Wound Final Exam 2025/2026 | Complete Wound Care Study Guide
with Verified Questions & Answers
Initial Assessment Goals - correct answer1. etiologic factors 2. systemic factors and
comorbidities 3. recommendations for management 4. determine phase of healing
5.determine goals of topical therapy
Hyperglycemia impairs... - correct answerleukocyte function when >180; collagen
synthesis; development of tensile strength; epithelial resurfacing
Random BG goals - correct answer<140
A1C goal for wound healing - correct answer<7
Nutrients essential for collagen synthesis - correct answerZinc, glutamine, 1-arginine
Unplanned weight loss parameters indicative of malnutrition - correct answergreater
than or equal to 2.5% within 30 days; greater than or equal to 10% in 180 days; 5% in
longterm care settings
Lab values indicative of malnutrition - correct answerAlbumin <3.5; transferrin <100;
pre-albumin <19.5; total lymphocyte count >1500
Recommended caloric intake for wound healing - correct answer30-35 cal/kg/day
Recommended protein intake for wound healing - correct answer1.25 - 1.5 g/kg/day
Recommended fluid intake - correct answer30ml/kg/day
Factors that interfere with healing - correct answer1.hyperglycemia 2. malnutrition 3.
poor perfusion/oxygenation 4. immunosuppression 5. comorbidities such as renal
failure, liver failure, multisystem trauma, smoking, advanced age
ISTAP skin tear classification Type 1 - correct answerNo skin loss; flap can be
repositioned to cover wound bed
ISTAP skin tear classification Type 2 - correct answerPartial flap loss
ISTAP skin tear classification Type 3 - correct answerTotal flap loss
Indications for transfer to burn center - correct answer1. > 10% TBSA full-thickness
burns 2. >10-20% TBSA partial-thickness burns 3. High risk area (face, hands, feet) 4.
Perineal burn (high risk infection) 5. age <10 or >50
,Etiologic factors for wounds - correct answer1.Surgical 2.Traumatic 3.Thermal
4.Autoimmune 5.Neoplastic 6.Allergic 7.Chemical 8.Microbial
Hidradenitis suppurativa definition - correct answerlesions involving the sweat glands
typically due to inflammation or infection.
Hidradenitis suppurativa characteristics - correct answertypically found in the axilla or
perineal area; painful; indurated lesions; foul smelling drainage
Hidradenitis suppurativa treatment - correct answertissue dissection to remove involved
sweat glands and hair follicles
Necrotizing Fasciitis characteristics - correct answerpetechial rash, edema, erythema,
blisters, crepitus, leukocytosis, low serum sodium, severe pain, rapid progression (up to
2.5 cm/hr)
Staphylococcal Scalded Skin Syndrome Characteristics - correct answersevere
denudation of large skin surfaces
Who is affected by SSSS - correct answerUsually neonates
SSSS treatment - correct answerAntibiotic therapy
Community acquired MRSA Characteristics - correct answerSkin and soft tissue
lesions; look like a spider bite (pustular lesion with purplish hue surrounded by erythema
and induration)
Viral lesions characteristics - correct answersmall vesicles that rupture to reveal yellow-
red and painful base
Common location of herpes simplex virus lesions - correct answermouth and perineal
area
Common location of herpes zoster virus - correct answerfollow the dermatome, don't
cross midline
Which patient population may show muted signs of infection - correct answer1.
immunosuppressed 2.altered perfusion
Phases of partial-thickness wound healing - correct answer1.epidermal resurfacing
2.restoration of normal layers/thickness and normal skin function
Phases of full-thickness wound healing - correct answer1. hemostasis 2. inflammatory
3. proliferative (granulation tissue formation, epithelial resurfacing) 4. maturation
Inflammatory phase time frame surgical wound - correct answer1-4 days
, When do neutrophils arrive to the wound bed? - correct answerwithin 2 minutes
When do macrophages arrive to the wound bed? - correct answer2-3 days
What is granulation tissue comprised of? - correct answernew blood vessels and
collagen proteins
When should you be able to palpate the healing ridge in a surgical wound closed by
primary intention? - correct answer5-7 days
Management of a surgical incision closed by primary intention - correct answerocclusive
sterile dressing or surgical glue for the first 24-48 hrs (epithelial resurfacing time)
How do you open wound edges? - correct answerAgNO3 or edges excised by APP
Maximum tensile strength of new tissue - correct answer80% of normal tissue - may
take up to 1-2 years
What causes wound dehiscence? - correct answermalnutrition or stress to wound area
Hypertrophic Scars - correct answerraised scars not extending past the original wound
site
Keloid scars - correct answerexcessive scarring that extends beyond the margins of
original wound
Keloid treatment - correct answersurgical excision and steroids or radiation (to decrease
collagen formation)
Management of hypertrophic scarring in a patient with burn injury - correct
answerpressure dressings
How does poor pain control effect wound healing? - correct answercauses sympathetic
response and vasoconstriction
What is Oxandrin? - correct answermodified anabolic steroid that drives protein into the
cells
Contraindications to Oxandrin - correct answerrenal or liver failure
Steroid dose that impairs healing - correct answer>30-40 mg/day for >30 days
Serum glucose goal for wound healing - correct answer<130-140 mg/dl
with Verified Questions & Answers
Initial Assessment Goals - correct answer1. etiologic factors 2. systemic factors and
comorbidities 3. recommendations for management 4. determine phase of healing
5.determine goals of topical therapy
Hyperglycemia impairs... - correct answerleukocyte function when >180; collagen
synthesis; development of tensile strength; epithelial resurfacing
Random BG goals - correct answer<140
A1C goal for wound healing - correct answer<7
Nutrients essential for collagen synthesis - correct answerZinc, glutamine, 1-arginine
Unplanned weight loss parameters indicative of malnutrition - correct answergreater
than or equal to 2.5% within 30 days; greater than or equal to 10% in 180 days; 5% in
longterm care settings
Lab values indicative of malnutrition - correct answerAlbumin <3.5; transferrin <100;
pre-albumin <19.5; total lymphocyte count >1500
Recommended caloric intake for wound healing - correct answer30-35 cal/kg/day
Recommended protein intake for wound healing - correct answer1.25 - 1.5 g/kg/day
Recommended fluid intake - correct answer30ml/kg/day
Factors that interfere with healing - correct answer1.hyperglycemia 2. malnutrition 3.
poor perfusion/oxygenation 4. immunosuppression 5. comorbidities such as renal
failure, liver failure, multisystem trauma, smoking, advanced age
ISTAP skin tear classification Type 1 - correct answerNo skin loss; flap can be
repositioned to cover wound bed
ISTAP skin tear classification Type 2 - correct answerPartial flap loss
ISTAP skin tear classification Type 3 - correct answerTotal flap loss
Indications for transfer to burn center - correct answer1. > 10% TBSA full-thickness
burns 2. >10-20% TBSA partial-thickness burns 3. High risk area (face, hands, feet) 4.
Perineal burn (high risk infection) 5. age <10 or >50
,Etiologic factors for wounds - correct answer1.Surgical 2.Traumatic 3.Thermal
4.Autoimmune 5.Neoplastic 6.Allergic 7.Chemical 8.Microbial
Hidradenitis suppurativa definition - correct answerlesions involving the sweat glands
typically due to inflammation or infection.
Hidradenitis suppurativa characteristics - correct answertypically found in the axilla or
perineal area; painful; indurated lesions; foul smelling drainage
Hidradenitis suppurativa treatment - correct answertissue dissection to remove involved
sweat glands and hair follicles
Necrotizing Fasciitis characteristics - correct answerpetechial rash, edema, erythema,
blisters, crepitus, leukocytosis, low serum sodium, severe pain, rapid progression (up to
2.5 cm/hr)
Staphylococcal Scalded Skin Syndrome Characteristics - correct answersevere
denudation of large skin surfaces
Who is affected by SSSS - correct answerUsually neonates
SSSS treatment - correct answerAntibiotic therapy
Community acquired MRSA Characteristics - correct answerSkin and soft tissue
lesions; look like a spider bite (pustular lesion with purplish hue surrounded by erythema
and induration)
Viral lesions characteristics - correct answersmall vesicles that rupture to reveal yellow-
red and painful base
Common location of herpes simplex virus lesions - correct answermouth and perineal
area
Common location of herpes zoster virus - correct answerfollow the dermatome, don't
cross midline
Which patient population may show muted signs of infection - correct answer1.
immunosuppressed 2.altered perfusion
Phases of partial-thickness wound healing - correct answer1.epidermal resurfacing
2.restoration of normal layers/thickness and normal skin function
Phases of full-thickness wound healing - correct answer1. hemostasis 2. inflammatory
3. proliferative (granulation tissue formation, epithelial resurfacing) 4. maturation
Inflammatory phase time frame surgical wound - correct answer1-4 days
, When do neutrophils arrive to the wound bed? - correct answerwithin 2 minutes
When do macrophages arrive to the wound bed? - correct answer2-3 days
What is granulation tissue comprised of? - correct answernew blood vessels and
collagen proteins
When should you be able to palpate the healing ridge in a surgical wound closed by
primary intention? - correct answer5-7 days
Management of a surgical incision closed by primary intention - correct answerocclusive
sterile dressing or surgical glue for the first 24-48 hrs (epithelial resurfacing time)
How do you open wound edges? - correct answerAgNO3 or edges excised by APP
Maximum tensile strength of new tissue - correct answer80% of normal tissue - may
take up to 1-2 years
What causes wound dehiscence? - correct answermalnutrition or stress to wound area
Hypertrophic Scars - correct answerraised scars not extending past the original wound
site
Keloid scars - correct answerexcessive scarring that extends beyond the margins of
original wound
Keloid treatment - correct answersurgical excision and steroids or radiation (to decrease
collagen formation)
Management of hypertrophic scarring in a patient with burn injury - correct
answerpressure dressings
How does poor pain control effect wound healing? - correct answercauses sympathetic
response and vasoconstriction
What is Oxandrin? - correct answermodified anabolic steroid that drives protein into the
cells
Contraindications to Oxandrin - correct answerrenal or liver failure
Steroid dose that impairs healing - correct answer>30-40 mg/day for >30 days
Serum glucose goal for wound healing - correct answer<130-140 mg/dl
