NMC OSCE Wound Care & Tissue Viability 2

Question 1

A patient has a dry, necrotic wound with hard eschar. Which dressing type would best facilitate autolytic debridement?

Accepted Answer

Hydrogel dressing

Answer

Alginate dressing

Answer

Foam dressing

Answer

Antimicrobial dressing

Question 2

Which pressure ulcer risk assessment tool is most widely used and recommended in UK clinical practice?

Accepted Answer

Waterlow Score

Answer

Norton Scale

Answer

Braden Scale

Answer

Jackson/Cubbin Scale

Question 3

A patient presents with a venous leg ulcer. In which anatomical location is a venous leg ulcer MOST commonly found?

Accepted Answer

In the gaiter area around the medial malleolus

Answer

Over the lateral malleolus

Answer

On the dorsum of the foot

Answer

On the pretibial shin area

Question 4

Before applying compression bandaging to a patient with a leg ulcer, which investigation is ESSENTIAL to rule out arterial insufficiency?

Accepted Answer

Ankle Brachial Pressure Index (ABPI)

Answer

D-dimer blood test

Answer

Venous duplex ultrasound

Answer

Full blood count

Question 5

According to NICE guidelines, when should a wound swab be taken for microbiological analysis?

Accepted Answer

When clinical signs of infection are present

Answer

Routinely at every dressing change

Answer

When the wound has been present for more than 2 weeks

Answer

Whenever slough is visible in the wound bed

Question 6

A patient is lying in a supine position. Which anatomical site is at GREATEST risk of pressure ulcer development?

Accepted Answer

Sacrum

Answer

Elbows

Answer

Knees

Answer

Shoulder blades

Question 7

What is the minimum acceptable ABPI score required before full compression bandaging can be safely applied to a leg ulcer patient?

Accepted Answer

0.8

Answer

0.5

Answer

0.6

Answer

1.0