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Which wound healing phase begins immediately after injury and is
characterized by vasoconstriction and clot formation?
A. Inflammatory phase
B. Proliferative phase
C. Maturation phase
D. Hemostasis phase
Answer: D. Hemostasis phase
Rationale: Hemostasis is the first stage of wound healing. It begins
immediately after injury and involves vasoconstriction, platelet
aggregation, and clot formation to stop bleeding and provide a temporary
matrix for healing.
Which tissue type indicates the healthiest wound bed?
A. Black eschar
B. Yellow slough
C. Red granulation tissue
D. Gray necrotic tissue
Answer: C. Red granulation tissue
,Rationale: Healthy granulation tissue is moist, beefy red, and well
vascularized. It indicates that the wound is progressing appropriately
through the proliferative phase of healing.
Which factor most significantly delays wound healing?
A. Adequate hydration
B. Good nutrition
C. Diabetes mellitus
D. Proper wound cleansing
Answer: C. Diabetes mellitus
Rationale: Diabetes impairs circulation, immune function, collagen
synthesis, and leukocyte activity, making it one of the most significant
systemic factors that delays wound healing.
Which pressure injury stage presents as intact skin with non-
blanchable erythema?
A. Stage 1
B. Stage 2
C. Stage 3
D. Deep Tissue Pressure Injury
Answer: A. Stage 1
Rationale: Stage 1 pressure injuries are characterized by intact skin with
persistent, non-blanchable redness over a localized area, indicating early
tissue damage.
Which dressing is most appropriate for a heavily draining wound?
,A. Transparent film
B. Hydrocolloid
C. Foam dressing
D. Dry gauze
Answer: C. Foam dressing
Rationale: Foam dressings absorb moderate to heavy exudate while
maintaining a moist wound environment and protecting surrounding
skin.
What is the primary purpose of debridement?
A. Reduce wound pain
B. Remove devitalized tissue
C. Stop arterial bleeding
D. Increase scar formation
Answer: B. Remove devitalized tissue
Rationale: Debridement removes necrotic tissue, slough, bacteria, and
debris, promoting healthy granulation tissue formation and reducing
infection risk.
Which wound is considered chronic?
A. Surgical incision healing normally
B. Abrasion healing within one week
C. Wound failing to heal within the expected timeframe
D. Minor laceration healing by primary intention
, Answer: C. Wound failing to heal within the expected timeframe
Rationale: Chronic wounds fail to progress through the normal healing
stages in an orderly and timely manner due to underlying factors.
Which wound healing phase is characterized by collagen synthesis and
angiogenesis?
A. Hemostasis
B. Inflammatory
C. Proliferative
D. Maturation
Answer: C. Proliferative
Rationale: During the proliferative phase, fibroblasts produce collagen,
new blood vessels form, granulation tissue develops, and epithelialization
occurs.
Which nutritional deficiency most commonly impairs collagen
formation?
A. Vitamin C deficiency
B. Vitamin D deficiency
C. Vitamin K deficiency
D. Vitamin B12 deficiency
Answer: A. Vitamin C deficiency