CWS Certified Wound Specialist MCQ 3

Question 1

Which dressing is MOST appropriate for a heavily exudating wound with fragile periwound skin?

Accepted Answer

Superabsorbent polymer dressing

Answer

Superabsorbent polymer dressings handle heavy exudate while preventing periwound maceration that would worsen fragile skin.

Question 2

The primary mechanism by which negative pressure wound therapy (NPWT) promotes wound healing is:

Accepted Answer

Mechanical stretch promoting cell proliferation and increased perfusion

Answer

NPWT applies mechanical stretch forces that stimulate cell proliferation, granulation tissue formation, and increase local blood flow.

Question 3

A diabetic foot ulcer is classified as University of Texas Grade 2B. What does this indicate?

Accepted Answer

Deep wound to tendon or capsule with ischemia

Answer

UT Grade 2 = wound penetrating to tendon or capsule; Stage B = ischemia present; together 2B indicates deep wound to tendon/capsule with ischemia.

Question 4

Which debridement method is CONTRAINDICATED in a wound with exposed blood vessels or organs?

Accepted Answer

Mechanical wet-to-dry debridement

Answer

Wet-to-dry mechanical debridement is indiscriminate and can traumatize or disrupt exposed vessels or organs upon removal.

Question 5

A patient with a Stage 4 sacral pressure injury has tunneling at 3 o'clock measuring 4 cm. How should this be documented?

Accepted Answer

Tunneling at 3 o'clock, 4 cm depth

Answer

Tunneling is documented by its clock position and depth in centimeters; 3 o'clock is the correct directional notation with a probe-measured depth.

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