Wound Care Certification Exam Wound Care Certification Lower Extremity Wound Management 2

Question 1

Which compression system is considered the gold standard for venous leg ulcer treatment?

Accepted Answer

Four-layer compression bandage system (Charing Cross regimen)

Answer

Short-stretch bandage applied alone

Answer

Class I elastic stockings providing 15–20 mmHg

Answer

Intermittent pneumatic compression device only

Question 2

Compression therapy is CONTRAINDICATED in which clinical scenario?

Accepted Answer

ABI of 0.45 with a venous leg ulcer and significant edema

Answer

ABI of 0.85 with a venous leg ulcer and moderate edema

Answer

Bilateral leg edema from chronic venous insufficiency

Answer

Periwound skin maceration from excessive wound exudate

Question 3

What is the primary therapeutic mechanism of compression therapy in venous leg ulcer management?

Accepted Answer

Counteracting venous hypertension by promoting venous return and reducing edema

Answer

Reduction of wound bioburden and infection risk

Answer

Stimulating granulation tissue and angiogenesis

Answer

Preventing wound contamination from external pathogens

Question 4

Which wound characteristic best differentiates a diabetic neuropathic ulcer from an arterial ulcer?

Accepted Answer

Located on the plantar surface at bony pressure points with surrounding callus

Answer

Pale wound bed with minimal exudate and necrotic base

Answer

Severe pain that worsens with limb elevation

Answer

Associated with absent pedal pulses and dependent rubor

Question 5

The Semmes-Weinstein 5.07 (10-gram) monofilament test is used to assess which clinical finding in diabetic patients?

Accepted Answer

Presence or absence of protective sensation

Answer

Adequacy of arterial perfusion in the lower extremity

Answer

Competence of venous valves in the lower leg

Answer

Wound depth and presence of undermining or tunneling

Question 6

Which dressing strategy is most appropriate for a venous leg ulcer with moderate exudate?

Accepted Answer

Absorbent foam dressing under compression bandaging

Answer

Dry gauze dressing changed daily with compression over it

Answer

Hydrocolloid dressing applied without compression

Answer

Calcium alginate dressing applied without compression

Question 7

Regular callus debridement around a diabetic neuropathic ulcer is performed primarily to:

Accepted Answer

Redistribute pressure, stimulate wound edge healing, and remove healing barriers

Answer

Reduce infection risk by eliminating bacterial reservoirs

Answer

Eliminate the patient's need for offloading footwear

Answer

Remove all periwound tissue for better wound visualization