OSCE Wound Care and Dressings 2

Question 1

A patient has a stage III pressure ulcer with heavy exudate and necrotic tissue. Which dressing type is MOST appropriate?

Accepted Answer

Alginate dressing

Answer

Alginate dressings are ideal for heavily exuding wounds as they absorb large amounts of fluid and can conform to wound cavities.

Question 2

During a wound assessment, you note the wound edges are rolled under (epibole). This finding indicates:

Accepted Answer

Wound edges require mechanical disruption to resume healing

Answer

Epibole (rolled wound edges) indicates epithelial cells have migrated down the wound edges rather than across, requiring debridement or mechanical disruption to correct.

Question 3

A patient with a venous leg ulcer is being treated with compression therapy. The ABPI (Ankle-Brachial Pressure Index) is 0.5. What is the correct action?

Accepted Answer

Refer immediately; avoid compression

Answer

An ABPI below 0.6 indicates severe arterial insufficiency; compression is contraindicated and the patient requires urgent vascular referral.

Question 4

Which color in the wound bed assessment indicates the presence of slough?

Accepted Answer

Yellow/cream

Answer

Yellow or cream-colored tissue in the wound bed indicates slough, which is devitalized fibrinous tissue that requires removal to promote healing.

Question 5

A patient has a surgical wound that is intentionally left open to heal from the base up. This is classified as:

Accepted Answer

Secondary intention healing

Answer

Secondary intention healing occurs when wounds are left open and heal by granulation tissue formation, contraction, and epithelialization from the wound edges.

OSCE Practice Test

OSCE Practice Test

OSCE Wound Care and Dressings 2