WCC final exam questions and
answers
The cell responsible for building new granulation tissue - CORRECT
ANSWER>>fibroblast
Cells involved in epithelialization - CORRECT
ANSWER>>keratinocytes
Cells which can kill bacteria - CORRECT ANSWER>>macrophages
and polymorphonuclear neutrophils
To assist with managing a wound that is hypogranular: - CORRECT
ANSWER>>lightly fill the wound base with gauze to prevent premature
epithelialization
Chronic wounds contain - CORRECT ANSWER>>high levels of MMPs
and low levels of TIMPs
Surgical wound dehiscence is most often due to: - CORRECT
ANSWER>>insufficient collagen tensile strength
A severely contaminated wound should be allowed to close by: -
CORRECT ANSWER>>secondary wound closure
cell surface receptors that allow cells to reversibly bind to the
extracellular matrix to achieve cell migration - CORRECT
ANSWER>>Integrins
The maximum strength that a scar tissue can attain after the
occurrence of remodeling is: - CORRECT ANSWER>>80%
The maturation and remodeling phase of wound healing typically lasts
for: - CORRECT ANSWER>>six months to two years.
,Cells that can be found in the dermis are: - CORRECT
ANSWER>>fibroblasts
The stratum corneum can be found in the: - CORRECT
ANSWER>>epidermis
A full-thickness wound involves the following tissue layers: -
CORRECT ANSWER>>epidermis, dermis, and subcutaneous tissue
A stage 2 pressure injury can also be described as a ________ lesion.
- CORRECT ANSWER>>partial-thickness
A callus is caused by a build-up of cells within the stratum basale. -
CORRECT ANSWER>>False
Mast cells produce the following substance: - CORRECT
ANSWER>>histamine
When examining a patient's wound, you notice gray-black, dry,
leathery-appearing, irregular fibrous tissue. What do you suspect this
structure is? - CORRECT ANSWER>>Nonviable joint capsule
When examining a patient's wound, you notice regularly arranged red
tissue. What do you suspect this structure is? - CORRECT
ANSWER>>Muscle
The subcutaneous tissue consists of: - CORRECT
ANSWER>>adipose tissue and fascia
Partial-thickness wounds heal ___ than full-thickness wounds -
CORRECT ANSWER>>faster
Wounds should heal faster if both the patient and the patient's wound
are kept ___. - CORRECT ANSWER>>warm
Surgical wounds heal ___ than traumatic wounds - CORRECT
ANSWER>>faster
,Change in wound surface area can be used to predict wound healing. -
CORRECT ANSWER>>True
Covering a wound with a dressing facilitates wound healing because a
dry wound progresses through the phases of inflammation more ___
than a moist wound. - CORRECT ANSWER>>slowly
Serial debridement facilitates wound healing by removing ___ to
healing - CORRECT ANSWER>>barriers
Wound debridement is vital to wound healing and should be completed
despite a patient's pain complaint. - CORRECT ANSWER>>False
Wet-to-dry dressings impair wound healing by traumatizing healthy ___
tissue - CORRECT ANSWER>>granulation
Antiseptics should routinely be used as: - CORRECT
ANSWER>>surgical scrubs
occurs when the tissue under the wound edges becomes eroded -
CORRECT ANSWER>>Undermining
Necrotic tissue that is yellow or tan in color and stringy or mucinous in
consistency is called: - CORRECT ANSWER>>slough
Which of the following types of wound drainage would be considered
normal? Drainage that is ___ in consistency and pale ___ in color. -
CORRECT ANSWER>>thin, yellow
Periwound erythema can be a sign of ___ and a normal sign of ___. -
CORRECT ANSWER>>infection, inflammation
When assessing for periwound edema, your thumb leaves an
impression about 2-4 mm in depth that rebounds in less than 15
seconds. How would you describe your results? - CORRECT
ANSWER>>2+ pitting edema
2mm slight pitting
, Disappears QUICKLY
No visible distortion - CORRECT ANSWER>>+1 pitting edema
Deep pitting, indentation remains for a short time (<1 min). -
CORRECT ANSWER>>+3 pitting edema
Very deep pitting, indentation lasts beyond a few seconds (2-3 min).
Swelling is excessive, skin may appear blistered, oozing of fluid may
occur. - CORRECT ANSWER>>+4 pitting edema
When palpating your patient's tibialis posterior artery pulse, you feel it
is normal. What grade would you assign it? - CORRECT ANSWER>>2
Normal capillary refill is: - CORRECT ANSWER>>3 seconds
Wound-related goals should be: - CORRECT ANSWER>>specific,
time dependent, and measurable
A pressure injury should be classified using: - CORRECT
ANSWER>>the staging system and/or extent of tissue involved
Contraindications for sharp debridement? Areas that cannot be
adequately ___. - CORRECT ANSWER>>visualized
Surgical debridement is indicated for all of the following EXCEPT:
when another form of ___ will suffice. - CORRECT
ANSWER>>debridement
Biologic debridement may assist with wound debridement because
larvae produce enzymes that degrade ___ tissue without harming
living tissue. - CORRECT ANSWER>>necrotic
Traditional gauze dressings have a higher rate of wound infection than
covering a wound with a moisture-retentive dressing and leaving it in
place for three to five days. - CORRECT ANSWER>>True
Order the following in order of increasing wound bioburden. -
CORRECT ANSWER>>Contamination, colonization, infection
answers
The cell responsible for building new granulation tissue - CORRECT
ANSWER>>fibroblast
Cells involved in epithelialization - CORRECT
ANSWER>>keratinocytes
Cells which can kill bacteria - CORRECT ANSWER>>macrophages
and polymorphonuclear neutrophils
To assist with managing a wound that is hypogranular: - CORRECT
ANSWER>>lightly fill the wound base with gauze to prevent premature
epithelialization
Chronic wounds contain - CORRECT ANSWER>>high levels of MMPs
and low levels of TIMPs
Surgical wound dehiscence is most often due to: - CORRECT
ANSWER>>insufficient collagen tensile strength
A severely contaminated wound should be allowed to close by: -
CORRECT ANSWER>>secondary wound closure
cell surface receptors that allow cells to reversibly bind to the
extracellular matrix to achieve cell migration - CORRECT
ANSWER>>Integrins
The maximum strength that a scar tissue can attain after the
occurrence of remodeling is: - CORRECT ANSWER>>80%
The maturation and remodeling phase of wound healing typically lasts
for: - CORRECT ANSWER>>six months to two years.
,Cells that can be found in the dermis are: - CORRECT
ANSWER>>fibroblasts
The stratum corneum can be found in the: - CORRECT
ANSWER>>epidermis
A full-thickness wound involves the following tissue layers: -
CORRECT ANSWER>>epidermis, dermis, and subcutaneous tissue
A stage 2 pressure injury can also be described as a ________ lesion.
- CORRECT ANSWER>>partial-thickness
A callus is caused by a build-up of cells within the stratum basale. -
CORRECT ANSWER>>False
Mast cells produce the following substance: - CORRECT
ANSWER>>histamine
When examining a patient's wound, you notice gray-black, dry,
leathery-appearing, irregular fibrous tissue. What do you suspect this
structure is? - CORRECT ANSWER>>Nonviable joint capsule
When examining a patient's wound, you notice regularly arranged red
tissue. What do you suspect this structure is? - CORRECT
ANSWER>>Muscle
The subcutaneous tissue consists of: - CORRECT
ANSWER>>adipose tissue and fascia
Partial-thickness wounds heal ___ than full-thickness wounds -
CORRECT ANSWER>>faster
Wounds should heal faster if both the patient and the patient's wound
are kept ___. - CORRECT ANSWER>>warm
Surgical wounds heal ___ than traumatic wounds - CORRECT
ANSWER>>faster
,Change in wound surface area can be used to predict wound healing. -
CORRECT ANSWER>>True
Covering a wound with a dressing facilitates wound healing because a
dry wound progresses through the phases of inflammation more ___
than a moist wound. - CORRECT ANSWER>>slowly
Serial debridement facilitates wound healing by removing ___ to
healing - CORRECT ANSWER>>barriers
Wound debridement is vital to wound healing and should be completed
despite a patient's pain complaint. - CORRECT ANSWER>>False
Wet-to-dry dressings impair wound healing by traumatizing healthy ___
tissue - CORRECT ANSWER>>granulation
Antiseptics should routinely be used as: - CORRECT
ANSWER>>surgical scrubs
occurs when the tissue under the wound edges becomes eroded -
CORRECT ANSWER>>Undermining
Necrotic tissue that is yellow or tan in color and stringy or mucinous in
consistency is called: - CORRECT ANSWER>>slough
Which of the following types of wound drainage would be considered
normal? Drainage that is ___ in consistency and pale ___ in color. -
CORRECT ANSWER>>thin, yellow
Periwound erythema can be a sign of ___ and a normal sign of ___. -
CORRECT ANSWER>>infection, inflammation
When assessing for periwound edema, your thumb leaves an
impression about 2-4 mm in depth that rebounds in less than 15
seconds. How would you describe your results? - CORRECT
ANSWER>>2+ pitting edema
2mm slight pitting
, Disappears QUICKLY
No visible distortion - CORRECT ANSWER>>+1 pitting edema
Deep pitting, indentation remains for a short time (<1 min). -
CORRECT ANSWER>>+3 pitting edema
Very deep pitting, indentation lasts beyond a few seconds (2-3 min).
Swelling is excessive, skin may appear blistered, oozing of fluid may
occur. - CORRECT ANSWER>>+4 pitting edema
When palpating your patient's tibialis posterior artery pulse, you feel it
is normal. What grade would you assign it? - CORRECT ANSWER>>2
Normal capillary refill is: - CORRECT ANSWER>>3 seconds
Wound-related goals should be: - CORRECT ANSWER>>specific,
time dependent, and measurable
A pressure injury should be classified using: - CORRECT
ANSWER>>the staging system and/or extent of tissue involved
Contraindications for sharp debridement? Areas that cannot be
adequately ___. - CORRECT ANSWER>>visualized
Surgical debridement is indicated for all of the following EXCEPT:
when another form of ___ will suffice. - CORRECT
ANSWER>>debridement
Biologic debridement may assist with wound debridement because
larvae produce enzymes that degrade ___ tissue without harming
living tissue. - CORRECT ANSWER>>necrotic
Traditional gauze dressings have a higher rate of wound infection than
covering a wound with a moisture-retentive dressing and leaving it in
place for three to five days. - CORRECT ANSWER>>True
Order the following in order of increasing wound bioburden. -
CORRECT ANSWER>>Contamination, colonization, infection
