NMC OSCE Wound Care & Tissue Viability

Question 1

A nurse assesses a patient with intact skin showing non-blanchable erythema over the sacrum. According to the EPUAP classification, which pressure ulcer category does this represent?

Accepted Answer

Category 1

Answer

Category 2

Answer

Category 3

Answer

Category 4

Question 2

A patient has a heavily exuding wound on their lower leg. Which dressing type is MOST appropriate to manage high levels of exudate while maintaining a moist wound environment?

Accepted Answer

Alginate dressing

Answer

Hydrocolloid dressing

Answer

Hydrogel dressing

Answer

Transparent film dressing

Question 3

During a wound assessment, the nurse documents 'undermining' present at the wound edge. What does this term correctly describe?

Accepted Answer

Tissue destruction extending beneath intact skin at the wound margin

Answer

Ragged, irregular wound edges caused by trauma

Answer

Inward rolling of wound edges preventing epithelialisation

Answer

New granulation tissue growing upward from the wound base

Question 4

The TIME framework is used in wound bed preparation. What does the 'M' in TIME stand for?

Accepted Answer

Moisture balance

Answer

Measurement of wound dimensions

Answer

Microorganism control

Answer

Margin assessment

Question 5

A patient has a Waterlow score of 17 following assessment. Which risk category does this score indicate?

Accepted Answer

High risk (score 15–19)

Answer

At risk (score 10–14)

Answer

Very high risk (score 20+)

Answer

No risk (score below 10)

Question 6

A nurse observes yellow/white soft fibrinous material covering the wound bed during assessment. This material is correctly identified as:

Accepted Answer

Slough

Answer

Healthy granulation tissue

Answer

Eschar

Answer

Epithelial tissue

Question 7

What is the recommended wound irrigation pressure range to effectively cleanse a wound without causing trauma to the wound bed?

Accepted Answer

4–15 psi

Answer

1–4 psi

Answer

15–25 psi

Answer

25–35 psi