Wound Care Certification Exam Wound Care Certification Knowledge 5

Question 1

Which phase of wound healing is characterized by contraction of the wound and collagen remodeling, and can last up to 2 years?

Accepted Answer

Maturation (remodeling) phase

Answer

The maturation or remodeling phase replaces type III collagen with stronger type I collagen and reorganizes the matrix over months to years.

Question 2

A fistula is best defined as:

Accepted Answer

An abnormal opening between two epithelium-lined organs or surfaces

Answer

A fistula is an abnormal communication between two epithelialized surfaces, such as an enteric-cutaneous fistula.

Question 3

Which clinical sign best differentiates wound infection from critical colonization?

Accepted Answer

Presence of systemic fever and erythema extending beyond the wound margin

Answer

Systemic signs (fever, spreading cellulitis) distinguish wound infection from colonization, which lacks host inflammatory response.

Question 4

The PUSH tool (Pressure Ulcer Scale for Healing) evaluates wound status based on which three parameters?

Accepted Answer

Surface area, exudate amount, and tissue type

Answer

The PUSH tool scores wounds on surface area (length × width), exudate amount, and tissue type to track healing progress.

Question 5

Maggot debridement therapy (MDT) is contraindicated in wounds that:

Accepted Answer

Communicate with body cavities or have exposed vessels

Answer

MDT is contraindicated when the wound communicates with a body cavity or has exposed vessels due to risk of migration and hemorrhage.

Wound Care Certification Exam Practice Test