WND 580 - Final Exam Questions and Answers Already Passed
Intermittent claudication leg pain is characterized as pain that occurs:
a. With activity and is relieved by rest.
. Only during the night.
c. In the absence of activity with the leg in a dependent position.
d. When the leg is elevated such as when the patient is lying supine. - Answers a. With activity and is
relieved by rest.
As you examine a patient's lower extremity you observe a thin leg with dry skin and very little hair; the
ABI is 0.5. From this data, what condition would you assess to be present?
a. Arterial insufficiency.
b. Venous hypertension.
c. Neuropathy.
d. Mixed arterial/venous ulcer. - Answers a. Arterial insufficiency.
Which of the following statements about inelastic compression bandages is accurate?
a. They are only effective in the ambulatory patient.
b. They may be used when the ABI = 0.5 or less.
c. They can only be used after edema is reduced.
d. They provide sustained compression whether the patient is ambulatory or immobile. - Answers a.
They are only effective in the ambulatory patient.
What is Mrs. Lang's foot deformity called when there is a rocker bottom appearance to her foot?
a. Claw toes.
b. Charcot's joint.
c. Hammer toes.
d. Onychomycosis. - Answers b. Charcot's joint.
,Which of the following statements about contact casting is correct?
a. The contact cast is a multi-layer graduated compression wrap.
b. The patient can be instructed to replace the contact cast every 7 days.
c. It may be used when the ulcer is infected.
d. The contact cast redistributes the weight of the diabetic foot. - Answers d. The contact cast
redistributes the weight of the diabetic foot.
Mrs. Anderson has dependent rubor and elevation pallor of her right lower extremity. The systolic
pressure in her R. arm is 170 mmHg; L arm is 165 mmHg, R. dorsal pedis systolic pressure was 100
mmHg and the posterior tibial pressure was 95 mmHg. What is Mrs. Anderson's ABI for the RLE?
a. .056
b. 1.7
c. 0.59
d. 1.65 - Answers c. 0.59
An ambulatory patient with insulin dependent diabetes has an ulcer located on the plantar surface of
the left foot over the third metatarsal head. The ulcer is 1 cm in diameter, with a dry, red surface. The
patient denies any pain in the ulcer. What type of wound does this most likely represent?
a. Venous Ulcer.
b. Neuropathic Ulcer.
c. Shear Ulcer.
d. Arterial Insufficiency Ulcer. - Answers b. Neuropathic Ulcer.
Which of the following assessments is most indicative of an arterial ulcer?
a. The presence of pain.
b. Absence of edema in the leg.
c. An ABI of 0.7.
, d. Absence of a ruddy, red wound bed. - Answers c. An ABI of 0.7.
Which of the following statements is TRUE? Venous dermatitis:
a. indicates a wound infection.
b. is characterized by hemosiderosis.
c. results in erythema, crusting, scaling skin of the leg.
d. is best managed with topical antimicrobial creams. - Answers c. results in erythema, crusting, scaling
skin of the leg.
Which of the following statements concerning the management of a mixed venous/arterial ulcer with an
ABI of .75 is TRUE?
a. Graduated compression is contraindicated.
b. Graduated compression can be provided at a modified level of support.
c. Graduated compression should be used temporarily to reduce edema and then discontinued.
d. Graduated compression should be provided only with compression stockings - Answers b. Graduated
compression can be provided at a modified level of support.
Mrs. James has an eschar covered heel ulcer and you decide that the best approach to management is
NOT to debride but to keep the eschar covered, dry and intact. The rationale for your decision is that
the:
a. wound is clinically infected.
b. TcPO2 (transcutaneous oxygen) is 15 mmHg.
c. peri-wound is erythematous.
d. albumin level is 3.0. - Answers b. TcPO2 (transcutaneous oxygen) is 15 mmHg.
A patient in the outpatient wound clinic has a venous ulcer and with palpation, the skin around the ulcer
feels firm and woody or hardened. This describes what condition?
a. Lipodermatosclerosis.
b. Atrophie blanche.
Intermittent claudication leg pain is characterized as pain that occurs:
a. With activity and is relieved by rest.
. Only during the night.
c. In the absence of activity with the leg in a dependent position.
d. When the leg is elevated such as when the patient is lying supine. - Answers a. With activity and is
relieved by rest.
As you examine a patient's lower extremity you observe a thin leg with dry skin and very little hair; the
ABI is 0.5. From this data, what condition would you assess to be present?
a. Arterial insufficiency.
b. Venous hypertension.
c. Neuropathy.
d. Mixed arterial/venous ulcer. - Answers a. Arterial insufficiency.
Which of the following statements about inelastic compression bandages is accurate?
a. They are only effective in the ambulatory patient.
b. They may be used when the ABI = 0.5 or less.
c. They can only be used after edema is reduced.
d. They provide sustained compression whether the patient is ambulatory or immobile. - Answers a.
They are only effective in the ambulatory patient.
What is Mrs. Lang's foot deformity called when there is a rocker bottom appearance to her foot?
a. Claw toes.
b. Charcot's joint.
c. Hammer toes.
d. Onychomycosis. - Answers b. Charcot's joint.
,Which of the following statements about contact casting is correct?
a. The contact cast is a multi-layer graduated compression wrap.
b. The patient can be instructed to replace the contact cast every 7 days.
c. It may be used when the ulcer is infected.
d. The contact cast redistributes the weight of the diabetic foot. - Answers d. The contact cast
redistributes the weight of the diabetic foot.
Mrs. Anderson has dependent rubor and elevation pallor of her right lower extremity. The systolic
pressure in her R. arm is 170 mmHg; L arm is 165 mmHg, R. dorsal pedis systolic pressure was 100
mmHg and the posterior tibial pressure was 95 mmHg. What is Mrs. Anderson's ABI for the RLE?
a. .056
b. 1.7
c. 0.59
d. 1.65 - Answers c. 0.59
An ambulatory patient with insulin dependent diabetes has an ulcer located on the plantar surface of
the left foot over the third metatarsal head. The ulcer is 1 cm in diameter, with a dry, red surface. The
patient denies any pain in the ulcer. What type of wound does this most likely represent?
a. Venous Ulcer.
b. Neuropathic Ulcer.
c. Shear Ulcer.
d. Arterial Insufficiency Ulcer. - Answers b. Neuropathic Ulcer.
Which of the following assessments is most indicative of an arterial ulcer?
a. The presence of pain.
b. Absence of edema in the leg.
c. An ABI of 0.7.
, d. Absence of a ruddy, red wound bed. - Answers c. An ABI of 0.7.
Which of the following statements is TRUE? Venous dermatitis:
a. indicates a wound infection.
b. is characterized by hemosiderosis.
c. results in erythema, crusting, scaling skin of the leg.
d. is best managed with topical antimicrobial creams. - Answers c. results in erythema, crusting, scaling
skin of the leg.
Which of the following statements concerning the management of a mixed venous/arterial ulcer with an
ABI of .75 is TRUE?
a. Graduated compression is contraindicated.
b. Graduated compression can be provided at a modified level of support.
c. Graduated compression should be used temporarily to reduce edema and then discontinued.
d. Graduated compression should be provided only with compression stockings - Answers b. Graduated
compression can be provided at a modified level of support.
Mrs. James has an eschar covered heel ulcer and you decide that the best approach to management is
NOT to debride but to keep the eschar covered, dry and intact. The rationale for your decision is that
the:
a. wound is clinically infected.
b. TcPO2 (transcutaneous oxygen) is 15 mmHg.
c. peri-wound is erythematous.
d. albumin level is 3.0. - Answers b. TcPO2 (transcutaneous oxygen) is 15 mmHg.
A patient in the outpatient wound clinic has a venous ulcer and with palpation, the skin around the ulcer
feels firm and woody or hardened. This describes what condition?
a. Lipodermatosclerosis.
b. Atrophie blanche.
