Free Wound Care Certification Question and Answers

Question 1

Which fistula treatment strategy is likely to be the most effective in preventing wound contamination from drainage for a significant open abdominal lesion that has a fistula on the posterior aspect?

Accepted Answer

Bridging

Answer

For a fistula located on the posterior aspect of a significant open abdominal wound, 'bridging' is the most effective strategy to prevent wound contamination. This technique involves creating a pathway or 'bridge' over the wound to direct the fistula drainage away from the open wound bed, often into a collection system. Bridging protects the healing wound from corrosive effluent and infection, which is crucial for promoting wound healing and preventing complications.

Question 2

What kind of preparation is required for a patient who will be receiving 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

Black eschar is a hard, impenetrable layer of necrotic tissue. Cross-hatching creates small channels or cuts in the eschar, allowing the collagenase enzyme to penetrate deeper into the necrotic tissue. This increased penetration ensures the chemical debridement agent can effectively reach and break down the collagen, facilitating the removal of the eschar and promoting wound healing.

Question 3

TransCyte is prescribed to treat:

Accepted Answer

burns (partial to full-thickness)

Answer

TransCyte is a temporary biosynthetic wound dressing specifically designed for the management of partial to full-thickness burns. It acts as a skin substitute, providing a protective barrier over the wound. This barrier helps to reduce fluid loss, protect against infection, and create a moist wound environment conducive to healing, particularly in severe burn injuries.

Question 4

Which support surface is ideal for a palliative care patient who is unable to assume a range of postures without feeling discomfort and putting pressure on two stage I and stage II ulcers?

Accepted Answer

Alternating air mattress

Answer

For a palliative patient with existing pressure ulcers and discomfort, an alternating air mattress is ideal. This type of mattress continuously inflates and deflates different air cells, constantly changing the pressure points on the body. This redistribution of pressure helps to prevent further skin breakdown, improve circulation, and significantly enhance patient comfort without requiring frequent, painful manual repositioning.

Question 5

The main goal of using an Unna boot while ambulating is to

Accepted Answer

provide static support to the calf muscle pump

Answer

The Unna boot is a non-elastic, semi-rigid compression bandage commonly used for venous leg ulcers. While ambulating, it provides continuous static compression that supports the calf muscle pump. This static support helps to reduce venous hypertension and edema, improving venous return and promoting the healing of venous ulcers.

Wound Care Certification Exam Practice Test

Wound Care Certification Exam Practice Test

Free Wound Care Certification Question and Answers