WND 580 COMPREHENSIVE EXAMS ANSWERS AND
QUESTIONS SET A+
✔✔Of the following dressings, which is best for the moderately exudative venous ulcer?
a. Transparent dressing.
b. Foam dressing.
c. Saline soaked gauze.
d. Hydrogel sheet dressing. - ✔✔b. Foam dressing.
✔✔Patients undergoing myocutaneous flap closure of a pressure injury 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 non-shear surface. - ✔✔d. An air-fluidized bed with non-
shear surface.
✔✔Acute versus chronic wound characteristics are:
a. the same, no different characteristics.
b. have different types of cellular activity, different levels of proteases.
c. acute wounds are better looking than chronic wounds.
d. have the same amount of growth factors. - ✔✔b. have different types of cellular
activity, different levels of proteases.
✔✔Ultrasonic mist aids in debridement of necrotic tissue and reduces bioburden of
wounds using:
a. A saline mist.
b. An isopropyl alcohol mist.
c. A betadine scrub mist.
d. A hydrogen peroxide mist. - ✔✔a. A saline mist.
, ✔✔Traditional Negative Pressure Wound Therapy (NPWT) is indicated for:
a. Wounds with untreated osteomyelitis.
b. Wounds with exposed vasculature in the wound base.
c. Wounds with 90% necrotic tissue in the wound base.
d. Wounds with 80% granulation tissue in the wound base. - ✔✔d. Wounds with 80%
granulation tissue in the wound base.
✔✔A partial thickness wound is considered difficult to heal (refractory or recalcitrant) if:
a. There has been no improvement in 1 - 2 weeks despite appropriate treatment.
b. The wound is not healed in 4 - 6 weeks despite appropriate treatment.
c. There has been no improvement in 2 - 4 weeks despite appropriate treatment.
d. The wound has not healed in 1 - 2 weeks. - ✔✔a. There has been no improvement in
1 - 2 weeks despite appropriate treatment.
✔✔A full thickness wound is considered difficult to heal (refractory or recalcitrant) if:
a. There has been no improvement in 1 - 2 weeks despite appropriate treatment.
b. The wound is not healed in 4 - 6 weeks despite appropriate treatment.
c. There has been no improvement in 2 - 4 weeks despite appropriate treatment.
d. The wound has not healed in 1 - 2 weeks. - ✔✔c. There has been no improvement in
2 - 4 weeks despite appropriate treatment.
✔✔A colleague is talking with you in the elevator about your wound care protocols and
practice. The question raised is - what type of evidence do you have to validate that
your practice is evidence-based? Of the following, select research that is the most
evidence-based for your practice.
a. Case studies and feedback from patients/other providers.
b. Posters from a conference or a lecture you heard online about the topic from an
expert.
c. Handouts from manufacturer's reps with the latest research on products in use and
clinical procedure sheets.
d. Randomized controlled studies, guidelines for practice from reputable wound care
societies. - ✔✔d. Randomized controlled studies, guidelines for practice from reputable
wound care societies.
✔✔You are evaluating a palliative care patient with a lower extremity arterial ulcer.
What is the primary goal and treatment focus in developing a plan of care?
a. Wound healing and use of moist wound therapy
b. Symptom control and prevention of pressure injuries
c. Wound healing and developing a walking program
d. Comfort measures only - ✔✔b. Symptom control and prevention of pressure injuries
QUESTIONS SET A+
✔✔Of the following dressings, which is best for the moderately exudative venous ulcer?
a. Transparent dressing.
b. Foam dressing.
c. Saline soaked gauze.
d. Hydrogel sheet dressing. - ✔✔b. Foam dressing.
✔✔Patients undergoing myocutaneous flap closure of a pressure injury 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 non-shear surface. - ✔✔d. An air-fluidized bed with non-
shear surface.
✔✔Acute versus chronic wound characteristics are:
a. the same, no different characteristics.
b. have different types of cellular activity, different levels of proteases.
c. acute wounds are better looking than chronic wounds.
d. have the same amount of growth factors. - ✔✔b. have different types of cellular
activity, different levels of proteases.
✔✔Ultrasonic mist aids in debridement of necrotic tissue and reduces bioburden of
wounds using:
a. A saline mist.
b. An isopropyl alcohol mist.
c. A betadine scrub mist.
d. A hydrogen peroxide mist. - ✔✔a. A saline mist.
, ✔✔Traditional Negative Pressure Wound Therapy (NPWT) is indicated for:
a. Wounds with untreated osteomyelitis.
b. Wounds with exposed vasculature in the wound base.
c. Wounds with 90% necrotic tissue in the wound base.
d. Wounds with 80% granulation tissue in the wound base. - ✔✔d. Wounds with 80%
granulation tissue in the wound base.
✔✔A partial thickness wound is considered difficult to heal (refractory or recalcitrant) if:
a. There has been no improvement in 1 - 2 weeks despite appropriate treatment.
b. The wound is not healed in 4 - 6 weeks despite appropriate treatment.
c. There has been no improvement in 2 - 4 weeks despite appropriate treatment.
d. The wound has not healed in 1 - 2 weeks. - ✔✔a. There has been no improvement in
1 - 2 weeks despite appropriate treatment.
✔✔A full thickness wound is considered difficult to heal (refractory or recalcitrant) if:
a. There has been no improvement in 1 - 2 weeks despite appropriate treatment.
b. The wound is not healed in 4 - 6 weeks despite appropriate treatment.
c. There has been no improvement in 2 - 4 weeks despite appropriate treatment.
d. The wound has not healed in 1 - 2 weeks. - ✔✔c. There has been no improvement in
2 - 4 weeks despite appropriate treatment.
✔✔A colleague is talking with you in the elevator about your wound care protocols and
practice. The question raised is - what type of evidence do you have to validate that
your practice is evidence-based? Of the following, select research that is the most
evidence-based for your practice.
a. Case studies and feedback from patients/other providers.
b. Posters from a conference or a lecture you heard online about the topic from an
expert.
c. Handouts from manufacturer's reps with the latest research on products in use and
clinical procedure sheets.
d. Randomized controlled studies, guidelines for practice from reputable wound care
societies. - ✔✔d. Randomized controlled studies, guidelines for practice from reputable
wound care societies.
✔✔You are evaluating a palliative care patient with a lower extremity arterial ulcer.
What is the primary goal and treatment focus in developing a plan of care?
a. Wound healing and use of moist wound therapy
b. Symptom control and prevention of pressure injuries
c. Wound healing and developing a walking program
d. Comfort measures only - ✔✔b. Symptom control and prevention of pressure injuries
