Wound Care Certification Exam Wound Care Certification Lower Extremity Wound Management

Question 1

Which characteristic is most typical of an arterial (ischemic) ulcer of the lower extremity?

Accepted Answer

Pale, well-defined 'punched-out' margins with minimal exudate

Answer

Arterial ulcers have pale, well-defined 'punched-out' margins with minimal exudate because reduced blood flow limits tissue perfusion and wound moisture.

Question 2

An ankle-brachial index (ABI) of 0.55 in a patient with a lower extremity wound most accurately indicates:

Accepted Answer

Moderate to severe peripheral arterial disease

Answer

An ABI of 0.4–0.6 indicates moderate to severe peripheral arterial disease; values below 0.5 suggest critical limb ischemia requiring urgent vascular evaluation.

Question 3

Which anatomical location is most typical for venous stasis ulcers?

Accepted Answer

Medial malleolus and gaiter area of the lower leg

Answer

Venous ulcers most commonly occur in the gaiter area around the medial malleolus due to the highest concentration of venous hypertension in that region.

Question 4

Which physical finding is most consistent with chronic venous insufficiency of the lower extremity?

Accepted Answer

Lipodermatosclerosis and hemosiderin staining

Answer

Lipodermatosclerosis (subcutaneous fibrosis) and hemosiderin staining (brown discoloration) are hallmarks of chronic venous insufficiency from red blood cell extravasation.

Question 5

A patient with a venous leg ulcer has an ABI of 0.82. What is the most appropriate first-line treatment?

Accepted Answer

Compression therapy with 30–40 mmHg sustained compression

Answer

An ABI of 0.82 indicates adequate arterial perfusion, making full-strength compression therapy (30–40 mmHg) the appropriate evidence-based first-line treatment for venous ulcers.

Wound Care Certification Exam Practice Test

Wound Care Certification Exam Practice Test

Wound Care Certification Exam Wound Care Certification Lower Extremity Wound Management