Wound Care Certification Exam Wound Care Certification Wound Bed Preparation Techniques 2

Question 1

Which component of the TIME framework specifically addresses the moisture balance in the wound environment?

Accepted Answer

M – Moisture balance

Answer

T – Tissue management

Answer

I – Infection/inflammation control

Answer

E – Edge of wound

Question 2

A wound with hyperkeratotic edges fails to advance despite good wound bed preparation. What is the MOST appropriate next intervention?

Accepted Answer

Debride the wound edges mechanically or chemically

Answer

Apply a hydrocolloid dressing

Answer

Increase frequency of dressing changes

Answer

Start systemic antibiotics

Question 3

When using the moist wound healing principle, which dressing is MOST appropriate for a dry, necrotic wound to facilitate autolytic debridement?

Accepted Answer

Hydrogel dressing

Answer

Alginate dressing

Answer

Foam dressing

Answer

Antimicrobial gauze

Question 4

A patient's wound has critical colonization. Which clinical sign BEST distinguishes this from frank infection?

Accepted Answer

Stalled healing with increased exudate but no systemic signs

Answer

Periwound erythema >2 cm

Answer

Systemic fever and leukocytosis

Answer

Wound cultures positive for Staphylococcus aureus

Question 5

Which type of debridement is CONTRAINDICATED in a patient on warfarin therapy with a vascular wound?

Accepted Answer

Sharp/surgical debridement

Answer

Autolytic debridement

Answer

Enzymatic debridement

Answer

Biological (maggot) debridement

Question 6

In wound bed preparation, biofilm management is critical. Which intervention is MOST effective at disrupting mature wound biofilm?

Accepted Answer

Mechanical debridement combined with antimicrobial dressings

Answer

Topical antiseptics alone

Answer

Systemic antibiotics alone

Answer

Occlusive dressings

Question 7

A wound clinician uses negative pressure wound therapy (NPWT) as part of wound bed preparation. What is the PRIMARY mechanism by which NPWT prepares the wound bed?

Accepted Answer

It removes excess exudate and promotes granulation tissue formation

Answer

It delivers oxygen directly to the wound tissue

Answer

It sterilizes the wound by creating anaerobic conditions

Answer

It replaces the need for debridement