Emory Wound Exam Questions and Verified
Answers
Question 1
Wound #2
Full thickness ulcer with granulation tissue throughout the wound base, moderate
amount of exudate, and closed wound edges.
Identify the phase of wound repair
A. Maturation/Remodeling
B. Inflammatory
C. Proliferative
Correct Answer
C - as evidenced by the presence of healthy granulation tissue. The closed wound
edges will prevent epithelialization, however.
Question 2
How many days does it normally take for a deep tissue pressure injury (DTPI) to
evolve? (L3)
A. 1-2 days
B. 3-7 days
C. >7 days
Correct Answer
B
Page 1 of 68
,Question 3
The WCN is assessing a patient whose wounds were caused by external factors. Which
of the following is an example of this type of injury? (17)
A. Pressure Injury
B. Venous Leg Ulcer
C. Eczema
D. Malignant Wound
Correct Answer
A -- Mechanical factors include friction, shear, pressure and moisture
Question 4
Intermittent delivery of oxygen by periodic restoration of blood flow has been shown
to be effective in maintaining soft tissue viability. (L3)
True or False
Correct Answer
True
Question 5
Macule
Correct Answer
Flat area clearly defined by a change in skin color; <0.5cm diameter
Question 6
What is a unique function of the layer of the epidermis known as the stratum basale?
(2)
A. Providing immunity via Langerhans Cells
B. Producing new epithelial cells
C. Releasing lipids to hep maintain normal brick and mortar skin configuration
D. Protecting the palms of the hands and soles of the feet
Correct Answer
B - reproductive layer of the dermis characterized by proliferating keratinocytes
Page 2 of 68
,Question 7
Patients with intact sensation and intact mobility are very low risk for pressure injury
formation. (L3)
True or False
Correct Answer
True
Question 8
Which structure of the skin provides the body with photoprotective properties by
absorbing harmful UV light? (2)
A. Melanin
B. Langerhans cells
C. Odland bodies
D. Stratum lucidum
Correct Answer
A
Page 3 of 68
, Question 9
J.P. is an 8 year old, 12 kg female with cerebral palsy, developmental delay, and
seizures. She was admitted for hypernatremic dehydration secondary to severe
malnutrition.
- Has a stage 3 pressure injury to her sacrum and a stage 1 to her right ear
- Immobile, incontinent of bladder and bowel, frequently diaphoretic and is unable to
communicate verbally.
- Whimpers with turning.
- Currently receiving tube feedings which she has tolerated and is steadily gaining
weight.
The support surface chosen is a constant low pressure surface with low air loss
feature.
Is this the correct surface for JP?
A. She will be fine on a constant low pressure (CLP) foam mattress - standard on most
hospital beds.
B. She should be placed on an alternating pressure (AP) surface
C. This is an appropriate pressure redistribution surface for her.
D. She should be on a CLP with air fluidized (AF) feature.
Correct Answer
C
Question 10
What skin condition is associated with increased risk for pressure injury? (17)
A. Dry skin
B. Macerated skin
C. Hyperkeratotic skin
D. Skin manifesting a rash
Correct Answer
B -- maceration decreases resistance of skin to external pressure sources
Page 4 of 68
Answers
Question 1
Wound #2
Full thickness ulcer with granulation tissue throughout the wound base, moderate
amount of exudate, and closed wound edges.
Identify the phase of wound repair
A. Maturation/Remodeling
B. Inflammatory
C. Proliferative
Correct Answer
C - as evidenced by the presence of healthy granulation tissue. The closed wound
edges will prevent epithelialization, however.
Question 2
How many days does it normally take for a deep tissue pressure injury (DTPI) to
evolve? (L3)
A. 1-2 days
B. 3-7 days
C. >7 days
Correct Answer
B
Page 1 of 68
,Question 3
The WCN is assessing a patient whose wounds were caused by external factors. Which
of the following is an example of this type of injury? (17)
A. Pressure Injury
B. Venous Leg Ulcer
C. Eczema
D. Malignant Wound
Correct Answer
A -- Mechanical factors include friction, shear, pressure and moisture
Question 4
Intermittent delivery of oxygen by periodic restoration of blood flow has been shown
to be effective in maintaining soft tissue viability. (L3)
True or False
Correct Answer
True
Question 5
Macule
Correct Answer
Flat area clearly defined by a change in skin color; <0.5cm diameter
Question 6
What is a unique function of the layer of the epidermis known as the stratum basale?
(2)
A. Providing immunity via Langerhans Cells
B. Producing new epithelial cells
C. Releasing lipids to hep maintain normal brick and mortar skin configuration
D. Protecting the palms of the hands and soles of the feet
Correct Answer
B - reproductive layer of the dermis characterized by proliferating keratinocytes
Page 2 of 68
,Question 7
Patients with intact sensation and intact mobility are very low risk for pressure injury
formation. (L3)
True or False
Correct Answer
True
Question 8
Which structure of the skin provides the body with photoprotective properties by
absorbing harmful UV light? (2)
A. Melanin
B. Langerhans cells
C. Odland bodies
D. Stratum lucidum
Correct Answer
A
Page 3 of 68
, Question 9
J.P. is an 8 year old, 12 kg female with cerebral palsy, developmental delay, and
seizures. She was admitted for hypernatremic dehydration secondary to severe
malnutrition.
- Has a stage 3 pressure injury to her sacrum and a stage 1 to her right ear
- Immobile, incontinent of bladder and bowel, frequently diaphoretic and is unable to
communicate verbally.
- Whimpers with turning.
- Currently receiving tube feedings which she has tolerated and is steadily gaining
weight.
The support surface chosen is a constant low pressure surface with low air loss
feature.
Is this the correct surface for JP?
A. She will be fine on a constant low pressure (CLP) foam mattress - standard on most
hospital beds.
B. She should be placed on an alternating pressure (AP) surface
C. This is an appropriate pressure redistribution surface for her.
D. She should be on a CLP with air fluidized (AF) feature.
Correct Answer
C
Question 10
What skin condition is associated with increased risk for pressure injury? (17)
A. Dry skin
B. Macerated skin
C. Hyperkeratotic skin
D. Skin manifesting a rash
Correct Answer
B -- maceration decreases resistance of skin to external pressure sources
Page 4 of 68
