Wound Care Certification Exam Wound Care Certification Wound Assessment and Staging 2

Question 1

A patient has a pressure injury where the wound bed is not visible due to slough covering the entire base. How should this wound be staged?

Accepted Answer

Unstageable

Answer

Stage 3

Answer

Stage 4

Answer

Deep Tissue Pressure Injury

Question 2

Which characteristic distinguishes a Stage 3 pressure injury from a Stage 4 pressure injury?

Accepted Answer

Exposure of bone, tendon, or muscle

Answer

Presence of tunneling

Answer

Depth extending through dermis

Answer

Presence of slough in the wound bed

Question 3

When measuring a wound, what is the correct anatomical orientation for wound length?

Accepted Answer

Head to toe (superior to inferior)

Answer

Side to side (medial to lateral)

Answer

Diagonal from corner to corner

Answer

Widest dimension regardless of direction

Question 4

A clinician documents wound undermining at '9 to 12 o'clock, extends 2 cm.' Using the clock face method, where is this undermining located?

Accepted Answer

On the patient's right lateral to superior border

Answer

On the patient's left lateral to superior border

Answer

On the patient's right medial to inferior border

Answer

On the patient's inferior to left lateral border

Question 5

Which wound exudate characteristic is most concerning and warrants immediate clinical evaluation?

Accepted Answer

Purulent exudate with foul odor

Answer

Serous exudate in a healing wound

Answer

Serosanguineous drainage after debridement

Answer

Increased drainage after compression therapy

Question 6

What is the primary purpose of performing periwound skin assessment during wound evaluation?

Accepted Answer

To identify signs of wound edge complications and skin breakdown

Answer

To determine wound staging

Answer

To calculate total wound surface area

Answer

To select appropriate wound dressing

Question 7

A diabetic patient presents with a wound on the plantar surface of the foot over the first metatarsal head. What wound classification system is most appropriate?

Accepted Answer

Wagner Ulcer Classification

Answer

NPUAP pressure injury staging

Answer

CEAP classification

Answer

Bates-Jensen Wound Assessment Tool