WOUND CERTIFICATION EXAMINATION TEST
2026 FULL QUESTIONS AND VERIFIED
ANSWERS
◉ What is the most significant factor in healing an ischemic ulcer?
Answer: Perfusion status.
◉ A neonate has developed a non-erythemic eschar on the occiput.
What would be the initial intervention? Answer: Provide a gel head
cushion.
◉ Which topical treatment would be the most appropriate to
manage a full-thickness, clean sternal wound with copious drainage?
Answer: Hydrofiber dressing. Hydrofibers absorb 33% more than
most alignates and wicks vertically to avoid periwound skin
maceration.
◉ Upon assessment, the nurse notes dry, flaky skin with significant
pruritis. Based upon this info, the nurse should do what for the
patient? Answer: Use a moisturizer without lanolin. Lanolin is a
sensitizer in many patients and could increase dermatitis that is
present.
, ◉ What intervention is appropriate for a patient with a shallow,
chronic ulcer on the LRE over the lateral malleolus with a ruddy
granular bed and moderate serous drainage and pitting edema in the
ankle with strong pedal pulses? Answer: A foam dressing and multi-
layer compression wraps.
◉ The absence of a healing ridge in a surgical incision between 5 & 9
days post-op is a sign of potential what? Answer: Dehiscence.
◉ Which patient is most likely to benefit from a myocutaneous flap
procedure? Answer: 26 year old patient with paraplegia and a stage
4 pressure injury.
◉ A patient has a full-thickness, heavily exudating pressure injury
extending to the muscle layer with extensive undermining. Which
would be the MOST appropriate dressing? Answer: Calcium alginate.
◉ Use of compression therapy to treat a venous ulcer is
contraindicated in patients suffering from what? Answer: Arterial
insufficiency.
◉ Silver nitrate is most commonly used for treatment of what?
Answer: Hypergranulation.
2026 FULL QUESTIONS AND VERIFIED
ANSWERS
◉ What is the most significant factor in healing an ischemic ulcer?
Answer: Perfusion status.
◉ A neonate has developed a non-erythemic eschar on the occiput.
What would be the initial intervention? Answer: Provide a gel head
cushion.
◉ Which topical treatment would be the most appropriate to
manage a full-thickness, clean sternal wound with copious drainage?
Answer: Hydrofiber dressing. Hydrofibers absorb 33% more than
most alignates and wicks vertically to avoid periwound skin
maceration.
◉ Upon assessment, the nurse notes dry, flaky skin with significant
pruritis. Based upon this info, the nurse should do what for the
patient? Answer: Use a moisturizer without lanolin. Lanolin is a
sensitizer in many patients and could increase dermatitis that is
present.
, ◉ What intervention is appropriate for a patient with a shallow,
chronic ulcer on the LRE over the lateral malleolus with a ruddy
granular bed and moderate serous drainage and pitting edema in the
ankle with strong pedal pulses? Answer: A foam dressing and multi-
layer compression wraps.
◉ The absence of a healing ridge in a surgical incision between 5 & 9
days post-op is a sign of potential what? Answer: Dehiscence.
◉ Which patient is most likely to benefit from a myocutaneous flap
procedure? Answer: 26 year old patient with paraplegia and a stage
4 pressure injury.
◉ A patient has a full-thickness, heavily exudating pressure injury
extending to the muscle layer with extensive undermining. Which
would be the MOST appropriate dressing? Answer: Calcium alginate.
◉ Use of compression therapy to treat a venous ulcer is
contraindicated in patients suffering from what? Answer: Arterial
insufficiency.
◉ Silver nitrate is most commonly used for treatment of what?
Answer: Hypergranulation.
