WND 580 CORRECT TEST ANSWERS AND
QUESTIONS SET A+
✔✔Traditional negative pressure wound therapy is an appropriate option for which of
the following wounds?
a. Stage 4 pressure injury with possible osteomyelitis.
b. Coccyx pressure injury with 20% granulation tissue and 80% eschar.
c. Dehisced abdominal incision with copious exudate and mild periwound erythema.
d. Dehisced abdominal wound draining fecal material and a suspected enterocutaneous
fistula. - ✔✔c. Dehisced abdominal incision with copious exudate and mild periwound
erythema.
✔✔Which of the following dressings is most appropriate to use in a pressure injury with
a granulation tissue filled wound bed measuring 3cm X 5 cm X 2.5 cm with undermining
that extends 4 cm 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. - ✔✔d. Silver impregnated alginate rope.
✔✔A 34-year-old female is admitted for management of pain and palliative wound care
for metastatic breast cancer. During her physical exam, the left breast wound has a
fungating mass of 12 cm x 10 cm x various heights with slough and scant drainage.
What physiologic wound care would you recommend?
a. Apply antibiotic ointment to the chest wound four times daily.
b. Apply hydrogel sheets to the left breast to gently debride and decrease pain.
c. Use pulsatile lavage for debridement and apply an enzymatic debrider to the left
breast.
d. Apply calcium alginate to wound and cover with foam border. - ✔✔b. Apply hydrogel
sheets to the left breast to gently debride and decrease pain.
, ✔✔Upon your assessment of Mrs. Jones sacral pressure injury, you note a lack of
reduction of size in a clean granulating wound for the last 4 weeks thus suggested the
use of electrical stimulation because of the following positive effects?
a. Reduced granulation tissue formation.
b. Increased concentration of growth factors in the wound fluid.
c. Enhance perfusion and migration of cells critical for healing.
d. Prolonged cutaneous vasoconstriction. - ✔✔c. Enhance perfusion and migration of
cells critical for healing.
✔✔The recombinant PDGF (platelet derived growth factor), Regranex, is specifically
indicated for which of the following wounds?
a. Eschar covered pressure ulcers.
b. Diabetic plantar ulcers.
c. Arterial ulcers with an ABI of < 0.5.
d. Chronic venous ulcers. - ✔✔b. Diabetic plantar ulcers.
✔✔Mr. Simpson has a BMI >40 and is admitted for R. side hemiplegia due to a stroke.
Considering pressure redistribution needs for this bariatric patient, which of the following
would be most appropriate in meeting his unique needs?
a. Bariatric bed with four-inch foam mattress overlay.
b. Bariatric bed with therapeutic mattress and microclimate control.
c. Standard hospital bed with pressure redistribution mattress.
d. Bariatric air-fluidized integrated bed system i.e. Clinitron bed - ✔✔b. Bariatric bed
with therapeutic mattress and microclimate control.
✔✔You have a patient in acute care who has multiple risk factors for skin breakdown.
Which of the following statements are true regarding frequency of skin assessment?
a. A head to toe skin assessment should be done only upon initial admission.
b. Patients at risk for skin breakdown should have at least a daily skin inspection.
c. Skin inspection should be performed twice an eight-hour shift for those at risk.
d. Skin inspections should only be done daily if the patient has a wound. - ✔✔b.
Patients at risk for skin breakdown should have at least a daily skin inspection.
✔✔Your wound assessment reveals a full thickness ulcer, with scant amount of
serosanguinous drainage. You note that the wound base is pale pink and there is a
tunnel at 3 o'clock. The wound measurements are unchanged in the last 2 week's
wound assessments. The patient denies pain with palpation, but you note mild
periwound erythema. What would be your BEST response in developing the plan of
care for this patient?
a. Apply an antimicrobial hydrofiber rope into the tunnel.
QUESTIONS SET A+
✔✔Traditional negative pressure wound therapy is an appropriate option for which of
the following wounds?
a. Stage 4 pressure injury with possible osteomyelitis.
b. Coccyx pressure injury with 20% granulation tissue and 80% eschar.
c. Dehisced abdominal incision with copious exudate and mild periwound erythema.
d. Dehisced abdominal wound draining fecal material and a suspected enterocutaneous
fistula. - ✔✔c. Dehisced abdominal incision with copious exudate and mild periwound
erythema.
✔✔Which of the following dressings is most appropriate to use in a pressure injury with
a granulation tissue filled wound bed measuring 3cm X 5 cm X 2.5 cm with undermining
that extends 4 cm 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. - ✔✔d. Silver impregnated alginate rope.
✔✔A 34-year-old female is admitted for management of pain and palliative wound care
for metastatic breast cancer. During her physical exam, the left breast wound has a
fungating mass of 12 cm x 10 cm x various heights with slough and scant drainage.
What physiologic wound care would you recommend?
a. Apply antibiotic ointment to the chest wound four times daily.
b. Apply hydrogel sheets to the left breast to gently debride and decrease pain.
c. Use pulsatile lavage for debridement and apply an enzymatic debrider to the left
breast.
d. Apply calcium alginate to wound and cover with foam border. - ✔✔b. Apply hydrogel
sheets to the left breast to gently debride and decrease pain.
, ✔✔Upon your assessment of Mrs. Jones sacral pressure injury, you note a lack of
reduction of size in a clean granulating wound for the last 4 weeks thus suggested the
use of electrical stimulation because of the following positive effects?
a. Reduced granulation tissue formation.
b. Increased concentration of growth factors in the wound fluid.
c. Enhance perfusion and migration of cells critical for healing.
d. Prolonged cutaneous vasoconstriction. - ✔✔c. Enhance perfusion and migration of
cells critical for healing.
✔✔The recombinant PDGF (platelet derived growth factor), Regranex, is specifically
indicated for which of the following wounds?
a. Eschar covered pressure ulcers.
b. Diabetic plantar ulcers.
c. Arterial ulcers with an ABI of < 0.5.
d. Chronic venous ulcers. - ✔✔b. Diabetic plantar ulcers.
✔✔Mr. Simpson has a BMI >40 and is admitted for R. side hemiplegia due to a stroke.
Considering pressure redistribution needs for this bariatric patient, which of the following
would be most appropriate in meeting his unique needs?
a. Bariatric bed with four-inch foam mattress overlay.
b. Bariatric bed with therapeutic mattress and microclimate control.
c. Standard hospital bed with pressure redistribution mattress.
d. Bariatric air-fluidized integrated bed system i.e. Clinitron bed - ✔✔b. Bariatric bed
with therapeutic mattress and microclimate control.
✔✔You have a patient in acute care who has multiple risk factors for skin breakdown.
Which of the following statements are true regarding frequency of skin assessment?
a. A head to toe skin assessment should be done only upon initial admission.
b. Patients at risk for skin breakdown should have at least a daily skin inspection.
c. Skin inspection should be performed twice an eight-hour shift for those at risk.
d. Skin inspections should only be done daily if the patient has a wound. - ✔✔b.
Patients at risk for skin breakdown should have at least a daily skin inspection.
✔✔Your wound assessment reveals a full thickness ulcer, with scant amount of
serosanguinous drainage. You note that the wound base is pale pink and there is a
tunnel at 3 o'clock. The wound measurements are unchanged in the last 2 week's
wound assessments. The patient denies pain with palpation, but you note mild
periwound erythema. What would be your BEST response in developing the plan of
care for this patient?
a. Apply an antimicrobial hydrofiber rope into the tunnel.
