WTA-C
Complete Test Review
(Questions & Solutions)
2025
1
,1. A 62-year-old with long-standing diabetes has a plantar ulcer that is
full-thickness through dermis to subcutaneous fat, with undermining but
no exposed tendon or bone. According to NPUAP/EPUAP, this is:
A. Stage II pressure injury
B. Stage III pressure injury
C. Stage IV pressure injury
D. Unstageable pressure injury
ANS: B
Rationale: Stage III involves full-thickness skin loss exposing
subcutaneous tissue; undermining may be present; tendon/bone are not
exposed.
2. A 70-year-old patient presents with a medial lower-leg ulcer,
hemosiderin deposits, and lipodermatosclerosis. Under the CEAP
classification for chronic venous disease, this is:
A. C3
B. C4a
C. C5
D. C6
ANS: D
Rationale: C6 denotes active venous ulceration with skin changes like
hemosiderin and lipodermatosclerosis.
3. A history of radiation therapy leads to a painful, indurated chest wall
wound that intermittently drains serosanguinous fluid. Which
classification best fits this wound?
A. Acute surgical
B. Chronic non-healing
C. Radiation-induced
D. Traumatic wound
2
, ANS: C
Rationale: Radiation wounds form a distinct category characterized by
fibrosis, poor perfusion, and delayed healing.
4. A 5-year-old with a partial-thickness burn on 10% body surface area
requires classification under the Lund‐Browder chart. What % does the
anterior torso represent?
A. 9%
B. 13%
C. 18%
D. 36%
ANS: B
Rationale: In Lund-Browder for a 5-year-old, anterior torso ≈13% of total
body surface area.
5. A 55-year-old with an ostomy presents with erythematous, shallow
denuded peristomal skin and itching. This is best classified as:
A. Irritant contact dermatitis
B. Allergic contact dermatitis
C. Mechanical trauma
D. Infectious peristomal complication
ANS: A
Rationale: Irritant dermatitis from effluent exposure causes erythema,
denudation, and pruritus without systemic signs.
---
Section II: Debridement Strategies
6. A patient on warfarin with INR 3.0 has necrotic slough on a venous
ulcer. Which debridement is safest?
A. Sharp surgical
B. Hydrosurgical (Versajet)
3
Complete Test Review
(Questions & Solutions)
2025
1
,1. A 62-year-old with long-standing diabetes has a plantar ulcer that is
full-thickness through dermis to subcutaneous fat, with undermining but
no exposed tendon or bone. According to NPUAP/EPUAP, this is:
A. Stage II pressure injury
B. Stage III pressure injury
C. Stage IV pressure injury
D. Unstageable pressure injury
ANS: B
Rationale: Stage III involves full-thickness skin loss exposing
subcutaneous tissue; undermining may be present; tendon/bone are not
exposed.
2. A 70-year-old patient presents with a medial lower-leg ulcer,
hemosiderin deposits, and lipodermatosclerosis. Under the CEAP
classification for chronic venous disease, this is:
A. C3
B. C4a
C. C5
D. C6
ANS: D
Rationale: C6 denotes active venous ulceration with skin changes like
hemosiderin and lipodermatosclerosis.
3. A history of radiation therapy leads to a painful, indurated chest wall
wound that intermittently drains serosanguinous fluid. Which
classification best fits this wound?
A. Acute surgical
B. Chronic non-healing
C. Radiation-induced
D. Traumatic wound
2
, ANS: C
Rationale: Radiation wounds form a distinct category characterized by
fibrosis, poor perfusion, and delayed healing.
4. A 5-year-old with a partial-thickness burn on 10% body surface area
requires classification under the Lund‐Browder chart. What % does the
anterior torso represent?
A. 9%
B. 13%
C. 18%
D. 36%
ANS: B
Rationale: In Lund-Browder for a 5-year-old, anterior torso ≈13% of total
body surface area.
5. A 55-year-old with an ostomy presents with erythematous, shallow
denuded peristomal skin and itching. This is best classified as:
A. Irritant contact dermatitis
B. Allergic contact dermatitis
C. Mechanical trauma
D. Infectious peristomal complication
ANS: A
Rationale: Irritant dermatitis from effluent exposure causes erythema,
denudation, and pruritus without systemic signs.
---
Section II: Debridement Strategies
6. A patient on warfarin with INR 3.0 has necrotic slough on a venous
ulcer. Which debridement is safest?
A. Sharp surgical
B. Hydrosurgical (Versajet)
3
