WEB WOC WOUND CARE: QUIZ QUESTIONS AND ANSWERS

WEB WOC WOUND CARE: QUIZ
QUESTIONS AND ANSWERS

Which cells located in the dermis produce collagen (dermal building blocks) and elastin (tensi
km km km km km km km km km km km km km




le strength)?
km




Select one: km




a. Leukotrienes.
km




b. Mast cells.
km km




c. Macrophages.
km




d. Fibroblasts - ans-d. Fibroblasts
km km km km




A patient has an acute full-
km km km km km




thickness wound due to trauma. What order of healing would occur with this wound?
km km km km km km km km km km km km km




Select one: km




a. Inflammatory, hemostasis, granulation tissue formation, re-epithelialization.
km km km km km km




b. Re-epithelialization, granulation tissue formation, hemostasis, remodeling.
km km km km km km




c. Hemostasis, resurfacing, scar formation, remodeling.
km km km km km




d. Hemostasis, inflammation, proliferation and maturation - ans-
km km km km km km km




d. Hemostasis, inflammation, proliferation and maturation
km km km km km




Which statement accurately describes the characteristic and implication of necrotic tissue in
km km km km km km km km km km km km




a wound bed?
km km




Select one: km




a. Necrosis of muscle tissue typically results in the formation of stringy, yellow slough.
km km km km km km km km km km km km km




b. Consistency refers to the cohesiveness of the debris; typically more advanced necrosis is t
km km km km km km km km km km km km km km




hin and wet.
km km




c. Eschar usually is black, brown or gray and associated with deeper tissue damage. It is usu
km km km km km km km km km km km km km km km km




ally firmly attached to the wound base.
km km km km km km




d. A soft mushy leather eschar is not attached to the base and edges of wound and is someti
km km km km km km km km km km km km km km km km km km




mes mistaken as a scab. - ans-
km km km km km km




c. Eschar usually is black, brown or gray and associated with deeper tissue damage. It is usu
km km km km km km km km km km km km km km km km




ally firmly attached to the wound base.
km km km km km km




What is the primary reason for taking the time to perform a comprehensive assessment to ide
km km km km km km km km km km km km km km km




ntify protein energy malnutrition as opposed to ordering a simple blood draw to formulate a di
km km km km km km km km km km km km km km km




agnosis?

Select one: km




a. Blood tests do not provide a 'stand-alone' assessment.
km km km km km km km km




b. None, blood test for malnutrition are completely reliable.
km km km km km km km km




c. There are no blood tests available.
km km km km km km




d. There is a high incidence of false-positive results with blood tests. - ans-
km km km km km km km km km km km km km




a. Blood tests do not provide a 'stand-alone' assessment.
km km km km km km km km




Which of the following wounds will heal with scar formation?
km km km km km km km km km

,Select one: km




a. Full thickness wound.
km km km




b. Partial thickness wound.
km km km




c. Type 2 skin tear.
km km km km




d. MARSI (Medical adhesive skin injury). - ans-a. Full thickness wound.
km km km km km km km km km km




When the skin around a wound develops a whitish appearance, it can be described as:
km km km km km km km km km km km km km km




Select one: km




a. Desiccated.
km




b. Excoriated.
km




c. Indurated.
km




d. Macerated. - ans-d. Macerated.
km km km km




As you setup a skin care program, you identify the elderly to be at risk for skin tears due to the
km km km km km km km km km km km km km km km km km km km km k




effects of aging on:
m km km km




Select one: km




a. Tissue oxygenation.
km km




b. Rete ridges.
km km




c. Nutritional status.
km km




d. Immune system. - ans-b. Rete ridges.
km km km km km km




As wound healing progresses, collagen deposition and remodeling occur and has which of th
km km km km km km km km km km km km km




e following effects?
km km




Select one: km




a. Reduced cytokine production.
km km km




b. Increased tensile strength.
km km km




c. Restored innervation.
km km




d. Increased monocyte activity. - ans-b. Increased tensile strength.
km km km km km km km km




You are aware that age itself is NOT a risk factor for failure to heal wounds. Problems in woun
km km km km km km km km km km km km km km km km km km




d healing for the elderly are most likely associated with:
km km km km km km km km km




Select one: km




a. Diet and hydration habits.
km km km km




b. Lifestyle - such as lack of exercise to stimulate cellular processes.
km km km km km km km km km km km




c. Multiple co-morbidities.
km km




d. Memory loss. - ans-c. Multiple co-morbidities.
km km km km km km




Arterial disease, hypotension, vasopressors and severe anemia can be deleterious to wound
km km km km km km km km km km km km




healing because they decrease the amount of:
km km km km km km




Select one: km




a. Fibroblasts in the wound extracellular matrix.
km km km km km km




b. Time required to clot the wounds.
km km km km km km




c. Oxygen in the tissue.
km km km km




d. Moisture that accumulates in the wound tissues. - ans-c. Oxygen in the tissue.
km km km km km km km km km km km km km




Which of the following cells plays a central role in initiating the wound repair process?
km km km km km km km km km km km km km km




Select one: km

, a. Endothelial cells.
km km




b. Fibroblasts.
km




c. Platelets.
km




d. Langerhan's cells. - ans-c. Platelets.
km km km km km




90-year-
old female in a nursing home has a partial thickness wound with a fully approximated epiderm
km km km km km km km km km km km km km km km




al flap on her left forearm. Identify the type of skin damage present:
km km km km km km km km km km km km




Select one: km




a.Stage 2 pressure injury. km km km




b.Skin tear, Type 1. km km km




c.Skin tear, Type 2. km km km




d.Skin tear, Type 3. - ans-b. Skin tear, Type 1.
km km km km km km km km km




Which of the following treatment would be most appropriate for the management of a partial t
km km km km km km km km km km km km km km km




hickness wound with a fully approximated epidermal flap?
km km km km km km km




Select one: km




a. Re-approximate edges and apply a non-adherent dressing.
km km km km km km km




b. Apply transparent film dressing.
km km km km




c. Apply hydrocolloid dressing.
km km km




d. Utilize antibiotic ointment with gauze and Kerlix (gauze bandage wrap) roll. - ans-a. Re-
km km km km km km km km km km km km km km




approximate edges and apply a non-adherent dressing. km km km km km km




When changing a wound dressing over a full thickness wound, you notice the wound bed is s
km km km km km km km km km km km km km km km km




hiny, moist, red and has a cobblestone appearance. What terminology would you use to docu
km km km km km km km km km km km km km km




ment this observation?
km km




Select one: km




a. Granulation is present.
km km km




b. Epithelialization is progressing from the wound edges.
km km km km km km km




c. Hyperplasia is developing.
km km km




d. A film of denatured protein covers the wound bed. - ans-a. Granulation is present.
km km km km km km km km km km km km km km




The 3 principles of Wound Care provide a useful format for prioritizing approaches in wound c
km km km km km km km km km km km km km km km




are. They are: km km




Select one: km




a. Identify the goal for a wound, supporting the host and protect the wound.
km km km km km km km km km km km km km




b. Reduce/
km




eliminate the cause of the wound, support the host and maintain a physiologic environment.
km km km km km km km km km km km km km




c. Remove necrotic tissue, establish a moist wound environment and provide staff teaching.
km km km km km km km km km km km km




d. Identify the etiology of the wound, treat the etiology and establish a physiologic wound envi
km km km km km km km km km km km km km km km




ronment. - ans- km km




b. Reduce/eliminate the cause of the wound, support the host and maintain a physiologic envi
km km km km km km km km km km km km km km




ronment.

As the Wound Care Nurse Specialist, you are teaching your Skin Care Team about the import
km km km km km km km km km km km km km km km




ance of maintaining a physiologic wound environment. One of your nurses asks the question,
km km km km km km km km km km km km km k




m"what is a physiologic environment for a wound?" Your best response would be conditions es
km km km km km km km km km km km km km km




tablished in the wound that: km km km km




Select one: km