WOUND CARE - WND580 EXAM 2025
QUESTIONS AND ANSWERS
What cells located in the dermis produce collagen (dermal building blocks) and elastin (tensile
strength)? - ANS Fibroblasts
A patient has an acute full-thickness wound due to trauma. What order of healing would occur
with this wound? - ANS hemostasis, inflammation, proliferation and maturation
Which statement accurately describes the characteristic and implication of necrotic tissue in a
wound bed? - ANS Eschar usually is black, brown, or gray and associated with deeper tissue
damage. It is usually firmly attached to the wound base.
What is the primary reason for taking the time to perform a comprehensive assessment to
identify protein energy malnutrition as opposed to ordering a simple blood draw to formulate a
diagnosis? - ANS Blood tests do not provide a stand alone assessment.
This wound will heal with a scar formation. - ANS full thickness wound
When the skin around a wound develops a whitish appearance, it can be described as? -
ANS maceration.
As you setup a skin care program, you identify the elderly to be at risk for skin tears due to the
effects of aging on the: - ANS rete ridges
1|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
, As wound healing progresses, collagen deposition and remodeling occur and has which of the
following effects? - ANS increased tensile strength
You are aware that age itself is not a risk factor for failure to heal wounds. Problems in wound
healing for the elderly are most likely associated with: - ANS Multiple co-morbidities
An intubated pt. with HOB elevated to 45 degrees. Has a stage 3 pressure ulcer on her coccyx
with undermining. Which of the following risk factors is most responsible for undermining in
the pressure injuries? - ANS Shear from having the HOB elevated to 45 Degrees.
Arterial disease, hypotension, vasopressors and severe anemia can be deleterious to wound
healing because they decrease the amount of: - ANS Oxygen in the tissue
What cell plays a central role in initiating the wound repair process? - ANS Platelets
90 Year old female in the nursing home has a partial thickness wound with a fully approximated
epidermal flap on her left forearm. What type of skin damage is present - ANS Skin tear, type
1
Which treatment would be most appropriate for the management of a partial thickness wound
with a fully approximated epidermal flap? - ANS Re-approximate edges and apply a non-
adherent dressing
When changing a wound dressing over a full thickness wound, you notice the wound bed is
shiny, moist, red and has a cobblestone appearance. What terminology would you use to
document this observation? - ANS Granulation is present
The 3 principles of wound care provide a useful format for prioritizing approaches in wound
care. They are: - ANS reduce/eliminate the cause of the wound, support the host and
maintain a physiologic environment.
2|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
QUESTIONS AND ANSWERS
What cells located in the dermis produce collagen (dermal building blocks) and elastin (tensile
strength)? - ANS Fibroblasts
A patient has an acute full-thickness wound due to trauma. What order of healing would occur
with this wound? - ANS hemostasis, inflammation, proliferation and maturation
Which statement accurately describes the characteristic and implication of necrotic tissue in a
wound bed? - ANS Eschar usually is black, brown, or gray and associated with deeper tissue
damage. It is usually firmly attached to the wound base.
What is the primary reason for taking the time to perform a comprehensive assessment to
identify protein energy malnutrition as opposed to ordering a simple blood draw to formulate a
diagnosis? - ANS Blood tests do not provide a stand alone assessment.
This wound will heal with a scar formation. - ANS full thickness wound
When the skin around a wound develops a whitish appearance, it can be described as? -
ANS maceration.
As you setup a skin care program, you identify the elderly to be at risk for skin tears due to the
effects of aging on the: - ANS rete ridges
1|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
, As wound healing progresses, collagen deposition and remodeling occur and has which of the
following effects? - ANS increased tensile strength
You are aware that age itself is not a risk factor for failure to heal wounds. Problems in wound
healing for the elderly are most likely associated with: - ANS Multiple co-morbidities
An intubated pt. with HOB elevated to 45 degrees. Has a stage 3 pressure ulcer on her coccyx
with undermining. Which of the following risk factors is most responsible for undermining in
the pressure injuries? - ANS Shear from having the HOB elevated to 45 Degrees.
Arterial disease, hypotension, vasopressors and severe anemia can be deleterious to wound
healing because they decrease the amount of: - ANS Oxygen in the tissue
What cell plays a central role in initiating the wound repair process? - ANS Platelets
90 Year old female in the nursing home has a partial thickness wound with a fully approximated
epidermal flap on her left forearm. What type of skin damage is present - ANS Skin tear, type
1
Which treatment would be most appropriate for the management of a partial thickness wound
with a fully approximated epidermal flap? - ANS Re-approximate edges and apply a non-
adherent dressing
When changing a wound dressing over a full thickness wound, you notice the wound bed is
shiny, moist, red and has a cobblestone appearance. What terminology would you use to
document this observation? - ANS Granulation is present
The 3 principles of wound care provide a useful format for prioritizing approaches in wound
care. They are: - ANS reduce/eliminate the cause of the wound, support the host and
maintain a physiologic environment.
2|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
