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

Successful graft take requires a well-vascularized, clean granulation tissue bed covering nearly the entire wound surface.

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

Wound Bed Preparation 2.0 expanded TIME to include patient-centered care, biofilm as a primary barrier, and integration of advanced therapies.

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

Epibole refers to rolled or curled wound edges where epithelial cells have migrated down into the wound rather than across it.

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

Silver nitrate sticks chemically cauterize hypergranulation tissue, and compressive foam dressings reduce it mechanically to allow epithelial migration.

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

Purulent, malodorous, cloudy exudate is a hallmark of wound infection requiring bioburden reduction strategies.

Wound Care Certification Exam Practice Test

Wound Care Certification Exam Practice Test

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