NCWO Wound Care Management 3

Question 1

Which pressure redistribution device is considered the gold standard for prevention of pressure injuries in high-risk patients?

Accepted Answer

Active (alternating pressure) support surface

Answer

Standard hospital foam mattress

Answer

Reactive (static) foam overlay

Answer

Sheepskin overlay

Question 2

When caring for a patient with a diabetic foot ulcer (DFU), Charcot neuroarthropathy should be suspected when the foot presents with:

Accepted Answer

Warmth, erythema, and swelling in a neuropathic patient without open wound

Answer

Cool temperature, absent pulses, and pallor on elevation

Answer

Purulent exudate and fever indicating osteomyelitis

Answer

Dry gangrene of the toes with demarcation line

Question 3

The minimum recommended irrigation pressure for effective wound cleansing is:

Accepted Answer

4–15 psi

Answer

1–4 psi

Answer

16–20 psi

Answer

Greater than 20 psi

Question 4

A wound that has been present for more than 30 days without measurable progress toward closure is classified as:

Accepted Answer

A chronic wound

Answer

An acute wound

Answer

A subacute wound

Answer

A stalled wound requiring biopsy only

Question 5

Platelet-rich plasma (PRP) therapy promotes wound healing primarily through:

Accepted Answer

Delivery of concentrated growth factors to the wound site

Answer

Direct bactericidal action on wound pathogens

Answer

Mechanical debridement of the wound surface

Answer

Providing a moist wound environment

Question 6

Which type of wound is MOST appropriate for treatment with biological skin substitutes (e.g., Apligraf, Dermagraft)?

Accepted Answer

Clean, non-infected, non-healing diabetic foot ulcer or venous leg ulcer

Answer

Infected diabetic foot ulcer with osteomyelitis

Answer

Stage 1 pressure injury with intact skin

Answer

Acute surgical incision wound