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

Prealbumin has a short half-life of 2–3 days, making it a more sensitive and responsive marker of recent nutritional status compared to albumin.

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

When slough or eschar obscures the wound base, the depth — and therefore the stage — cannot be determined, making it unstageable.

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

Total contact casting is the gold standard for offloading diabetic plantar neuropathic ulcers because it is non-removable and redistributes pressure optimally.

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

These classic signs of spreading infection beyond the wound edge define cellulitis, which requires systemic antibiotic treatment.

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

Loss of sensory feedback means the patient cannot feel pain from sustained pressure, and impaired mobility prevents spontaneous repositioning.

Wound Care Certification Exam Practice Test

Wound Care Certification Exam Practice Test

Wound Care Certification Exam Wound Care Certification Practice 4