with Answers and Rationales – 2025 Study Guide
EXAM QUESTIONS AND CORRECT ANSWERS|
ACCURATE REAL EXAM WITH FREQUENTLY TESTED
QUESTIONS |ALREADY A GRADED|GUARANTEED
PASS|LATEST UPDATE 2025.
Q1. Which of the following best describes autolytic debridement?
a) The use of surgical instruments to remove necrotic tissue
b) The use of maggots to digest necrotic tissue
c) The use of occlusive dressings to allow the body’s own enzymes
to break down necrotic tissue
d) The use of saline wet-to-dry dressings
Answer: c) The use of occlusive dressings to allow the body’s own
enzymes to break down necrotic tissue
Rationale: Autolytic debridement relies on moisture-retentive
dressings (e.g., hydrocolloids, hydrogels, transparent films) to
facilitate natural enzymatic breakdown of necrotic tissue.
Q2. A patient with a stage 3 pressure injury on the sacrum is
incontinent of stool and urine. Which dressing type is MOST
appropriate to protect the wound from contamination?
a) Transparent film
b) Hydrocolloid
c) Alginate with secondary cover
d) Gauze only
,Answer: c) Alginate with secondary cover
Rationale: Alginates absorb exudate, conform to wound shape, and
provide a barrier under a secondary dressing, making them effective
for highly exudative wounds in an incontinent patient. Transparent
films and hydrocolloids are not effective with heavy exudate.
Q3. Which factor has the greatest negative impact on wound
healing?
a) High protein diet
b) Adequate oxygenation
c) Poorly controlled diabetes
d) Regular repositioning
Answer: c) Poorly controlled diabetes
Rationale: Hyperglycemia impairs leukocyte function, delays
collagen synthesis, and increases infection risk, making diabetes
control essential for healing.
Q4. A wound culture should be obtained from:
a) The wound exudate after cleansing
b) Necrotic tissue
c) The wound after debridement and cleansing
d) Dressing drainage
Answer: c) The wound after debridement and cleansing
Rationale: Cultures should be taken from viable tissue after
cleansing to reduce contamination and ensure accurate results.
Q5. Which patient is at the highest risk for developing a pressure
injury?
,a) 45-year-old post-op orthopedic patient, ambulating with crutches
b) 78-year-old bedbound stroke patient, incontinent of bowel and
bladder
c) 32-year-old patient with minor burns, alert and mobile
d) 60-year-old COPD patient on 2 L O₂ by nasal cannula, ambulates
independently
Answer: b) 78-year-old bedbound stroke patient, incontinent of
bowel and bladder
Rationale: Immobility, incontinence, advanced age, and neurological
impairment are the highest risk factors for pressure injury
development.
Got it Here’s another set of WCC (Wound Care Certified) practice
exam questions with answers and rationales to help you prepare:
WCC Practice Questions (Set 2)
Q11. Which factor is most critical in the development of a pressure
injury?
A. Nutritional intake
B. Moisture on the skin
C. Intensity and duration of pressure
D. Advanced age
Answer: C. Intensity and duration of pressure
Rationale: While age, nutrition, and moisture are risk factors, the
direct cause of pressure injuries is unrelieved pressure over bony
prominences that exceeds capillary closing pressure.
, Q12. A wound that extends into the subcutaneous tissue but does
not involve muscle, tendon, or bone is classified as:
A. Partial-thickness wound
B. Full-thickness wound
C. Stage 2 pressure injury
D. Stage 1 pressure injury
Answer: B. Full-thickness wound
Rationale: Full-thickness wounds extend into the subcutaneous
tissue or deeper. Partial-thickness involves only epidermis and
dermis.
Q13. Which dressing is best suited for a shallow, dry wound?
A. Hydrogel
B. Foam
C. Gauze
D. Transparent film
Answer: A. Hydrogel
Rationale: Hydrogels donate moisture, making them ideal for dry
wounds that need rehydration.
Q14. What type of debridement uses the body’s own enzymes and
moisture to liquefy necrotic tissue?
A. Autolytic
B. Surgical
C. Enzymatic
D. Mechanical
Answer: A. Autolytic
Rationale: Autolytic debridement is a natural process using
moisture-retentive dressings.