NCWO Wound Care Management 2

Question 1

Enzymatic debridement agents such as collagenase work by:

Accepted Answer

Digesting collagen fibers anchoring necrotic tissue to the wound bed

Answer

Absorbing necrotic tissue with high exudate capacity

Answer

Rehydrating eschar to allow mechanical removal

Answer

Killing bacteria in the wound biofilm

Question 2

When applying a silver-containing dressing to a wound, the nurse should be aware that:

Accepted Answer

Silver should be discontinued once signs of infection resolve to prevent resistance or toxicity

Answer

Silver dressings should be used continuously for months without reassessment

Answer

Silver dressings must be moistened with normal saline before every use

Answer

Silver is safe and indicated for all wound types including clean healing wounds

Question 3

The primary goal of compression therapy for venous leg ulcers is to:

Accepted Answer

Counteract venous hypertension and promote venous return

Answer

Prevent arterial occlusion in the lower extremity

Answer

Reduce wound bioburden and infection risk

Answer

Immobilize the ankle to decrease shear forces

Question 4

A foam dressing is most appropriate for a wound with:

Accepted Answer

Moderate to heavy exudate and a granulating wound bed

Answer

Minimal to no exudate and a dry eschar

Answer

Exposed bone or tendon requiring a protective barrier

Answer

A heavily infected wound requiring antimicrobial action

Question 5

Hyperbaric oxygen therapy (HBOT) for wound healing works by:

Accepted Answer

Increasing dissolved oxygen in plasma to hypoxic tissues and stimulating angiogenesis

Answer

Directly killing anaerobic bacteria through oxidation

Answer

Reducing wound biofilm through pressure changes

Answer

Enhancing antibiotic absorption in wound tissue

Question 6

Maggot debridement therapy (MDT) is most beneficial for wounds containing:

Accepted Answer

Soft, moist, necrotic slough with suspected biofilm

Answer

Dry, hard eschar on a heel

Answer

Exposed bone requiring osteomyelitis treatment

Answer

Clean granulating tissue near closure