Page | 1
WOUND CARE WCEI 2025/ 2026
BRAND NEW OFFICIAL QUESTIONS
WITH ANSWERS.
What is the goal of wound bed preparation?
To achieve a stable wound characterized by a well-vascularized
wound bed with minimal exudate
Describe sharp surgical debridement
Major procedure performed by MD, podiatrist, or surgeon to
accomplish debridement transforming a chronic wound into an
acute wound
Describe local infection in the wound
Microbes are located deeper in wound tissue and multiplying at a
rate that causes a host response
Describe mechanical debridement
The use of an external force to separate or break adhesive forces
of necrotic tissue
How do you neutralize silver nitrate?
0.9% or stronger saline
How do you perform a Levine swab culture?
Rotate swab over 1-2cm2 area in the wound with sufficient
pressure to express fluid from within wound tissue.
Describe systemic infection in the wound
, Page | 2
Microbes from a wound have spread throughout the body via the
vascular or lymphatic system resulting in systemic inflammation
response, sepsis, septic shock, organ dysfunction, and possibly
death.
How do you prevent myiasis?
Minimize risk factors and fly populations, keep wound covered at
all times when outdoors, replace dressings that are leaking, wet,
or malodorous, clean wounds with every dressing change, and
minimize patient contact with flies.
Describe the covert (subtle) signs of local infection.
Hypergranulation tissue; bleeding, friable granulation tissue;
epithelial bridging or pocketing in granulation tissue; wound
breakdown and enlargement; new or increasing pain; or
increased wound odor.
What are the contraindications for mechanical debridement?
Epithelializing wounds, granulating wounds, inadequate pain
control, poor perfusion, and intact eschar
Describe contamination in the wound
In regards to wound bed preparation, what does TIME stand
for?
Tissue management, Inflammation and Infection control, Moisture
balance, and Epithelial edge advancement
What two conditions can impair epithelial edge
advancement?
Epibole and thick, callused edges
What are the three ways medicinal maggots act on wounds?
, Page | 3
Debride by liquefying necrotic tissue, disinfect by killing bacteria,
and simulate wound healing.
Describe colonization in the wound
Microbes undergo limited proliferation within the wound but
neither cause a host response nor delay wound healing.
What intervention options are available for managing excess
wound exudate?
Alginates, hydrophilic powder, specialty absorption dressings,
HydroActive cavity dressings, specialty high exudate foam
dressings, and wound pouching.
When is sharp debridement indicated?
Infected wounds, advancing cellulitis, wound-related sepsis,
extensive necrotic tissue, inability to determine degree of
undermining and tunneling, and infected bone or hardware that
may need removal.
How do you treat myiasis?
Wipe the larvae off the wound with gauze moistened in sterile
saline, 3% hydrogen peroxide to 4-5 parts of saline or water, treat
with antibiotics if indication of bacterial infection.
Myiasis
infestation by larvae of flies usually through a wound or ulcer
What is biofilm
Colonies of microorganisms that have a high level of tolerance to
antibodies, antibiotics, disinfectants, and the host's defense.
What is debridement?
, Page | 4
Removal of dead, devitalized, or contaminated tissue or foreign
material from the wound
What is the recommended timeframe for the use of topical
antimicrobials?
Two weeks initially to allow sufficient time for the agent to exert a
beneficial activity the re-evaluate.
Describe sharp conservative debridement
Minor procedure by training practitioner at the bedside to remove
only devitalized tissue.
When would you use autolytic debridement?
For non-infected wounds with minimal to moderate amount of
necrotic tissue, when minimum dressing changes are needed,
and for patients on warfarin.
What are the contraindications for sharp debridement
Bleeding disorders, ischemic wounds, severe arterial insufficiency
Excess supplement of which mineral can interfere with the
absorption of iron and copper?
Zinc
What impact does poor nutrition have on wound healing?
Alters immune function, collagen synthesis, and wound tensile
strength
What is an adequate fluid intake per day?
30 ml/kg of body weight or 1 ml/kcal consumed
Discuss the importance of protein in regard to healing
wounds.
WOUND CARE WCEI 2025/ 2026
BRAND NEW OFFICIAL QUESTIONS
WITH ANSWERS.
What is the goal of wound bed preparation?
To achieve a stable wound characterized by a well-vascularized
wound bed with minimal exudate
Describe sharp surgical debridement
Major procedure performed by MD, podiatrist, or surgeon to
accomplish debridement transforming a chronic wound into an
acute wound
Describe local infection in the wound
Microbes are located deeper in wound tissue and multiplying at a
rate that causes a host response
Describe mechanical debridement
The use of an external force to separate or break adhesive forces
of necrotic tissue
How do you neutralize silver nitrate?
0.9% or stronger saline
How do you perform a Levine swab culture?
Rotate swab over 1-2cm2 area in the wound with sufficient
pressure to express fluid from within wound tissue.
Describe systemic infection in the wound
, Page | 2
Microbes from a wound have spread throughout the body via the
vascular or lymphatic system resulting in systemic inflammation
response, sepsis, septic shock, organ dysfunction, and possibly
death.
How do you prevent myiasis?
Minimize risk factors and fly populations, keep wound covered at
all times when outdoors, replace dressings that are leaking, wet,
or malodorous, clean wounds with every dressing change, and
minimize patient contact with flies.
Describe the covert (subtle) signs of local infection.
Hypergranulation tissue; bleeding, friable granulation tissue;
epithelial bridging or pocketing in granulation tissue; wound
breakdown and enlargement; new or increasing pain; or
increased wound odor.
What are the contraindications for mechanical debridement?
Epithelializing wounds, granulating wounds, inadequate pain
control, poor perfusion, and intact eschar
Describe contamination in the wound
In regards to wound bed preparation, what does TIME stand
for?
Tissue management, Inflammation and Infection control, Moisture
balance, and Epithelial edge advancement
What two conditions can impair epithelial edge
advancement?
Epibole and thick, callused edges
What are the three ways medicinal maggots act on wounds?
, Page | 3
Debride by liquefying necrotic tissue, disinfect by killing bacteria,
and simulate wound healing.
Describe colonization in the wound
Microbes undergo limited proliferation within the wound but
neither cause a host response nor delay wound healing.
What intervention options are available for managing excess
wound exudate?
Alginates, hydrophilic powder, specialty absorption dressings,
HydroActive cavity dressings, specialty high exudate foam
dressings, and wound pouching.
When is sharp debridement indicated?
Infected wounds, advancing cellulitis, wound-related sepsis,
extensive necrotic tissue, inability to determine degree of
undermining and tunneling, and infected bone or hardware that
may need removal.
How do you treat myiasis?
Wipe the larvae off the wound with gauze moistened in sterile
saline, 3% hydrogen peroxide to 4-5 parts of saline or water, treat
with antibiotics if indication of bacterial infection.
Myiasis
infestation by larvae of flies usually through a wound or ulcer
What is biofilm
Colonies of microorganisms that have a high level of tolerance to
antibodies, antibiotics, disinfectants, and the host's defense.
What is debridement?
, Page | 4
Removal of dead, devitalized, or contaminated tissue or foreign
material from the wound
What is the recommended timeframe for the use of topical
antimicrobials?
Two weeks initially to allow sufficient time for the agent to exert a
beneficial activity the re-evaluate.
Describe sharp conservative debridement
Minor procedure by training practitioner at the bedside to remove
only devitalized tissue.
When would you use autolytic debridement?
For non-infected wounds with minimal to moderate amount of
necrotic tissue, when minimum dressing changes are needed,
and for patients on warfarin.
What are the contraindications for sharp debridement
Bleeding disorders, ischemic wounds, severe arterial insufficiency
Excess supplement of which mineral can interfere with the
absorption of iron and copper?
Zinc
What impact does poor nutrition have on wound healing?
Alters immune function, collagen synthesis, and wound tensile
strength
What is an adequate fluid intake per day?
30 ml/kg of body weight or 1 ml/kcal consumed
Discuss the importance of protein in regard to healing
wounds.
