Free Certified Wound Specialist Test Question and Answers

Question 1

A patient with controlled bilateral peripheral pitting edema and brownish staining of the skin near the ankles and anterior areas should be given the following advice to lessen the risk of ulcerations:

Accepted Answer

wear compression stockings

Answer

The described symptoms (pitting edema, brownish staining) are indicative of chronic venous insufficiency. Wearing compression stockings is the primary intervention to manage edema by improving venous return and reducing fluid accumulation. This helps prevent skin breakdown and ulcerations associated with chronic venous hypertension.

Question 2

For a big open post-surgical abdominal incision that contains a fistula in the posterior aspect, which fistula care strategy is likely the best to prevent wound contamination from drainage?

Accepted Answer

Bridging

Answer

For a large open post-surgical abdominal incision with a posterior fistula, 'bridging' is the best fistula care strategy. This technique involves creating a pathway or 'bridge' over the fistula to direct drainage away from the main wound and into a collection device, effectively preventing contamination of the larger incision and protecting surrounding tissues.

Question 3

What kind of preparation is required for a patient who will be receiving a chemical debridement with collagenase and who has a persistent leg ulcer covered in black eschar?

Accepted Answer

Cross-hatching the upper layers of the eschar

Answer

To enhance the effectiveness of chemical debridement with collagenase on a black eschar, cross-hatching the upper layers of the eschar is required. This mechanical preparation creates channels that allow the collagenase enzyme to penetrate deeper into the necrotic tissue, facilitating more efficient breakdown and removal of the eschar.

Question 4

Which type of barrier protection is the best for intact skin to keep it safe from exudate and adhesive stripping?

Accepted Answer

Skin sealant

Answer

Skin sealants are the best barrier protection for intact skin against exudate and adhesive stripping. They form a thin, breathable, protective film that shields the skin from moisture, friction, and the trauma of adhesive removal, while allowing dressings to adhere effectively without causing irritation.

Question 5

Which sort of insert relieves pressure when contemplating orthotics and shoe inserts for patients with a neuropathic foot?

Accepted Answer

Semi-rigid

Answer

For patients with a neuropathic foot, semi-rigid orthotics and shoe inserts are typically recommended. These provide a crucial balance of support, pressure redistribution, and shock absorption. They are firm enough to control foot mechanics and offload high-pressure areas, yet flexible enough to accommodate movement, reducing the risk of skin breakdown.

CWS Exam Practice Test

CWS Exam Practice Test

Free Certified Wound Specialist Test Question and Answers