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 1 pressure ulcers involve intact skin with non-blanchable erythema, typically over a bony prominence, and represent the earliest stage in the EPUAP classification.

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

Alginate dressings are highly absorbent and convert to a gel on contact with wound exudate, making them ideal for heavily exuding wounds while maintaining moisture balance.

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

Undermining describes tissue destruction that extends beneath intact skin surrounding the wound, creating a pocket or channel that is not visible at the surface.

Question 4

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

Accepted Answer

Moisture balance

Answer

In the TIME framework, 'M' represents Moisture balance, addressing the management of wound exudate to prevent both maceration and desiccation of wound tissue.

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

A Waterlow score of 15–19 places a patient in the 'high risk' category for pressure ulcer development, requiring preventive interventions.

NMC OSCE Practice Test

NMC OSCE Practice Test

NMC OSCE Wound Care & Tissue Viability