Wound Care Certification Exam | Actual Exam Questions
& 100% Correct Answers | Latest Update 2026 |
Certification Exam Prep
1. What is the primary purpose of multi-layer compression in the management
of pressure ulcers?
To provide cushioning for the ulcer
To promote venous return and reduce edema
To prevent infection in the wound
To increase blood flow to the ulcer site
2. Friction and shearing can lead to?
Skin injury that could result in infection and pressure ulcers
Poor posture and body mechanics
Difficulty breathing
Back injuries
3. Describe why sustained (continuous) compression might be contraindicated
in certain patients.
Sustained compression helps in healing by increasing blood flow.
Sustained compression is always safe for all types of wounds.
Sustained compression is only contraindicated for stage IV ulcers.
Sustained compression can impede blood flow, leading to further
tissue damage in patients with compromised circulation.
4. For individuals who have progressed diabetes with associated peripheral
neuropathy, what recommendation should you make?
, Not wear shoes when at home
They should constantly check their feet for ulcers and protect as
needed
They should not be performing aerobic exercise
They should not be performing resistance exercise
5. If a patient has a low Ankle-Brachial Index (ABI) reading, what clinical
implications might this have for their treatment plan?
Increased focus on diabetic foot care is unnecessary.
Immediate surgical intervention is required.
No change in treatment plan is necessary.
Increased risk of pressure ulcers and need for enhanced vascular
management.
6. The patient is using a bed that uses small round beads and air to help
distribute weight. The nurse is getting ready to change the sheets on which
type of bed?
A continuous lateral-rotation bed
An air-fluidized bed
A combination low air-loss and lateral-rotation bed
An eggcrate mattress
7. What is assessed by the ankle-brachial index (ABI)?
A drop of reading greater than 1.00 mmHg suggests PAD.
It's the study of calcified & stiff arteries
, Angiography & magnetic resonance angiography show the location of
PAD
Dividing the systolic BP of the ankle by the higher systolic BP of the
brachial.
8. Low air loss beds:
eliminate the need for turning.
must be adjusted and reinflated every hour.
are the licensed nurses' responsibility.
reduce pressure, friction, and shearing.
9. What defines an unstageable pressure ulcer?
An unstageable pressure ulcer is one where the full extent of tissue
damage cannot be determined due to the presence of slough or
eschar.
An unstageable pressure ulcer is characterized by partial thickness
skin loss.
An unstageable pressure ulcer is a superficial injury with redness.
An unstageable pressure ulcer is a stage IV ulcer with exposed bone.
10. Describe the significance of nonblanching erythema in the assessment of
pressure ulcers.
Nonblanching erythema shows that the skin is well-nourished.
Nonblanching erythema is a critical indicator of potential tissue
damage and the risk of developing a pressure ulcer.
Nonblanching erythema is a sign of infection.
Nonblanching erythema indicates that the skin is healing properly.
, 11. A 65-year-old female presents to your clinic with known chronic venous
insufficiency and a non-healing venous leg ulcer on the left lower leg. She
has lower extremity edema and prominent varicosities present. Prior to
prescribing compression therapy, what should you do?
Palpate for pulses
Measure the circumference of the calf
Assess the color of the skin
Assess for infection
12. In a clinical scenario, a patient with venous insufficiency is experiencing
swelling and discomfort in their lower extremities. How would you
implement short-stretch compression in their treatment plan?
By applying a topical ointment instead of compression therapy.
By applying short-stretch compression bandages to reduce
swelling and improve venous return during activity.
By using long-stretch compression bandages to immobilize the leg
completely.
By recommending the patient to rest without any compression.
13. Describe the main differences in the causes and symptoms of dermatitis and
cellulitis.
Dermatitis is a result of a viral infection and causes fever, while
cellulitis is caused by irritants and leads to skin peeling.
Dermatitis causes blisters and cellulitis causes rashes.
Dermatitis is a chronic condition with no clear cause, while cellulitis is
an acute condition caused by fungi.
& 100% Correct Answers | Latest Update 2026 |
Certification Exam Prep
1. What is the primary purpose of multi-layer compression in the management
of pressure ulcers?
To provide cushioning for the ulcer
To promote venous return and reduce edema
To prevent infection in the wound
To increase blood flow to the ulcer site
2. Friction and shearing can lead to?
Skin injury that could result in infection and pressure ulcers
Poor posture and body mechanics
Difficulty breathing
Back injuries
3. Describe why sustained (continuous) compression might be contraindicated
in certain patients.
Sustained compression helps in healing by increasing blood flow.
Sustained compression is always safe for all types of wounds.
Sustained compression is only contraindicated for stage IV ulcers.
Sustained compression can impede blood flow, leading to further
tissue damage in patients with compromised circulation.
4. For individuals who have progressed diabetes with associated peripheral
neuropathy, what recommendation should you make?
, Not wear shoes when at home
They should constantly check their feet for ulcers and protect as
needed
They should not be performing aerobic exercise
They should not be performing resistance exercise
5. If a patient has a low Ankle-Brachial Index (ABI) reading, what clinical
implications might this have for their treatment plan?
Increased focus on diabetic foot care is unnecessary.
Immediate surgical intervention is required.
No change in treatment plan is necessary.
Increased risk of pressure ulcers and need for enhanced vascular
management.
6. The patient is using a bed that uses small round beads and air to help
distribute weight. The nurse is getting ready to change the sheets on which
type of bed?
A continuous lateral-rotation bed
An air-fluidized bed
A combination low air-loss and lateral-rotation bed
An eggcrate mattress
7. What is assessed by the ankle-brachial index (ABI)?
A drop of reading greater than 1.00 mmHg suggests PAD.
It's the study of calcified & stiff arteries
, Angiography & magnetic resonance angiography show the location of
PAD
Dividing the systolic BP of the ankle by the higher systolic BP of the
brachial.
8. Low air loss beds:
eliminate the need for turning.
must be adjusted and reinflated every hour.
are the licensed nurses' responsibility.
reduce pressure, friction, and shearing.
9. What defines an unstageable pressure ulcer?
An unstageable pressure ulcer is one where the full extent of tissue
damage cannot be determined due to the presence of slough or
eschar.
An unstageable pressure ulcer is characterized by partial thickness
skin loss.
An unstageable pressure ulcer is a superficial injury with redness.
An unstageable pressure ulcer is a stage IV ulcer with exposed bone.
10. Describe the significance of nonblanching erythema in the assessment of
pressure ulcers.
Nonblanching erythema shows that the skin is well-nourished.
Nonblanching erythema is a critical indicator of potential tissue
damage and the risk of developing a pressure ulcer.
Nonblanching erythema is a sign of infection.
Nonblanching erythema indicates that the skin is healing properly.
, 11. A 65-year-old female presents to your clinic with known chronic venous
insufficiency and a non-healing venous leg ulcer on the left lower leg. She
has lower extremity edema and prominent varicosities present. Prior to
prescribing compression therapy, what should you do?
Palpate for pulses
Measure the circumference of the calf
Assess the color of the skin
Assess for infection
12. In a clinical scenario, a patient with venous insufficiency is experiencing
swelling and discomfort in their lower extremities. How would you
implement short-stretch compression in their treatment plan?
By applying a topical ointment instead of compression therapy.
By applying short-stretch compression bandages to reduce
swelling and improve venous return during activity.
By using long-stretch compression bandages to immobilize the leg
completely.
By recommending the patient to rest without any compression.
13. Describe the main differences in the causes and symptoms of dermatitis and
cellulitis.
Dermatitis is a result of a viral infection and causes fever, while
cellulitis is caused by irritants and leads to skin peeling.
Dermatitis causes blisters and cellulitis causes rashes.
Dermatitis is a chronic condition with no clear cause, while cellulitis is
an acute condition caused by fungi.
