CWCA Practice Test questions &
answers rated A+
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 ✔✔ A
skin barrier powder is used as an initial barrier on denuded skin to proved an adherent base for
ointments, pastes, or solid skin adhesive barriers.
During the phases of healing, which cell is responsible for beginning angiogenesis? - correct
answer ✔✔ During the inflammation phase, macrophages release growth factors which attract
fibroblasts to the wound. Fibroblasts are responsible for beginning angiogenesis and are
critically important during the proliferation phase of healing, which usually begins at about day
3 after trauma.
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 ✔✔ An abscess often forms in
conjunction with fistulae. Typical indications include erythema, pain, and swelling above the
localized area of the abscess.
Which of the following laboratory tests is the MOST effective to monitor acute changes in
nutritional status? - correct answer ✔✔ Prealbumin is most commonly monitored for acute
changes in nutritional status because it has a half-life of only 2-3 days. Prealbumin quickly
decreases when nutrition is inadequate and rises quickly in response to increased protein
intake.
The BEST candidate for hyperbaric oxygen therapy is a patient with - correct answer ✔✔
Chronic diabetic ulcers
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 of the following phases of healing? -
, correct answer ✔✔ Proliferation. Hemostasis occurs as platelets seal off the vessels and the
clotting mechanism begins.
When calculating the ankle-brachial index (ABI), if the ankle systolic pressure is 90 and the
brachial systolic pressure is 120, what is the ABI? - correct answer ✔✔ If the ankle systolic
pressure is 90 and the brachial systolic pressure is 120, 90/120 = .75, Normal value is 1 to 1.1
with lower values indicating decreasing perfusion. A value of 0.75 indicates severe disease and
ischemia.
Which of the following wound irrigation devices will provide approximately 8 psi in irrigant
pressure to the wound surface? - correct answer ✔✔ A 35-mL syringe with 19-guage needle
provides irrigation pressure at about 8 psi.
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 answer ✔✔ 10 days
while those of facial wounds are removed in 3-5 days, from abdominal wall wounds in 7-10
days, and from wounds crossing joints such as elbows or knees, after 14 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 ✔✔ Inflammatory.
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 debridement is most
commonly used when very large amounts of tissue must be debrided, such as with extensive
burns, or when there is a serious infection and immediate debridement is needed in order to
effectively treat the wound infection.
answers rated A+
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 ✔✔ A
skin barrier powder is used as an initial barrier on denuded skin to proved an adherent base for
ointments, pastes, or solid skin adhesive barriers.
During the phases of healing, which cell is responsible for beginning angiogenesis? - correct
answer ✔✔ During the inflammation phase, macrophages release growth factors which attract
fibroblasts to the wound. Fibroblasts are responsible for beginning angiogenesis and are
critically important during the proliferation phase of healing, which usually begins at about day
3 after trauma.
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 ✔✔ An abscess often forms in
conjunction with fistulae. Typical indications include erythema, pain, and swelling above the
localized area of the abscess.
Which of the following laboratory tests is the MOST effective to monitor acute changes in
nutritional status? - correct answer ✔✔ Prealbumin is most commonly monitored for acute
changes in nutritional status because it has a half-life of only 2-3 days. Prealbumin quickly
decreases when nutrition is inadequate and rises quickly in response to increased protein
intake.
The BEST candidate for hyperbaric oxygen therapy is a patient with - correct answer ✔✔
Chronic diabetic ulcers
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 of the following phases of healing? -
, correct answer ✔✔ Proliferation. Hemostasis occurs as platelets seal off the vessels and the
clotting mechanism begins.
When calculating the ankle-brachial index (ABI), if the ankle systolic pressure is 90 and the
brachial systolic pressure is 120, what is the ABI? - correct answer ✔✔ If the ankle systolic
pressure is 90 and the brachial systolic pressure is 120, 90/120 = .75, Normal value is 1 to 1.1
with lower values indicating decreasing perfusion. A value of 0.75 indicates severe disease and
ischemia.
Which of the following wound irrigation devices will provide approximately 8 psi in irrigant
pressure to the wound surface? - correct answer ✔✔ A 35-mL syringe with 19-guage needle
provides irrigation pressure at about 8 psi.
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 answer ✔✔ 10 days
while those of facial wounds are removed in 3-5 days, from abdominal wall wounds in 7-10
days, and from wounds crossing joints such as elbows or knees, after 14 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 ✔✔ Inflammatory.
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 debridement is most
commonly used when very large amounts of tissue must be debrided, such as with extensive
burns, or when there is a serious infection and immediate debridement is needed in order to
effectively treat the wound infection.
