CWCA Exam Practice Questions With Answers | Latest Update 2023/2024 (GRADED)

right medial malleolus - ANSWERbed confined elderly individual , positioned in left side - lying with the hips and knees slightly flexed , would be most susceptible to skin breakdown over which of the following boney prominences ? peroneal - ANSWERYou have been requested to perform a dressing change and light irrigation of a deep wound just posterior to the fibular head . Care should be taken to avoid irritation of which nerve that passes through the area ? Node - ANSWERWhat is the term for the oval shaped structure that acts as a filter in the lymphatic system ? platelet activation - ANSWERQ : Which of the following occurs first in the wound healing process ? production of collagen - ANSWERQ : Which of the following is a function of the fibroblast ? increased fibrin deposition - ANSWERQ : Which of the following characteristics would be most indicative of a wound chronic stages of repair ? Proliferative - ANSWERQ : Fibroplasia is most associated with which of the following phases of wound healing ? Epidermis - ANSWERQ : What layer of skin is composed of stratified squamous epithelium and keratinocytes ? Fascia - ANSWERQ : A 35 year old female of average weight is seen 1 week post C - section . She is concerned due to redness and drainage on the left side of her dressing . On dressing removal , dehiscence of the left half of the incision is noted . Following irrigation of the wound , it is noted to have a shiny , white , string - like appearance in the wound base . What tissue is this most likely to be ? Epithelialization , neoangiogenesis , and synthesis - ANSWERQ : Which of the following wound healing events are most associated with the proliferative phase of repair ? rolled skin margins in chronic wounds - ANSWERQ : Epibole represents dermis - ANSWERQ : Skin appendages exist in the Myofibroblasts - ANSWERQ : Which of the following cells is noted for its contractile properties that play a role in wound contraction ? Masseter - ANSWERQ : You are treating a patient with this full thickness wound just anterior to the right ear . What muscle lies at the base of the wound ? Peroneal - ANSWERQ : The patient has been wearing the pictured clam - shell orthosis for management of a diabetic plantar ulcer . He has recently begun to experience some weakness and foot drop which appears secondary to nerve pressure . Which nerve is most likely implicated ? controlled moisture - ANSWERQ : Wound healing is facilitated by protection , sensory perception and temperature regulation - ANSWERQ : The primary functions of the skin include full - thickness - ANSWERQ : A wound that extends through the dermis and into the sub dermis is classified as serosanguineous - ANSWERQ : Drainage from a patient's wound consists of clear , thin fluid that is blood tinged . This should be described as Phagocytosis - ANSWERQ : Which of the following is a function of the macrophage ? Collagen - ANSWERQ : Approximately 75 % of the skin's total dry weight is made of which of the following ? Inflammatory - ANSWERQ : Which phase of repair immediately follows the hemostatic phase in wound repair ? Pyoderma gangrenosum - ANSWERQ : The concept of pathergy is most frequently associated with which of the following disease entities ? social history - ANSWERQ : Your supervisor has requested you to obtain some basic information from a patient prior to the physical examination . Information about tobacco use should be recorded under which area of your note sheet ? 0.85 - ANSWERQ : You have just completed an Ankle - Brachial Index assessment and noted a systolic pressure in the arm of 130 mmHg and a systolic pressure at the ankle of 110 mmHg . How would you report the ankle - brachial index ? the point at which a stimulus begins to be perceived as painful - ANSWERQ : A clinician is trying to ascertain a patient's pain threshold . This relates to plantar surface of the midfoot - ANSWERQ : A patient with a Charcot foot is at greatest risk of developing an ulceration over the Assisted - ANSWERQ : You are called upon to transfer a patient from their bed to a wheelchair for transport to the wound care center . The patient is weak but can stand with assistance and provide 50 % effort . Which of the following standing transfer techniques would be most appropriate ? Plain film radiograph - ANSWERQ : Most imaging evaluations in patients with chronic wounds , begin which type of examination ? Iron - ANSWERQ : Which of the following nutritional substances is most important of the oxygen carrying capacity of hemoglobin ? draw a single line through the entry , initial and date - ANSWERQ : In documenting the treatment of a patient , the practitioner writes something in error . The proper way to correct this entry is to Withhold compression until vascular status can be better evaluated - ANSWERQ : A 62 year old male with a history of diabetes ( HGbA1C - 8.3 ) and hypertension presents to the clinic with a wound on his left posterior calf . The wound edges are unequal but well defined and drainage is moderate . The patient rates his pain as 7 out of 10 and that it is throbbing in nature . The initial assessment reveals a wound bed completely covered in thick yellow slough . Lower extremity ankle - brachial indices ( ABI ) are 1.5 on the left and 0.7 on the right . The left leg is swollen but there are no other signs of deep vein thrombosis . Following wound debridement , what type of compression would be most indicated for the left leg ? give no strong indication of degree of infection - ANSWERQ : Swab cultures of chronic wounds generally unreliable due to non - compressible calcified arteries - ANSWERQ : The ankle - brachial index in a patient with advanced diabetes is Granulation tissue is present - ANSWER: When changing a wound dressing over a full thickness wound , you notice the wound bed to be shiny , moist , and red and to have the cobblestone appearance noted in the photograph . The depth of the wound is unchanged . What terminology would you use to document this observation ? prognosis - ANSWERQ : A determination of expected outcome and time needed to reach that level would best be termed a ( n ) Normal - ANSWERQ : In performing a nutritional assessment , a patient is noted to have a body mass index of 23. This would be reported as Visual analog scale ( VAS ) - ANSWERQ : Which of the following pain scales asks respondents to specify their level of agreement to a statement by indicating a position along a continuous line between two end points ? 4 - ANSWERQ : According to the Wagner scale for diabetic foot ulcers , partial foot gangrene would be recorded as Venous filling time - ANSWERQ : In assessing the arterial system , the examiner first elevates the lower extremity to drain venous blood . The limb is then lowered and hung over the edge of the table while the examiner times how long it takes for the superficial veins on the dorsum of the foot to distend What clinical test is being performed ? At each visit - ANSWERQ : How frequently should pressure ulcer risk assessments be performed on patients receiving home health care ? hemosiderin staining - ANSWERThe brownish discoloration seen on the medial ankle area of this patient with venous insufficiency would most accurately be described as retrograde venous flow in the leg - ANSWERQ : The vascular assessment known as the Trendelenburg test is used to evaluate sensation - ANSWERQ : If you were to perform a Semmes Weinstein monofilament test on a patient , you would be trying to gather information about the status of the patient's Ankle - brachial index - ANSWERQ : Which of the following is a quick , non invasive test that compares blood pressure measured in the ankle and arm ?