MNT Wound Care & Debridement 3

Question 1

Wet-to-dry mechanical debridement is described as non-selective because:

Accepted Answer

It removes both necrotic and viable healthy tissue when the dried dressing is pulled away

Answer

It can only be performed by licensed medical professionals

Answer

It requires a prescription-strength enzymatic agent to work

Answer

It selectively digests slough while leaving granulation tissue intact

Question 2

Healthy granulation tissue in a healing wound is best described as:

Accepted Answer

Bright red, moist tissue with a granular surface texture

Answer

Yellow, stringy fibrin slough adherent to the wound bed

Answer

Black, dry, and leathery eschar

Answer

White, macerated tissue with a boggy consistency

Question 3

The Braden Scale is a validated clinical tool used to assess a patient's risk for developing:

Accepted Answer

Pressure injuries (pressure ulcers)

Answer

Onychomycosis and fungal nail infection

Answer

Peripheral neuropathy severity

Answer

Postoperative surgical site infection

Question 4

In the TIME wound bed preparation framework, what does the letter 'T' represent?

Accepted Answer

Tissue — removal of non-viable or deficient tissue

Answer

Temperature — assessing peri-wound skin warmth

Answer

Treatment — selecting the appropriate dressing type

Answer

Tracking — documenting wound measurements over time

Question 5

Which antiseptic is generally NOT recommended for cleansing open wounds due to its cytotoxic effect on fibroblasts and epithelial cells?

Accepted Answer

Full-strength 3% hydrogen peroxide

Answer

Diluted chlorhexidine gluconate (0.05%)

Answer

Sterile water

Answer

Normal saline

Question 6

A patient with a history of deep vein thrombosis presents with a lower-leg wound featuring irregular, sloping edges, hemosiderin (brown) staining, and moderate exudate. This is most consistent with which ulcer type?

Accepted Answer

Venous stasis ulcer

Answer

Arterial (ischemic) ulcer

Answer

Diabetic neuropathic ulcer

Answer

Pressure injury (decubitus ulcer)

Question 7

When a wound shows no measurable healing progress over two consecutive nail care visits, the appropriate action is to:

Accepted Answer

Document the lack of progress and refer the patient to their healthcare provider

Answer

Continue the current treatment plan for at least one month before considering referral

Answer

Increase the frequency of debridement sessions to accelerate healing

Answer

Apply a stronger antiseptic to address potential occult infection