Wound Care Certification Exam Wound Care Certification Practice 4

Question 1

Which nutritional marker is MOST sensitive for identifying malnutrition that may impair wound healing?

Accepted Answer

Serum prealbumin (transthyretin)

Answer

Serum albumin

Answer

Total lymphocyte count

Answer

Serum transferrin

Question 2

A patient has a pressure injury with a wound that cannot be staged because the base is obscured by slough. This is classified as:

Accepted Answer

Unstageable pressure injury

Answer

Stage 3

Answer

Stage 4

Answer

Deep tissue pressure injury

Question 3

Which intervention is MOST effective in reducing peak plantar pressure to prevent diabetic foot ulcer recurrence?

Accepted Answer

Total contact casting (TCC)

Answer

Standard athletic footwear

Answer

Removable cast walker

Answer

Accommodative insoles alone

Question 4

Periwound erythema, warmth, induration, and pain extending more than 2 cm from the wound edge BEST describe:

Accepted Answer

Cellulitis requiring systemic antibiotics

Answer

Normal inflammatory phase

Answer

Wound colonization

Answer

Wound critical colonization

Question 5

A patient with a spinal cord injury is at HIGH risk for pressure injuries primarily due to:

Accepted Answer

Loss of protective sensation and impaired mobility

Answer

Increased skin moisture from diaphoresis

Answer

Malnutrition from dysphagia

Answer

Arterial insufficiency from autonomic dysreflexia

Question 6

The BEST evidence-based repositioning schedule to prevent hospital-acquired pressure injuries in a high-risk patient is:

Accepted Answer

Every 2 hours with documented position changes

Answer

Every 4 hours on a standard mattress

Answer

Every 1 hour when using a pressure-redistribution mattress

Answer

Repositioning only when patient requests it

Question 7

Which type of wound closure is MOST appropriate for a contaminated traumatic wound presenting 18 hours after injury?

Accepted Answer

Delayed primary closure

Answer

Primary intention (immediate closure)

Answer

Secondary intention (allowing to heal open)

Answer

Tissue adhesive application