Wound, Ostomy and Continence Nursing
Certification Practice Questions with Rationales
1. The primary goal of wound care is to:
A. Achieve wound closure as quickly as possible regardless of
cause
B. Create an optimal environment for healing based on wound
etiology
C. Use the most expensive dressing available
D. Keep the wound dry at all times
Answer: B
Rationale: Wound care focuses on creating an optimal healing
environment based on the wound etiology, which may include
moisture balance, infection control, and pressure offloading.
2. Which type of wound heals by primary intention?
A. A surgical incision closed with sutures
,B. A pressure ulcer with tissue loss
C. A burn with eschar
D. A diabetic foot ulcer
Answer: A
Rationale: Primary intention healing occurs when wound edges
are approximated, such as with a surgical incision closed with
sutures or staples.
3. Which type of wound heals by secondary intention?
A. A surgical incision closed with sutures
B. A pressure ulcer with tissue loss
C. A clean laceration repaired with adhesive strips
D. A surgical incision closed with staples
Answer: B
Rationale: Secondary intention healing occurs when wound
edges cannot be approximated, and the wound heals by
granulation, contraction, and epithelialization.
,4. Which type of wound heals by tertiary intention?
A. A surgical incision closed with sutures
B. A wound left open initially and closed later after infection
resolves
C. A clean laceration repaired with adhesive strips
D. A surgical incision closed with staples
Answer: B
Rationale: Tertiary intention healing occurs when a wound is left
open initially to allow infection or edema to resolve, then
closed surgically later.
5. Which phase of wound healing involves hemostasis and
inflammation?
A. Hemostasis and inflammatory phase
B. Proliferative phase
C. Maturation phase
D. Remodeling phase
Answer: A
, Rationale: The hemostasis and inflammatory phase occurs
immediately after injury and involves clotting, vasoconstriction,
and inflammation.
6. Which phase of wound healing involves granulation,
contraction, and epithelialization?
A. Hemostasis and inflammatory phase
B. Proliferative phase
C. Maturation phase
D. Remodeling phase
Answer: B
Rationale: The proliferative phase involves the formation of
granulation tissue, wound contraction, and epithelialization.
7. Which phase of wound healing involves collagen remodeling
and scar maturation?
A. Hemostasis and inflammatory phase
B. Proliferative phase
C. Maturation phase
Certification Practice Questions with Rationales
1. The primary goal of wound care is to:
A. Achieve wound closure as quickly as possible regardless of
cause
B. Create an optimal environment for healing based on wound
etiology
C. Use the most expensive dressing available
D. Keep the wound dry at all times
Answer: B
Rationale: Wound care focuses on creating an optimal healing
environment based on the wound etiology, which may include
moisture balance, infection control, and pressure offloading.
2. Which type of wound heals by primary intention?
A. A surgical incision closed with sutures
,B. A pressure ulcer with tissue loss
C. A burn with eschar
D. A diabetic foot ulcer
Answer: A
Rationale: Primary intention healing occurs when wound edges
are approximated, such as with a surgical incision closed with
sutures or staples.
3. Which type of wound heals by secondary intention?
A. A surgical incision closed with sutures
B. A pressure ulcer with tissue loss
C. A clean laceration repaired with adhesive strips
D. A surgical incision closed with staples
Answer: B
Rationale: Secondary intention healing occurs when wound
edges cannot be approximated, and the wound heals by
granulation, contraction, and epithelialization.
,4. Which type of wound heals by tertiary intention?
A. A surgical incision closed with sutures
B. A wound left open initially and closed later after infection
resolves
C. A clean laceration repaired with adhesive strips
D. A surgical incision closed with staples
Answer: B
Rationale: Tertiary intention healing occurs when a wound is left
open initially to allow infection or edema to resolve, then
closed surgically later.
5. Which phase of wound healing involves hemostasis and
inflammation?
A. Hemostasis and inflammatory phase
B. Proliferative phase
C. Maturation phase
D. Remodeling phase
Answer: A
, Rationale: The hemostasis and inflammatory phase occurs
immediately after injury and involves clotting, vasoconstriction,
and inflammation.
6. Which phase of wound healing involves granulation,
contraction, and epithelialization?
A. Hemostasis and inflammatory phase
B. Proliferative phase
C. Maturation phase
D. Remodeling phase
Answer: B
Rationale: The proliferative phase involves the formation of
granulation tissue, wound contraction, and epithelialization.
7. Which phase of wound healing involves collagen remodeling
and scar maturation?
A. Hemostasis and inflammatory phase
B. Proliferative phase
C. Maturation phase
