CWCA CWCA Pain Management in Wound Care 2

Question 1

The WHO analgesic ladder recommends starting pain management with which class of medication for mild wound pain?

Accepted Answer

Non-opioid analgesics (NSAIDs, acetaminophen)

Answer

The WHO analgesic ladder starts with non-opioid medications such as NSAIDs and acetaminophen for mild pain before escalating to opioids.

Question 2

Which intervention is considered a non-pharmacological method for wound pain management?

Accepted Answer

Distraction techniques and relaxation

Answer

Distraction, guided imagery, and relaxation techniques are evidence-based non-pharmacological strategies that reduce the perception of wound pain.

Question 3

Soaking a dry adherent dressing with normal saline before removal primarily serves to:

Accepted Answer

Soften the dressing to reduce trauma and pain on removal

Answer

Moistening a dried dressing before removal loosens adherence to prevent tearing of fragile wound tissue and reduces pain.

Question 4

In the CWCA framework, pain reassessment after an analgesic intervention should occur within:

Accepted Answer

1 hour for oral medications, 30 minutes for IV

Answer

Reassessment timing depends on route: 1 hour for oral analgesics to allow absorption and peak effect, 30 minutes for IV medications.

Question 5

A patient with a diabetic foot ulcer reports no pain despite deep tissue involvement. This is most likely due to:

Accepted Answer

Peripheral neuropathy causing sensory loss

Answer

Peripheral neuropathy, common in diabetes, causes sensory deficits that prevent patients from feeling pain even in deep or infected wounds.

CWCA - Certified Wound Care Associate Practice Test