CWCA Exam Secrets Practice Questions AND CORRECT ANSWER

CWCA Exam Secrets Practice Questions AND CORRECT ANSWER A solid skin barrier wafer with a pouch is applied to a copiously draining wound, but the skin beneath the wafer has become denuded. The BEST initial solution is to: - CORRECT ANSWER-Apply a skin barrier powder to the denuded skin under the wafer During the phases of healing, which cell is responsible for beginning angiogenesis? - CORRECT ANSWER-Fibroblasts A patient has a wound on the right hip with tunneling and fistulae. Which of the following is MOST indicative of an abscess formation? - CORRECT ANSWER-Erythematous, painful swollen area 3cm from wound perimeter Which of the following laboratory tests is the most effective to monitor acute changes in nutritional status? - CORRECT ANSWER-Prealbumin The best canidate for hyperbaric oxygen therapy is a patient with: - CORRECT ANSWER-chronic diabetic ulcers (Wagner 3 Classification), refractory to standard treatment On the eighth day of wound care, granulation tissue is evident about the wound perimeter, and the wound is beginning to contract. The wound is in which phase? - CORRECT ANSWER-Proliferation When calculating the ABI, if the ankle systolic prressure is 90 and the brachial systolic pressure is 120, what is the ABI? - CORRECT ANSWER-.75 Which of the following wound irrigation devices will provide approximately 8 PSI in irrigant pressure to the wound surface? - CORRECT ANSWER-35mL syringe with 19 gauge angiocath According to the Modified Wagner Foot Ulcer Classification system, a full thickness ulcer that extends to the tendon or joint, but without abscess or osteomyelitis is classified as: - CORRECT ANSWER-Grade 2 The sutures of a scalp wound are usually removed after about: - CORRECT ANSWER10 days When doing the nylon monofilament test, how many test sites should be used? - CORRECT ANSWER-10 A chronic ulcer resulting from peripheral vascular insufficiency may remain in which stage of healing for prolonged periods? - CORRECT ANSWER-Inflammation A patient has second and third degree burns on 30% of the body and is in severe pain. Which method of debridement is most indicated. - CORRECT ANSWER-Surgical debredement Which method of mechanical debridement may cause damage to granulation tissue and is generally contraindicated? - CORRECT ANSWER-Wet to dry dressings Which of the following is contraindication to negative pressure wound therapy? - CORRECT ANSWER-Wound Malignancy Becaplermin (Regranex) gel, a growth factor, is indicated for which type of wound? - CORRECT ANSWER-Diabetic ulcer Which of the following types of dressing is indicated for treatment of a full thickness infected wound with large amounts of exudate? - CORRECT ANSWER-alginate Which NPIAP stage is a pressure ulcer characterized by deep full thickness ulceration that exposes subcutaneous tissue with possible presence of slough, tunneling, and undermining without visibility of underlying muscle, tendon, or bone? - CORRECT ANSWER-Stage 3 When assessing for capillary refill time, arterial occlusion is indicated with refill time of: - CORRECT ANSWER-2-3 seconds Burns to the hands that extend through the dermis with sloughing of outer layers of skin and extensive blistering are classified as: - CORRECT ANSWER-Second Degree Which of the following nutritional assessments tools is most appropriate to evaluate the nutritional status of a 45 year old diabetic patient? - CORRECT ANSWER-Subjective global assessment Which layer of the epidermis provides a waterproof barrier against microorganisms and injury? - CORRECT ANSWER-Stratum corneum Hypertrophic scars are most likely to occur: - CORRECT ANSWER-over joints A patient has marked bilateral non pitting edema of both lower legs and feet, including toes, and has thickening of the skin but no pigmentation. This edema can most likely be characterized as: - CORRECT ANSWER-lympedema A large open wound on the patients leg is contaminated with dirt, gravel, and other debris. The best approach to cleansing is: - CORRECT ANSWER-hand debridement, large volume irrigation, and pulsatile lavage