Wound Care Certification Exam

FREE Wound Care Certification Practice Question and Answer

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What is full-thickness skin loss with subcutaneous tissue injury or necrosis?

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A full-thickness lesion is a type of ulcer in Stage III. It causes damage or death to the subcutaneous tissue, which may go down to the fascia but not through it. It looks like a deep crater, with or without damage to the nearby tissue.

What is used to make the skin tacky and secure a steri-strip?

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Apply this to the skin 1.5 to 2 inches wide on each side of the suture line and let it dry for a few minutes.

After surgery or injury, what is a collection of extravasated blood stuck in tissues or organs?

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A hematoma is a clotted blood collection outside of a blood vessel caused by a blood vessel wall damage that allows blood to leak into tissues. A damaged artery, vein, or capillary may hemorrhage a tiny dot or a lot of blood.

Dressing choices will be made based on agency policy and traditional plans for universal care.

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Dressings need to be chosen based on the type of wound and the goals for healing the wound.

Hemostasis is the process of stopping bleeding and making blood clots. What is in the blood clot that helps keep the wound together?

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Fibrin is produced by the coagulation cascade. The platelet plug is the bricks, and the fibrin is the mortar throughout this process. Together, they make a clot that is strong and stable.

Where do you tie the square knot when using a triangle-shaped blinder (Sling)?

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Make sure there is enough pain relief before the procedure. Point the top of the bandage to the elbow and put the sling across the patient's chest (under the arm) Fold the bottom half of the bandage up over the patient's forearm and tie a knot behind his or her neck. Tie a knot in the extra bandage at the elbow or fold it and secure it with a safety pin.

During a dressing, forgetting to count the packing pieces raises the chance of _______.

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The risk of abscess formation or infection due to retained dressing/packing material in the wound is increased when the number of packing pieces used during a dressing is not counted.

What Is a Keloid?

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A wound's extra scar tissue forms a keloid. It can be a lot bigger than the original wound and look hard and smooth.

Retention sutures: how long do they stay in place?

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Retention sutures are made of rubber and are mostly used on obese people who have had abdominal surgery.

When a patient has steri-strips, what is the best way to clean their bodies?

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The Cleveland Clinic says that you can wash or shower with your Steri-Strips on, but you shouldn't pull, tug, or rub them. In two weeks, they will fall off on their own. You should also wash the area with water and mild soap, then pat it dry with a clean towel or cloth. Some sources say that Steri-Strips should be changed every 2–4 days to keep things clean.

What is the main function of wet-to-dry dressings?

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In the literature, wet-to-dry dressings are described as a type of mechanical debridement. Debridement is the most important part of preparing a wound bed because dead tissue harbors bacteria, slows healing, and makes an infection more likely.

What do you call a strip or roll of cloth or other material that can be wrapped around a body part in different ways for different purposes?

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Most of the time, a wound bandage is used to hold a dressing in place. They are often put into groups based on how they look (tube, triangle, roller, pad, strips) or what they are made of (gauze, cotton, woven, non-woven, liquid).

What is the flow or escape of blood, serum, or lymph into the tissues?

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Extravasation is when an injected drug leaks out of the blood vessels and harm the surrounding tissues.

From day 3 or 4 to day 21, when the injury happens, this phase of healing gets longer. The area has more collagen. Capillaries run across the wound.

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The inflammatory phase overlaps with this phase, which begins three days after injury. Fibroblasts produce collagen, blood vessels, and avascular epithelial tissue.

A bandage consisting with big pieces of material to fit a specific body part, typically made of elastic, cotton, muslin, or flannel.

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A binder supports the abdomen, chest, or arm using a wide bandage. It can be made of cotton, muslin, flannel, or elastic. Binders can help people heal, reduce swelling, or make them feel better.

Blood stops bleeding during hemostasis. A cut made by a sharp instrument during surgery that gives access to an organ or space in the body.

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A surgical procedure requires an incision to expose the underlying tissue, bone, or organ.