Pressure Ulcer Stages

Question 1

Stage 1

Answer 1

Intact skin with localized non-blanchable erythema over a bony prominence

Question 2

Stage 2

Answer 2

Partial thickness wound presenting as shallow, open ulcer with red/pink wound bed

Question 3

Stage 3

Answer 3

Full thickness wound with subcutaneous tissue visible (not bone, tendon, or muscle)

Question 4

Stage 4

Answer 4

Full thickness wound with exposed bone, tendon, or muscle

Question 5

Deep tissue injury

Answer 5

Localized purple area of intact skin (blood filled blister)

Results from damaged underlying soft tissue

Question 6

Unstageable

Answer 6

Wound bed covered in slough and/or Eschar