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Dermatology · Vascular disorders: pressure ulcer staging
Sample itemA bedridden patient has a shallow open sacral ulcer with a pink wound bed and loss of partial-thickness dermis, with no slough or visible fat. Which stage is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Stage 2 pressure injury
Stage 2 pressure injury is partial-thickness skin loss with exposed dermis, a shallow open ulcer or an intact blister, and no slough. Stage 1 is non-blanchable erythema of intact skin, stage 3 shows full-thickness loss with visible fat, and stage 4 exposes muscle or bone. Offloading and moisture management are core measures.
Option by option
A. Stage 1 pressure injury
Stage 1 has intact skin with non-blanchable erythema.
B. Stage 3 pressure injury
Stage 3 shows subcutaneous fat.
C. Stage 2 pressure injury (correct)
Correct. Partial-thickness dermal loss without slough is stage 2.
D. Stage 4 pressure injury
Stage 4 exposes muscle, tendon or bone.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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