Wound Care Certification Exam Wound Care Certification Practice 3

Question 1

A patient receiving negative pressure wound therapy (NPWT) develops sudden bright red blood in the drainage tubing. The FIRST action the wound care clinician should take is:

Accepted Answer

Discontinue NPWT and apply direct pressure

Answer

Decrease the negative pressure setting

Answer

Irrigate the wound with saline

Answer

Notify the physician and continue monitoring

Question 2

Which statement BEST describes the role of matrix metalloproteinases (MMPs) in chronic wounds?

Accepted Answer

MMPs are elevated and cause excessive degradation of the extracellular matrix, impairing healing

Answer

MMPs are absent in chronic wounds, preventing collagen remodeling

Answer

MMPs promote angiogenesis as their primary function

Answer

MMPs are responsible for epithelialization across the wound surface

Question 3

For a venous leg ulcer, the MINIMUM ankle-brachial index (ABI) generally required before applying full compression (40 mmHg) is:

Accepted Answer

0.8

Answer

0.4

Answer

0.6

Answer

1.0

Question 4

A wound with 100% black eschar on the heel of an immobile patient should initially be treated by:

Accepted Answer

Leaving it intact and monitoring for signs of infection

Answer

Immediate sharp debridement at bedside

Answer

Applying moisture to soften and remove the eschar

Answer

Applying an enzymatic debrider immediately

Question 5

Which wound bed preparation concept is captured by the acronym TIME?

Accepted Answer

Tissue, Infection/Inflammation, Moisture, Edge

Answer

Temperature, Inflammation, Moisture, Exudate

Answer

Tissue, Ischemia, Maceration, Epithelialization

Answer

Texture, Infection, Moisture, Evaluation

Question 6

Hyperbaric oxygen therapy (HBOT) is MOST indicated for which wound type?

Accepted Answer

Diabetic foot ulcer with compromised tissue perfusion unresponsive to standard care

Answer

Stage 2 pressure injury in a healthy patient

Answer

Venous leg ulcer with adequate ABI

Answer

Superficial partial-thickness burn

Question 7

When assessing wound depth using a cotton-tipped applicator, the clinician identifies that the probe contacts bone. This finding most likely indicates:

Accepted Answer

Suspected osteomyelitis requiring further evaluation

Answer

Stage 3 pressure injury

Answer

Unstageable pressure injury

Answer

Deep tissue pressure injury