Wound Care Certification Exam Wound Care Certification Wound Assessment and Staging 3

Question 1

Which finding on wound assessment indicates the wound is in the proliferative phase of healing?

Accepted Answer

Bright red granulation tissue filling the wound bed

Answer

Bright red granulation tissue indicates active angiogenesis and collagen synthesis, hallmarks of the proliferative healing phase.

Question 2

A wound is 4 cm long, 3 cm wide, and 2 cm deep. What is the wound volume using the length × width × depth calculation?

Accepted Answer

24 cm³

Answer

Wound volume = 4 × 3 × 2 = 24 cm³, though this formula overestimates volume compared to cavity fill methods.

Question 3

Epibole (rolled wound edges) indicates which healing problem?

Accepted Answer

Epithelial cells rolling inward preventing resurfacing

Answer

Epibole occurs when epithelial cells roll under the wound edge rather than migrating across the wound bed, halting resurfacing.

Question 4

When assessing a venous leg ulcer, which finding is most characteristic and expected?

Accepted Answer

Irregular wound margins with moderate to heavy exudate

Answer

Venous ulcers characteristically present with irregular margins, heavy fibrinous exudate, and often ruddy granulation tissue.

Question 5

Which assessment finding best differentiates an arterial ulcer from a venous ulcer?

Accepted Answer

Pale wound bed with minimal drainage and painful

Answer

Arterial ulcers typically have a pale, necrotic wound bed with minimal exudate and are painful due to ischemia, contrasting with venous ulcers.

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