Wound Care Certification Exam Wound Care Certification Wound Assessment and Staging 5

Question 1

Which CEAP classification class describes a patient with active venous ulceration?

Accepted Answer

C6

Answer

C3

Answer

C4b

Answer

C5

Question 2

A wound clinician measures a wound as 3 cm × 2 cm at the first visit and 2.5 cm × 1.8 cm at week 2. What percentage of wound area reduction occurred?

Accepted Answer

Approximately 25% reduction

Answer

Approximately 15% reduction

Answer

Approximately 40% reduction

Answer

Approximately 5% reduction

Question 3

What is the primary reason moisture-associated skin damage (MASD) must be distinguished from pressure injuries during wound assessment?

Accepted Answer

Treatment strategies differ significantly between the two conditions

Answer

MASD is always more painful than pressure injuries

Answer

MASD only occurs in the sacral region unlike pressure injuries

Answer

Pressure injuries always have full-thickness tissue loss

Question 4

A wound clinician observes satellite lesions (small wounds) surrounding a primary wound. This finding most likely indicates:

Accepted Answer

Spreading infection or cutaneous involvement beyond primary wound

Answer

Normal wound edge migration during epithelialization

Answer

Wound dehiscence from suture failure

Answer

Adequate moisture balance in the wound environment

Question 5

Which assessment technique is used to detect undermining in a wound?

Accepted Answer

Using a sterile cotton-tipped applicator to probe beneath wound edges

Answer

Pressing firmly on periwound skin to check for blanching

Answer

Measuring wound width at its widest visible point

Answer

Applying wound photography for documentation

Question 6

What does the term 'biofilm' mean in the context of wound assessment, and why is it clinically significant?

Accepted Answer

A structured community of bacteria embedded in a protective matrix that resists antibiotics

Answer

A transparent protective film applied to cover wounds

Answer

The fibrin layer that forms naturally during wound healing

Answer

A type of wound dressing that promotes moisture balance

Question 7

When a Stage 2 pressure injury heals, how should it be restaged?

Accepted Answer

Documented as 'healed Stage 2' — pressure injuries are never restaged downward

Answer

Restaged downward to Stage 1 as it improves

Answer

Reclassified as a skin tear once epithelialized

Answer

Upgraded to Stage 3 if slough appeared during healing