CWS CWS Wound Assessment and Dressing Selection Questions and Answers 2 — Questions and Answers
Question 1: Which clinical sign best differentiates wound infection from normal inflammation in a healing wound?
- Increasing pain, warmth, erythema with purulent exudate beyond the wound margin (Correct answer)
- Pale pink granulation tissue
- Moderate serous exudate
- Wound edge epithelialization
Correct answer: Increasing pain, warmth, erythema with purulent exudate beyond the wound margin
Classic signs of wound infection include increased pain, warmth, spreading erythema, and purulent discharge, distinguishing it from the expected inflammatory phase.
Question 2: What is the recommended method for measuring wound size in clinical documentation?
- Length × width × depth in centimeters using the head-to-toe axis orientation (Correct answer)
- Diameter only for circular wounds
- Volumetric fill with saline
- Photographic pixel count only
Correct answer: Length × width × depth in centimeters using the head-to-toe axis orientation
Standard practice is to measure the longest length (head-to-toe axis), widest width (perpendicular), and deepest depth in centimeters.
Question 3: Foam dressings are most appropriate for which type of wound?
- Moderate-to-heavily exudating wounds requiring cushioning and absorption (Correct answer)
- Dry necrotic wounds requiring rehydration
- Intact skin requiring prophylactic protection only
- Tunneling wounds requiring packing
Correct answer: Moderate-to-heavily exudating wounds requiring cushioning and absorption
Foam dressings absorb moderate-to-heavy exudate, provide thermal insulation and cushioning, and maintain a moist environment without maceration.
Question 4: What does periwound maceration indicate, and how should it be managed?
- Excessive moisture causing skin breakdown; manage by switching to a more absorbent dressing and applying a skin barrier (Correct answer)
- Insufficient exudate; switch to a hydrogel dressing
- Normal healing response; no intervention needed
- Biofilm formation; apply topical antibiotics
Correct answer: Excessive moisture causing skin breakdown; manage by switching to a more absorbent dressing and applying a skin barrier
Maceration is caused by prolonged moisture exposure to periwound skin; treatment involves increasing dressing absorbency and protecting the skin with a barrier product.
Question 5: Which tool uses a color-coded visual guide to classify wound tissue types (black, yellow, red, pink)?
- RYB (Red-Yellow-Black) wound color classification (Correct answer)
- PUSH tool
- Bates-Jensen Wound Assessment Tool
- Wagner Ulcer Classification
Correct answer: RYB (Red-Yellow-Black) wound color classification
The Red-Yellow-Black (RYB) color classification system provides a quick visual framework for identifying the predominant wound tissue and guiding dressing selection.
Question 6: A diabetic foot ulcer classified as Wagner Grade 2 has which defining characteristic?
- Deep ulcer penetrating to tendon, capsule, or bone without osteomyelitis (Correct answer)
- Superficial ulcer not penetrating to deep structures
- Partial foot gangrene
- Full foot gangrene
Correct answer: Deep ulcer penetrating to tendon, capsule, or bone without osteomyelitis
Wagner Grade 2 indicates a deeper ulcer reaching tendon, joint capsule, or bone, but without evidence of osteomyelitis or abscess.
CWS CWS Wound Assessment and Dressing Selection Questions and Answers 2
Which clinical sign best differentiates wound infection from normal inflammation in a healing wound?