Wound care Certification

85 Questions | Total Attempts: 573

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Wound Care Quizzes & Trivia

Questions and Answers
  • 1. 
    A 75 year old female developed a dehisced wound following abdominal surgery for a bowel obstruction.  She weighs 150 pounds and had chemotherapy and adbdominal radiation for colon cancer 5 years ago.  Which of the following conditions best explains what placed her at risk for developing a wound dehiscience?
    • A. 

      Blood glucose levels ranging form 90-150

    • B. 

      Performing a surgical procedure in a previously irradiated area

    • C. 

      A prealbumin level of 28

    • D. 

      Her history of chemotherapy

  • 2. 
    Patient undergoing myocutaneous flap closure of a pressure ulcer are best managed in the initial postoperative period on what type of support surface?
    • A. 

      An alternating air mattress with frequent position changes

    • B. 

      Any surface as long as they are turned every 2 hours

    • C. 

      A water flotation device

    • D. 

      An air fluidized bed with nonshear surface

  • 3. 
    Which of the following causes massive tissue loss it most commonly associated with a severe drug reaction?
    • A. 

      Toxic Epidermal Necrolysis (TEN)

    • B. 

      Graft vs Host Disease (GVHD

    • C. 

      Staphylococcal Scalded Skin Syndrome (SSSS)

    • D. 

      Epidermolysis bullosa (EB)

  • 4. 
    Hyperbaric oxygen treatments are indicated for which of the following conditions?
    • A. 

      Staphylococcal scaled skin syndrome (SSSS)

    • B. 

      Recalcitrant chronic venous ulcer

    • C. 

      Epidermolysis Bullosa

    • D. 

      Radiation induced necrotic wounds

  • 5. 
    When choosing topical therapy for the patient with massive tissue loss, two priority objectives are to:
    • A. 

      Remove nonviable tissue and control exudate

    • B. 

      Provide a moist environment and prevent shear

    • C. 

      Manage exudate and eliminate deadspace

    • D. 

      Control odor and minimize pain

  • 6. 
    A 45 year old man has massive tissue loss over his chest and abdomen due to a thermal injury.  During the early phases of care, the most commonly used topical management for this type of injury is?
    • A. 

      0.5% silver nitrate

    • B. 

      Foam dressing

    • C. 

      Apligraf, skin substitue

    • D. 

      1% silver Sulfadiazine

  • 7. 
    Which of the following topical interventions would be most appropriate to manage a full thickness, clean thigh incision that is healing by secondary intent and has copious drainage?
    • A. 

      Cadexomer iodine

    • B. 

      Amorphous hydrogel

    • C. 

      Hydrofiber

    • D. 

      Hydrocolloid

  • 8. 
    A patient has pyderma grangrenosum on their lower leg that measures 6cm x 5cm and shallow.  The patient reports a 8 out of 10 pian level that is constant and 10 out 10 when dressings are changed.  The ulcer is extremely exudative and has bands of black necrotic tissue and yellow slough mixed in with islands of granulation tissue.  What recommendations can be made for topical therapy?
    • A. 

      Apply skin substitute such as Apligraft

    • B. 

      Culture the wound and then apply silvadene twice daily secured with rolled gauze.

    • C. 

      Apply a sodium impregnated gauze and cover with nonadhesive foam dressing.

    • D. 

      Apply a contact layer and then hydrogel impregnated gauze

  • 9. 
    Which of the following statements about a keloid is TRUE?
    • A. 

      It develops as a result of excess moisture

    • B. 

      It remains within the boundary of the original injury

    • C. 

      The scar becomes firm and fibrous and extends beyond the original wound margin.

    • D. 

      It will cause contractures

  • 10. 
    Which of the following statements about wound closure methods is true?
    • A. 

      Musculocutaneous flaps differ from skin grafts in that they carry their own blood supply

    • B. 

      Skin grafts are also known as primary closure

    • C. 

      Skin grafts replace deep tissue layers such as subcutaneous tissue and muscle

    • D. 

      Tissue flaps are used to provide superficial wound closure

  • 11. 
    A patient has a full-thickness, minimially exudative pressure ulcer extending to the muscle layer with extensive undermining.  Which of the following would be the MOST appropriate topical dressing?
    • A. 

      Hydrogel impregnated gauze

    • B. 

      Composite dressing

    • C. 

      Foam dressing

    • D. 

      Calcium alginate

  • 12. 
    What is the name of the surgical procedure in which a surgical incision is made through the muscle to relieve the edema formation beneath the muscle and fascia?
    • A. 

      Esharotomy

    • B. 

      Fasciotomy

    • C. 

      Burn excision

    • D. 

      Split thickness skin graft

  • 13. 
    Negative pressure wound therapy is an appropriate option for which of the following wounds?
    • A. 

      Stage 4 pressure ulcer with possible osteomyelitis

    • B. 

      Coccyx pressure ulcer with 20% granulation tissue and 80% eschar

    • C. 

      Dehisced abdominal incision with copious exudate and periwound erythema

    • D. 

      Dehisced abdominal wound draining fecal material and a suspected entercutaneous fistula

  • 14. 
    In which of the following wounds would surgical intervention for debridment be considered urgent?
    • A. 

      Calciphylaxis

    • B. 

      Necrotizing fasciitis

    • C. 

      Pyoderma granulosum

    • D. 

      Epidermolysis bullosa

  • 15. 
    The superficial burn with red, unbroken skin present is best managed with?
    • A. 

      Oral nonsterodial anti-inflammatory medication and cooled hydrogel dressing to the burned area

    • B. 

      Asprin, hydrocolloid dressing and moist cool pack to site

    • C. 

      Debridement and sulfamylon cream

    • D. 

      Oral narcatics and Vaseline to the burn site

  • 16. 
    A patient has an eschar covered ulcer on the heel due to prolonged pressure during a surgical procedure.  The eschar is intact, there is no bogginess of the eschar and no periwound erythema.  The patient has Type II diabetes and an ABI of 0.8 in that limb.  Based on this information, which of the following treatments is most appropriate for this patient?
    • A. 

      Cross hatch the eschar and cover with hydrogel wafer and change daily

    • B. 

      Transparent dressing change every 3 days

    • C. 

      Paint with betadine and cover with dry gauze; change every day

    • D. 

      Apply enzymatic debriding agent, cover with a foam dressing and change daily.

  • 17. 
    Which of the following dressings is most appropriate to use in a pressure ulcer with a granulation tissue filled wound bed measuring 3cm x 5cm x 2.5cm with undermining that extends 4cm from 6 to 9 o'clock? The wound has become increasingly exudative in the past 3 weeks.
    • A. 

      Dakin's wet to dry gauze

    • B. 

      Chemical Debriding agent

    • C. 

      Hydrogel impregnated gauze

    • D. 

      Silver impregnated alginate rope

  • 18. 
    An esharotomy is indicated in which of the following situations?
    • A. 

      A circumferential full thickness burn to the chest

    • B. 

      Stage 4 pressure ulcer

    • C. 

      Nonfluctuant eschar covered heel ulcer

    • D. 

      Neuropathic ulcer on the 3rd metatarsal head

  • 19. 
    A nurse in home care called you to give you and update on a patient with whom you consulted and ordered compression stockings and a foam dressing.  She reports that the venous ulcer continues to have a large amount of exudate present and the wound size has not changed for 2 weeks.  She also reports that the wound bed continues to have a red cobblestone appearance. Of the following, what would be the most appropriate intervention at this point?
    • A. 

      Discontinue compression

    • B. 

      Request and oral antibiotic

    • C. 

      Refer to the surgeon for debridement of nonviable tissue

    • D. 

      Determine if the patient has been able to comply with compression therapy

  • 20. 
    A patient has been diagnosed with Staphylococcal Scaled Skin Syndrome.  Which of the following signs were present as a key indicator of this condition?
    • A. 

      Skin develops a sandpaper feel

    • B. 

      Pustules and anhydrosis

    • C. 

      Ulcerations extending into the dermis

    • D. 

      Maculopapular rash

  • 21. 
    The prolonged presence of wound drainage on the periwound skin predisposes the skin to ?
    • A. 

      Maceration

    • B. 

      Folliculitis

    • C. 

      Excoriation

    • D. 

      Anhydrosis

  • 22. 
    The transforming growth factor-beta (TGF-b) Regranex, is specifically indicated for which of the following wounds?
    • A. 

      Eschar covered pressure ulcers

    • B. 

      Diabetic plantar ulcers

    • C. 

      Arterial ulcers with and ABI of

    • D. 

      Chronic venous ulcers

  • 23. 
    Preoperative preparation for a patient with paraplegia who is scheduled for a myocutaneous flap closure of a stage IV sacral pressure ulcer includes which of the following interventions?
    • A. 

      Hyperbaric oxygenation to enhance perfusion of the surgical site

    • B. 

      Intravenous corticosteroids to reduce inflammation at the surgical site

    • C. 

      Control of spasms to prevent tension of the incision

    • D. 

      Intravenous antibiotic to reduce bioburden in the wound

  • 24. 
    What is the primary objective of a burn excision?
    • A. 

      Reduce the risk of contractures

    • B. 

      Reduce the risk of infection

    • C. 

      Prevent compartment syndrome

    • D. 

      Prevent wound dessication

  • 25. 
    The preoperative preparation for the surgical repair of an extensive wound should include which of the following interventions to reduce or control co-factors
    • A. 

      Discontinue the use of corticosteroids temporarily

    • B. 

      Maintain blood glucose of 180mg/dl or less

    • C. 

      Daily prealbumin levels to monitor nutritional status

    • D. 

      Administration of intravenous broad spectrum antibiotics