Certified Wound Specialist MCQ Flashcards
7 cards from real CWS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Certified Wound Specialist MCQ flashcards as text
A patient presents with a wound exhibiting a PaO2 below 40 mmHg in the wound tissue. Which consequence is most directly associated with this finding?
Answer: Impaired collagen synthesis
Tissue hypoxia impairs collagen synthesis because prolyl hydroxylase, the enzyme required for collagen crosslinking, is oxygen-dependent.
Which wound bed preparation principle does the TIME acronym NOT include?
Answer: Hydration
TIME stands for Tissue management, Infection/inflammation control, Moisture balance, and Edge of wound advancement — hydration is not a standalone TIME component.
A venous leg ulcer patient refuses compression therapy. The MOST appropriate next step is to:
Answer: Explore barriers and provide education on its critical role
Exploring barriers and educating the patient about compression's role in venous ulcer healing addresses the root cause of non-adherence before escalating care.
When using the PUSH tool to monitor a pressure injury, which three parameters are scored?
Answer: Surface area, exudate amount, tissue type
The Pressure Ulcer Scale for Healing (PUSH) tool scores surface area, exudate amount, and tissue type to track healing over time.
Hypergranulation tissue (proud flesh) in a wound is BEST managed by:
Answer: Applying topical corticosteroids or foam dressings with compression
Topical steroids reduce inflammation driving hypergranulation, while foam dressings with compression physically flatten the tissue.
Which ankle-brachial index (ABI) range indicates moderate peripheral arterial disease and warrants modified compression use?
Answer: 0.5–0.79
An ABI of 0.5–0.79 indicates moderate PAD; compression may be applied cautiously at reduced pressures with vascular specialist guidance.
A wound culture obtained by swabbing the wound surface most commonly identifies:
Answer: Surface colonizers rather than true pathogens
Surface swab cultures primarily capture surface colonizers and may not reflect the causative organisms of deep infection, making tissue biopsy more accurate.