OSCE OSCE Wound Care and Dressings 2

Question 1

A patient has a stage III pressure ulcer with heavy exudate and no signs of infection. Which dressing type is MOST appropriate?

Accepted Answer

Alginate dressing

Answer

Alginate dressings are highly absorbent and ideal for heavily exuding wounds such as stage III pressure ulcers.

Question 2

When performing a wound irrigation, what is the recommended pressure range to effectively cleanse without causing tissue damage?

Accepted Answer

4–15 psi

Answer

The recommended irrigation pressure is 4–15 psi, which is sufficient to remove debris without damaging granulation tissue.

Question 3

A wound shows yellow slough covering 60% of the wound bed. Which debridement method is considered the most selective and least painful?

Accepted Answer

Autolytic debridement

Answer

Autolytic debridement uses the body's own enzymes under an occlusive dressing and is the most selective and least painful method.

Question 4

Which clinical finding would indicate a wound is in the inflammatory phase of healing?

Accepted Answer

Erythema, warmth, and edema around the wound

Answer

Erythema, warmth, swelling, and pain are hallmarks of the normal inflammatory phase occurring in the first 1–4 days after injury.

Question 5

A patient is allergic to latex. Which wound dressing component should you avoid?

Accepted Answer

Elastic bandage containing natural rubber

Answer

Natural rubber latex is found in many elastic bandages and can trigger allergic reactions in latex-sensitive patients.

OSCE Practice Test