CWCA Wound Bed Preparation 3

Question 1

Hypergranulation (proud flesh) in a wound bed is most commonly caused by:

Accepted Answer

Excessive moisture and continuous pressure on the wound

Answer

Hypergranulation typically results from a chronically moist, occluded wound environment often combined with low-grade infection or repeated trauma, causing overgrowth of granulation tissue above the wound margins.

Question 2

For a heavily exudating wound during wound bed preparation, the most appropriate dressing category is:

Accepted Answer

Highly absorptive dressings such as alginates or foam dressings

Answer

Alginates and foam dressings have high absorptive capacity and are the appropriate choice for wounds with heavy exudate to maintain moisture balance without causing maceration.

Question 3

Epibole (rolled or curled wound edges) indicates:

Accepted Answer

Stalled healing where edge epithelial cells fail to migrate into the wound

Answer

Epibole occurs when wound edge epithelial cells roll under and down the wound margin instead of migrating across the wound bed, indicating a stalled healing process that requires intervention.

Question 4

Topical antimicrobials are most appropriately used in wound bed preparation when:

Accepted Answer

The wound shows signs of critical colonization or localized infection

Answer

Topical antimicrobials are indicated when there is evidence of critical colonization (subtle healing stall) or local infection, not for routine use on all colonized wounds.

Question 5

The factor most responsible for wound chronicity that wound bed preparation directly aims to correct is:

Accepted Answer

Elevated wound proteases and senescent cells that impair the healing cascade

Answer

Chronic wounds contain high levels of matrix metalloproteinases (MMPs), reactive oxygen species, and senescent cells that degrade growth factors and extracellular matrix, directly impairing healing.

CWCA - Certified Wound Care Associate Practice Test

CWCA - Certified Wound Care Associate Practice Test

CWCA Wound Bed Preparation 3