# A client has intact skin with persistent non-blanchable deep red and purple discoloration over the sacrum. Click the correct classification.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397544&lang=en  
> language: en  
> subject: Personal Hygiene  
> category: BCC

## Question

A client has intact skin with persistent non-blanchable deep red and purple discoloration over the sacrum. Click the correct classification.

![](https://mymerci.kr/data/nclex/hotspot/v2/v2_deep_tissue_comparison.png)

🎨Nano Banana 프롬프트 (이미지 로드 실패 — 자산 미업로드)

복사

Hotspot v2 clinical education asset. Keep every option equally prominent; no title, answer label, marker, number, or highlighted correct region.
위 프롬프트로 이미지 생성 후 payload.hotspot.image 경로(/data/nclex/hotspot/v2/v2_deep_tissue_comparison.png)에 업로드하세요.

## Explanation

Deep tissue injury is the best answer. Deep tissue pressure injury presents as persistent non-blanchable deep red, maroon, or purple discoloration. Other marked areas do not best match the cue in this item.

## In-depth explanation

Quick answer
Deep tissue injury is the best answer. Deep tissue pressure injury presents as persistent non-blanchable deep red, maroon, or purple discoloration. Other marked areas do not best match the cue in this item.

Why this is correct
Pressure-injury classification is based on the deepest visible tissue and whether the skin is intact. Color alone does not replace the depth and tissue description supplied in the stem.

Easy analogy or mental picture
Picture skin as layers: Stage 2 reaches exposed dermis, Stage 3 extends through full thickness into subcutaneous tissue, and deep-tissue injury may remain intact while showing persistent deep red, maroon, or purple discoloration.

Memory hook
Persistent deep red, maroon, or purple discoloration under intact skin points to deep-tissue pressure injury.

NCLEX decision rule
When staging a pressure injury, identify skin integrity, depth, and exposed tissue in that order; do not stage beyond what is visible.

Why the other choices are wrong
The other images represent different depths or tissue patterns. Choosing by wound size or color without checking depth is the common trap.References

- [1]NCBI Bookshelf: Pressure injury staging

## Clinical scenario

Clinical situation
A client has intact skin with persistent non-blanchable deep red and purple discoloration over the sacrum.

What the nurse should notice
Deep tissue injury is the best answer. Deep tissue pressure injury presents as persistent non-blanchable deep red, maroon, or purple discoloration. Other marked areas do not best match the cue in this item.

Transfer to practice
When staging a pressure injury, identify skin integrity, depth, and exposed tissue in that order; do not stage beyond what is visible.

## Key concepts

- **Deep tissue injury** — Deep red or purple discoloration.
- **Non-blanchable discoloration** — Color that does not turn pale when pressure is applied.
- **Sacrum** — Common pressure injury site.

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