FREE Certified Wound Specialist MCQ Test Question and Answers

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Venous ulcers most frequently develop at:

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Explanation:
Due to its location at the distal end of the hydrostatic pressure column, distal to the calf pump, and proximity to the distal end of the lesser saphenous vein, the medial malleolus is where venous ulcers occur most frequently. These reasons make the medial malleolus the location of greatest venous pressure. However, as ulcers can develop anywhere between the knees and the ankle, edema control and venous hypertension reduction are essential as prophylactic strategies.

If a wound has been in the inflammatory phase of healing for 10 days without progressing and the surrounding skin has remained erythematous and edamous, which of the following should the healthcare provider initially suspect?

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Explanation:
The most frequent cause of a wound not moving through the inflammatory phase of healing and into the proliferation phase is an infection of the tissue. If there is necrotic tissue present, the inflammation may also last longer. To establish what interventions might be required, the wound should be assessed with regard to culture and sensitivity. IV, oral, or topical antibiotics may be used to treat an infected wound, depending on its size and the level of infection.

Silver nitrate chemical cauterization is applied on wounds to:

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Explanation:
Hyper granulation is occasionally treated with chemical cauterization with silver nitrate. Cauterization is the process of destroying aberrant cells by burning or searing them with heat. Water is used to activate silver nitrate thicks, which are then softly rolled over the tissue to be treated for a brief period of time. Chemical cauterization is most frequently used to manage the hypergranulation tissue that develops in wounds, particularly stomas. The tissue in hypergranulation is frequently friable and readily bleeds. Up to four days of therapy, twice daily repetitions are possible till the extra tissue sheds.

The ideal position to avoid developing a pressure ulcer is:

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Explanation:
Patients should be positioned in the 30-degree tilt position since this has less of an adverse effect on their circulatory system than the 90-degree side-lying position, which leads to ischemia over bony prominences. Each person should have specific goals for repositioning and a turning timetable that occurs at least every two hours, with supporting documentation. Bony prominences should be safeguarded and kept away from one another by using devices like cushions or foam while positioning patients correctly. Even on a mattress with alternating pressure, pressure can still happen.

Which of the following therapies is recommended as a first line of treatment for weepy, red, itchy atopic dermatitis?

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Explanation:
Weepy lesions linked to atopic dermatitis are treated with wet aluminum acetate compresses. Eczema is a persistent, inflammatory condition of the superficial skin. It has a connection to allergies and is connected to the dry, barrier-impaired condition known as xerosis. It is linked to cold, dry weather, central heating (which dries the air), and skin irritants like soap. Vesicles may form, leak, and crust while the skin is frequently red and irritated. The skin could be flaky, scaly, and rough. The skin may get thicker and darker with time, and lichenification (marking caused by repeated scratching) may appear.

How would a wound be classed if it initially healed as expected but then seemed to plateau and stayed the same for the second and third weeks?

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Explanation:
> Stunned wound: A wound that first seems to be healing nicely but then stops growing after the point of healing.
> An acute wound results from surgery or trauma and often heals without complications within the anticipated time frame.
> Chronic wound: One that lasts longer than 30 days without healing.
> Recalcitrant wound: Fails to follow a normal progression of healing and is challenging to manage since it does not heal after receiving various treatments. Some may never heal.

The amount of protein needed in the diet to encourage wound healing is:

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Explanation:
Protein must rise because it is essential for wound healing and because a wound raises metabolic rate. Dietary needs range from 1.25 to 1.5 g/kg per day for wound healing. A patient weighing 150 lb (68 kg) would typically need between 60 and 102 g of protein per day, therefore the patient would need to significantly increase their intake of high-protein meals or take nutritional supplements. For instance, there are just 7 g of protein in an ounce of meat.

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