Arizona Certified Nursing Assistant (CNA) Practice Test

What is a potential early sign of skin breakdown in a resident with dark skin?

1. Redness on the skin

2. Swelling around joints

3. Purple discoloration on pressure points

4. Pale spots on the skin

The correct answer is: Purple discoloration on pressure points

A potential early sign of skin breakdown in a resident with dark skin is purple discoloration on pressure points. In individuals with darker skin tones, traditional signs of skin breakdown, such as redness, may not be as visible or may not present in the same way as in individuals with lighter skin. Instead, areas experiencing pressure or potential breakdown tend to show changes in color, such as a purplish or bluish tint, especially on pressure points like the heels, elbows, or sacral area. This discoloration indicates a decrease in blood supply to the skin and may signify that the tissue is at risk for damage. Recognizing these subtle changes is crucial for early intervention to prevent further skin complications. Other options, such as swelling or pale spots, may indicate different medical issues unrelated to the specific changes associated with skin breakdown. Understanding these differences is essential for proper assessment and care management in residents with varying skin tones.