FREE Wound Care Certification MCQ Question and Answer

Question 1

The word "slough" is used to describe a wound and means:

Accepted Answer

a soft viscous yellow layer of necrotic tissue that covers and adheres to the wound

Answer

softening and irritation caused by akin contact with liquid

Answer

bright pink or red granular new tissue formed from capillary beds

Answer

formation of healed tissue from epidermal cells over granulation

Question 2

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

Accepted Answer

Infection

Answer

Secondary trauma

Answer

Immunosuppression

Answer

Inadequate protein intake

Question 3

Which diagnostic test is best recommended for a patient who follows a strict vegan diet and doesn't eat any foods containing gluten or legumes?

Accepted Answer

Zinc level

Answer

BUN

Answer

Vitamin D level

Answer

Prealbumin

Question 4

How would a wound that initially healed as expected but then showed signs of plateauing and stayed unaltered for the second and third weeks be classified?

Accepted Answer

Stunned wound

Answer

Recalcitrant wound

Answer

Acute wound

Answer

Chronic wound

Question 5

The kind of wound most likely to contract at the slowest rate is

Accepted Answer

circular

Answer

rectangular

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square

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linear

Question 6

When taking steps to avoid friction that could lead to a pressure ulcer, which of the following should be avoided?

Accepted Answer

Talcum powder

Answer

Skin sealants

Answer

Alcohol-based skin barrier

Answer

Cornstarch

Question 7

On wounds, silver nitrate chemical cauterization is used to

Accepted Answer

treat hypergranulation

Answer

control bleeding

Answer

decrease exudate

Answer

debride ulcer

Question 8

A 19-year-old girl comes to the ED with a cut on her lip. He got the cut when he got into an argument. On close inspection, he has a 2-cm horizontal cut in the middle of his lower right lip. The lower lip has gotten a lot bigger. The attending asks you, the intern, to do a mental block for anesthesia. Which of the following is a true statement about mental blocks?

Accepted Answer

A mental block anesthetizes the mental nerve, which innervates the lower lip.

Answer

The patient requires a right-sided mental block.

Answer

A mental block is performed by injecting lidocaine into the mental nerve foramen.

Answer

A mental block is not appropriate in this patient because it will lead to worsened swelling of the lower lip swelling.

Question 9

A 12-years girl with a forehead injury is brought to the emergency room by her parents. The patient hit her head on a doorknob, according to her dad. During the exam, the patient is cooperative, but he or she is nervous about getting the anesthetic shot. She has a 0.5-cm cut in the middle of her forehead. The edges are clean. Her parents ask about "skin glue," which they saw on TV and heard about. Which of the following is true about tissue adhesives made from cyanoacrylate?

Accepted Answer

It cannot be applied to mucous membranes and areas with thick hair.

Answer

Tissue adhesives have a higher rate of infection and tissue dehiscence than sutures.

Answer

Tissue adhesives are applied inside the wound to pull skin edges together.

Answer

Tissue adhesives are best suited for forehead lacerations between 5 and 10 cm in length.

Question 10

A 35-year-old chef comes to the emergency room with a whole fingertip. She says that her knife fell while she was cutting up vegetables. She brought the pulp that had been cut off in a plastic bag. On examination, the patient's distal volar tip of the second finger has a clean, 5-mm-wide slice of skin. There is a lot of bleeding that doesn't pulsate. There is no damage to the distal interphalangeal joint (DIP), the proximal interphalangeal joint (PIP), or the nail. Her last tetanus shot was about a year ago. Which is the best next step in management?

Accepted Answer

Discharge the patient with a pressure dressing and splint after the wound is irrigated and the bleeding is controlled.

Answer

Irrigate the hand and replant distal tip in the ED as soon as possible.

Answer

Consult hand surgery for replantation of the pulp in the operating room.

Answer

Immediately place the amputated tip on ice to prevent cell death.