WND 580 - MODULE 1 QUIZ QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026
The wound care nurse is treating a patient with a chronic foot ulcer. The patient is wondering why the
wound is taking so long to heal as compared to other wounds. The nurse identifies which of the
following as clinical characteristic of a chronic wound?
a. Low Levels of pro-inflammatory cytokines
b. High levels of matrix metalloproteinases
c. Fewer numbers of senescent cells
d. High mitogenic activity - Answers b. High levels of matrix metalloproteinases (MMPs)
A patient has an acute full-thickness wound due to trauma. What order of wound healing would occur
with this wound?
a. Inflammatory, hemostasis, granulation tissue formation, re-epithelialization
b. Re-epithelialization, granulation tissue formation, hemostasis, remodeling
c. Hemostasis, resurfacing, scar formation, remodeling
d. Hemostasis, inflammation, proliferation and maturation - Answers d. Hemostasis, inflammation,
proliferation and maturation
Which statement accurately describes the characteristic and implication of necrotic tissue in a wound
bed?
a. Necrosis of muscle tissue typically results in the formation of stringy, yellow slough.
b. Consistency refers to the cohesiveness of the debris; typically more advanced necrosis is thin and
wet.
c. Eschar usually is black, brown or gray and associated with deeper tissue damage. It is usually firmly
attached to the wound base.
d. A soft mushy leather eschar is not attached to the base and edges of wound and is sometimes
mistaken as a scab. - Answers c. Eschar usually is black, brown or gray and associated with deeper
tissue damage. It is usually firmly attached to the wound base.
What is the primary reason for taking the time to perform a comprehensive assessment to identify
protein energy malnutrition as opposed to ordering a simple blood draw to formulate a diagnosis?
a. Blood tests do not provide a 'stand-alone' assessment.
b. None, blood test for malnutrition are completely reliable.
c. There are no blood tests available.
d. There is a high incidence of false-positive results with blood tests. - Answers a. Blood tests do not
provide a 'stand-alone' assessment.
Which of the following wounds will heal with scar formation?
a. Full thickness wound.
b. Partial thickness wound.
c. Type 2 skin tear.
d. MARSI (Medical adhesive skin injury). - Answers a. Full thickness wound.
When the skin around a wound develops a whitish appearance, it can be described as:
a. Desiccated.
b. Excoriated.
c. Indurated.
d. Macerated. - Answers d. Macerated.
As you setup a skin care program, you identify the elderly to be at risk for skin tears due to the effects
of aging on:
a. Tissue oxygenation.
b. Rete ridges.
c. Nutritional status.
d. Immune system. - Answers b. Rete ridges.
As wound healing progresses, collagen deposition and remodeling occur and has which of the
following effects?
, a. Reduced cytokine production.
b. Increased tensile strength.
c. Restored innervation.
d. Increased monocyte activity. - Answers b. Increased tensile strength.
You are aware that age itself is NOT a risk factor for failure to heal wounds. Problems in wound
healing for the elderly are most likely associated with:
a. Diet and hydration habits.
b. Lifestyle - such as lack of exercise to stimulate cellular processes.
c. Multiple co-morbidities.
d. Memory loss. - Answers c. Multiple co-morbidities.
Arterial disease, hypotension, vasopressors and severe anemia can be deleterious to wound healing
because they decrease the amount of:
a. Fibroblasts in the wound extracellular matrix.
b. Time required to clot the wounds.
c. Oxygen in the tissue.
d. Moisture that accumulates in the wound tissues. - Answers c. Oxygen in the tissue.
Which of the following cells plays a central role in initiating the wound repair process?
a. Endothelial cells.
b. Fibroblasts.
c. Platelets.
d. Langerhan's cells. - Answers c. Platelets.
90-year-old female in a nursing home has a partial thickness wound with a fully approximated
epidermal flap on her left forearm. Identify the type of skin damage present:
a. Stage 2 pressure injury.
b. Skin tear, Type 1.
c. Skin tear, Type 2.
d. Skin tear, Type 3. - Answers b. Skin tear, Type 1.
Which of the following treatment would be most appropriate for the management of a partial
thickness wound with a fully approximated epidermal flap?
a. Re-approximate edges and apply a non-adherent dressing.
b. Apply transparent film dressing.
c. Apply hydrocolloid dressing.
d. Utilize antibiotic ointment with gauze and Kerlix (gauze bandage wrap) roll. - Answers a. Re-
approximate edges and apply a non-adherent dressing.
When changing a wound dressing over a full thickness wound, you notice the wound bed is shiny,
moist, red and has a cobblestone appearance. What terminology would you use to document this
observation?
a. Granulation is present.
b. Epithelialization is progressing from the wound edges.
c. Hyperplasia is developing.
d. A film of denatured protein covers the wound bed. - Answers a. Granulation is present.
The 3 principles of Wound Care provide a useful format for prioritizing approaches in wound care.
They are:
a. Identify the goal for a wound, supporting the host and protect the wound.
b. Reduce/eliminate the cause of the wound, support the host and maintain a physiologic
environment.
c. Remove necrotic tissue, establish a moist wound environment and provide staff teaching.
The wound care nurse is treating a patient with a chronic foot ulcer. The patient is wondering why the
wound is taking so long to heal as compared to other wounds. The nurse identifies which of the
following as clinical characteristic of a chronic wound?
a. Low Levels of pro-inflammatory cytokines
b. High levels of matrix metalloproteinases
c. Fewer numbers of senescent cells
d. High mitogenic activity - Answers b. High levels of matrix metalloproteinases (MMPs)
A patient has an acute full-thickness wound due to trauma. What order of wound healing would occur
with this wound?
a. Inflammatory, hemostasis, granulation tissue formation, re-epithelialization
b. Re-epithelialization, granulation tissue formation, hemostasis, remodeling
c. Hemostasis, resurfacing, scar formation, remodeling
d. Hemostasis, inflammation, proliferation and maturation - Answers d. Hemostasis, inflammation,
proliferation and maturation
Which statement accurately describes the characteristic and implication of necrotic tissue in a wound
bed?
a. Necrosis of muscle tissue typically results in the formation of stringy, yellow slough.
b. Consistency refers to the cohesiveness of the debris; typically more advanced necrosis is thin and
wet.
c. Eschar usually is black, brown or gray and associated with deeper tissue damage. It is usually firmly
attached to the wound base.
d. A soft mushy leather eschar is not attached to the base and edges of wound and is sometimes
mistaken as a scab. - Answers c. Eschar usually is black, brown or gray and associated with deeper
tissue damage. It is usually firmly attached to the wound base.
What is the primary reason for taking the time to perform a comprehensive assessment to identify
protein energy malnutrition as opposed to ordering a simple blood draw to formulate a diagnosis?
a. Blood tests do not provide a 'stand-alone' assessment.
b. None, blood test for malnutrition are completely reliable.
c. There are no blood tests available.
d. There is a high incidence of false-positive results with blood tests. - Answers a. Blood tests do not
provide a 'stand-alone' assessment.
Which of the following wounds will heal with scar formation?
a. Full thickness wound.
b. Partial thickness wound.
c. Type 2 skin tear.
d. MARSI (Medical adhesive skin injury). - Answers a. Full thickness wound.
When the skin around a wound develops a whitish appearance, it can be described as:
a. Desiccated.
b. Excoriated.
c. Indurated.
d. Macerated. - Answers d. Macerated.
As you setup a skin care program, you identify the elderly to be at risk for skin tears due to the effects
of aging on:
a. Tissue oxygenation.
b. Rete ridges.
c. Nutritional status.
d. Immune system. - Answers b. Rete ridges.
As wound healing progresses, collagen deposition and remodeling occur and has which of the
following effects?
, a. Reduced cytokine production.
b. Increased tensile strength.
c. Restored innervation.
d. Increased monocyte activity. - Answers b. Increased tensile strength.
You are aware that age itself is NOT a risk factor for failure to heal wounds. Problems in wound
healing for the elderly are most likely associated with:
a. Diet and hydration habits.
b. Lifestyle - such as lack of exercise to stimulate cellular processes.
c. Multiple co-morbidities.
d. Memory loss. - Answers c. Multiple co-morbidities.
Arterial disease, hypotension, vasopressors and severe anemia can be deleterious to wound healing
because they decrease the amount of:
a. Fibroblasts in the wound extracellular matrix.
b. Time required to clot the wounds.
c. Oxygen in the tissue.
d. Moisture that accumulates in the wound tissues. - Answers c. Oxygen in the tissue.
Which of the following cells plays a central role in initiating the wound repair process?
a. Endothelial cells.
b. Fibroblasts.
c. Platelets.
d. Langerhan's cells. - Answers c. Platelets.
90-year-old female in a nursing home has a partial thickness wound with a fully approximated
epidermal flap on her left forearm. Identify the type of skin damage present:
a. Stage 2 pressure injury.
b. Skin tear, Type 1.
c. Skin tear, Type 2.
d. Skin tear, Type 3. - Answers b. Skin tear, Type 1.
Which of the following treatment would be most appropriate for the management of a partial
thickness wound with a fully approximated epidermal flap?
a. Re-approximate edges and apply a non-adherent dressing.
b. Apply transparent film dressing.
c. Apply hydrocolloid dressing.
d. Utilize antibiotic ointment with gauze and Kerlix (gauze bandage wrap) roll. - Answers a. Re-
approximate edges and apply a non-adherent dressing.
When changing a wound dressing over a full thickness wound, you notice the wound bed is shiny,
moist, red and has a cobblestone appearance. What terminology would you use to document this
observation?
a. Granulation is present.
b. Epithelialization is progressing from the wound edges.
c. Hyperplasia is developing.
d. A film of denatured protein covers the wound bed. - Answers a. Granulation is present.
The 3 principles of Wound Care provide a useful format for prioritizing approaches in wound care.
They are:
a. Identify the goal for a wound, supporting the host and protect the wound.
b. Reduce/eliminate the cause of the wound, support the host and maintain a physiologic
environment.
c. Remove necrotic tissue, establish a moist wound environment and provide staff teaching.
