Wound Care Final Exam – Latest Update 2025/2026 (Practice
Questions & Answers)
Routine skin care should be designed to keep the skin?
A) Supple, dry and alkaline
B) Supple, moist and acidic
C) Supple, moist and alkaline
D) Supple, dry and acidic correct answers D) Supple, dry and acidic
Which of the following is MOST important in providing perineal care following
incontinence?
A) Gentle technique and use of a no-rinse cleanser
B) Thorough cleansing with soap and water
C) Use of products with antimicrobial agents and an alkaline pH
D) Routine applications of zinc oxide-based products correct answers A) Gentle
technique and use of a no-rinse cleanser
Which of the following would be the BEST approach to management of a skin tear with
no remaining flap and a moderate amount of drainage?
A) Non-adherent dressing such as petrolatum impregnated gauze, dry gauze, and wrap
gauze; changed daily
B) Hydrocolloid dressing changed Q 2-3 days
C) Antibiotic ointment, 4 x 4 gauze, and paper tape; changed BID
D) Amorphous gel dressing covered with gauze and a transparent adhesive; changed
daily correct answers A) Non-adherent dressing such as petrolatum impregnated gauze,
dry gauze, and wrap gauze; changed daily
Which of the following is the best approach for prevention of Hill pressure injuries?
A) paint hills with skin sealant twice daily
B) routine use of health protectors
C) keeping the heels off the bed (Heel elevation)
D) repositioning every two hours correct answers C) keeping the heels off the bed (Heel
elevation)
Which of the following statements is most accurate?
A) patients who are on rental air mattresses should be turned Q2 to 4 hours
B) patience who are on rental air mattresses should be turned Q6 hours
C) patient who are on rental air mattresses do not require turning
D) all patients must be turned Q1 to two hours, regardless of the surface they are on
correct answers A) patients who are on rental air mattresses should be turned Q2 to 4
hours
,Which of the following best describes the pathology of pressure injuries?
A) pressure injuries usually begin at the muscle because it is most metabolically active
layer
B) pressure injuries usually begin at the skin surface because the epidermis is the
thinnest layer
C) pressure injuries, usually begin at the subcutaneous tissue because the fat has
diminished blood flow
D) pressure injuries usually begin at the epidermal dermal interface because this layer
is very vulnerable to the effects of pressure correct answers A) pressure injuries usually
begin at the muscle because it is most metabolically active layer
Which of the following would be most effective in reducing sheer force for patient who
requires head of bed elevation?
A) limiting head of bed elevation to be no more than 45°
B) using a footboard to limit sliding
C) turning the patient side to side and avoiding the supine position
D) using a silicone adhesive foam sacral dressing correct answers D) using a silicone
adhesive foam sacral dressing
Which of the following patients is at greatest risk for pressure injury development
according to the Braden scale?
A) 78-year-old, female; one postop, right knee replacement
B) 68-year-old male; one day post, myocardial infarction
C) 44-year-old female with morbid obesity, admitted for gastric banding
D) 28-year-old male quadriplegic admitted for severe urinary tract infection in sepsis
correct answers D) 28-year-old male quadriplegic admitted for severe urinary tract
infection in sepsis
Which of the following is the most significant indicators of nutritional compromise limiting
the ability to heal?
A) Current weight is 90% of ideal body weight
B) Recurrent unplanned weight loss (10% of body weight)
C) Prealbumin of 12.8 mg/dL in a patient who is septic
D) Incisional dehiscence correct answers B) Recurrent unplanned weight loss (10% of
body weight)
Which of the following is essential for wound healing?
A) adequate perfusion and oxygenation
B) glucose levels under 120 mg/dL
C) glutamine an L-arginine supplementation
, D) Prealbumin of at least 16 mg/dL correct answers A) adequate perfusion and
oxygenation
Which of the following best describes the effects of hyperglycemia on wound healing?
A) increase risk of hypertrophic scarring with diminished tensile strength
B) increase risk of infection, impaired collagen synthesis
C) no impact on healing of superficial wounds, but major interference with healing of
deep (full thickness) wounds
D) increase time required for collagen synthesis, no change, intense strength correct
answers B) increase risk of infection, impaired collagen synthesis
Use of tobacco is discouraged for any patient with an open wound. This is because.?
A) nicotine, adversely affect, fibroblast function, and epithelial resurfacing
B) nicotine increases the risk of infection by compromising white blood cell activity
C) nicotine causes overproduction of matrix metalloproteinases (MMPs), thus keeping
wounds "stuck" in the inflammatory phase
D) nicotine causes construction and increased platelet aggregation, thus reducing
perfusion in oxygenation correct answers D) nicotine causes construction and increased
platelet aggregation, thus reducing perfusion in oxygenation
Which of the following represents current guidelines for cleansing of an infected wound?
A) gentle flushing with normal saline
B) irrigation using 8-15 PSI irrigation force and saline or wound cleanser
C) gentle flushing with half-strength hydrogen peroxide
D) gentle scrubbing with an antiseptic solution, such as povidone-iodine correct
answers B) irrigation using 8-15 PSI irrigation force and saline or wound cleanser
Management of a wound in the proliferative phase of repair should be focused on?
A) Nutritional support, avoidance of antiseptics, and maintenance of a clean, moist
wound surface
B) Elimination of necrotic tissue, control of bacterial loads, and exudate management
C) Systemic antibiotics, antibacterial dressings, and tight glycemic control
D) Debridement as needed to keep the wound in the "acute phase" of repair correct
answers A) Nutritional support, avoidance of antiseptics, and maintenance of a clean,
moist wound surface
Which of the following is the correct recommended technique for obtaining a culture and
sensitivity of an open wound?
A) Flush the wound with normal saline; do a10-point swab covering all areas of the
wound's surface
B) Palpate the tissue around the wound bed and culture the purulent fluid
C) Saturate the swab with pus from the wound and send to the lab
Questions & Answers)
Routine skin care should be designed to keep the skin?
A) Supple, dry and alkaline
B) Supple, moist and acidic
C) Supple, moist and alkaline
D) Supple, dry and acidic correct answers D) Supple, dry and acidic
Which of the following is MOST important in providing perineal care following
incontinence?
A) Gentle technique and use of a no-rinse cleanser
B) Thorough cleansing with soap and water
C) Use of products with antimicrobial agents and an alkaline pH
D) Routine applications of zinc oxide-based products correct answers A) Gentle
technique and use of a no-rinse cleanser
Which of the following would be the BEST approach to management of a skin tear with
no remaining flap and a moderate amount of drainage?
A) Non-adherent dressing such as petrolatum impregnated gauze, dry gauze, and wrap
gauze; changed daily
B) Hydrocolloid dressing changed Q 2-3 days
C) Antibiotic ointment, 4 x 4 gauze, and paper tape; changed BID
D) Amorphous gel dressing covered with gauze and a transparent adhesive; changed
daily correct answers A) Non-adherent dressing such as petrolatum impregnated gauze,
dry gauze, and wrap gauze; changed daily
Which of the following is the best approach for prevention of Hill pressure injuries?
A) paint hills with skin sealant twice daily
B) routine use of health protectors
C) keeping the heels off the bed (Heel elevation)
D) repositioning every two hours correct answers C) keeping the heels off the bed (Heel
elevation)
Which of the following statements is most accurate?
A) patients who are on rental air mattresses should be turned Q2 to 4 hours
B) patience who are on rental air mattresses should be turned Q6 hours
C) patient who are on rental air mattresses do not require turning
D) all patients must be turned Q1 to two hours, regardless of the surface they are on
correct answers A) patients who are on rental air mattresses should be turned Q2 to 4
hours
,Which of the following best describes the pathology of pressure injuries?
A) pressure injuries usually begin at the muscle because it is most metabolically active
layer
B) pressure injuries usually begin at the skin surface because the epidermis is the
thinnest layer
C) pressure injuries, usually begin at the subcutaneous tissue because the fat has
diminished blood flow
D) pressure injuries usually begin at the epidermal dermal interface because this layer
is very vulnerable to the effects of pressure correct answers A) pressure injuries usually
begin at the muscle because it is most metabolically active layer
Which of the following would be most effective in reducing sheer force for patient who
requires head of bed elevation?
A) limiting head of bed elevation to be no more than 45°
B) using a footboard to limit sliding
C) turning the patient side to side and avoiding the supine position
D) using a silicone adhesive foam sacral dressing correct answers D) using a silicone
adhesive foam sacral dressing
Which of the following patients is at greatest risk for pressure injury development
according to the Braden scale?
A) 78-year-old, female; one postop, right knee replacement
B) 68-year-old male; one day post, myocardial infarction
C) 44-year-old female with morbid obesity, admitted for gastric banding
D) 28-year-old male quadriplegic admitted for severe urinary tract infection in sepsis
correct answers D) 28-year-old male quadriplegic admitted for severe urinary tract
infection in sepsis
Which of the following is the most significant indicators of nutritional compromise limiting
the ability to heal?
A) Current weight is 90% of ideal body weight
B) Recurrent unplanned weight loss (10% of body weight)
C) Prealbumin of 12.8 mg/dL in a patient who is septic
D) Incisional dehiscence correct answers B) Recurrent unplanned weight loss (10% of
body weight)
Which of the following is essential for wound healing?
A) adequate perfusion and oxygenation
B) glucose levels under 120 mg/dL
C) glutamine an L-arginine supplementation
, D) Prealbumin of at least 16 mg/dL correct answers A) adequate perfusion and
oxygenation
Which of the following best describes the effects of hyperglycemia on wound healing?
A) increase risk of hypertrophic scarring with diminished tensile strength
B) increase risk of infection, impaired collagen synthesis
C) no impact on healing of superficial wounds, but major interference with healing of
deep (full thickness) wounds
D) increase time required for collagen synthesis, no change, intense strength correct
answers B) increase risk of infection, impaired collagen synthesis
Use of tobacco is discouraged for any patient with an open wound. This is because.?
A) nicotine, adversely affect, fibroblast function, and epithelial resurfacing
B) nicotine increases the risk of infection by compromising white blood cell activity
C) nicotine causes overproduction of matrix metalloproteinases (MMPs), thus keeping
wounds "stuck" in the inflammatory phase
D) nicotine causes construction and increased platelet aggregation, thus reducing
perfusion in oxygenation correct answers D) nicotine causes construction and increased
platelet aggregation, thus reducing perfusion in oxygenation
Which of the following represents current guidelines for cleansing of an infected wound?
A) gentle flushing with normal saline
B) irrigation using 8-15 PSI irrigation force and saline or wound cleanser
C) gentle flushing with half-strength hydrogen peroxide
D) gentle scrubbing with an antiseptic solution, such as povidone-iodine correct
answers B) irrigation using 8-15 PSI irrigation force and saline or wound cleanser
Management of a wound in the proliferative phase of repair should be focused on?
A) Nutritional support, avoidance of antiseptics, and maintenance of a clean, moist
wound surface
B) Elimination of necrotic tissue, control of bacterial loads, and exudate management
C) Systemic antibiotics, antibacterial dressings, and tight glycemic control
D) Debridement as needed to keep the wound in the "acute phase" of repair correct
answers A) Nutritional support, avoidance of antiseptics, and maintenance of a clean,
moist wound surface
Which of the following is the correct recommended technique for obtaining a culture and
sensitivity of an open wound?
A) Flush the wound with normal saline; do a10-point swab covering all areas of the
wound's surface
B) Palpate the tissue around the wound bed and culture the purulent fluid
C) Saturate the swab with pus from the wound and send to the lab
