CWCA 2023 Practice Test
With Complete Solution
Which of the following extends from a wound under normal tissue and connects two
structures,
such as the wound and an organ?
a. Undermining
b. Fistula
c. Tunneling
d. Abscess - ANSWER B: A fistula extends under normal tissue away from the wound and
connects two structures, such
as the wound and an organ or the wound and the skin.
A patient has a wound on the right hip with tunneling and fistulae. Which of the
following is MOST indicative of an abscess formation?
a. Increased purulent discharge
b. Increased wound pain
c. Increased erythema and swelling at wound perimeter
d. Erythematous, painful, swollen area 3 cm from wound perimeter - ANSWER D:
Abscesses often form in conjunction with fistulae. Typical indications include erythema,
pain, and swelling above the localized area of the abscess.
Which of the following laboratory tests is the most effective to monitor acute changes in
nutritional status?
a. Total protein
,b. Albumin
c. Prealbumin
d. Transferrin - ANSWER C: Prealbumin is most commonly monitored for acute changes.
Normal value: 16 to 40 mg/dL.
Mild deficiency: 10 to 15mg/dL
Moderate deficiency: 5 to 9 mg/dL.
Severe deficiency: <5 mg/dL.
On the eighth day of wound care, granulation tissue is evident about the wound
perimeter, and the wound is beginning to contract. The wound is in which of the
following phases of healing?
a. Proliferation
b. Inflammation
c. Hemostasis
d. Maturation - ANSWER A: Proliferation (days 5 to 20) is characterized by granulation
tissue starting to form at wound perimeter, contracting the wound, and epithelialization,
resulting in scar formation.
Which of the following is the correct procedure for applying ELMA cream?
a. Thin layer for 15 minutes, leaving the wound open
b. Thick layerxtending 1/2 inch, cover with plastic wrap for 20 to 60 minutes
c.Thick layer then cover with plastic wrap for 15 minutes
d. Thin layer then a dry dressing for 20 to 60 minutes - ANSWER B: Eutectic Mixture of
Local Anesthetics is applied thickly to both the surface of the wound and surrounding
tissue, extending about 1/2 inch past the wound. The wound must be covered with plastic
wrap for 20 to 60 minutes to numb the tissue. EMLA cream is effective for about an hour.
, When doing a routine dressing change for a healing decubitus ulcer on the right hip,
which is the
most appropriate cleaning solution?
a. Povidone-iodine solution
b. Hydrogen peroxide
c. Alcohol
d. Normal saline - ANSWER D: Normal saline is the most appropriate wound-cleansing
solution.
Which of the following wound irrigation devices will provide approximately 8 psi in
irrigant
pressure to the wound surface?
a. 35-mL syringe with 19-gauge Angiocath
b. 250-mL squeeze bottle
c. Bulb syringe
d. 6-mL syringe with 19-gauge Angiocath - ANSWER A: A 35-mL syringe with 19-gauge
needle provides irrigation pressure at about 8 psi.
Which of the following is the most important criterion when assessing a patient's level of
wound
pain?
a. Patient's behavior
b. Type of wound
c. Patient's report of pain
d. Patient's facial expression - ANSWER C: Perceptions and expressions of pain vary
widely from one individual to another, so the most important criterion for evaluating pain
is the patient's own report of pain.
With Complete Solution
Which of the following extends from a wound under normal tissue and connects two
structures,
such as the wound and an organ?
a. Undermining
b. Fistula
c. Tunneling
d. Abscess - ANSWER B: A fistula extends under normal tissue away from the wound and
connects two structures, such
as the wound and an organ or the wound and the skin.
A patient has a wound on the right hip with tunneling and fistulae. Which of the
following is MOST indicative of an abscess formation?
a. Increased purulent discharge
b. Increased wound pain
c. Increased erythema and swelling at wound perimeter
d. Erythematous, painful, swollen area 3 cm from wound perimeter - ANSWER D:
Abscesses often form in conjunction with fistulae. Typical indications include erythema,
pain, and swelling above the localized area of the abscess.
Which of the following laboratory tests is the most effective to monitor acute changes in
nutritional status?
a. Total protein
,b. Albumin
c. Prealbumin
d. Transferrin - ANSWER C: Prealbumin is most commonly monitored for acute changes.
Normal value: 16 to 40 mg/dL.
Mild deficiency: 10 to 15mg/dL
Moderate deficiency: 5 to 9 mg/dL.
Severe deficiency: <5 mg/dL.
On the eighth day of wound care, granulation tissue is evident about the wound
perimeter, and the wound is beginning to contract. The wound is in which of the
following phases of healing?
a. Proliferation
b. Inflammation
c. Hemostasis
d. Maturation - ANSWER A: Proliferation (days 5 to 20) is characterized by granulation
tissue starting to form at wound perimeter, contracting the wound, and epithelialization,
resulting in scar formation.
Which of the following is the correct procedure for applying ELMA cream?
a. Thin layer for 15 minutes, leaving the wound open
b. Thick layerxtending 1/2 inch, cover with plastic wrap for 20 to 60 minutes
c.Thick layer then cover with plastic wrap for 15 minutes
d. Thin layer then a dry dressing for 20 to 60 minutes - ANSWER B: Eutectic Mixture of
Local Anesthetics is applied thickly to both the surface of the wound and surrounding
tissue, extending about 1/2 inch past the wound. The wound must be covered with plastic
wrap for 20 to 60 minutes to numb the tissue. EMLA cream is effective for about an hour.
, When doing a routine dressing change for a healing decubitus ulcer on the right hip,
which is the
most appropriate cleaning solution?
a. Povidone-iodine solution
b. Hydrogen peroxide
c. Alcohol
d. Normal saline - ANSWER D: Normal saline is the most appropriate wound-cleansing
solution.
Which of the following wound irrigation devices will provide approximately 8 psi in
irrigant
pressure to the wound surface?
a. 35-mL syringe with 19-gauge Angiocath
b. 250-mL squeeze bottle
c. Bulb syringe
d. 6-mL syringe with 19-gauge Angiocath - ANSWER A: A 35-mL syringe with 19-gauge
needle provides irrigation pressure at about 8 psi.
Which of the following is the most important criterion when assessing a patient's level of
wound
pain?
a. Patient's behavior
b. Type of wound
c. Patient's report of pain
d. Patient's facial expression - ANSWER C: Perceptions and expressions of pain vary
widely from one individual to another, so the most important criterion for evaluating pain
is the patient's own report of pain.
