NMC OSCE Wound Care & Tissue Viability 3

Question 1

A pressure ulcer shows full thickness skin and tissue loss with exposed bone, tendon, and muscle visible in the wound base. According to the EPUAP classification, what category is this?

Accepted Answer

Category 4

Answer

Category 4 is the most severe EPUAP classification, describing full thickness tissue loss with exposed or directly palpable bone, tendon, or muscle.

Question 2

What is the standard clinical method for documenting wound dimensions at the bedside?

Accepted Answer

Measure length x width x depth in centimetres using a sterile probe

Answer

Standard wound measurement records length (head-to-toe axis), width (side-to-side), and depth in centimetres using a sterile probe or cotton-tipped applicator for accurate documentation.

Question 3

What is the PRIMARY benefit of maintaining a moist wound environment during the healing process?

Accepted Answer

It promotes cell migration and prevents tissue dehydration

Answer

A moist wound environment promotes cellular migration, supports the activity of growth factors, and prevents tissue dehydration, all of which accelerate wound healing.

Question 4

Which type of wound dressing is CONTRAINDICATED in a clinically infected wound?

Accepted Answer

Occlusive hydrocolloid dressings

Answer

Occlusive hydrocolloid dressings create a sealed anaerobic environment that traps bacteria, potentially worsening clinical infection and are therefore contraindicated in infected wounds.

Question 5

A patient has a Category 3 pressure ulcer over the sacrum. What is the MOST important nursing intervention to prevent further deterioration?

Accepted Answer

Implementing a regular repositioning schedule at least every 2 hours

Answer

Regular repositioning at least every 2 hours is the most critical intervention to relieve sustained pressure from the sacrum and prevent further tissue damage and progression.

NMC OSCE Practice Test

NMC OSCE Practice Test

NMC OSCE Wound Care & Tissue Viability 3