Wound Care Certification Exam Wound Care Certification Wound Bed Preparation Techniques 5

Question 1

A patient requires wound bed preparation before split-thickness skin grafting. Which wound bed characteristic is MOST predictive of graft success?

Accepted Answer

Clean, well-vascularized granulation tissue covering >95% of the wound bed

Answer

Presence of at least 30% granulation tissue

Answer

Wound culture negative for all organisms

Answer

Wound depth less than 2 cm

Question 2

Which of the following BEST describes the concept of 'wound bed preparation 2.0' as it has evolved beyond the original TIME framework?

Accepted Answer

Addition of host factors including patient-centered concerns, biofilm management, and advanced therapies

Answer

Focus solely on debridement frequency

Answer

Replacement of moist wound healing with dry wound healing

Answer

Elimination of the use of antimicrobial dressings

Question 3

A clinician documents 'epibole' during wound assessment. What does this term describe?

Accepted Answer

Rolled, thickened wound edges where epithelium has turned down into the wound

Answer

Granulation tissue that rises above the wound surface

Answer

Fibrinous slough in the wound bed

Answer

Periwound edema

Question 4

Which topical agent is MOST appropriate to apply to hypergranulation tissue to reduce it and allow re-epithelialization?

Accepted Answer

Silver nitrate or foam dressing with compression

Answer

Hydrogel

Answer

Collagenase ointment

Answer

Zinc oxide paste

Question 5

When evaluating wound exudate as part of wound bed preparation, which exudate characteristic suggests wound infection rather than normal healing?

Accepted Answer

Cloudy, malodorous, purulent exudate

Answer

Clear to straw-colored serous exudate

Answer

Thin, blood-tinged serosanguineous exudate

Answer

Moderate serous exudate after dressing change

Question 6

A wound care nurse is choosing between conservative sharp debridement and surgical debridement. Which criterion MOST strongly indicates the need for surgical debridement?

Accepted Answer

Large, deep wound with extensive necrosis and signs of spreading infection

Answer

Small amount of surface slough in a shallow wound

Answer

Patient preference for faster healing

Answer

Wound located on the lower extremity

Question 7

In wound bed preparation, which factor is MOST responsible for converting a chronic wound environment to an acute wound environment?

Accepted Answer

Effective debridement that removes senescent cells and reduces bioburden

Answer

Increasing the frequency of dressing changes

Answer

Applying growth factor therapy without debridement

Answer

Increasing systemic nutritional support alone