lift rather than slide
Shift weight every so often
Elevate heel
Get rid of wrinkles in bed linens
Provide skin care
What are the 4 P's to check during hourly rounding?
Pain, Potty, Possessions, Position
Answers
What are some risk factors of skin breakdown?
Limited physical ability, age, lack of hydration, poor nutrition, etc.
What is the name of the assessment scale used to help determine if a patient is at a greater risk of
developing pressure ulcers?
Braden Scale
_________ is a localized injury to the skin and/or the underlying tissue. It is a result of presence over a
bony prominence.
Pressure injury
What is the main governing body that determines what a PCA does?
State Nursing Practice Act
What are the 5 rights of delegation?
Right task
Right person
Right direction of communication
Right circumstance
Right supervision
____________ is defined as being responsible for one's own actions of others who perform delegated
tasks.
Accountability
_____________ is defined as the duty or obligation to perform some act or function.
Responsibility
______________ is defined as the skills, care and judgement required by the health care team
member under similar conditions.
Standard of care
What stage of pressure ulcer is this?
Reddened area not returning to normal color after pressure is relieved. Feels hot and/or painful. Skin
is intact.
Stage 1
__________ is defined as unlawful restraint or restriction of a person's freedom of movement.
False Imprisonment
___________ is defined as the intentional mistreatement or harm of another person.
Abuse
, ___________ is defined as negligence by a professional person.
Malpractice
____________ is defined as an intentional wrong in which a person fails to act in a responsible and
Negligence
What stage of pressure ulcer is this?
Skin has broken down
Stage 2
What stage of pressure ulcer is this?
Skin is broken down to the subcutaneous fatty layer
Stage 3
What stage of pressure ulcer is this?
Skin is broken down to the muscle and bone.
Stage 4
____________ is a communicable/contagious disease is caused by pathogens that spread easily.
Infection
What is the best way to prevent infection?
Wash hands with soap and water
If a patient has C.diff what is the best way to wash your hands?
Soap and water
___________ is an infection acquired during a stay at a health care facility.
Noscomial Infection
What are ways we can prevent skin breakdown?
Support surfaces
Initiate turning
Proper nutrition
Encourage ambulation
Lift rather than slide
Shift weight every so often
Elevate heel
Get rid of wrinkles in bed linens
Provide skin care
What are the 4 P's to check during hourly rounding?
Pain, Potty, Possessions, Position
