WCC PRACTICE EXAM 2|110 Questions with Verified
Answers
Which of the following cells would you find in the dermis? - CORRECT ANSWER
Macrophages
The collagen produced by fibroblasts in the dermis is responsible for giving the
skin: - CORRECT ANSWER Tensile strength
What cell recognizes and produces antibodies? - CORRECT ANSWER Lymphocyte
What is the normal value for white blood cells? - CORRECT ANSWER 3,400-
9,600/μL
What white blood cell is the most common type, a major player in the body's
defense against bacterial infections, and the first to arrive at a site of infection? -
CORRECT ANSWER Neutrophil
What does a fibroblast produce? - CORRECT ANSWER Collagen and elastin
When sweat and sebum mix on the skin they produce: - CORRECT ANSWER An
acid mantle
What is the pH of the skin? - CORRECT ANSWER 4.0-6.8
Which of the following is a factor that increases wound healing in neonates and
children? - CORRECT ANSWER Increased number of fibroblasts
How would you stage a mucosal membrane pressure injury? - CORRECT ANSWER
You would not stage it.
Your patient presents with patchy, small round erythematous papules and
pustules in the groin and gluteal folds with a cheesy white exudate. The patient
,complains of itching and burning. What is the MOST likely etiology of this skin
condition? - CORRECT ANSWER Candida
Which of the following is an indicator of poor nutritional habits? - CORRECT
ANSWER Eating primarily carbohydrates
What is the recommended preprandial blood glucose level according to the
American Diabetes Association? - CORRECT ANSWER 80-130 mg/dL
What is the recommended caloric intake for wound healing? - CORRECT ANSWER
30-35 kcal/kg
Your 85-year-old patient with a wound is on a low sodium, low fat diet and
frequently eats less than 50% of food served. What is the FIRST intervention you
should consider to improve nutritional status? - CORRECT ANSWER Modify or
liberalize dietary restrictions.
One example of a valid and reliable nutrition screening tool is: - CORRECT
ANSWER SNAQ
How often should a risk assessment tool be completed after admission to a long-
term care facility? - CORRECT ANSWER Weekly for 4 weeks
Which nutrient stimulates insulin secretion, promotes transportation of amino
acids into tissue cells, and supports formation of protein in cells? - CORRECT
ANSWER Arginine
What fat-soluble vitamin is required for coagulation? - CORRECT ANSWER K
If a patient receives excess zinc supplementation, what other nutrients will the
zinc interfere with? - CORRECT ANSWER Copper and iron
What vitamin is a cofactor in collagen formation and fibroblast function? -
CORRECT ANSWER Vitamin C
Your patient has had a depletion in lean body mass (LBM) of 8%. How does this
affect the relationship between wound healing and restoration of LBM? -
, CORRECT ANSWER Healing of the wound takes priority over available protein
substrate.
How would you characterize the vascularization of adipose tissue?
Heavily vascularized
Not vascularized
Poorly vascularized
Well vascularized - CORRECT ANSWER Poorly vascularized
A patient receiving palliative care suddenly develops a dark pear-shaped ulcer on
the sacrum with irregular borders that progressed rapidly in size. These
characteristics suggest that the patient has:
A Kennedy terminal ulcer
A Marjolin ulcer
Calciphylaxis
Pyoderma gangrenosum - CORRECT ANSWER A Kennedy terminal ulcer
Upon assessment of a wound, it is observed to have a nodular cauliflower shaped
appearance. This characteristic suggests:
Fungating malignant wound
Pemphigus
Pyoderma gangrenosum
Sickle cell ulcer - CORRECT ANSWER Fungating malignant wound
How do the wound margins of pyoderma gangrenosum typically present?
IrreguIrregular, raised, and violet or blue
Jagged, raised, and gray
Oblong, raised, and hyperkeratotic
Round, even, and red - CORRECT ANSWER Irregular, raised, and violet or blue
Your patient has a pressure injury to the bridge of the nose from a CPAP machine.
You notice the wound has a very shallow depth with exposed bone. How would
you stage the pressure injury?
Stage 2
Answers
Which of the following cells would you find in the dermis? - CORRECT ANSWER
Macrophages
The collagen produced by fibroblasts in the dermis is responsible for giving the
skin: - CORRECT ANSWER Tensile strength
What cell recognizes and produces antibodies? - CORRECT ANSWER Lymphocyte
What is the normal value for white blood cells? - CORRECT ANSWER 3,400-
9,600/μL
What white blood cell is the most common type, a major player in the body's
defense against bacterial infections, and the first to arrive at a site of infection? -
CORRECT ANSWER Neutrophil
What does a fibroblast produce? - CORRECT ANSWER Collagen and elastin
When sweat and sebum mix on the skin they produce: - CORRECT ANSWER An
acid mantle
What is the pH of the skin? - CORRECT ANSWER 4.0-6.8
Which of the following is a factor that increases wound healing in neonates and
children? - CORRECT ANSWER Increased number of fibroblasts
How would you stage a mucosal membrane pressure injury? - CORRECT ANSWER
You would not stage it.
Your patient presents with patchy, small round erythematous papules and
pustules in the groin and gluteal folds with a cheesy white exudate. The patient
,complains of itching and burning. What is the MOST likely etiology of this skin
condition? - CORRECT ANSWER Candida
Which of the following is an indicator of poor nutritional habits? - CORRECT
ANSWER Eating primarily carbohydrates
What is the recommended preprandial blood glucose level according to the
American Diabetes Association? - CORRECT ANSWER 80-130 mg/dL
What is the recommended caloric intake for wound healing? - CORRECT ANSWER
30-35 kcal/kg
Your 85-year-old patient with a wound is on a low sodium, low fat diet and
frequently eats less than 50% of food served. What is the FIRST intervention you
should consider to improve nutritional status? - CORRECT ANSWER Modify or
liberalize dietary restrictions.
One example of a valid and reliable nutrition screening tool is: - CORRECT
ANSWER SNAQ
How often should a risk assessment tool be completed after admission to a long-
term care facility? - CORRECT ANSWER Weekly for 4 weeks
Which nutrient stimulates insulin secretion, promotes transportation of amino
acids into tissue cells, and supports formation of protein in cells? - CORRECT
ANSWER Arginine
What fat-soluble vitamin is required for coagulation? - CORRECT ANSWER K
If a patient receives excess zinc supplementation, what other nutrients will the
zinc interfere with? - CORRECT ANSWER Copper and iron
What vitamin is a cofactor in collagen formation and fibroblast function? -
CORRECT ANSWER Vitamin C
Your patient has had a depletion in lean body mass (LBM) of 8%. How does this
affect the relationship between wound healing and restoration of LBM? -
, CORRECT ANSWER Healing of the wound takes priority over available protein
substrate.
How would you characterize the vascularization of adipose tissue?
Heavily vascularized
Not vascularized
Poorly vascularized
Well vascularized - CORRECT ANSWER Poorly vascularized
A patient receiving palliative care suddenly develops a dark pear-shaped ulcer on
the sacrum with irregular borders that progressed rapidly in size. These
characteristics suggest that the patient has:
A Kennedy terminal ulcer
A Marjolin ulcer
Calciphylaxis
Pyoderma gangrenosum - CORRECT ANSWER A Kennedy terminal ulcer
Upon assessment of a wound, it is observed to have a nodular cauliflower shaped
appearance. This characteristic suggests:
Fungating malignant wound
Pemphigus
Pyoderma gangrenosum
Sickle cell ulcer - CORRECT ANSWER Fungating malignant wound
How do the wound margins of pyoderma gangrenosum typically present?
IrreguIrregular, raised, and violet or blue
Jagged, raised, and gray
Oblong, raised, and hyperkeratotic
Round, even, and red - CORRECT ANSWER Irregular, raised, and violet or blue
Your patient has a pressure injury to the bridge of the nose from a CPAP machine.
You notice the wound has a very shallow depth with exposed bone. How would
you stage the pressure injury?
Stage 2
