Wound Certification Exam Set 2 With
Complete Solution
Vitamin A. - ANSWER The effects of corticosteroids on wound healing can be partially counteracted by
the administration of what supplement?
Perfusion status. - ANSWER What is the most significant factor in healing an ischemic ulcer?
Provide a gel head cushion. - ANSWER A neonate has developed a non-erythemic eschar on the occiput.
What would be the initial intervention?
Hydrofiber dressing. Hydrofibers absorb 33% more than most alignates and wicks vertically to avoid
periwound skin maceration. - ANSWER Which topical treatment would be the most appropriate to
manage a full-thickness, clean sternal wound with copious drainage?
Use a moisturizer without lanolin. Lanolin is a sensitizer in many patients and could increase dermatitis
that is present. - ANSWER Upon assessment, the nurse notes dry, flaky skin with significant pruritis.
Based upon this info, the nurse should do what for the patient?
A foam dressing and multi-layer compression wraps. - ANSWER 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?
Dehiscence. - ANSWER The absence of a healing ridge in a surgical incision between 5 & 9 days post-op is
a sign of potential what?
26 year old patient with paraplegia and a stage 4 pressure injury. - ANSWER Which patient is most likely
to benefit from a myocutaneous flap procedure?
, Calcium alginate. - ANSWER 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?
Arterial insufficiency. - ANSWER Use of compression therapy to treat a venous ulcer is contraindicated in
patients suffering from what?
Hypergranulation. - ANSWER Silver nitrate is most commonly used for treatment of what?
Elevating the left arm and applying hydrogel sheets to the left breast. - ANSWER 34 year old patient with
metastatic breast cancer has a fungating mass in her left breast with lymphedema present in the left
arm. Chemo and radiation have been completed, focus is now on palliative care. What is the appropriate
approach to wound care for this patient?
Partial-thickness skin loss. - ANSWER 70 year old woman with a recent hip fracture has developed a stage
2 pressure injury. What best describes her wound?
Radiation damages cellular components, including DNA. - ANSWER Patient received radiation therapy 8
years ago to the sacral area and has now developed a sacral pressure injury. The most likely factor that
puts this patient at risk is what?
Hydrocolloid. - ANSWER The most appropriate dressing choice for a shallow wound that is clean and
granulating with minimal exudate is what?
A wound with fibrin slough and a hydrocolloid dressing. - ANSWER What wound and dressing combo
would promote autolytic debridement?
Intermittent claudication. - ANSWER A person with arterial lower extremity ulcers will commonly have a
history of what?
Complete Solution
Vitamin A. - ANSWER The effects of corticosteroids on wound healing can be partially counteracted by
the administration of what supplement?
Perfusion status. - ANSWER What is the most significant factor in healing an ischemic ulcer?
Provide a gel head cushion. - ANSWER A neonate has developed a non-erythemic eschar on the occiput.
What would be the initial intervention?
Hydrofiber dressing. Hydrofibers absorb 33% more than most alignates and wicks vertically to avoid
periwound skin maceration. - ANSWER Which topical treatment would be the most appropriate to
manage a full-thickness, clean sternal wound with copious drainage?
Use a moisturizer without lanolin. Lanolin is a sensitizer in many patients and could increase dermatitis
that is present. - ANSWER Upon assessment, the nurse notes dry, flaky skin with significant pruritis.
Based upon this info, the nurse should do what for the patient?
A foam dressing and multi-layer compression wraps. - ANSWER 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?
Dehiscence. - ANSWER The absence of a healing ridge in a surgical incision between 5 & 9 days post-op is
a sign of potential what?
26 year old patient with paraplegia and a stage 4 pressure injury. - ANSWER Which patient is most likely
to benefit from a myocutaneous flap procedure?
, Calcium alginate. - ANSWER 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?
Arterial insufficiency. - ANSWER Use of compression therapy to treat a venous ulcer is contraindicated in
patients suffering from what?
Hypergranulation. - ANSWER Silver nitrate is most commonly used for treatment of what?
Elevating the left arm and applying hydrogel sheets to the left breast. - ANSWER 34 year old patient with
metastatic breast cancer has a fungating mass in her left breast with lymphedema present in the left
arm. Chemo and radiation have been completed, focus is now on palliative care. What is the appropriate
approach to wound care for this patient?
Partial-thickness skin loss. - ANSWER 70 year old woman with a recent hip fracture has developed a stage
2 pressure injury. What best describes her wound?
Radiation damages cellular components, including DNA. - ANSWER Patient received radiation therapy 8
years ago to the sacral area and has now developed a sacral pressure injury. The most likely factor that
puts this patient at risk is what?
Hydrocolloid. - ANSWER The most appropriate dressing choice for a shallow wound that is clean and
granulating with minimal exudate is what?
A wound with fibrin slough and a hydrocolloid dressing. - ANSWER What wound and dressing combo
would promote autolytic debridement?
Intermittent claudication. - ANSWER A person with arterial lower extremity ulcers will commonly have a
history of what?
