CWCA 2023 Review Quizs
With Correct Answers
You are consulting on this 85-year-old bed-bound patient. The upper extremity systolic
BP is 145; lower extremity systolic BP is 97. The pressure injury is an eschar, which is firm
with no fluctuance, no surrounding erythema, no drainage, and no odor. The patient is
not a candidate for revascularization surgery.
The ABI for this patient is? - ANSWER 97/45= .67
You are consulting on this 85-year-old bed-bound patient. The upper extremity systolic
BP is 145; lower extremity systolic BP is 97. The pressure injury is an eschar, which is firm
with no fluctuance, no surrounding erythema, no drainage, and no odor. The patient is
not a candidate for revascularization surgery.
The most appropriate type of debridement is? - ANSWER No Debridement
You are consulting on this 85-year-old bed-bound patient. The upper extremity systolic
BP is 145; lower extremity systolic BP is 97. The pressure injury is an eschar, which is firm
with no fluctuance, no surrounding erythema, no drainage, and no odor. The patient is
not a candidate for revascularization surgery.
What type of dressing would you recommend? - ANSWER Dry gauze
You are consulting on this 85-year-old bed-bound patient. The upper extremity systolic
BP is 145; lower extremity systolic BP is 97. The pressure injury is an eschar, which is firm
with no fluctuance, no surrounding erythema, no drainage, and no odor. The patient is
,not a candidate for revascularization surgery.
The treatment plan for this patient would most likely include? - ANSWER Offloading
This patient is an obese 72-year-old female with a history of hypertension and diabetes
mellitus. She has a history of chronic venous insufficiency. The treatment for the last 3
weeks has been a nanocrystalline dressing covered with a foam under the compression
wrap. A home health nurse is coming twice a week to assess the wound and help the
patient with her compression wrap changes. The nurse reports the wound has become
severely inflamed, is very painful to the patient during dressing changes, and has heavy
drainage with significant odor.
The most likely diagnosis for this patient's symptoms is? - ANSWER Cellulitis
This patient is an obese 72-year-old female with a history of hypertension and diabetes
mellitus. She has a history of chronic venous insufficiency. The treatment for the last 3
weeks has been a nanocrystalline dressing covered with a foam under the compression
wrap. A home health nurse is coming twice a week to assess the wound and help the
patient with her compression wrap changes. The nurse reports the wound has become
severely inflamed, is very painful to the patient during dressing changes, and has heavy
drainage with significant odor.
The most appropriate diagnostic intervention to determine a plan of treatment for this
wound would be? - ANSWER Tissue biopsy quantitative culture
This patient is an obese 72-year-old female with a history of hypertension and diabetes
mellitus. She has a history of chronic venous insufficiency. The treatment for the last 3
weeks has been a nanocrystalline dressing covered with a foam under the compression
wrap. A home health nurse is coming twice a week to assess the wound and help the
patient with her compression wrap changes. The nurse reports the wound has become
severely inflamed, is very painful to the patient during dressing changes, and has heavy
drainage with significant odor.
,The most appropriate treatment for this wound is? - ANSWER Systemic antibiotic
treatment
What phase of wound healing shows new tissue made up of collagen and ECM? -
ANSWER Proliferative
A wound with periwound showing signs of excess moisture would be? - ANSWER
Maceration
The best dressing for a highly exudating wound with maceration would be? - ANSWER
foam
This 65-year-old patient has a 20-year history of diabetes with ESRD and is on chronic
dialysis. She developed this painful necrotic wound on her abdomen, along with several
other smaller necrotic wounds on her left leg. Your diagnosis is? - ANSWER Calciphylaxis
wounds
A wound that presents with bright red granulation tissue would be in what phase of
wound healing? - ANSWER Proliferation
A wound that presents with fresh blood would be in what phase of wound healing? -
ANSWER hemostasis
This patient has a 10-year history of swelling and recurrent wounds in the gaiter area of
the right lower extremity. Recently, he developed skin breakdown above the medial
malleolus. The wound bed is clean, but exudate levels have increased from moderate to
copious and there is a strong odor coming from the wound. The foot is cold to the touch
with absence of pedal pulses. His medical history includes a remote bout of successfully
treated CHF, controlled diabetes, and HTN. The patient reports he has developed SOB
, with minimal activity and is sleeping on two to three pillows at night.
Which of the following would be an important examination parameter based on the
information given? - ANSWER Lung sounds
This patient has a 10-year history of swelling and recurrent wounds in the gaiter area of
the right lower extremity. Recently, he developed skin breakdown above the medial
malleolus. The wound bed is clean, but exudate levels have increased from moderate to
copious and there is a strong odor coming from the wound. The foot is cold to the touch
with absence of pedal pulses. His medical history includes a remote bout of successfully
treated CHF, controlled diabetes, and HTN. The patient reports he has developed SOB
with minimal activity and is sleeping on two to three pillows at night.
What comorbid condition places the patient at the highest risk for complication from
compression treatment? - ANSWER CHF (congestive heart failure)
This patient has a 10-year history of swelling and recurrent wounds in the gaiter area of
the right lower extremity. Recently, he developed skin breakdown above the medial
malleolus. The wound bed is clean, but exudate levels have increased from moderate to
copious and there is a strong odor coming from the wound. The foot is cold to the touch
with absence of pedal pulses. His medical history includes a remote bout of successfully
treated CHF, controlled diabetes, and HTN. The patient reports he has developed SOB
with minimal activity and is sleeping on two to three pillows at night.
Your treatment interventions include? - ANSWER Diuretics and highly absorbable
antimicrobial dressings.
This wound over the first metatarsal head on a patient with diabetes probes to bone after
you have done sharp debridement down to the viable tissue. The patient states he is
controlling his diabetes with nutrition and oral medications. Additional medications
include coumadin and aspirin. His ABI is 0.83 with a palpable DP pulse. You take his
blood glucose at the clinic today with the result of 245 mg/dL.
With Correct Answers
You are consulting on this 85-year-old bed-bound patient. The upper extremity systolic
BP is 145; lower extremity systolic BP is 97. The pressure injury is an eschar, which is firm
with no fluctuance, no surrounding erythema, no drainage, and no odor. The patient is
not a candidate for revascularization surgery.
The ABI for this patient is? - ANSWER 97/45= .67
You are consulting on this 85-year-old bed-bound patient. The upper extremity systolic
BP is 145; lower extremity systolic BP is 97. The pressure injury is an eschar, which is firm
with no fluctuance, no surrounding erythema, no drainage, and no odor. The patient is
not a candidate for revascularization surgery.
The most appropriate type of debridement is? - ANSWER No Debridement
You are consulting on this 85-year-old bed-bound patient. The upper extremity systolic
BP is 145; lower extremity systolic BP is 97. The pressure injury is an eschar, which is firm
with no fluctuance, no surrounding erythema, no drainage, and no odor. The patient is
not a candidate for revascularization surgery.
What type of dressing would you recommend? - ANSWER Dry gauze
You are consulting on this 85-year-old bed-bound patient. The upper extremity systolic
BP is 145; lower extremity systolic BP is 97. The pressure injury is an eschar, which is firm
with no fluctuance, no surrounding erythema, no drainage, and no odor. The patient is
,not a candidate for revascularization surgery.
The treatment plan for this patient would most likely include? - ANSWER Offloading
This patient is an obese 72-year-old female with a history of hypertension and diabetes
mellitus. She has a history of chronic venous insufficiency. The treatment for the last 3
weeks has been a nanocrystalline dressing covered with a foam under the compression
wrap. A home health nurse is coming twice a week to assess the wound and help the
patient with her compression wrap changes. The nurse reports the wound has become
severely inflamed, is very painful to the patient during dressing changes, and has heavy
drainage with significant odor.
The most likely diagnosis for this patient's symptoms is? - ANSWER Cellulitis
This patient is an obese 72-year-old female with a history of hypertension and diabetes
mellitus. She has a history of chronic venous insufficiency. The treatment for the last 3
weeks has been a nanocrystalline dressing covered with a foam under the compression
wrap. A home health nurse is coming twice a week to assess the wound and help the
patient with her compression wrap changes. The nurse reports the wound has become
severely inflamed, is very painful to the patient during dressing changes, and has heavy
drainage with significant odor.
The most appropriate diagnostic intervention to determine a plan of treatment for this
wound would be? - ANSWER Tissue biopsy quantitative culture
This patient is an obese 72-year-old female with a history of hypertension and diabetes
mellitus. She has a history of chronic venous insufficiency. The treatment for the last 3
weeks has been a nanocrystalline dressing covered with a foam under the compression
wrap. A home health nurse is coming twice a week to assess the wound and help the
patient with her compression wrap changes. The nurse reports the wound has become
severely inflamed, is very painful to the patient during dressing changes, and has heavy
drainage with significant odor.
,The most appropriate treatment for this wound is? - ANSWER Systemic antibiotic
treatment
What phase of wound healing shows new tissue made up of collagen and ECM? -
ANSWER Proliferative
A wound with periwound showing signs of excess moisture would be? - ANSWER
Maceration
The best dressing for a highly exudating wound with maceration would be? - ANSWER
foam
This 65-year-old patient has a 20-year history of diabetes with ESRD and is on chronic
dialysis. She developed this painful necrotic wound on her abdomen, along with several
other smaller necrotic wounds on her left leg. Your diagnosis is? - ANSWER Calciphylaxis
wounds
A wound that presents with bright red granulation tissue would be in what phase of
wound healing? - ANSWER Proliferation
A wound that presents with fresh blood would be in what phase of wound healing? -
ANSWER hemostasis
This patient has a 10-year history of swelling and recurrent wounds in the gaiter area of
the right lower extremity. Recently, he developed skin breakdown above the medial
malleolus. The wound bed is clean, but exudate levels have increased from moderate to
copious and there is a strong odor coming from the wound. The foot is cold to the touch
with absence of pedal pulses. His medical history includes a remote bout of successfully
treated CHF, controlled diabetes, and HTN. The patient reports he has developed SOB
, with minimal activity and is sleeping on two to three pillows at night.
Which of the following would be an important examination parameter based on the
information given? - ANSWER Lung sounds
This patient has a 10-year history of swelling and recurrent wounds in the gaiter area of
the right lower extremity. Recently, he developed skin breakdown above the medial
malleolus. The wound bed is clean, but exudate levels have increased from moderate to
copious and there is a strong odor coming from the wound. The foot is cold to the touch
with absence of pedal pulses. His medical history includes a remote bout of successfully
treated CHF, controlled diabetes, and HTN. The patient reports he has developed SOB
with minimal activity and is sleeping on two to three pillows at night.
What comorbid condition places the patient at the highest risk for complication from
compression treatment? - ANSWER CHF (congestive heart failure)
This patient has a 10-year history of swelling and recurrent wounds in the gaiter area of
the right lower extremity. Recently, he developed skin breakdown above the medial
malleolus. The wound bed is clean, but exudate levels have increased from moderate to
copious and there is a strong odor coming from the wound. The foot is cold to the touch
with absence of pedal pulses. His medical history includes a remote bout of successfully
treated CHF, controlled diabetes, and HTN. The patient reports he has developed SOB
with minimal activity and is sleeping on two to three pillows at night.
Your treatment interventions include? - ANSWER Diuretics and highly absorbable
antimicrobial dressings.
This wound over the first metatarsal head on a patient with diabetes probes to bone after
you have done sharp debridement down to the viable tissue. The patient states he is
controlling his diabetes with nutrition and oral medications. Additional medications
include coumadin and aspirin. His ABI is 0.83 with a palpable DP pulse. You take his
blood glucose at the clinic today with the result of 245 mg/dL.
