WOUND FINAL EXAM 2026 WITH 100%
ACCURATE ANSWERS
1. Pathogen that causes staphylococcal scalded skin syndrome (SSSS)
Both
S. epidermidis
Neither
S. aureus
2. What type of dressing is typically recommended for a dry, deep
tunneled wound?
Gauze dressings
Transparent film dressings
Moisture-retentive dressings
Hydrocolloid dressings
3. 47% of all pressure ulcers occur over the ischial tuberosities and
sacrum. What primary prevention intervention would the nurse institute
to address ischial tuberosities based on this statistic?
Have the patient lie supine in bed to sleep.
Tell the patient to stay out of the wheelchair as much as possible.
Maintain the wheelchair and seat cushion in proper working
order.
Pad the bony prominences of the heels with foam.
,4. In a clinical scenario where a patient has a chronic wound with
significant necrotic tissue, which debridement method would be most
appropriate to recommend and why?
Ultrasound debridement, due to its minimally invasive nature
and effectiveness in removing necrotic tissue.
Chemical debridement, since it is the fastest method for wound
cleaning.
Mechanical debridement, because it is the least expensive
option available.
Surgical debridement, as it is the only method that guarantees
complete tissue removal.
5. An ABI measurement between 0.2-0.5 will present as:
Claudication and pain in calf with ambulation
Critical limb ischemia and atrophic changes, pain at rest,
wounds
No symptoms and normal presentation
Severe ischemia and gangrene/severe necrosis
6. Practice guidelines recommend a energy intake of ______kcal/kg/day to
promote wound healing
35-40 kcal/kg/day
25-30 kcal/kg/day
15-20 kcal/kg/day
45-50 kcal/kg/day
7. A characteristic of necrotizing fasciitis is that it:
is caused by Streptococcus pyogenes.
, is known as the "flesh-eating" bacteria.
destroys the tissue covering the muscles.
all of the above.
8. Describe the significance of ankle pressure measurements in the context
of critical limb ischemia.
Ankle pressure is irrelevant to limb health.
Ankle pressure is only relevant for diabetic patients.
Higher ankle pressures always indicate better healing.
Ankle pressure measurements help determine blood flow
adequacy, with values less than 50 mmHg indicating critical
limb ischemia.
9. In a clinical scenario, if a patient has a wound that is healing but exhibits
only 50% of the tensile strength of normal tissue, what implications
might this have for the patient's recovery and management?
The patient will have a normal recovery without any additional
interventions.
The patient will not require any special management as tensile
strength is not a concern.
The patient is likely to heal faster than expected due to the lower
tensile strength.
The patient may be at higher risk for re-injury or complications
due to insufficient tensile strength.
10. In a clinical scenario, a patient presents with a chronic wound that has
exposed bone. What would be the most appropriate initial
management step?
Apply a hydrocolloid dressing to promote healing.
, Use enzymatic debridement to clean the wound.
Perform surgical debridement to remove necrotic tissue and
assess the wound.
Start the patient on antibiotics without further intervention.
11. With what should a patient cleanse their wound?
hydrogen peroxide
water only
rubbing alcohol
normal saline
12. What is the primary purpose of using advanced therapies like negative
pressure wound therapy in wound management?
To promote healing and reduce complications
To prevent infection
To increase blood glucose levels
To provide nutrition to the wound
13. What is the primary treatment approach for Staphylococcal Scalded
Skin Syndrome (SSSS)?
Topical steroids
Antibiotics
Surgical debridement
Moisturizing ointments
14. In a scenario where a patient presents with a chronic wound and poor
nutritional status, what should be prioritized in the initial assessment?
ACCURATE ANSWERS
1. Pathogen that causes staphylococcal scalded skin syndrome (SSSS)
Both
S. epidermidis
Neither
S. aureus
2. What type of dressing is typically recommended for a dry, deep
tunneled wound?
Gauze dressings
Transparent film dressings
Moisture-retentive dressings
Hydrocolloid dressings
3. 47% of all pressure ulcers occur over the ischial tuberosities and
sacrum. What primary prevention intervention would the nurse institute
to address ischial tuberosities based on this statistic?
Have the patient lie supine in bed to sleep.
Tell the patient to stay out of the wheelchair as much as possible.
Maintain the wheelchair and seat cushion in proper working
order.
Pad the bony prominences of the heels with foam.
,4. In a clinical scenario where a patient has a chronic wound with
significant necrotic tissue, which debridement method would be most
appropriate to recommend and why?
Ultrasound debridement, due to its minimally invasive nature
and effectiveness in removing necrotic tissue.
Chemical debridement, since it is the fastest method for wound
cleaning.
Mechanical debridement, because it is the least expensive
option available.
Surgical debridement, as it is the only method that guarantees
complete tissue removal.
5. An ABI measurement between 0.2-0.5 will present as:
Claudication and pain in calf with ambulation
Critical limb ischemia and atrophic changes, pain at rest,
wounds
No symptoms and normal presentation
Severe ischemia and gangrene/severe necrosis
6. Practice guidelines recommend a energy intake of ______kcal/kg/day to
promote wound healing
35-40 kcal/kg/day
25-30 kcal/kg/day
15-20 kcal/kg/day
45-50 kcal/kg/day
7. A characteristic of necrotizing fasciitis is that it:
is caused by Streptococcus pyogenes.
, is known as the "flesh-eating" bacteria.
destroys the tissue covering the muscles.
all of the above.
8. Describe the significance of ankle pressure measurements in the context
of critical limb ischemia.
Ankle pressure is irrelevant to limb health.
Ankle pressure is only relevant for diabetic patients.
Higher ankle pressures always indicate better healing.
Ankle pressure measurements help determine blood flow
adequacy, with values less than 50 mmHg indicating critical
limb ischemia.
9. In a clinical scenario, if a patient has a wound that is healing but exhibits
only 50% of the tensile strength of normal tissue, what implications
might this have for the patient's recovery and management?
The patient will have a normal recovery without any additional
interventions.
The patient will not require any special management as tensile
strength is not a concern.
The patient is likely to heal faster than expected due to the lower
tensile strength.
The patient may be at higher risk for re-injury or complications
due to insufficient tensile strength.
10. In a clinical scenario, a patient presents with a chronic wound that has
exposed bone. What would be the most appropriate initial
management step?
Apply a hydrocolloid dressing to promote healing.
, Use enzymatic debridement to clean the wound.
Perform surgical debridement to remove necrotic tissue and
assess the wound.
Start the patient on antibiotics without further intervention.
11. With what should a patient cleanse their wound?
hydrogen peroxide
water only
rubbing alcohol
normal saline
12. What is the primary purpose of using advanced therapies like negative
pressure wound therapy in wound management?
To promote healing and reduce complications
To prevent infection
To increase blood glucose levels
To provide nutrition to the wound
13. What is the primary treatment approach for Staphylococcal Scalded
Skin Syndrome (SSSS)?
Topical steroids
Antibiotics
Surgical debridement
Moisturizing ointments
14. In a scenario where a patient presents with a chronic wound and poor
nutritional status, what should be prioritized in the initial assessment?
