CWCA CWCA Pain Management in Wound Care

Question 1

Which pain assessment tool is most appropriate for a non-verbal patient with a wound?

Accepted Answer

PAINAD (Pain Assessment in Advanced Dementia)

Answer

The PAINAD scale is validated for non-verbal or cognitively impaired patients who cannot self-report pain.

Question 2

Procedural pain during wound dressing changes is best managed by:

Accepted Answer

Pre-medicating 30–60 minutes before the dressing change

Answer

Pre-medicating 30–60 minutes before a dressing change allows systemic analgesics to reach peak effect during the procedure.

Question 3

Which topical agent provides local anesthesia and is commonly used to reduce pain during wound debridement?

Accepted Answer

Lidocaine gel

Answer

Lidocaine gel applied topically before debridement reduces procedural pain by blocking local nerve conduction.

Question 4

A patient describes wound pain as a constant, deep aching sensation even at rest. This is classified as:

Accepted Answer

Background (persistent) pain

Answer

Background or persistent pain is chronic pain present at rest, distinct from procedural pain caused by treatment or incident pain triggered by movement.

Question 5

Neuropathic pain in chronic wounds is best characterized by which symptom?

Accepted Answer

Burning, shooting, or electric shock sensations

Answer

Neuropathic pain results from nerve damage and is typically described as burning, shooting, tingling, or electric shock-like.

CWCA - Certified Wound Care Associate Practice Test

CWCA - Certified Wound Care Associate Practice Test

CWCA CWCA Pain Management in Wound Care